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psnet.ahrq.gov/node/72751/psn-pdf
February 17, 2021 - The critical need for nursing education to address the
diagnostic process.
February 17, 2021
Gleason KT, Harkless G, Stanley J, et al. The critical need for nursing education to address the diagnostic
process. Nurs Outlook. 2021;69(3):362-369. doi:10.1016/j.outlook.2020.12.005.
https://psnet.ahrq.gov/issue/critica…
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psnet.ahrq.gov/node/46349/psn-pdf
August 16, 2017 - Health Literacy Tools for Providers of Medication Therapy
Management.
August 16, 2017
Rockville, MD: Agency for Healthcare Research and Quality; July 2017.
https://psnet.ahrq.gov/issue/health-literacy-tools-providers-medication-therapy-management
Health literacy is important for effective care communications and s…
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psnet.ahrq.gov/node/850343/psn-pdf
December 12, 2023 - Challenge Competition: Impact of Patient Safety Tools.
December 12, 2023
Rockville, MD: Agency for Healthcare Research and Quality; 2023.
https://psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
The Agency for Healthcare Research and Quality (AHRQ) offers many practical tools and resource…
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psnet.ahrq.gov/node/61073/psn-pdf
October 28, 2020 - Doctors' unconscious bias affects quality of health care
services, research shows.
October 28, 2020
Dembosky A. All Things Considered. National Public Radio. October 15, 2020.
https://psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
Physician implicit bias is g…
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psnet.ahrq.gov/node/47128/psn-pdf
October 13, 2018 - Matt's story: learning from heartbreak.
October 13, 2018
Miller K, Dastoli A. Matt's story: learning from heartbreak. Int J Qual Health Care. 2018;30(8):654-657.
doi:10.1093/intqhc/mzy076.
https://psnet.ahrq.gov/issue/matts-story-learning-heartbreak
Medical error affects the lives of patients, families, and member…
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psnet.ahrq.gov/node/45633/psn-pdf
December 21, 2016 - Lost in translation: medication labeling for immigrant
families.
December 21, 2016
Smith MCJ, Yin S, Sanders LM. Lost in translation: Medication labeling for immigrant families. J Am Pharm
Assoc (2003). 2016;56(6):677-679. doi:10.1016/j.japh.2016.07.002.
https://psnet.ahrq.gov/issue/lost-translation-medication-lab…
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psnet.ahrq.gov/node/41685/psn-pdf
July 02, 2014 - Faculty member review and feedback using a sign-out
checklist: improving intern written sign-out.
July 2, 2014
Bump GM, Bost JE, Buranosky R, et al. Faculty member review and feedback using a sign-out checklist:
improving intern written sign-out. Acad Med. 2012;87(8):1125-31. doi:10.1097/ACM.0b013e31825d1215.
http…
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psnet.ahrq.gov/node/45853/psn-pdf
April 24, 2018 - Rudeness and medical team performance.
April 24, 2018
Riskin A, Erez A, Foulk T, et al. Rudeness and Medical Team Performance. Pediatrics.
2017;139(2):e20162305. doi:10.1542/peds.2016-2305.
https://psnet.ahrq.gov/issue/rudeness-and-medical-team-performance
Disruptive and rude behavior by clinicians can hinder team…
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psnet.ahrq.gov/node/866358/psn-pdf
July 24, 2024 - To improve health care, focus on fixing systems — not
people.
July 24, 2024
Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people.
Harvard Business Review. July 12, 2024;
https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
While a focus on the…
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psnet.ahrq.gov/node/836833/psn-pdf
March 30, 2022 - As a nurse faces prison for a deadly error, her colleagues
worry: could I be next?
March 30, 2022
Kelman B. Kaiser Health News. March 22, 2022
https://psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next
Criminalization of medical mistakes typifies the blame-focused approach pa…
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psnet.ahrq.gov/node/42660/psn-pdf
October 16, 2013 - Practice indicators of suboptimal care and avoidable
adverse events: a content analysis of a national qualifying
examination.
October 16, 2013
Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse
events: a content analysis of a national qualifying examination. Acad…
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psnet.ahrq.gov/node/73539/psn-pdf
July 28, 2021 - Developing critical thinking skills for delivering optimal
care
July 28, 2021
Scott IA, Hubbard RE, Crock C, et al. Developing critical thinking skills for delivering optimal care. Intern
Med J. 2021;51(4):488-493. doi:10.1111/imj.15272.
https://psnet.ahrq.gov/issue/developing-critical-thinking-skills-delivering-o…
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psnet.ahrq.gov/node/60875/psn-pdf
September 02, 2020 - Understanding context specificity: the effect of contextual
factors on clinical reasoning.
September 2, 2020
Konopasky A, Artino AR, Battista A, et al. Understanding context specificity: the effect of contextual factors
on clinical reasoning. Diagnosis (Berl). 2020;79(3):257-264. doi:10.1515/dx-2020-0016.
https://…
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psnet.ahrq.gov/node/46927/psn-pdf
April 04, 2018 - Clinician Well-Being Knowledge Hub.
April 4, 2018
Washington, DC: National Academy of Medicine.
https://psnet.ahrq.gov/issue/clinician-well-being-knowledge-hub
Clinician burnout can detract from individual wellness, patient safety, and organizational health. This
website serves as a companion to a collaborative ef…
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psnet.ahrq.gov/node/72511/psn-pdf
November 25, 2020 - Hospital Preparedness for a COVID-19 Surge:
Assessment Tool.
November 25, 2020
Boston, MA: Institute for Healthcare Improvement; 2020.
https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool
Hospital crisis management, preparation, and planning are of heightened interest due to the …
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psnet.ahrq.gov/node/844556/psn-pdf
February 15, 2023 - Using Machine Learning to Improve Patient Safety in the
Home or Remote Setting for Adults.
February 15, 2023
Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcare Improvement; 2022.
https://psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
T…
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psnet.ahrq.gov/node/37422/psn-pdf
March 23, 2011 - Educational quality improvement report: outcomes from a
revised morbidity and mortality format that emphasised
patient safety.
March 23, 2011
Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised
morbidity and mortality format that emphasised patient safety. Qual S…
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psnet.ahrq.gov/node/42872/psn-pdf
December 30, 2014 - Errors in after-hours phone consultations: a simulation
study.
December 30, 2014
Joffe E, Turley JP, Hwang KO, et al. Errors in after-hours phone consultations: a simulation study. BMJ
Qual Saf. 2014;23(5):398-405. doi:10.1136/bmjqs-2013-002243.
https://psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-s…
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psnet.ahrq.gov/node/46199/psn-pdf
September 27, 2017 - The development and implementation of checklists in
obstetrics.
September 27, 2017
Medicine S for M-F, Bernstein PS, Combs A, et al. The development and implementation of checklists in
obstetrics. Am J Obstet Gynecol. 2017;217(2):B2-B6. doi:10.1016/j.ajog.2017.05.032.
https://psnet.ahrq.gov/issue/development-and-i…
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psnet.ahrq.gov/node/35383/psn-pdf
January 02, 2017 - North Mississippi Medical Center: a focus on quality,
safety, and financial critical success factors.
January 2, 2017
Murphree J, Englert J, Koch K, et al. North Mississippi Medical Center: a focus on quality, safety, and
financial critical success factors. Jt Comm J Qual Patient Saf. 2005;31(10):545-53.
https://p…