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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74852/psn-pdf
    February 23, 2022 - Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. February 23, 2022 Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:10.1515/dx-2020-0160. https://…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41678/psn-pdf
    June 03, 2013 - Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). June 3, 2013 Schleyer AM, Best JA, McIntyre LK, et al. Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46741/psn-pdf
    June 07, 2018 - Suffering in silence: medical error and its impact on health care providers. June 7, 2018 Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J Emerg Med. 2018;54(4). doi:10.1016/j.jemermed.2017.12.001. https://psnet.ahrq.gov/issue/suffering-silence-medical-error-and-…
  4. psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
    June 19, 2024 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Apri…
  5. psnet.ahrq.gov/perspective/what-makes-good-checklist
    October 01, 2010 - What Makes a Good Checklist Anne Collins McLaughlin, PhD | October 1, 2010  Also Read a Conversation View more articles from the same authors. Citation Text: McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
  6. psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
    November 01, 2017 - The Role of Patient-facing Technologies to Empower Patients and Improve Safety Ronen Rozenblum, MD, MPH, and David Bates, MD, MS | November 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Rozenblum R, Bates DW. The Role…
  7. psnet.ahrq.gov/web-mm/deadly-duo
    April 28, 2021 - The Deadly Duo Citation Text: Maldonado JR. The Deadly Duo. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49714/psn-pdf
    August 21, 2014 - Pitfalls in Diagnosing Necrotizing Fasciitis August 21, 2014 Goh T, Goh LG. Pitfalls in Diagnosing Necrotizing Fasciitis. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis Case Objectives State the epidemiology of necrotizing fasciitis. Appreciate the high mortality a…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73128/psn-pdf
    July 01, 2022 - Hospital at Home? Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. April 7, 2021 https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications- and-enhances Summary The Hospital at Homesm program provides hospital-level care…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49415/psn-pdf
    September 01, 2003 - Intubation Mishap September 1, 2003 Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/intubation-mishap Case Objectives To understand and apply a structured method of human factors case analysis To describe the key components of effective teamwork To understand the imp…
  11. psnet.ahrq.gov/perspective/conversation-lucian-leape-md
    June 12, 2019 - In Conversation With… Lucian Leape, MD April 1, 2015  Citation Text: In Conversation With… Lucian Leape, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: …
  12. psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
    February 26, 2025 - In Conversation With… Shantanu Nundy, MD July 1, 2018  Citation Text: In Conversation With… Shantanu Nundy, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format:…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867520/psn-pdf
    January 15, 2025 - Characteristics and trends of medical diagnostic errors in the United States. January 15, 2025 Ao HS, Matthews T. Characteristics and trends of medical diagnostic errors in the United States. Patient Safety. 2024;6(1):123603. doi:10.33940/001c.123603. https://psnet.ahrq.gov/issue/characteristics-and-trends-medical…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47820/psn-pdf
    May 11, 2019 - Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease. May 11, 2019 Puri K, Singh H, Denfield SW, et al. Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease. J Pediatr. 2019;208:258-264.e3. d…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845077/psn-pdf
    February 22, 2023 - How should clinicians minimize bias when responding to suspicions about child abuse? February 22, 2023 Letson M, Crichton KG. How should clinicians minimize bias when responding to suspicions about child abuse? AMA J Ethics. 2023;25(2):E93-99. doi:10.1001/amajethics.2023.93. https://psnet.ahrq.gov/issue/how-should…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46314/psn-pdf
    November 01, 2020 - AHRQ Safety Program for Improving Antibiotic Use. July 9, 2019 Agency for Healthcare Research and Quality, Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, and University of Chicago. https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use Improving antibiotic use is a st…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47857/psn-pdf
    June 14, 2019 - The wicked problem of patient misidentification: how could the technological revolution help address patient safety? June 14, 2019 Ferguson C, Hickman L, Macbean C, et al. The wicked problem of patient misidentification: How could the technological revolution help address patient safety? J Clin Nurs. 2019;28(13-14…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46249/psn-pdf
    July 12, 2017 - Zero preventable deaths after traumatic injury: an achievable goal. July 12, 2017 Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8. doi:10.1097/ta.0000000000001425. https://psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal Criti…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43698/psn-pdf
    November 19, 2014 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. November 19, 2014 Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.2014.964873. https://psnet.ahrq.gov/i…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41414/psn-pdf
    June 06, 2012 - Factors associated with reported preventable adverse drug events: a retrospective, case-control study. June 6, 2012 Beckett RD, Sheehan AH, Reddan JG. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Ann Pharmacother. 2012;46(5):634-41. doi:10.1345/aph.1Q785. h…

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