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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://…
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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 …
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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-…
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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
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Apri…
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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…
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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…
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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.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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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…
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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…
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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…
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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.
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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.
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…