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  1. psnet.ahrq.gov/web-mm/transfusion-overload
    September 23, 2020 - SPOTLIGHT CASE Transfusion Overload Citation Text: Patel MS, Carson JL. Transfusion Overload. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…
  2. psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
    September 25, 2019 - Delay in Malignancy Diagnosis Reflects Systemic Failures Citation Text: Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: …
  3. psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
    March 15, 2023 - SPOTLIGHT CASE False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. Citation Text: Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.. PSNet [internet]. Rockville (MD): Agency for …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867132/psn-pdf
    November 13, 2024 - Large language model influence on diagnostic reasoning: a randomized clinical trial. November 13, 2024 Goh E, Gallo R, Hom J, et al. Large language model influence on diagnostic reasoning: a randomized clinical trial. JAMA Netw Open. 2024;7(10):e2440969. doi:10.1001/jamanetworkopen.2024.40969. https://psnet.ahrq.g…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73247/psn-pdf
    May 12, 2021 - Emergency physician perceptions of electronic health record usability and safety. May 12, 2021 Pruitt ZM, Howe JL, Hettinger AZ, et al. Emergency physician perceptions of electronic health record usability and safety. J Patient Saf. 2021;17(8):e983-e987. doi:10.1097/pts.0000000000000849. https://psnet.ahrq.gov/iss…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867642/psn-pdf
    February 26, 2025 - Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study. February 26, 2025 Viftrup A, Laustsen S, Pahle ML, et al. Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study. BMJ Open. 202…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867635/psn-pdf
    February 26, 2025 - Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. February 26, 2025 Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. doi:10.1097/pq9.0000000000000773.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43614/psn-pdf
    October 22, 2014 - Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. October 22, 2014 Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;21(6):515-20. doi:10.1097/MOH.000…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844039/psn-pdf
    February 08, 2023 - Using potentially preventable severe maternal morbidity to monitor hospital performance. February 8, 2023 Fridman M, Korst LM, Reynen DJ, et al. Using potentially preventable severe maternal morbidity to monitor hospital performance. Jt Comm J Qual Patient Saf. 2023;49(3):129-137. doi:10.1016/j.jcjq.2022.11.007. h…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46207/psn-pdf
    July 19, 2017 - Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. July 19, 2017 Dyrbye LN, Shanafelt TD, Sinsky CA, et al. Washington, DC: National Academy of Medicine; July 5, 2017. https://psnet.ahrq.gov/issue/burnout-among-health-care-professionals-ca…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38290/psn-pdf
    February 17, 2011 - Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. February 17, 2011 Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736. https://psnet.ahrq.gov/issue/revisitin…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838136/psn-pdf
    September 21, 2022 - Exploration of a rapid response team model of care: a descriptive dual methods study. September 21, 2022 Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294. https://psnet.a…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836994/psn-pdf
    April 27, 2022 - Conversations on diagnostic uncertainty and its management among pediatric acute care physicians. April 27, 2022 Patel SJ, Ipsaro A, Brady PW. Conversations on diagnostic uncertainty and its management among pediatric acute care physicians. Hosp Pediatr. 2022;12(3):317-324. doi:10.1542/hpeds.2021-006076. https://p…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851056/psn-pdf
    June 28, 2023 - Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. June 28, 2023 Chang C, Varghese N, Machiorlatti M. Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. Diagnosis (Berl). 2023;10(2):105-109. doi:1…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844770/psn-pdf
    September 11, 2019 - Use of "Doctor" badges for physician role identification during clinical training. September 11, 2019 Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416. https://psnet.ahrq.gov/issue/…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837664/psn-pdf
    July 13, 2022 - Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. July 13, 2022 Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision- making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284. https://psn…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46840/psn-pdf
    June 20, 2018 - Interventions to improve employee health and well-being within health care organizations: a systematic review. June 20, 2018 Williams SP, Malik HT, Nicolay CR, et al. Interventions to improve employee health and well-being within health care organizations: A systematic review. J Healthc Risk Manag. 2018;37(4):25-51…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48116/psn-pdf
    July 17, 2019 - Patient safety superheroes in training: using a comic book to teach patient safety to residents. July 17, 2019 Maatman TC, Prigmore H, Williams JS, et al. Patient safety superheroes in training: using a comic book to teach patient safety to residents. BMJ Qual Saf. 2019;28(11):934-938. doi:10.1136/bmjqs-2018-009094…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47030/psn-pdf
    June 06, 2018 - Creating a safer operating room: groups, team dynamics and crew resource management principles. June 6, 2018 Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008. https://p…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73867/psn-pdf
    September 22, 2021 - A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. September 22, 2021 Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. Acad Med. 2021;96(9):1268-1275. …

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