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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839325/psn-pdf
    November 02, 2022 - Human centered design workshops as a meta-solution to diagnostic disparities. November 2, 2022 Wiegand AA, Dukhanin V, Sheikh T, et al. Human centered design workshops as a meta-solution to diagnostic disparities. Diagnosis (Berl). 2022;9(4):458-467. doi:10.1515/dx-2022-0025. https://psnet.ahrq.gov/issue/human-cen…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38491/psn-pdf
    January 31, 2011 - Diagnostic errors--The next frontier for patient safety. January 31, 2011 Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA. 2009;301(10):1060-2. doi:10.1001/jama.2009.249. https://psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety Studies from autopsy dat…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838321/psn-pdf
    October 12, 2022 - Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. October 12, 2022 Adler-Milstein J, Aggarwal N, Ahmed M, et al. NAM Perspectives. Washington DC: National Academy of Medicine; 2022. https://psnet.ahrq.gov/issue/meeting-moment-addressing-bar…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44370/psn-pdf
    November 20, 2015 - Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. November 20, 2015 Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of physicians at a university medi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854380/psn-pdf
    October 11, 2023 - Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. October 11, 2023 Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. J Patient Saf. 2023;19(7):447-452…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853070/psn-pdf
    August 30, 2023 - Activating pharmacists to reduce the frequency of medication-related problems (ACTMed): a stepped wedge cluster randomised trial. August 30, 2023 Spinks J, Violette R, Boyle DIR, et al. Activating pharmacists to reduce the frequency of medication?related problems (ACTMed): a stepped wedge cluster randomised trial.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39979/psn-pdf
    November 03, 2010 - Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns. November 3, 2010 Gordon JA, Alexander EK, Lockley SW, et al. Does Simulator-Based Clinical Performance Correlate With Actual Hospital Behavior? The Effec…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46690/psn-pdf
    December 20, 2017 - Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. December 20, 2017 Peden CJ, Campbell M, Aggarwal G. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Br J Anaesth. 2017;119. doi:10.1093/bja/aex346. https://psnet.ahrq.gov/is…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34063/psn-pdf
    September 18, 2011 - Risk factors for retained instruments and sponges after surgery. September 18, 2011 Gawande AA, Studdert DM, Orav J, et al. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003;348(3):229-35. https://psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery Th…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40410/psn-pdf
    May 11, 2011 - Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients. May 11, 2011 Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug-dru…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73313/psn-pdf
    May 26, 2021 - Maintaining maternal-newborn safety during the COVID- 19 pandemic. May 26, 2021 Patrick NA, Johnson TS. Maintaining maternal-newborn safety during the COVID-19 pandemic. Nurs Womens Health. 2021;25(3):212-220. doi:10.1016/j.nwh.2021.03.003. https://psnet.ahrq.gov/issue/maintaining-maternal-newborn-safety-during-co…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44741/psn-pdf
    January 20, 2016 - System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. January 20, 2016 Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35540/psn-pdf
    August 05, 2009 - Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. August 5, 2009 Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to- physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74705/psn-pdf
    January 26, 2022 - 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety. January 26, 2022 St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety. Safety Sci. 2021;147:1055…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74205/psn-pdf
    January 01, 2022 - Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study. December 22, 2021 Gibson BA, McKinnon E, Bentley RC, et al. Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinici…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47554/psn-pdf
    November 07, 2018 - Diagnostic Excellence Initiative. November 7, 2018 Gordon and Betty Moore Foundation. https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite an increasing focus on di…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39030/psn-pdf
    October 21, 2009 - Misleading one detail: a preventable mode of diagnostic error? October 21, 2009 Arzy S, Brezis M, Khoury S, et al. Misleading one detail: a preventable mode of diagnostic error? J Eval Clin Pract. 2009;15(5):804-6. doi:10.1111/j.1365-2753.2008.01098.x. https://psnet.ahrq.gov/issue/misleading-one-detail-preventable…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867222/psn-pdf
    December 04, 2024 - How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. December 4, 2024 Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. Ac…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837036/psn-pdf
    May 04, 2022 - Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. May 4, 2022 Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. J Patient Saf. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865723/psn-pdf
    June 18, 2024 - Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association. June 18, 2024 Agency for Healthcare Research and Quality. May 23, 2024. https://psnet.ahrq.gov/issue/using-ahrqs-sops-hospital-survey-and-workplace-safety-item-set-experiences- state-hospital An unders…

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