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psnet.ahrq.gov/node/37094/psn-pdf
February 01, 2011 - Improving patient care by linking evidence-based
medicine and evidence-based management.
February 1, 2011
Shortell SM, Rundall TG, Hsu J. Improving Patient Care by Linking Evidence-Based Medicine and
Evidence-Based Management. JAMA. 2007;298(6). doi:10.1001/jama.298.6.673.
https://psnet.ahrq.gov/issue/improving-pa…
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psnet.ahrq.gov/node/42228/psn-pdf
October 08, 2013 - Cognitive diagnostic error in internal medicine.
October 8, 2013
Van den Berge K, Mamede S. Cognitive diagnostic error in internal medicine. Eur J Intern Med.
2013;24(6):525-9. doi:10.1016/j.ejim.2013.03.006.
https://psnet.ahrq.gov/issue/cognitive-diagnostic-error-internal-medicine
This review discusses how confir…
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psnet.ahrq.gov/node/74259/psn-pdf
January 19, 2022 - Diagnostic reasoning in cardiovascular medicine.
January 19, 2022
Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ.
2022;376:e064389. doi:10.1136/bmj-2021-064389.
https://psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine
Misdiagnosis of heart failure can lead to…
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psnet.ahrq.gov/node/60685/psn-pdf
July 15, 2020 - Latent bias and the implementation of artificial
intelligence in medicine.
July 15, 2020
Decamp M, Lindvall C. Latent bias and the implementation of artificial intelligence in medicine. J Am Med
Inform Assoc. 2020;27(12):2020-2023. doi:10.1093/jamia/ocaa094.
https://psnet.ahrq.gov/issue/latent-bias-and-implementat…
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www.ahrq.gov/cpi/about/nac/snac.html
May 01, 2022 - Subcommittee of the National Advisory Council on Healthcare Quality Measurement
In November of 2020, the U.S. HHS Immediate Office of the Secretary requested that the AHRQ director form a Subcommittee of the National Advisory Council (SNAC) to focus on AHRQ's future investment in quality measurement. AHRQ's Na…
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digital.ahrq.gov/ahrq-funded-projects/industrial-systems-engineering-and-health-care-critical-areas-research-workshop/industrial-and-systems-engineering-and-health-care-critical-areas-research-workshop-materials
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - Browse Author Resources
Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…
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www.ahrq.gov/news/newsletters/e-newsletter/933.html
October 01, 2024 - AHRQ Views: Taking Needed Steps To Strengthen Primary Care
Issue Number
933
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
October 15, 2024
AHRQ Stats: In-Hospital Sepsis Mortality by Hospital Type The in-hospital mortality rate for sepsis stays that did not…
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psnet.ahrq.gov/node/867187/psn-pdf
November 20, 2024 - Family medicine presence on labor and delivery: effect on
safety culture and cesarean delivery.
November 20, 2024
VanGompel EW, Singh L, Carlock F, et al. Family medicine presence on labor and delivery: effect on safety
culture and cesarean delivery. Ann Fam Med. 2024;22(5):375-382. doi:10.1370/afm.3157.
https://p…
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psnet.ahrq.gov/node/34685/psn-pdf
September 29, 2017 - The urgent need to improve health care quality. Institute
of Medicine National Roundtable on Health Care Quality.
September 29, 2017
Chassin MR, Galvin RW. The urgent need to improve health care quality. Institute of Medicine National
Roundtable on Health Care Quality. JAMA. 1998;280(11):1000-1005.
https://psnet.a…
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psnet.ahrq.gov/node/35853/psn-pdf
May 20, 2015 - What practices will most improve safety? Evidence-based
medicine meets patient safety.
May 20, 2015
Leape L, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine
meets patient safety. JAMA. 2002;288(4):501-7.
https://psnet.ahrq.gov/issue/what-practices-will-most-improve-safety-evi…
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psnet.ahrq.gov/node/37531/psn-pdf
February 22, 2011 - Patient safety and telephone medicine: some lessons
from closed claim case review.
February 22, 2011
Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed
claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-007-0491-y.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/841765/psn-pdf
December 21, 2022 - “I’m concerned”: a multi-site assessment of emergency
medicine resident speaking up behaviors.
December 21, 2022
Feldman N, Volz N, Snow T, et al. “I’m concerned”: A multi-site assessment of emergency medicine
resident speaking up behaviors. J Patient Saf Risk Manag. 2022;27(5):229-233.
doi:10.1177/251604352211234…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/research-meeting-agenda-prems-proms-91724.pdf
September 17, 2024 - Agenda: Patient-Reported Experience and Outcome Measures (PREMs and PROMs) in Research and Clinical Practice
AGENDA
1 08/09/2024
Patient-Reported Experience and Outcome Measures (PREMs and PROMs)
in Research and Clinical Practice
A Virtual Research Meeting
Sponsored by the U.S. Agency for…
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psnet.ahrq.gov/node/44510/psn-pdf
October 08, 2016 - Wisdom in medicine: what helps physicians after a
medical error?
October 8, 2016
Plews-Ogan M, May NB, Owens J, et al. Wisdom in Medicine. Academic Medicine. 2015;91(2).
doi:10.1097/acm.0000000000000886.
https://psnet.ahrq.gov/issue/wisdom-medicine-what-helps-physicians-after-medical-error
This interview study wi…
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psnet.ahrq.gov/node/35193/psn-pdf
July 10, 2008 - Diagnostic error in internal medicine.
July 10, 2008
Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med.
2005;165(13):1493-1499.
https://psnet.ahrq.gov/issue/diagnostic-error-internal-medicine
This study identified 100 cases of diagnostic error in internal medicine and conducte…
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psnet.ahrq.gov/node/47435/psn-pdf
November 07, 2018 - Cognitive bias in clinical medicine.
November 7, 2018
O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48(3):225-
232. doi:10.4997/JRCPE.2018.306.
https://psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine
Cognitive biases can lead to unnecessary treatment and de…
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psnet.ahrq.gov/node/39659/psn-pdf
July 07, 2010 - Influence of language barriers on outcomes of hospital
care for general medicine inpatients.
July 7, 2010
Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for
general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.1002/jhm.658.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/36792/psn-pdf
August 26, 2011 - Adaptive regulation or governmentality: patient safety
and the changing regulation of medicine.
August 26, 2011
Waring J. Adaptive regulation or governmentality: patient safety and the changing regulation of medicine.
Sociol Health Illn. 2007;29(2):163-79.
https://psnet.ahrq.gov/issue/adaptive-regulation-or-govern…
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psnet.ahrq.gov/node/36506/psn-pdf
April 19, 2011 - Retrieval medicine: a review and guide for UK
practitioners. Part 2: safety in patient retrieval systems.
April 19, 2011
Hearns S, Shirley PJ. Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient
retrieval systems. Emerg Med J. 2006;23(12):943-7.
https://psnet.ahrq.gov/issue/retri…