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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. 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…
  6. 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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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…
  7. 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…
  8. 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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. 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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…