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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41809/psn-pdf
    February 28, 2018 - Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. February 28, 2018 Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit Care Resusc. 2012;14(3):216-20. https://psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-m…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39854/psn-pdf
    September 15, 2010 - Medical Malpractice and Errors. September 15, 2010 Health Aff (Millwood). 2010;29(9):1564-1619. https://psnet.ahrq.gov/issue/medical-malpractice-and-errors Articles in this special issue cover liability costs and defensive medicine, the gap in understanding diagnostic error, and the need for effective patient safe…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867649/psn-pdf
    January 01, 2015 - Improving Pain Management for Hospitalized Medical Patients. January 1, 2015 Society of Hospital Medicine. Improving Pain Management for Hospitalized Medical Patients. https://psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients Pain management presents complex patient safety concerns. Info…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50668/psn-pdf
    November 13, 2019 - Case Study Webinar Series on Clinician Burnout: The Ohio State University November 13, 2019 NAM Action Collaborative on Clinician Well-Being and Resilience. Case Study Webinar Series on Clinician Burnout: The Ohio State University. National Academies of Medicine. https://psnet.ahrq.gov/issue/case-study-webinar-ser…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837708/psn-pdf
    July 20, 2022 - Without question. July 20, 2022 Liebowitz J. Without Question. N Engl J Med. 2022;386(26):2456-2457. doi:10.1056/nejmp2204361. https://psnet.ahrq.gov/issue/without-question Diagnostic errors caused by premature closure and anchoring bias occur when clinicians rely on initial diagnosis despite receiving subsequent …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45287/psn-pdf
    August 03, 2016 - Mistakes We Make in Dialysis. August 3, 2016 Rodby RA, Perazella MA, eds. Semin Dial. 2016;29(4):253-328. https://psnet.ahrq.gov/issue/mistakes-we-make-dialysis Insufficient application of new evidence to inform treatment decisions can hinder safe care delivery. Articles in this special issue explore common renal …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45047/psn-pdf
    April 13, 2016 - Is misdiagnosis inevitable? April 13, 2016 Page L. Medscape Business of Medicine. March 28, 2016. https://psnet.ahrq.gov/issue/misdiagnosis-inevitable This news article reports on the prevalence of diagnostic error and describes characteristics that contribute to the problem, including insufficient clinician famil…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50665/psn-pdf
    November 13, 2019 - The SECOND Trial November 13, 2019 Northwestern University Feinberg School of Medicine https://psnet.ahrq.gov/issue/second-trial Surgical resident well-being is paramount to ensuring safe surgical care and a healthy workforce. This website shares information on the Surgical Education Culture Optimization through t…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40153/psn-pdf
    November 26, 2014 - The effect of workload reduction on the quality of residents' discharge summaries. November 26, 2014 Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z. https://psnet.ahrq.gov/issue/effec…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73542/psn-pdf
    July 28, 2021 - Diagnostic safety event reporting. July 28, 2021 Carr S. ImproveDx. July 2021;8(4). https://psnet.ahrq.gov/issue/diagnostic-safety-event-reporting Adverse event reporting can clarify when mistakes happen and what reduction strategies to apply. This article describes existing efforts to examine diagnostic error thr…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38669/psn-pdf
    November 25, 2009 - A patient safety objective structured clinical examination. November 25, 2009 Singh R, Singh A, Fish R, et al. A patient safety objective structured clinical examination. J Patient Saf. 2009;5(2):55-60. doi:10.1097/PTS.0b013e31819d65c2. https://psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-exami…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74069/psn-pdf
    September 20, 2022 - Diagnostic Excellence. September 20, 2022 JAMA. Nov 2021-Sep 2022.  https://psnet.ahrq.gov/issue/diagnostic-excellence-0 Diagnostic excellence achievement is becoming a primary focus in health care. This 20-article series covers diagnosis as it relates to the Institute of Medicine quality domains, clinical ch…
  13. effectivehealthcare.ahrq.gov/sites/default/files/related_files/stem-cell-children_surveillance.pdf
    October 29, 2012 - The Food and Drug Administration (FDA), Health Canada, and Medicines and Healthcare Products Regulatory
  14. www.uspreventiveservicestaskforce.org/home/getfilebytoken/gJQj_6nEHZ7XAhYPfhVR33
    January 01, 2016 - Supplemental Screening for Breast Cancer in Women With Dense Breasts: A Systematic Review for the U.S. Preventive Services Task Force Joy Melnikow, MD, MPH; Joshua J. Fenton, MD, MPH; Evelyn P. Whitlock, MD, MPH; Diana L. Miglioretti, PhD; Meghan S. Weyrich, MPH; Jamie H. Thompson, MPH; and Kunal Shah Background: Scre…
  15. www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
    January 01, 2024 - Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) Medications at Transitions and Clinical Handoffs (MATCH) Principal Investigator: Gary A. Noskin, MD David Baker, MD Gerard Castro, MPH Andrew Chang, JD, MPH Joseph Feinglass, PhD Kristine Gleason, RPh David Liebovitz, MD David Liss, B…
  16. psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
    October 01, 2013 - In Conversation With… Rebecca Smith-Bindman, MD October 1, 2013  Also Read an Essay Citation Text: In Conversation With… Rebecca Smith-Bindman, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
  17. psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
    January 01, 2018 - EHR Copy and Paste and Patient Safety Shannon M. Dean, MD | January 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Dean SM. EHR Copy and Paste and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare…
  18. psnet.ahrq.gov/perspective/safety-radiology
    October 01, 2013 - Safety in Radiology Antonio Pinto, MD, PhD | October 1, 2013  Also Read a Conversation View more articles from the same authors. Citation Text: Pinto A. Safety in Radiology. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…
  19. effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/mhs-IV-epc-grand-rounds-slides.pptx
    January 01, 2023 - AHRQ Slide Template 2019-Widescreen AHRQ Evidence-based Practice Center Program Grand Rounds Series Making Healthcare Safer IV Reports Welcome! Logistics This meeting will be recorded and shared externally. Please use the chat for questions and feedback throughout the session or use the hand-raising functionality …
  20. psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
    December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA December 1, 2006  Also Read an Essay Citation Text: In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006.In Conversation with...J. Bryan Sexton, PhD, MA. PSNet [internet]. Rockville (MD): Agency for…