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psnet.ahrq.gov/node/855437/psn-pdf
November 15, 2023 - Advancing Diagnostic Excellence for Maternal Health
Care: Proceedings of a Workshop–in Brief.
November 15, 2023
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2023. ISBN: 9780309711937.
https://psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-h…
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psnet.ahrq.gov/node/42116/psn-pdf
March 20, 2013 - Rapid response systems as a patient safety strategy: a
systematic review.
March 20, 2013
Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic
review. Ann Intern Med. 2013;158(5 Pt 2):417-25. doi:10.7326/0003-4819-158-5-201303051-00009.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/41434/psn-pdf
June 06, 2012 - ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing—2010.
June 6, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing--2010. Am J Health Syst Pharm. 2011;68(8):669-88.
doi:10.2146/ajhp…
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psnet.ahrq.gov/node/40654/psn-pdf
January 01, 2012 - The computerized rounding report: implementation of a
model system to support transitions of care.
December 15, 2011
Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model
system to support transitions of care. J Surg Res. 2012;172(1):11-7. doi:10.1016/j.jss.2011.04.015.
…
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psnet.ahrq.gov/node/38830/psn-pdf
February 18, 2011 - Are opioid dependence and methadone maintenance
treatment (MMT) documented in the medical record? A
patient safety issue.
February 18, 2011
Walley AY, Farrar D, Cheng DM, et al. Are opioid dependence and methadone maintenance treatment
(MMT) documented in the medical record? A patient safety issue. J Gen Intern Me…
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psnet.ahrq.gov/node/44171/psn-pdf
May 27, 2015 - Aiming higher to enhance professionalism: beyond
accreditation and certification.
May 27, 2015
Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification.
JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818.
https://psnet.ahrq.gov/issue/aiming-higher-enhance-profession…
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psnet.ahrq.gov/node/837590/psn-pdf
June 29, 2022 - Diagnostic challenges in primary care: identifying and
avoiding cognitive bias.
June 29, 2022
Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive
bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380.
https://psnet.ahrq.gov/issue/diagnostic-challenges-p…
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psnet.ahrq.gov/node/42164/psn-pdf
July 03, 2014 - Change in intern calls at night after a work hour
restriction process change.
July 3, 2014
Spellberg B, Sue D, Chang D, et al. Change in intern calls at night after a work hour restriction process
change. JAMA Intern Med. 2013;173(8):707-9; discussion 663. doi:10.1001/jamainternmed.2013.2968.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/44785/psn-pdf
January 27, 2016 - Reducing Adverse Drug Events Related to Opioids
Implementation Guide.
January 27, 2016
Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
Opioids are high-risk medication…
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psnet.ahrq.gov/node/46551/psn-pdf
October 25, 2017 - Inpatient notes: diagnostic excellence starts with an
incessant watch.
October 25, 2017
Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch.
Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447.
https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce…
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psnet.ahrq.gov/node/38735/psn-pdf
June 24, 2009 - Reflection and analysis of how pharmacy students learn
to communicate about medication errors.
June 24, 2009
Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about
medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/10410230902889399.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/73392/psn-pdf
June 16, 2021 - AI for radiographic COVID-19 detection selects shortcuts
over signal.
June 16, 2021
DeGrave AJ, Janizek JD, Lee S-I. AI for radiographic COVID-19 detection selects shortcuts over signal.
Nat Mach Intell. 2021;3:610–619. doi:10.1038/s42256-021-00338-7.
https://psnet.ahrq.gov/issue/ai-radiographic-covid-19-detection…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_bpd.pdf
June 02, 2025 - NICU Toolkit, Appendix A, Bronchopulmonary Dysplasia (BPD)
Bronchopulmonary Dysplasia (BPD)
What is
Bronchopulmonary
Dysplasia (BPD)?
■ Type of chronic lung disease.
■ Common in babies born early.
■ Damaged lung tissue causes
breathing and health problems.
■ Lungs trap air, fill with fluid, and
produce e…
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psnet.ahrq.gov/node/47641/psn-pdf
March 20, 2019 - Guided reflection interventions show no effect on
diagnostic accuracy in medical students.
March 20, 2019
Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in
Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297.
https://psnet.ahrq.gov/issue/gu…
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psnet.ahrq.gov/node/73100/psn-pdf
March 31, 2021 - Public comment period extended for strategies to
improve patient safety: Draft Report to Congress for
Public Comment and Review by the National Academy of
Medicine.
March 31, 2021
Fed Register. 2021;86(51):14752-14753.
https://psnet.ahrq.gov/issue/public-comment-period-extended-strategies-improve-patient-safety-d…
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psnet.ahrq.gov/node/60949/psn-pdf
September 23, 2020 - Why accountability sharing in health care organizational
cultures means patients are probably safer.
September 23, 2020
Eng DM, Schweikart SJ. AMA J Ethics. 2020;22(9):e779-e783.
https://psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-
patients-are-probably
The recognitio…
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psnet.ahrq.gov/node/47623/psn-pdf
February 06, 2019 - Diagnostic heuristics in dermatology—part 1 and part 2.
February 6, 2019
Lowenstein EJ, Sidlow R. Cognitive and visual diagnostic errors in dermatology: part 1 and part 2. J
Dermatol. 2018;179(6):1263-1276. doi:10.1111/bjd.16932.
https://psnet.ahrq.gov/issue/diagnostic-heuristics-dermatology-part-1-and-part-2
Cogn…
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psnet.ahrq.gov/node/838137/psn-pdf
September 21, 2022 - How insight contributes to diagnostic excellence.
September 21, 2022
Shimizu T, Graber ML. How insight contributes to diagnostic excellence. Diagnosis (Berl). 2022;9(3):311-
315. doi:10.1515/dx-2022-0007.
https://psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence
Improving diagnostic reasoning skil…
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psnet.ahrq.gov/node/44674/psn-pdf
December 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care
at Baylor Scott & White Health.
December 18, 2017
Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390.
https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health
Since the publication of the Inst…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-10.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.10. Lean Projects Studied at LHC
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central …