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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apb.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
Appendix B. External Experts for Qualitative Interviews
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Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3…
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psnet.ahrq.gov/node/46263/psn-pdf
July 12, 2017 - The texting debate: beneficial means of communication or
safety and security risk?
July 12, 2017
ISMP Medication Safety Alert! Acute Care Edition. June 29, 2017;16:1-5.
https://psnet.ahrq.gov/issue/texting-debate-beneficial-means-communication-or-safety-and-security-risk
Adopting new technologies in health care ca…
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psnet.ahrq.gov/node/855099/psn-pdf
November 08, 2023 - Doctors wrestle with A.I. in patient care, citing lax
oversight.
November 8, 2023
Jewett C. New York Times. October 30, 2023
https://psnet.ahrq.gov/issue/doctors-wrestle-ai-patient-care-citing-lax-oversight
US Food and Drug Administration regulation and review is noted as having gaps in process that can affect
pa…
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psnet.ahrq.gov/node/46440/psn-pdf
September 20, 2017 - Why do people stop taking their meds? Cost is just one
reason.
September 20, 2017
Hobson K. Health Shots. National Public Radio. September 8, 2017.
https://psnet.ahrq.gov/issue/why-do-people-stop-taking-their-meds-cost-just-one-reason
Medication regimen nonadherence can result in patient harm. This news article re…
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psnet.ahrq.gov/node/43485/psn-pdf
December 15, 2014 - Implementation of an emergency department sign-out
checklist improves transfer of information at shift change.
December 15, 2014
Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist
improves transfer of information at shift change. J Emerg Med. 2014;47(5):580-5.
doi:10…
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psnet.ahrq.gov/node/44123/psn-pdf
July 11, 2018 - The 2014 John M. Eisenberg Patient Safety and Quality
Awards.
July 11, 2018
Jt Comm J Qual Patient Saf. 2015;41(5):195-211.
https://psnet.ahrq.gov/issue/2014-john-m-eisenberg-patient-safety-and-quality-awards
Articles in this special issue highlight the achievements of the 2014 John M. Eisenberg Patient Safety and…
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psnet.ahrq.gov/node/42117/psn-pdf
March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a
systematic review.
March 20, 2013
Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med.
2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007.
https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…
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psnet.ahrq.gov/node/38143/psn-pdf
February 18, 2011 - A multidisciplinary teamwork training program: The Triad
for Optimal Patient Safety (TOPS) experience.
February 18, 2011
Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal
Patient Safety (TOPS) experience. J Gen Intern Med. 2008;23(12):2053-7. doi:10.1007/s116…
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psnet.ahrq.gov/node/42308/psn-pdf
June 10, 2013 - Little shop of errors: an innovative simulation patient
safety workshop for community health care
professionals.
June 10, 2013
Tupper JB, Pearson KB, Meinersmann KM, et al. Little shop of errors: an innovative simulation patient
safety workshop for community health care professionals. J Contin Educ Nurs. 2013;44(6…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
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psnet.ahrq.gov/node/60034/psn-pdf
March 11, 2020 - Responding to unprofessional behavior by trainees - a
"just culture" framework.
March 11, 2020
Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just
Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms1912591.
https://psnet.ahrq.gov/issue/resp…
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psnet.ahrq.gov/node/44667/psn-pdf
March 15, 2016 - Incorporating metacognition into morbidity and mortality
rounds: the next frontier in quality improvement.
March 15, 2016
Katz D, Detsky AS. Incorporating metacognition into morbidity and mortality rounds: The next frontier in
quality improvement. J Hosp Med. 2016;11(2):120-2. doi:10.1002/jhm.2505.
https://psnet.a…
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psnet.ahrq.gov/node/837075/psn-pdf
May 11, 2022 - Lessons Learned from the COVID-19 Pandemic to
Improve Diagnosis. Proceedings of a Workshop–in Brief.
May 11, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2022.
https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedin…
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psnet.ahrq.gov/node/46611/psn-pdf
January 01, 2021 - Sustaining teamwork behaviors through reinforcement of
TeamSTEPPS principles.
November 15, 2017
Lee S-H, Khanuja HS, Blanding RJ, et al. Sustaining Teamwork Behaviors Through Reinforcement of
TeamSTEPPS Principles. J Patient Saf. 2021;17(7):e582-e586. doi:10.1097/pts.0000000000000414.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/60265/psn-pdf
January 01, 2019 - Quality Improvement and Patient Safety Competencies
Across the Learning Continuum.
January 1, 2019
AAMC New and Emerging Areas in Medicine Series. Washington, DC: Association of American Medical
Colleges; 2019. ISBN: 9781577541882.
https://psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-competencies-ac…
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psnet.ahrq.gov/node/73407/psn-pdf
June 16, 2021 - Common Formats for Patient Safety Data Collection:
Diagnostic Safety 0.1.
June 16, 2021
The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264.
https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-01
Measurement of diagnostic errors is an imp…
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psnet.ahrq.gov/node/41533/psn-pdf
July 18, 2012 - "Out of sight, out of mind": housestaff perceptions of
quality-limiting factors in discharge care at teaching
hospitals.
July 18, 2012
Greysen R, Schiliro D, Horwitz LI, et al. "Out of sight, out of mind": housestaff perceptions of quality-limiting
factors in discharge care at teaching hospitals. J Hosp Med. 2012;…
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psnet.ahrq.gov/node/45982/psn-pdf
August 03, 2017 - Workplace factors associated with burnout of family
physicians.
August 3, 2017
Rassolian M, Peterson LE, Fang B, et al. Workplace Factors Associated With Burnout of Family
Physicians. JAMA Intern Med. 2017;177(7):1036-1038. doi:10.1001/jamainternmed.2017.1391.
https://psnet.ahrq.gov/issue/workplace-factors-associa…
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psnet.ahrq.gov/node/61123/psn-pdf
November 11, 2020 - Organizational Evidence-Based and Promising Practices
for Improving Clinician Well-Being.
November 11, 2020
Sinsky CA, Biddison LD, Mallick A, et al. NAM Perspectives. Washington DC: National Academy of
Medicine; 2020.
https://psnet.ahrq.gov/issue/organizational-evidence-based-and-promising-practices-improvin…
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psnet.ahrq.gov/node/42610/psn-pdf
November 18, 2013 - Teaching about how doctors think: a longitudinal
curriculum in cognitive bias and diagnostic error for
residents.
November 18, 2013
Reilly JB, Ogdie AR, Von Feldt JM, et al. Teaching about how doctors think: a longitudinal curriculum in
cognitive bias and diagnostic error for residents. BMJ Qual Saf. 2013;22(12):1…