-
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…
-
psnet.ahrq.gov/node/60625/psn-pdf
June 24, 2020 - Medical bias: from pain pills to COVID-19, racial
discrimination in health care festers.
June 24, 2020
O'Donnell J, Alltucker K. Medical bias: from pain pills to COVID-19, racial discrimination in health care
festers. USA Today. 2020;Jun 14.
https://psnet.ahrq.gov/issue/medical-bias-pain-pills-covid-19-racial-disc…
-
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…
-
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…
-
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…
-
psnet.ahrq.gov/node/45383/psn-pdf
August 31, 2016 - Case report of a medication error: in the eye of the
beholder.
August 31, 2016
Naunton M, Nor K, Bartholomaeus A, et al. Case report of a medication error. Medicine (Baltimore).
2016;95(28):e4186. doi:10.1097/md.0000000000004186.
https://psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
Look-alike dr…
-
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…
-
psnet.ahrq.gov/node/46900/psn-pdf
August 29, 2018 - Developing agreement on never events in primary care
dentistry: an international eDelphi study.
August 29, 2018
Ensaldo-Carrasco E, Carson-Stevens A, Cresswell K, et al. Developing agreement on never events in
primary care dentistry: an international eDelphi study. Br Dent J. 2018;224(9):733-740.
doi:10.1038/sj.bd…
-
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.
…
-
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…
-
psnet.ahrq.gov/node/855093/psn-pdf
November 08, 2023 - Viewpoint: Patient safety in primary care - patients are not
just a beneficiary but a critical component in its
achievement.
November 8, 2023
Kavanagh KT, Cormier LE. Viewpoint: Patient safety in primary care – patients are not just a beneficiary
but a critical component in its achievement. Medicine (Baltimore). 2…
-
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…
-
psnet.ahrq.gov/node/36069/psn-pdf
May 11, 2014 - Health literacy, medication errors, and health outcomes:
is there a relationship?
May 11, 2014
Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a
Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538.
https://psnet.ahrq.gov/issue/health-literacy-me…
-
psnet.ahrq.gov/node/43791/psn-pdf
December 17, 2014 - Facilitating Patient Understanding of Discharge
Instructions: Workshop Summary.
December 17, 2014
Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health
Practice, Institute of Medicine. Washington, DC: National Academies Press; December 2014. ISBN:
9780309307383.
https:…
-
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…
-
psnet.ahrq.gov/node/46271/psn-pdf
January 30, 2018 - Debiasing health-related judgments and decision making:
a systematic review.
January 30, 2018
Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review.
Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672.
https://psnet.ahrq.gov/issue/debiasing-health-related-jud…
-
psnet.ahrq.gov/node/47246/psn-pdf
September 19, 2018 - Implementing Optimal Team-Based Care to Reduce
Clinician Burnout.
September 19, 2018
Smith CD, Corbridge S, Dopp AL, et al. NAM Perspectives. Washington DC: National Academy of
Medicine; 2018.
https://psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout
Teamwork can contribute to a h…
-
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…
-
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…
-
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…