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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47857/psn-pdf
    June 14, 2019 - The wicked problem of patient misidentification: how could the technological revolution help address patient safety? June 14, 2019 Ferguson C, Hickman L, Macbean C, et al. The wicked problem of patient misidentification: How could the technological revolution help address patient safety? J Clin Nurs. 2019;28(13-14…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43779/psn-pdf
    May 28, 2015 - Debriefing in the emergency department after clinical events: a practical guide. May 28, 2015 Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10.019. https://psnet.ahrq.gov/issue/debri…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43698/psn-pdf
    November 19, 2014 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. November 19, 2014 Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.2014.964873. https://psnet.ahrq.gov/i…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41414/psn-pdf
    June 06, 2012 - Factors associated with reported preventable adverse drug events: a retrospective, case-control study. June 6, 2012 Beckett RD, Sheehan AH, Reddan JG. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Ann Pharmacother. 2012;46(5):634-41. doi:10.1345/aph.1Q785. h…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73194/psn-pdf
    April 28, 2021 - CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. April 28, 2021 Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER Operative and Procedural Subprotocol National Advisory Group, and the CLER Program. Chicago, IL: Accreditation Council for Gradua…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43039/psn-pdf
    August 24, 2016 - How Doctors Think. August 24, 2016 Groopman J. Boston, MA: Houghton Mifflin; 2007. ISBN: 0618610030. https://psnet.ahrq.gov/issue/how-doctors-think In this book, the author presents several stories that illustrate the forces that shape physician decision- making and may lead to diagnostic mistakes. Borrowing from …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35977/psn-pdf
    February 17, 2011 - Making patient safety the centerpiece of medical liability reform. February 17, 2011 Clinton HR, Obama B. Making Patient Safety the Centerpiece of Medical Liability Reform. New England Journal of Medicine. 2006;354(21). doi:10.1056/nejmp068100. https://psnet.ahrq.gov/issue/making-patient-safety-centerpiece-medical…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848084/psn-pdf
    April 26, 2023 - Cognitive bias and dissonance in surgical practice: a narrative review. April 26, 2023 Richburg CE, Dossett LA, Hughes TM. Cognitive bias and dissonance in surgical practice: a narrative review. Surg Clin North Am. 2023;103(2):271-285. doi:10.1016/j.suc.2022.11.003. https://psnet.ahrq.gov/issue/cognitive-bias-and-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41305/psn-pdf
    April 18, 2012 - Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threatening medical conditions. April 18, 2012 Meer A, Gwerder T, Duembgen L, et al. Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threaten…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37929/psn-pdf
    February 18, 2011 - Impact of duty hour regulations on medical students' education: views of key clinical faculty. February 18, 2011 Reed DA, Levine RB, Miller RG, et al. Impact of duty hour regulations on medical students' education: views of key clinical faculty. J Gen Intern Med. 2008;23(7):1084-9. doi:10.1007/s11606-008-0532-1. h…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48121/psn-pdf
    August 21, 2019 - A randomized experimental study to assess the effect of language on medical students' anxiety due to uncertainty. August 21, 2019 Simpkin AL, Murphy Z, Armstrong KA. A randomized experimental study to assess the effect of language on medical students' anxiety due to uncertainty. Diagnosis (Berl). 2019;6(3):269-276.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60943/psn-pdf
    September 23, 2020 - Think twice: effects on diagnostic accuracy of returning to the case to reflect upon the initial diagnosis. September 23, 2020 Mamede S, Hautz WE, Berendonk C, et al. Think twice: effects on diagnostic accuracy of returning to the case to reflect upon the initial diagnosis. Acad Med. 2020;95(8):1223-1229. doi:10.1…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46816/psn-pdf
    March 21, 2018 - Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety. March 21, 2018 Pincavage A, Dahlstrom M, Prochaska M, et al. Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety. Acad Med. 2013;88(6):795-801. d…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47802/psn-pdf
    March 04, 2019 - The path to diagnostic excellence includes feedback to calibrate how clinicians think. March 4, 2019 Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. JAMA. 2019;321(8):737-738. doi:10.1001/jama.2019.0113. https://psnet.ahrq.gov/issue/path-diagnostic-excelle…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73352/psn-pdf
    June 02, 2021 - Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. June 2, 2021 Sinha P, Pischel L, Sofair AN. Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. Diagnosis (Berl). 2021;8(2):157-160. doi:10.1515/dx-2020-0129. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39568/psn-pdf
    August 08, 2010 - The quality, safety and content of telephone and face-to- face consultations: a comparative study. August 8, 2010 McKinstry B, Hammersley V, Burton C, et al. The quality, safety and content of telephone and face-to-face consultations: a comparative study. Qual Saf Health Care. 2010;19(4):298-303. doi:10.1136/qshc.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36559/psn-pdf
    July 14, 2010 - Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. July 14, 2010 Galt KA, Paschal KA, O'Brien RL, et al. Description and Evaluation of an Interprofessional Patient Safety Course for Health Professions and Related Sciences Students. J Patie…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45819/psn-pdf
    March 15, 2017 - How doctors think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program. March 15, 2017 Kliegman RM, Bordini BJ, Basel D, et al. How Doctors Think: Common Diagnostic Errors in Clinical Judgment-Lessons from an Undiagnosed and Rare Disease Program. Pediatr Clin North A…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43845/psn-pdf
    September 26, 2016 - Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? September 26, 2016 Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instructions, and experience affe…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73405/psn-pdf
    June 16, 2021 - 2020 Eisenberg Award recipients announced by The Joint Commission, National Quality Forum. June 16, 2021 Oakbrook Terrace, IL: Joint Commission: June 8, 2021. https://psnet.ahrq.gov/issue/2020-eisenberg-award-recipients-announced-joint-commission-national- quality-forum The Eisenberg Award honors individuals and …