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psnet.ahrq.gov/node/866955/psn-pdf
October 16, 2024 - Adverse diagnostic events in hospitalised patients: a
single-centre, retrospective cohort study.
October 16, 2024
Dalal AK, Plombon S, Konieczny K, et al. Adverse diagnostic events in hospitalised patients: a single-
centre, retrospective cohort study. BMJ Qual Saf. 2024;Epub Oct 1. doi:10.1136/bmjqs-2024-017183.
…
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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-…
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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…
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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…
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psnet.ahrq.gov/node/60753/psn-pdf
August 05, 2020 - A qualitative exploration of mental health service user
and carer perspectives on safety issues in UK mental
health services.
August 5, 2020
Berzins K, Baker J, Louch G, et al. A qualitative exploration of mental health service user and carer
perspectives on safety issues in UK mental health services. Health Expec…
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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 …
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psnet.ahrq.gov/node/47595/psn-pdf
March 06, 2019 - Approaches and Challenges to Electronically Matching
Patients' Records Across Providers.
March 6, 2019
Washington, DC: United States Government Accountability Office; January 2019. Publication GAO-19-197.
https://psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-
provid…
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psnet.ahrq.gov/node/838930/psn-pdf
October 26, 2022 - Artificial Intelligence in Health Care: Benefits and
Challenges of Machine Learning Technologies for Medical
Diagnostics.
October 26, 2022
Washington DC: United States Government Accountability Office and National Academy of
Medicine; September 2022. Report no. GAO-22-104629.
https://psnet.ahrq.gov/issue/ar…
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psnet.ahrq.gov/node/45878/psn-pdf
September 20, 2017 - Development of a trigger tool to identify adverse events
and harm in emergency medical services.
September 20, 2017
Howard IL, Bowen JM, Shaikh LAHA, et al. Development of a trigger tool to identify adverse events and
harm in Emergency Medical Services. Emerg Med J. 2017;34(6):391-397. doi:10.1136/emermed-2016-
20…
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psnet.ahrq.gov/node/837068/psn-pdf
May 11, 2022 - Barriers and enablers to nurses' use of harm prevention
strategies for older patients in hospital: a cross-sectional
survey.
May 11, 2022
Redley B, Taylor N, Hutchinson A. Barriers and enablers to nurses' use of harm prevention strategies for
older patients in hospital: a cross?sectional survey. J Adv Nurs. 2022;7…
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psnet.ahrq.gov/node/46249/psn-pdf
July 12, 2017 - Zero preventable deaths after traumatic injury: an
achievable goal.
July 12, 2017
Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8.
doi:10.1097/ta.0000000000001425.
https://psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal
Criti…
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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…
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psnet.ahrq.gov/node/72602/psn-pdf
December 23, 2020 - Patient safety in chiropractic teaching programs: a mixed
methods study.
December 23, 2020
Pohlman KA, Salsbury SA, Funabashi M, et al. Patient safety in chiropractic teaching programs: a mixed
methods study. Chiropr Man Therap. 2020;28(1):50. doi:10.1186/s12998-020-00339-0.
https://psnet.ahrq.gov/issue/patient-sa…
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psnet.ahrq.gov/node/50938/psn-pdf
February 26, 2020 - Risks and medication errors analysis to evaluate the
impact of a chemotherapy compounding workflow
management system on cancer patients' safety.
February 26, 2020
Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors
analysis to evaluate the impact of a chemotherapy comp…
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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…
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psnet.ahrq.gov/node/73864/psn-pdf
September 22, 2021 - Simulation-based assessment identifies longitudinal
changes in cognitive skills in an anesthesiology
residency training program.
September 22, 2021
Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes
in cognitive skills in an anesthesiology residency training p…
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psnet.ahrq.gov/node/847729/psn-pdf
April 19, 2023 - STAMP: a 5-year project to reduce paediatric prescribing
errors.
April 19, 2023
Trivedi A, Ajitsaria R, Bate T. STAMP: a 5-year project to reduce paediatric prescribing errors. Arch Dis
Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192.
https://psnet.ahrq.gov/issue/stamp-5-year-project…
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn19.pdf
June 21, 2014 - MHA/AHRQ Clinically Enhanced Data Project
ENROLL NOW!
Your Hospital gains
Comparative Analysis
Compare your risk-adjusted
outcomes to other hospitals
Improve pharmacological
management of patients
with Acute Decompensated
Heart Failure (ADHF)
Framework for other priority
initiatives such as: p…
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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…
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psnet.ahrq.gov/node/46314/psn-pdf
November 01, 2020 - AHRQ Safety Program for Improving Antibiotic Use.
July 9, 2019
Agency for Healthcare Research and Quality, Johns Hopkins Medicine Armstrong Institute for Patient
Safety and Quality, and University of Chicago.
https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
Improving antibiotic use is a st…