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psnet.ahrq.gov/node/45877/psn-pdf
July 19, 2017 - Piece of my mind. Stories doctors tell.
July 19, 2017
Moniz T, Lingard LA, Watling C. Stories Doctors Tell. JAMA. 2017;318(2):124-125.
doi:10.1001/jama.2017.5518.
https://psnet.ahrq.gov/issue/piece-my-mind-stories-doctors-tell
The sharing of stories is a key method to provide context to drive change. The authors e…
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psnet.ahrq.gov/node/838136/psn-pdf
September 21, 2022 - Exploration of a rapid response team model of care: a
descriptive dual methods study.
September 21, 2022
Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual
methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294.
https://psnet.a…
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psnet.ahrq.gov/node/44604/psn-pdf
August 02, 2016 - Influencing the Quality, Risk and Safety Movement in
Healthcare: In Conversation with International Leaders.
August 2, 2016
Sears K, Stockley D, Broderick B, eds. Aldershot, UK: Ashgate Publishing; 2015. ISBN: 9781472449276.
https://psnet.ahrq.gov/issue/influencing-quality-risk-and-safety-movement-healthcare-conver…
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psnet.ahrq.gov/node/840475/psn-pdf
November 30, 2022 - Complexity and challenges of the clinical diagnosis and
management of Long COVID.
November 30, 2022
O’Hare AM, Vig EK, Iwashyna TJ, et al. Complexity and challenges of the clinical diagnosis and
management of Long COVID. JAMA Netw Open. 2022;5(11):e2240332.
doi:10.1001/jamanetworkopen.2022.40332.
https://psnet.ah…
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psnet.ahrq.gov/node/47589/psn-pdf
January 09, 2019 - Framework for Effective Board Governance of Health
System Quality.
January 9, 2019
Daley Ullem E, Gandhi TK, Mate K, et al. IHI White Paper. Boston, MA: Institute for Healthcare
Improvement; 2018.
https://psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality
The role of hospital boards i…
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psnet.ahrq.gov/node/836994/psn-pdf
April 27, 2022 - Conversations on diagnostic uncertainty and its
management among pediatric acute care physicians.
April 27, 2022
Patel SJ, Ipsaro A, Brady PW. Conversations on diagnostic uncertainty and its management among
pediatric acute care physicians. Hosp Pediatr. 2022;12(3):317-324. doi:10.1542/hpeds.2021-006076.
https://p…
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psnet.ahrq.gov/node/851056/psn-pdf
June 28, 2023 - Introducing second-year medical students to diagnostic
reasoning concepts and skills via a virtual curriculum.
June 28, 2023
Chang C, Varghese N, Machiorlatti M. Introducing second-year medical students to diagnostic reasoning
concepts and skills via a virtual curriculum. Diagnosis (Berl). 2023;10(2):105-109. doi:1…
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psnet.ahrq.gov/node/844770/psn-pdf
September 11, 2019 - Use of "Doctor" badges for physician role identification
during clinical training.
September 11, 2019
Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During
Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/837664/psn-pdf
July 13, 2022 - Cognitive and implicit biases in nurses' judgment and
decision-making: a scoping review.
July 13, 2022
Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision-
making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284.
https://psn…
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psnet.ahrq.gov/node/46840/psn-pdf
June 20, 2018 - Interventions to improve employee health and well-being
within health care organizations: a systematic review.
June 20, 2018
Williams SP, Malik HT, Nicolay CR, et al. Interventions to improve employee health and well-being within
health care organizations: A systematic review. J Healthc Risk Manag. 2018;37(4):25-51…
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psnet.ahrq.gov/node/48116/psn-pdf
July 17, 2019 - Patient safety superheroes in training: using a comic
book to teach patient safety to residents.
July 17, 2019
Maatman TC, Prigmore H, Williams JS, et al. Patient safety superheroes in training: using a comic book to
teach patient safety to residents. BMJ Qual Saf. 2019;28(11):934-938. doi:10.1136/bmjqs-2018-009094…
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psnet.ahrq.gov/node/47030/psn-pdf
June 06, 2018 - Creating a safer operating room: groups, team dynamics
and crew resource management principles.
June 6, 2018
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource
management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008.
https://p…
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psnet.ahrq.gov/node/73867/psn-pdf
September 22, 2021 - A dynamic risk management approach for reducing harm
from invasive bedside procedures performed during
residency.
September 22, 2021
Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from
invasive bedside procedures performed during residency. Acad Med. 2021;96(9):1268-1275.
…
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psnet.ahrq.gov/node/60730/psn-pdf
January 01, 2021 - A machine learning approach to reclassifying
miscellaneous patient safety event reports.
July 29, 2020
Fong A, Behzad S, Pruitt Z, et al. A machine learning approach to reclassifying miscellaneous patient
safety event reports. J Patient Saf. 2021;17(8):e829-e833. doi:10.1097/pts.0000000000000731.
https://psnet.ahr…
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psnet.ahrq.gov/node/47542/psn-pdf
January 16, 2019 - Utilizing a Systems and Design Thinking Approach for
Improving Well-Being Within Health Professional
Education and Health Care.
January 16, 2019
Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of
Medicine; 2019.
https://psnet.ahrq.gov/issue/utilizing-systems-and-design-…
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psnet.ahrq.gov/node/837765/psn-pdf
August 03, 2022 - Pediatric musculoskeletal radiographs: anatomy and
fractures prone to diagnostic error among emergency
physicians.
August 3, 2022
Li W, Stimec J, Camp M, et al. Pediatric musculoskeletal radiographs: anatomy and fractures prone to
diagnostic error among emergency physicians. J Emerg Med. 2022;62(4):524-533.
doi:1…
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psnet.ahrq.gov/node/48076/psn-pdf
July 24, 2019 - Simulation-based event analysis improves error
discovery and generates improved strategies for error
prevention.
July 24, 2019
Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and
generates improved strategies for error prevention. Simul Healthc. 2019;14(4):209-216.
do…
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psnet.ahrq.gov/node/43774/psn-pdf
March 06, 2015 - A prospective cohort study of medication reconciliation
using pharmacy technicians in the emergency department
to reduce medication errors among admitted patients.
March 6, 2015
Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using
pharmacy technicians in the emergency d…
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psnet.ahrq.gov/node/838185/psn-pdf
September 28, 2022 - How to mitigate the effects of cognitive biases during
patient safety incident investigations.
September 28, 2022
Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient
safety incident investigations. Jt Comm J Qual Patient Saf. 2022;48(11):612-616.
doi:10.1016/j.j…
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psnet.ahrq.gov/node/45617/psn-pdf
November 30, 2016 - Walking a tightrope: balancing the risk of diagnostic error
in inpatient pediatrics.
November 30, 2016
Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in
Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043.
https://psnet.ahrq.gov/issue/walk…