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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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/…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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. …
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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-…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…