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psnet.ahrq.gov/node/73333/psn-pdf
June 03, 2021 - TeleDx: How is Telemedicine Working - and not Working -
to Support Diagnosis?
May 26, 2021
Society to Improve Diagnosis in Medicine. June 3, 2021.
https://psnet.ahrq.gov/issue/teledx-how-telemedicine-working-and-not-working-support-diagnosis
The use of telemedicine has expanded during the COVID-19 pandemic in…
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psnet.ahrq.gov/node/45747/psn-pdf
December 21, 2016 - Implementing No Interruption Zones in the perioperative
environment.
December 21, 2016
Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-
540. doi:10.1016/j.aorn.2016.09.018.
https://psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environme…
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psnet.ahrq.gov/node/836754/psn-pdf
March 16, 2022 - State of science: evolving perspectives on ‘human error’.
March 16, 2022
Read GJM, Shorrock S, Walker GH, et al. State of science: evolving perspectives on ‘human error’.
Ergonomics. 2021;64(9):1091-1114. doi:10.1080/00140139.2021.1953615.
https://psnet.ahrq.gov/issue/state-science-evolving-perspectives-human-error…
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psnet.ahrq.gov/node/45931/psn-pdf
July 05, 2017 - The CARE approach to reducing diagnostic errors.
July 5, 2017
Rush JL, Helms SE, Mostow EN. The CARE approach to reducing diagnostic errors. Int J Dermatol.
2017;56(6):669-673. doi:10.1111/ijd.13532.
https://psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors
Cognitive aids such as checklists and mnemoni…
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psnet.ahrq.gov/node/45587/psn-pdf
January 23, 2017 - Comparison of physician and computer diagnostic
accuracy.
January 23, 2017
Semigran HL, Levine DM, Nundy S, et al. Comparison of Physician and Computer Diagnostic Accuracy.
JAMA Intern Med. 2016;176(12):1860-1861. doi:10.1001/jamainternmed.2016.6001.
https://psnet.ahrq.gov/issue/comparison-physician-and-computer-d…
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psnet.ahrq.gov/node/35747/psn-pdf
February 03, 2011 - Use of board certification and recertification of
pediatricians in health plan credentialing policies.
February 3, 2011
Freed GL, Singer D, Lakhani I, et al. Use of board certification and recertification of pediatricians in health
plan credentialing policies. JAMA. 2006;295(8):913-8.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/37053/psn-pdf
July 31, 2008 - Electronic health record use and the quality of ambulatory
care in the United States.
July 31, 2008
Linder JA, Ma J, Bates DW, et al. Electronic health record use and the quality of ambulatory care in the
United States. Arch Intern Med. 2007;167(13):1400-5.
https://psnet.ahrq.gov/issue/electronic-health-record-use…
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psnet.ahrq.gov/node/37497/psn-pdf
February 15, 2011 - Reporting medical errors to improve patient safety: a
survey of physicians in teaching hospitals.
February 15, 2011
Kaldjian LC, Jones EW, Wu BJ, et al. Reporting medical errors to improve patient safety: a survey of
physicians in teaching hospitals. Arch Intern Med. 2008;168(1):40-6. doi:10.1001/archinternmed.2007…
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psnet.ahrq.gov/node/38431/psn-pdf
February 25, 2009 - Surgical team training: the Northwestern Memorial
Hospital experience.
February 25, 2009
Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial
Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545.
https://psnet.ahrq.gov/issue/surgical-team-tra…
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psnet.ahrq.gov/node/42147/psn-pdf
March 27, 2013 - The clinical safety of disabled patients: proposal for a
methodology for analysis of health care risks and specific
measures for improvement.
March 27, 2013
Perea-Pérez B, Labajo-González E, Bratos-Murillo M, et al. The clinical safety of disabled patients:
proposal for a methodology for analysis of health care ri…
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psnet.ahrq.gov/node/45808/psn-pdf
December 19, 2017 - A concept analysis of systems thinking.
December 19, 2017
Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum.
2017;52(4):323-330. doi:10.1111/nuf.12196.
https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking
Systems thinking focuses on enabling an organization t…
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psnet.ahrq.gov/node/40825/psn-pdf
August 23, 2016 - Aging gracefully? Patient safety advocates call for
ongoing skills assessments for older physicians.
August 23, 2016
McKenna M. Aging gracefully?: patient safety advocates call for ongoing skills assessments for older
physicians. Ann Emerg Med. 2011;58(3):A15-A17.
https://psnet.ahrq.gov/issue/aging-gracefully-pati…
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psnet.ahrq.gov/node/44329/psn-pdf
September 04, 2016 - Electronic medication reconciliation and medication
errors.
September 4, 2016
Hron JD, Manzi S, Dionne R, et al. Electronic medication reconciliation and medication errors. Int J Qual
Health Care. 2015;27(4):314-9. doi:10.1093/intqhc/mzv046.
https://psnet.ahrq.gov/issue/electronic-medication-reconciliation-and-med…
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psnet.ahrq.gov/node/42374/psn-pdf
January 07, 2014 - Patient safety in nursing education: contexts, tensions
and feeling safe to learn.
January 7, 2014
Steven A, Magnusson C, Smith P, et al. Patient safety in nursing education: contexts, tensions and feeling
safe to learn. Nurse Educ Today. 2014;34(2):277-84. doi:10.1016/j.nedt.2013.04.025.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/47364/psn-pdf
October 31, 2018 - AI can't replace doctors. But it can make them better.
October 31, 2018
Parikh R. MIT Technol Rev. October 23, 2018.
https://psnet.ahrq.gov/issue/ai-cant-replace-doctors-it-can-make-them-better
Computerized decision support and artificial intelligence (AI) are being utilized to enhance decision-making
in health ca…
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psnet.ahrq.gov/node/36166/psn-pdf
June 14, 2011 - Identification of root causes for emergency diagnostic
imaging delays at three Canadian hospitals.
June 14, 2011
Worster A, Fernandes CMB, Malcolmson C, et al. Identification of root causes for emergency diagnostic
imaging delays at three Canadian hospitals. J Emerg Nurs. 2006;32(4):276-280.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/50381/psn-pdf
September 25, 2019 - Error disclosure and apology in radiology: the case for
further dialogue.
September 25, 2019
Brown SD, Bruno MA, Shyu JY, et al. Error Disclosure and Apology in Radiology: The Case for Further
Dialogue. Radiology. 2019;293(1):30-35. doi:10.1148/radiol.2019190126.
https://psnet.ahrq.gov/issue/error-disclosure-and-a…
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psnet.ahrq.gov/node/864386/psn-pdf
March 13, 2024 - Time for prefilled syringes - everywhere.
March 13, 2024
Whitaker DK, Lomas JP. Time for prefilled syringes – everywhere. Anaesthesia. 2024;79(2):119-122.
doi:10.1111/anae.16181.
https://psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere
Simplifying complex processes is a strategy to engineer safety into heal…
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psnet.ahrq.gov/node/37555/psn-pdf
February 14, 2018 - ACOG Committee Opinion #730: fatigue and patient
safety.
February 14, 2018
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78-
e81.
https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety
This commentary discusses how sleep deprivation affects…
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psnet.ahrq.gov/node/35758/psn-pdf
July 19, 2010 - Medication errors with the use of allopurinol and
colchicine: a retrospective study of a national,
anonymous Internet-accessible error reporting system.
July 19, 2010
Mikuls TR, Curtis JR, Allison JJ, et al. Medication errors with the use of allopurinol and colchicine: a
retrospective study of a national, anonymou…