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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35176/psn-pdf
    June 23, 2009 - Mapping changes in surgical mortality over 9 years by peer review audit. June 23, 2009 Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52. https://psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-re…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47464/psn-pdf
    October 17, 2018 - How to prevent the top 4 medication errors. October 17, 2018 Sederstrom J. Drug Topics. September 17, 2018. https://psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors Medication errors continue to be a worldwide patient safety challenge that requires both systems and individual practice strategies for improv…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35749/psn-pdf
    May 09, 2014 - Chemotherapy dose limits set by users of a computer order entry system. May 9, 2014 DuBeshter B; Griggs J; Angel C; Loughner J. https://psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system To avoid excessive dosing of chemotherapeutic agents, standardized dose limits must be agreed u…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43303/psn-pdf
    August 21, 2014 - Barriers and facilitators for taking action after classroom- based crew resource management training at three ICUs. August 21, 2014 Kemper PE, van Dyck C, Wagner C, et al. Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs. Jt Comm J Qual Patient Saf. 2…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846445/psn-pdf
    March 22, 2023 - Formalizing the hidden curriculum of performance enhancing errors. March 22, 2023 Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009. https://psnet.ahrq.gov/issue/formalizing-hidden-curriculum-perform…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42014/psn-pdf
    February 06, 2013 - Diagnostic errors in orthopedic surgery: evaluation of resident documentation of neurovascular examinations for orthopedic trauma patients. February 6, 2013 Tan EW, Ting BL, Jia X, et al. Diagnostic errors in orthopedic surgery: evaluation of resident documentation of neurovascular examinations for orthopedic trau…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47961/psn-pdf
    January 01, 2021 - Patient and physician experience with interhospital transfer: a qualitative study. June 2, 2019 Mueller SK, Shannon E, Dalal A, et al. Patient and Physician Experience with Interhospital Transfer: A Qualitative Study. J Patient Saf. 2021;17(8):e752-e757. doi:10.1097/PTS.0000000000000501. https://psnet.ahrq.gov/iss…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854265/psn-pdf
    October 04, 2023 - Can AI help doctors come up with better diagnoses? October 4, 2023 Landro L. Wall Street Journal. September 24, 2023. https://psnet.ahrq.gov/issue/can-ai-help-doctors-come-better-diagnoses Artificial intelligence (AI) is being considered as a strong contender in the effort to reduce harmful diagnostic error, but c…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73415/psn-pdf
    June 23, 2021 - Patient safety in dermatology: a ten-year update. June 23, 2021 Patel J, Otto E, Taylor JS, et al. Dermatol Online J. 2021;27(3). https://psnet.ahrq.gov/issue/patient-safety-dermatology-ten-year-update In an update to their 2010 article, this review’s authors summarized the patient safety literature in dermatology…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764410/psn-pdf
    March 02, 2022 - Five strategies for clinicians to advance diagnostic excellence. March 2, 2022 Singh H, Connor DM, Dhaliwal G. Five strategies for clinicians to advance diagnostic excellence. BMJ. 2022;376:e068044. doi:10.1136/bmj-2021-068044. https://psnet.ahrq.gov/issue/five-strategies-clinicians-advance-diagnostic-excellence …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45970/psn-pdf
    March 22, 2017 - A learning health care system using computer-aided diagnosis. March 22, 2017 Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet Res. 2017;19(3):e54. doi:10.2196/jmir.6663. https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis Although…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50671/psn-pdf
    November 20, 2019 - Critical errors in infrequently performed trauma procedures after training. November 20, 2019 Mackenzie CF, Shackelford SA, Tisherman SA, et al. Critical errors in infrequently performed trauma procedures after training. Surgery. 2019;166(5):835-843. doi:10.1016/j.surg.2019.05.031. https://psnet.ahrq.gov/issue/cri…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42993/psn-pdf
    March 19, 2014 - Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. March 19, 2014 Noland CM. Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. J Nurs Educ. 2014;53(3):S34-7. doi:10.392…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43772/psn-pdf
    June 24, 2019 - Betsy Lehman Center for Patient Safety. June 24, 2019 501 Boylston Street, 5th Floor, Boston, MA, 02116 info@BetsyLehmanCenterMA.gov https://psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety The Betsy Lehman Center is a nonregulatory Massachusetts state agency named for Betsy Lehman, the Boston Globe columni…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46073/psn-pdf
    May 30, 2018 - The burnout crisis in American medicine. May 30, 2018 Xu R. The Atlantic. May 11, 2018. https://psnet.ahrq.gov/issue/burnout-crisis-american-medicine Clinician burnout is a growing concern in health care. This magazine article illustrates how ineffective electronic health record systems contribute to the problem a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45481/psn-pdf
    September 14, 2016 - "Use as directed" can cause confusion for both patients and practitioners. September 14, 2016 ISMP Medication Safety Alert! Acute Care Edition. August 25, 2016;21:1-3. https://psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners Reporting the results of a survey on "as directed" in…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46384/psn-pdf
    November 14, 2018 - Peggy Lillis Foundation. November 14, 2018 266 12th Street #6, Brooklyn, NY 11215. https://psnet.ahrq.gov/issue/peggy-lillis-foundation Clostridium difficile infections are considered a serious hospital-acquired infection. This grassroots foundation employs educational, policy, and advocacy strategies aimed at red…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849609/psn-pdf
    May 31, 2023 - Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. May 31, 2023 Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121-129. doi:10.1515/dx-2022-0092. htt…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60831/psn-pdf
    August 19, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. August 19, 2020 Smith KM, Hunte HE, Graber ML. Rockville MD: Agency for Healthcare Research and Quality; August 2020. AHRQ Publication No. 20-0040-2-EF. https://psnet.ahrq.gov/issue/telediagnosis-acute-care-implications-quality-and…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60975/psn-pdf
    September 30, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. September 30, 2020 Zwaan L, Staal J. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. AHRQ Publication No. 20-0040-3-EF. https://psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic…

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