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  1. Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. | PSNet

    psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-events-and-monitoring
    July 11, 2018 - Book/Report Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Citation Text: Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Washington, DC: United St…

  2. Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs). | PSNet

    psnet.ahrq.gov/issue/environmental-cleaning-prevention-healthcare-associated-infections-hais
    October 02, 2013 - Government Resource Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs). Citation Text: Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs). Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Rockville, MD:…

  3. Leadership To Improve Diagnosis: A Call to Action. | PSNet

    psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action
    June 28, 2023 - Book/Report Leadership To Improve Diagnosis: A Call to Action. Citation Text: Leadership To Improve Diagnosis: A Call to Action. Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2021. AHRQ Publication No. 20(21)-0040-5-EF. Copy …

  4. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-across-transitions-care-throughout-healthcare-system-current-state-and-call
    September 13, 2023 - Book/Report Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Citation Text: Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Santhosh L, Cornell E, Rojas JC…

  5. Finding blunders in thyroid testing: experience in newborns. | PSNet

    psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
    March 04, 2020 - Study Finding blunders in thyroid testing: experience in newborns. Citation Text: Zilka LJ, Lott JA, Baker LC, et al. Finding blunders in thyroid testing: experience in newborns. J Clin Lab Anal. 2008;22(4):254-6. doi:10.1002/jcla.20247. Copy Citation Format: DOI Google S…

  6. Principles of pediatric patient safety: reducing harm due to medical care. | PSNet

    psnet.ahrq.gov/issue/principles-pediatric-patient-safety-reducing-harm-due-medical-care
    May 22, 2019 - Organizational Policy/Guidelines Principles of pediatric patient safety: reducing harm due to medical care. Citation Text: Mueller BU, Neuspiel DR, Fisher ERS, et al. Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care. Pediatrics. 2019;143(2):e20183649. doi:10.1542…

  7. Cognitive errors in diagnosis: instantiation, classification, and consequences. | PSNet

    psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
    June 21, 2016 - Study Classic Cognitive errors in diagnosis: instantiation, classification, and consequences. Citation Text: Kassirer JP, Kopelman RI. Cognitive errors in diagnosis: instantiation, classification, and consequences. Am J Med. 1989;86(4):433-41. Copy Citation …

  8. Professionalism in medicine: results of a national survey of physicians. | PSNet

    psnet.ahrq.gov/issue/professionalism-medicine-results-national-survey-physicians
    February 17, 2011 - Study Classic Professionalism in medicine: results of a national survey of physicians. Citation Text: Campbell EG, Regan S, Gruen RL, et al. Professionalism in medicine: results of a national survey of physicians. Ann Intern Med. 2007;147(11):795-802. Copy C…

  9. Technical mistakes during the acquisition of the electrocardiogram. | PSNet

    psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
    March 09, 2022 - Review Technical mistakes during the acquisition of the electrocardiogram. Citation Text: García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403. doi:10.1111/j.154…

  10. eCoach: Development and Pilot Testing of a Decision Aid for Prostate Cancer - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/ecoach-development-and-pilot-testing-decision-aid-prostate-cancer/annual-summary/2012
    January 01, 2012 - eCoach: Development and Pilot Testing of a Decision Aid for Prostate Cancer - 2012 Project Name eCoach: Development and Pilot Testing of a Decision Aid for Prostate Cancer Principal Investigator Mohan, Arun Organization Emory University Funding Mechanism PAR: HS08-2…

  11. Important information for the safe use of Tussionex Pennkinetic Extended-Release Suspension. | PSNet

    psnet.ahrq.gov/issue/important-information-safe-use-tussionex-pennkinetic-extended-release-suspension
    February 15, 2024 - Government Resource Important information for the safe use of Tussionex Pennkinetic Extended-Release Suspension. Citation Text: Important information for the safe use of Tussionex Pennkinetic Extended-Release Suspension. FDA Consumer Health Information. Silver Spring, MD: US Food and…

  12. Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare. | PSNet

    psnet.ahrq.gov/issue/safeguarding-patients-complexity-science-high-reliability-organizations-and-implications-team
    March 31, 2021 - Commentary Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare. Citation Text: McKeon LM, Oswaks JD, Cunningham PD. Safeguarding patients: complexity science, high reliability organizations, and implications for te…

  13. Risks related to patient bed safety. | PSNet

    psnet.ahrq.gov/issue/risks-related-patient-bed-safety
    July 19, 2023 - Commentary Risks related to patient bed safety. Citation Text: Sharkey JE, Van Leuven K, Radovich P. Risks related to patient bed safety. J Nurs Care Qual. 2012;27(4):346-51. doi:10.1097/NCQ.0b013e318264744b. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  14. An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety. | PSNet

    psnet.ahrq.gov/issue/organisation-without-memory-qualitative-study-hospital-staff-perceptions-reporting-and
    July 10, 2024 - Study An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety. Citation Text: Sujan M. An organisation without a memory: A qualitative study of hospital staff perceptions on reporting and organisation…

  15. 'Failing wisely' can promote a safer healthcare system. | PSNet

    psnet.ahrq.gov/issue/failing-wisely-can-promote-safer-healthcare-system
    April 30, 2014 - Newspaper/Magazine Article 'Failing wisely' can promote a safer healthcare system. Citation Text: Fleisher LA, Edmondson AC. 'Failing wisely' can promote a safer healthcare system. MedPage Today. September 17, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML…

  16. Strategies for developing and recognizing faculty working in quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/strategies-developing-and-recognizing-faculty-working-quality-improvement-and-patient-safety
    June 28, 2023 - Commentary Strategies for developing and recognizing faculty working in quality improvement and patient safety. Citation Text: Coleman DL, Wardrop RM, Levinson WS, et al. Strategies for Developing and Recognizing Faculty Working in Quality Improvement and Patient Safety. Acad Med. 2017;9…

  17. The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. | PSNet

    psnet.ahrq.gov/issue/role-patient-involvement-diagnostic-process-internal-medicine-cognitive-approach
    April 25, 2012 - Commentary The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. Citation Text: Lucchiari C, Pravettoni G. The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. Eur J Intern Med. 2013;24(5):4…

  18. The impact of patient and public involvement on UK NHS health care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-patient-and-public-involvement-uk-nhs-health-care-systematic-review
    January 15, 2025 - Study The impact of patient and public involvement on UK NHS health care: a systematic review. Citation Text: Mockford C, Staniszewska S, Griffiths F, et al. The impact of patient and public involvement on UK NHS health care: a systematic review. Int J Qual Health Care. 2012;24(1):28-38.…

  19. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department. | PSNet

    psnet.ahrq.gov/issue/distributed-cognition-and-role-nurses-diagnostic-safety-emergency-department
    April 13, 2011 - Book/Report Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department. Citation Text: Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department. Manojlovich M, Krein SL, Kronick SL, et al. Rockville, MD: Agency for H…

  20. Effect of a hospital command centre on patient safety: an interrupted time series study. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study
    July 20, 2022 - Study Effect of a hospital command centre on patient safety: an interrupted time series study. Citation Text: Effect of a hospital command centre on patient safety: an interrupted time series study. Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653…
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