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psnet.ahrq.gov/node/851657/psn-pdf
July 26, 2023 - Weight stigma and barriers to effective obesity care.
July 26, 2023
Puhl RM. Weight stigma and barriers to effective obesity care. Gastroenterol Clin North Am.
2023;52(2):417-428. doi:10.1016/j.gtc.2023.02.002.
https://psnet.ahrq.gov/issue/weight-stigma-and-barriers-effective-obesity-care
Implicit biases and stigm…
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psnet.ahrq.gov/node/61075/psn-pdf
October 28, 2020 - FDA advises health care professionals and patients about
insulin pen packaging and dispensing.
October 28, 2020
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 13, 2020.
https://psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-
packag…
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psnet.ahrq.gov/node/45761/psn-pdf
December 21, 2016 - An investigation of diagnostic accuracy and confidence
associated with diagnostic checklists as well as gender
biases in relation to mental disorders.
December 21, 2016
Cwik JC, Papen F, Lemke J-E, et al. An Investigation of Diagnostic Accuracy and Confidence Associated
with Diagnostic Checklists as Well as Gender…
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psnet.ahrq.gov/node/44651/psn-pdf
December 09, 2015 - Measurement of diagnostic errors is a key first step to
their reduction.
December 9, 2015
Singh H. National Quality Measures Expert Commentaries. November 23, 2015.
https://psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction
Recently, diagnostic error has garnered much discussion and …
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psnet.ahrq.gov/node/46582/psn-pdf
February 14, 2018 - Technological distractions—part 1 and part 2.
February 14, 2018
Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of
Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert
Fatigue Metrics. Crit Care Med. 2017;45(9):1481-1488. doi:1…
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psnet.ahrq.gov/node/46289/psn-pdf
January 01, 2021 - Communication training, adverse events, and quality
measures: 2 retrospective database analyses in
Washington State hospitals.
August 9, 2017
Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2
Retrospective Database Analyses in Washington State Hospitals. J Patient …
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psnet.ahrq.gov/node/47979/psn-pdf
May 01, 2019 - Inpatient notes: just what the doctor ordered—checklists
to improve diagnosis.
May 1, 2019
Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor
Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.7326/M19-0829.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/42086/psn-pdf
March 13, 2013 - Patient safety strategies targeted at diagnostic errors: a
systematic review.
March 13, 2013
McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic
errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7326/0003-4819-158-5-
201303051-00004.…
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psnet.ahrq.gov/node/41801/psn-pdf
October 31, 2012 - First year with WHO Surgical Safety Checklist in 7148
otorhinolaryngological operations: use and user
attitudes.
October 31, 2012
Helmiö P, Takala A, Aaltonen L-M, et al. First year with WHO Surgical Safety Checklist in 7148
otorhinolaryngological operations: use and user attitudes. Clin Otolaryngol. 2012;37(4):30…
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psnet.ahrq.gov/node/43980/psn-pdf
March 18, 2015 - Adapting The Joint Commission's seven foundations of
safe and effective transitions of care to home.
March 18, 2015
Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to
home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/NHH.0000000000000195.
https://psnet.ahr…
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psnet.ahrq.gov/node/35112/psn-pdf
June 22, 2009 - Medication safety in older adults: home-based practice
patterns.
June 22, 2009
Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am
Geriatr Soc. 2005;53(6):976-982.
https://psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns
This s…
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psnet.ahrq.gov/node/47396/psn-pdf
June 02, 2019 - What is new in paediatric medication safety?
June 2, 2019
Kahn S, Abramson EL. What is new in paediatric medication safety? Arch Dis Child. 2019;104(6):596-599.
doi:10.1136/archdischild-2018-315175.
https://psnet.ahrq.gov/issue/what-new-paediatric-medication-safety
Pediatric patients are particularly vulnerable to…
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psnet.ahrq.gov/node/46693/psn-pdf
December 20, 2017 - Coupling policymaking with evaluation—the case of the
opioid crisis.
December 20, 2017
Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis.
New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014.
https://psnet.ahrq.gov/issue/coupling-policymaking-evalu…
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psnet.ahrq.gov/node/45286/psn-pdf
May 07, 2018 - Paralyzed by mistakes: reassess the safety of
neuromuscular blockers in your facility.
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. June 16, 2016;21:1-6.
https://psnet.ahrq.gov/issue/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility
Neuromuscular blockers can result in seriou…
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psnet.ahrq.gov/node/46888/psn-pdf
June 20, 2018 - Patient-centered prescription opioid tapering in
community outpatients with chronic pain.
June 20, 2018
Darnall BD, Ziadni MS, Stieg RL, et al. Patient-Centered Prescription Opioid Tapering in Community
Outpatients With Chronic Pain. JAMA Intern Med. 2018;178(5):707-708.
doi:10.1001/jamainternmed.2017.8709.
https…
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psnet.ahrq.gov/node/42451/psn-pdf
August 07, 2013 - Is the Surgical Safety Checklist successfully conducted?
An observational study of social interactions in the
operating rooms of a tertiary hospital.
August 7, 2013
Cullati S, Le Du S, Raë A-C, et al. Is the Surgical Safety Checklist successfully conducted? An
observational study of social interactions in the oper…
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psnet.ahrq.gov/node/60564/psn-pdf
June 03, 2020 - Subtherapeutic heparin infusions: is your organization at
risk of bypassing soft low-dose alerts?
June 3, 2020
ISMP Medication Safety Alert! Acute Care Edition. May 22, 2020;25(10).
https://psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-
dose-alerts
Smart infusion …
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psnet.ahrq.gov/node/45794/psn-pdf
February 15, 2017 - Teaching the diagnostic process as a model to improve
medical education.
February 15, 2017
Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med.
2017;92(1):1-4. doi:10.1097/ACM.0000000000001481.
https://psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-ed…
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psnet.ahrq.gov/node/47222/psn-pdf
October 03, 2018 - Decision support tools, systems, and artificial intelligence
in cardiac imaging.
October 3, 2018
Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in
Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04.032.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/47252/psn-pdf
August 01, 2018 - Communication errors in radiology—pitfalls and how to
avoid them.
August 1, 2018
Waite S, Scott JM, Drexler I, et al. Communication errors in radiology - Pitfalls and how to avoid them. Clin
Imaging. 2018;51:266-272. doi:10.1016/j.clinimag.2018.05.025.
https://psnet.ahrq.gov/issue/communication-errors-radiology-pi…