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psnet.ahrq.gov/node/44143/psn-pdf
April 15, 2016 - "First, know thyself": cognition and error in medicine.
April 15, 2016
Elia F, Aprà F, Verhovez A, et al. "First, know thyself": cognition and error in medicine. Acta Diabetol.
2016;53(2):169-175. doi:10.1007/s00592-015-0762-8.
https://psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
Cognition …
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psnet.ahrq.gov/node/34739/psn-pdf
February 06, 2018 - Complications: A Surgeon's Notes on an Imperfect
Science.
February 6, 2018
Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196.
https://psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
In Complications, Gawande reprises and builds on a series of feature articles, several writt…
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psnet.ahrq.gov/node/44100/psn-pdf
June 10, 2015 - Residency training in handoffs: a survey of program
directors in psychiatry.
June 10, 2015
Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in
psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y.
https://psnet.ahrq.gov/issue/residency-trainin…
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psnet.ahrq.gov/node/38080/psn-pdf
September 24, 2008 - Patient-centered approach for improving prescription
drug warning labels.
September 24, 2008
Webb J, Davis TC, Bernadella P, et al. Patient-centered approach for improving prescription drug warning
labels. Patient Educ Couns. 2008;72(3):443-9. doi:10.1016/j.pec.2008.05.019.
https://psnet.ahrq.gov/issue/patient-cen…
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psnet.ahrq.gov/node/42631/psn-pdf
November 08, 2013 - "That was a close call": endorsing a broad definition of
near misses in health care.
November 8, 2013
Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in
health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479.
https://psnet.ahrq.gov/issue/was-close-call…
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psnet.ahrq.gov/node/37023/psn-pdf
September 24, 2010 - Applying the Toyota Production System: using a patient
safety alert system to reduce error.
September 24, 2010
Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to
reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386.
https://psnet.ahrq.gov/issue/applying-toyot…
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psnet.ahrq.gov/node/40778/psn-pdf
October 31, 2011 - Assessing the patient safety competencies of healthcare
professionals: a systematic review.
October 31, 2011
Okuyama A, Martowirono K, Bijnen B. Assessing the patient safety competencies of healthcare
professionals: a systematic review. BMJ Qual Saf. 2011;20(11):991-1000. doi:10.1136/bmjqs-2011-
000148.
https://p…
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psnet.ahrq.gov/node/35254/psn-pdf
April 06, 2011 - Adverse events and near miss reporting in the NHS.
April 6, 2011
Shaw R. Adverse events and near miss reporting in the NHS. Quality and Safety in Health Care.
2005;14(4). doi:10.1136/qshc.2004.010553.
https://psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs
This study evaluated the utility of a volu…
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psnet.ahrq.gov/node/47743/psn-pdf
February 22, 2019 - Assessing the performance of aging surgeons.
February 22, 2019
Katlic MR, Coleman JA, Russell MM. Assessing the Performance of Aging Surgeons. JAMA.
2019;321(5):449-450. doi:10.1001/jama.2018.22216.
https://psnet.ahrq.gov/issue/assessing-performance-aging-surgeons
High-risk industries like aviation employ policies…
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psnet.ahrq.gov/node/73479/psn-pdf
July 07, 2021 - Mitigating the July effect.
July 7, 2021
Wu AW, Vincent CA, Shapiro DW, et al. Mitigating the July effect. J Patient Saf Risk Manag.
2021;26(3):93-96. doi:10.1177/25160435211019142.
https://psnet.ahrq.gov/issue/mitigating-july-effect
The July effect is a phenomenon that presumably results in poor care due to the a…
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pso.ahrq.gov/pso/american-osteopathic-association-pso
March 16, 2022 - SHARE:
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American Osteopathic Association PSO
PSO Number: P0236 Components of Parent Org(s):
American Osteopathic Association
…
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pso.ahrq.gov/pso/american-data-network-pso
February 25, 2009 - SHARE:
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American Data Network PSO
PSO Number: P0051 Components of Parent Org(s):
American Data Network
Effective Date and Tim…
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pso.ahrq.gov/pso/anesthesia-patient-safety-organization-anpso
June 24, 2021 - SHARE:
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Anesthesia Patient Safety Organization (ANPSO)
PSO Number: P0232 Components of Parent Org(s):
Main Street Anesthesia Consulting…
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pso.ahrq.gov/pso/carolinas-rehabilitation-patient-safety-organization
July 28, 2010 - SHARE:
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Carolinas Rehabilitation - Patient Safety Organization
PSO Number: P0094 Components of Parent Org(s):
Charlotte-Mecklenburg Hos…
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pso.ahrq.gov/pso/cassatt-patient-safety-organization
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Cassatt Patient Safety Organization
PSO Number: P0136 Components of Parent Org(s):
Cassatt RRG Holding Company
Effect…
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www.ahrq.gov/topics/low-income.html
Topic: Low-Income
The AHRQ Policy on the Inclusion of Priority Populations in Research (NOT-HS-03-010) requires that priority populations be included in all AHRQ-supported research projects involving human subjects, unless a clear and compelling rationale and justification is provided that inclusion is inappropriate.…
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pso.ahrq.gov/pso/advocate-health-patient-safety-organization
August 25, 2010 - SHARE:
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Advocate Health Patient Safety Organization
PSO Number: P0097 Components of Parent Org(s):
Charlotte-Mecklenburg Hospital Autho…
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pso.ahrq.gov/pso/advancing-healthcare-debriefing-quality-patient-safety-organization
April 03, 2025 - SHARE:
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Advancing Healthcare Debriefing Quality Patient Safety Organization
PSO Number: P0275 Components of Parent Org(s):
StatDebrief,…
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psnet.ahrq.gov/node/35397/psn-pdf
September 10, 2009 - The National Medical Error Disclosure and Compensation
(MEDiC) Act.
September 10, 2009
Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005.
https://psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
This bill, introduced to the Senate by Senators Clint…
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effectivehealthcare.ahrq.gov/sites/default/files/arthritis-horizon-scan-high-impact-1306.pdf
June 01, 2013 - or are used for
metabolic purposes” and are subject to regulation.39,40 Thus, they are subject to requirements … Subpart A--General
provisions sec. 1271.15 Are there any
exceptions from the requirements of this