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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837855/psn-pdf
    August 17, 2022 - Patterns of error in interpretive pathology. August 17, 2022 Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190. https://psnet.ahrq.gov/issue/patterns-error-interpretive-pathology Studies have shown diagnostic discordanc…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44465/psn-pdf
    November 20, 2015 - Why even good physicians do not wash their hands. November 20, 2015 Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. https://psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands Insufficient hand hygiene comp…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50571/psn-pdf
    October 23, 2019 - Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. October 23, 2019 Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell Transplantation: A Systematic Review. Cancer Nurs. 2019;42(5):365-372. doi:10.1097/NCC.000000000000…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47133/psn-pdf
    April 07, 2019 - "Doctor Jazz": lessons that medical professionals can learn from jazz musicians. April 7, 2019 van Ark AE, Wijnen-Meijer M. "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians. Med Teach. 2019;41(2):201-206. doi:10.1080/0142159X.2018.1461205. https://psnet.ahrq.gov/issue/doctor-jazz-les…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39959/psn-pdf
    December 21, 2014 - Hospital process compliance and surgical outcomes in Medicare beneficiaries. December 21, 2014 Nicholas LH, Osborne NH, Birkmeyer JD, et al. Hospital process compliance and surgical outcomes in medicare beneficiaries. Arch Surg. 2010;145(10):999-1004. doi:10.1001/archsurg.2010.191. https://psnet.ahrq.gov/issue/hos…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44196/psn-pdf
    March 27, 2017 - Patient Safety in Ambulance Services: A Scoping Review. March 27, 2017 Patient Safety In Ambulance Services: A Scoping Review. https://psnet.ahrq.gov/issue/patient-safety-ambulance-services-scoping-review The safety of emergency medical care delivered in conjunction with ambulance services has not been studied in …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866190/psn-pdf
    June 26, 2024 - What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. June 26, 2024 Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Diagnosis (Berl). 2024;11(4):369-373. doi:10.1515/dx-2024-0008. https://ps…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44585/psn-pdf
    November 04, 2015 - Evaluation of near-miss wrong-patient events in radiology reports. November 4, 2015 Sadigh G, Loehfelm T, Applegate KE, et al. JOURNAL CLUB: Evaluation of Near-Miss Wrong-Patient Events in Radiology Reports. AJR Am J Roentgenol. 2015;205(2):337-43. doi:10.2214/AJR.14.13339. https://psnet.ahrq.gov/issue/evaluation-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837866/psn-pdf
    August 17, 2022 - A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. August 17, 2022 US Senate Finance Committee. 117th Cong (2021-2022). August 3, 2022. https://psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ- procurement…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46222/psn-pdf
    June 21, 2017 - Enhanced time out: an improved communication process. June 21, 2017 Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014. https://psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process The Universal Protocol requires hospitals t…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43385/psn-pdf
    August 06, 2014 - Medicines management support to older people: understanding the context of systems failure. August 6, 2014 Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-005302. https://psnet.ahrq.gov/issu…
  12. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-20.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.20. Major Factors that Inhibit Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case …
  13. View PDF (pdf file)

    integrationacademy.ahrq.gov/print/pdf/node/23253
    View PDF Center for Psychology & Health View PDF Website https://www.apa.org/health Mission To promote the advancement, communication, and application of psychological science and knowledge to benefit society and improve lives.  Location Washington, DC United States Terms of Use May require fee or membership De…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838255/psn-pdf
    October 05, 2022 - Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs. October 5, 2022 President’s Council of Advisors on Science and Technology. Washington, DC: White House; September 21, 2022. https://psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovati…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36734/psn-pdf
    March 10, 2011 - Integrating incident reporting into an electronic patient record system. March 10, 2011 Haller G, Myles PS, Stoelwinder J, et al. Integrating incident reporting into an electronic patient record system. J Am Med Inform Assoc. 2007;14(2):175-81. https://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic…
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-table6.pdf
    June 02, 2025 - High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Table 6 TABLE 6 HROB Summary (Combined Unduplicated) New York State Medicaid, 2010 Urbanicity UIC N OB Proxy1 Transfusion Proxy2 NICU >=33 URBAN Large Metropolitan 1 48,562 27.10% 14.62% 37.98% Sm…
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sicklecell-clinic-followup.pdf
    June 02, 2025 - Sample Sickle Cell Clinic Follow-Up Care Process (2c.5) Sample Sickle Cell Clinic Follow-Up Care Process (2c.5) This diagram illustrates the process for reviewing the patient master list and identifying and contacting individuals who require an annual TCD screen. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836976/psn-pdf
    April 27, 2022 - Intraosseous Line Extravasation in a Pediatric Trauma Patient April 27, 2022 Yoon J, Barnes DK. Intraosseous Line Extravasation in a Pediatric Trauma Patient. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient Disclosure of Relevant Financial Relationship…
  19. www.uspreventiveservicestaskforce.org/uspstf/recommendation/visual-impairment-screening-1996
    January 01, 1996 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Visual Impairment: Screening, 1996 January 01, 1996 Recommendations made by the USPSTF are independent of the U.S. government. T…
  20. digital.ahrq.gov/sites/default/files/docs/artificial-intelligence-tools-improve-qa-03182025.pdf
    March 18, 2025 - AHRQ National Webinar on Artificial Intelligence Tools to Improve Provider Effectiveness and Patient Outcomes – Questions and Answers AHRQ National …