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  1. Diagnosing a Missed Diagnosis | PSNet

    psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
    October 26, 2022 - Diagnosing a Missed Diagnosis Citation Text: Reilly JB, Webster C. Diagnosing a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7…

  2. Medical Mistakes and What Doctors Can Learn From Pilots | PSNet

    psnet.ahrq.gov/training-catalog/medical-mistakes-and-what-doctors-can-learn-pilots
    July 21, 2025 - Medical Mistakes and What Doctors Can Learn From Pilots Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization American Academy of Ophthalmology Even…

  3. Learning from Errors: Analysis of a Medication Error | PSNet

    psnet.ahrq.gov/training-catalog/learning-errors-analysis-medication-error
    Learning from Errors: Analysis of a Medication Error Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization American Association for Critical-Care Nurses (AACN) …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74707/psn-pdf
    January 26, 2022 - Pharmacy Education and Practice. January 26, 2022 Cohen M, Degnan D, McDonnell P, eds. Patient Saf. 2022;4(s1):1-45 https://psnet.ahrq.gov/issue/pharmacy-education-and-practice Pharmacists play a unique role in patient safety that educational methods are shifting to address. This special issue covers several topic…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73960/psn-pdf
    October 13, 2021 - Therapeutic duplication on the general surgical wards. October 13, 2021 Huynh I, Rajendran T. Therapeutic duplication on the general surgical wards. BMJ Open Qual. 2021;10(3):e001363. doi:10.1136/bmjoq-2021-001363. https://psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards Unintentional therapeuti…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45811/psn-pdf
    May 08, 2017 - This webinar discussed voice-generated electronic records as a strategy to augment clinical documentation … and highlight natural language processing technologies as a component of this strategy.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44981/psn-pdf
    June 07, 2016 - simulation-based-training-missing-link-lastingly-improved-patient-safety-and- health Simulation has been increasingly accepted as a training strategy … systematic-review-simulation-multidisciplinary-team-training-operating-rooms https://psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45202/psn-pdf
    October 08, 2016 - This review highlights the need for improved data collection, evidence-based policy, and strategy implementation … towards-international-consensus-patient-harm-perspectives-pressure-injury-policy https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

  9. Assessing and monitoring override medications in automated dispensing devices. | PSNet

    psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
    May 06, 2009 - May 6, 2009 Designing a strategy to promote safe, innovative off-label use of medications … September 29, 2010 Developing a medication patient safety program — infrastructure and strategy … December 30, 2014 A randomized trial of a multifactorial strategy to prevent serious

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42918/psn-pdf
    February 05, 2014 - disclosure of medical errors has been described as both a great idea and an impractical risk management strategy … full-disclosure-and-apology-idea-whose-time-has-come https://psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46575/psn-pdf
    December 13, 2017 - economic-evaluation-pharmacist-led-medication-reviews-residential-aged- care-facilities Pharmacist oversight of medication prescribing is an established safety strategy … inappropriate polypharmacy in aged care facilities and the cost- effectiveness of this risk management strategy

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45649/psn-pdf
    November 30, 2016 - Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy … Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy

  13. Health IT Patient Safety Action and Surveillance Plan. | PSNet

    psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
    December 18, 2013 - May 13, 2015 Strategy on Reducing Regulatory and Administrative Burden Relating to the … February 20, 2019 FDASIA Health IT Report: Proposed Strategy and Recommendations for … July 5, 2016 View More Related Resources Strategy on Reducing Regulatory

  14. Team-training in healthcare: a narrative synthesis of the literature. | PSNet

    psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature
    July 02, 2014 - Related Resources From the Same Author(s) Promoting a culture of safety as a patient safety strategy … July 2, 2014 Rapid response systems as a patient safety strategy: a systematic review … October 10, 2017 Towards high-reliability organising in healthcare: a strategy for building

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45244/psn-pdf
    August 01, 2016 - exploring how sleep deprivation affects clinician performance and the impact of work hour limits as a strategy … common-program-requirements-learning-and-working-environment-duty-hours https://psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36814/psn-pdf
    March 28, 2011 - paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy … paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47582/psn-pdf
    December 12, 2018 - data from chart review and taking ulcer severity into account may yield a more meaningful measurement strategy … success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

  18. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
    May 01, 2014 - Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … for Medication Reconciliation (2) Whether medication reconciliation is a high-value patient safety strategy

  19. Therapies for Clinically Localized Prostate Cancer (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-therapies-update_clinician.pdf
    January 01, 2016 - Background A National Institutes of Health (NIH) panel that convened in 2011 recommended that AS—a strategy … .3 The NIH panel also used the term “watchful waiting” (WW) to describe a palliative observational strategy … that consists of intervening only when symptoms appear Active surveillance (AS): a strategy with curative … specifically targeted by placing seeded radioactive material in or near the tumor Cryotherapy: a strategy … vs. radiation therapy), use of androgen deprivation therapy (ADT) as a component of the treatment strategy

  20. Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. | PSNet

    psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative
    December 16, 2015 - October 10, 2017 Rapid response systems as a patient safety strategy: a systematic review … March 20, 2013 Promoting a culture of safety as a patient safety strategy: a systematic … November 2, 2016 Impact of a team and leaders-directed strategy to improve nurses' adherence
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