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psnet.ahrq.gov/node/47358/psn-pdf
August 29, 2018 - Double reading in breast cancer screening: cohort
evaluation in the CO-OPS trial.
August 29, 2018
Taylor-Phillips S, Jenkinson D, Stinton C, et al. Double Reading in Breast Cancer Screening: Cohort
Evaluation in the CO-OPS Trial. Radiology. 2018;287(3):749-757. doi:10.1148/radiol.2018171010.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/44175/psn-pdf
October 13, 2015 - Impact of crisis resource management simulation-based
training for interprofessional and interdisciplinary teams:
a systematic review.
October 13, 2015
Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for
interprofessional and interdisciplinary teams: A systematic revi…
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psnet.ahrq.gov/node/38261/psn-pdf
December 03, 2008 - Systematic assessment of culture review as a tool to
assess errors in the clinical microbiology laboratory.
December 3, 2008
Goodyear N, Ulness BK, Prentice JL, et al. Systematic assessment of culture review as a tool to assess
errors in the clinical microbiology laboratory. Arch Pathol Lab Med. 2008;132(11):1792-5…
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psnet.ahrq.gov/node/43649/psn-pdf
November 05, 2014 - How patients can improve the accuracy of their medical
records.
November 5, 2014
Dullabh P, Sondheimer N, Katsh E, et al. How Patients Can Improve the Accuracy of their Medical
Records. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2014;2(3).
doi:10.13063/2327-9214.1080.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/865598/psn-pdf
April 17, 2024 - Guardians of grafts: reducing medication errors in
transplant recipients.
April 17, 2024
ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4.
https://psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients
Safe medication therapy for transplant patients is complex and h…
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psnet.ahrq.gov/node/60815/psn-pdf
August 19, 2020 - Clinical reasoning in the wild: premature closure during
the COVID-19 pandemic.
August 19, 2020
Boyle JG, Walters MR, Jamieson S, et al. Clinical reasoning in the wild: premature closure during the
COVID-19 pandemic. Diagnosis (Berl). 2020;7(3):177-179. doi:10.1515/dx-2020-0061.
https://psnet.ahrq.gov/issue/clinic…
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psnet.ahrq.gov/node/60004/psn-pdf
January 01, 2021 - Association of overlapping cardiac surgery with short-
term patient outcomes.
March 3, 2020
Glauser G, Goodrich S, McClintock SD, et al. Association of overlapping cardiac surgery with short-term
patient outcomes. J Thorac Cardiovasc Surg. 2021;162(1):155-164.e2. doi:10.1016/j.jtcvs.2019.11.136.
https://psnet.ahrq…
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psnet.ahrq.gov/node/44364/psn-pdf
September 07, 2016 - Survey of the national drug shortage effect on anesthesia
and patient safety: a patient perspective.
September 7, 2016
Hsia IK-H, Dexter F, Logvinov I, et al. Survey of the National Drug Shortage Effect on Anesthesia and
Patient Safety: A Patient Perspective. Anesth Analg. 2015;121(2):502-6.
doi:10.1213/ANE.000000…
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psnet.ahrq.gov/node/47971/psn-pdf
June 14, 2019 - Evidence-based medicine: a cornerstone for clinical care
but not for quality improvement.
June 14, 2019
Mondoux S, Shojania KG. Evidence-based medicine: A cornerstone for clinical care but not for quality
improvement. J Eval Clin Pract. 2019;25(3):363-368. doi:10.1111/jep.13135.
https://psnet.ahrq.gov/issue/eviden…
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psnet.ahrq.gov/node/45921/psn-pdf
March 08, 2017 - Do hospital boards matter for better, safer, patient care?
March 8, 2017
Mannion R, Davies HTO, Jacobs R, et al. Do Hospital Boards matter for better, safer, patient care? Soc Sci
Med. 2017;177:278-287. doi:10.1016/j.socscimed.2017.01.045.
https://psnet.ahrq.gov/issue/do-hospital-boards-matter-better-safer-patient-…
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psnet.ahrq.gov/node/43888/psn-pdf
August 02, 2015 - Diagnostic performance by medical students working
individually or in teams.
August 2, 2015
Hautz WE, Kämmer JE, Schauber SK, et al. Diagnostic performance by medical students working
individually or in teams. JAMA. 2015;313(3):303-4. doi:10.1001/jama.2014.15770.
https://psnet.ahrq.gov/issue/diagnostic-performance…
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psnet.ahrq.gov/node/34871/psn-pdf
February 09, 2011 - Educational levels of hospital nurses and surgical patient
mortality.
February 9, 2011
Aiken LH, Clarke S, Cheung RB, et al. Educational levels of hospital nurses and surgical patient mortality.
JAMA. 2003;290(12):1617-1623.
https://psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-morta…
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psnet.ahrq.gov/node/38068/psn-pdf
March 10, 2011 - The effect of electronic prescribing on medication errors
and adverse drug events: a systematic review.
March 10, 2011
Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication
errors and adverse drug events: a systematic review. J Am Med Inform Assoc. 2008;15(5):585-600.
…
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psnet.ahrq.gov/node/44380/psn-pdf
October 26, 2018 - From Safety-I to Safety-II: A White Paper.
October 26, 2018
Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015.
https://psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
To enhance patient safety, researchers must consider complexity in health care settings. This white pape…
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - anxiety and less access to information was reported by families. 8 In fact, long-standing evidence suggests … adjustments, or restrictions to family presence in the healthcare settings during a pandemic. 15 IPFCC suggests … Evidence suggests that family involvement in care can critically improve outcomes, cost, and perceptions
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - anxiety and less access to information was reported by families. 8 In fact, long-standing evidence suggests … adjustments, or restrictions to family presence in the healthcare settings during a pandemic. 15 IPFCC suggests … Evidence suggests that family involvement in care can critically improve outcomes, cost, and perceptions
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psnet.ahrq.gov/web-mm/sloppy-and-paste
February 02, 2011 - Sloppy and Paste
Citation Text:
Hirschtick RE. Sloppy and Paste. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Annual Perspective
Rethinking Root Cause Analysis
Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016
View more articles from the same authors.
Citation Text:
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…
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psnet.ahrq.gov/node/73106/psn-pdf
April 01, 2021 - Strategies and Approaches for Tracking Improvements in
Patient Safety
April 1, 2021
Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
Background
An essential aspect …
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - news is that a pilot study examining 12 years of claims experience of a defined cohort of
surgeons suggests