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psnet.ahrq.gov/node/46271/psn-pdf
January 30, 2018 - Debiasing health-related judgments and decision making:
a systematic review.
January 30, 2018
Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review.
Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672.
https://psnet.ahrq.gov/issue/debiasing-health-related-jud…
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www.ahrq.gov/topics/patient-self-management.html
Topic: Patient Self-Management
AHRQ has resources to help primary care clinicians and teams learn about and implement self-management support, which includes involving the whole care team in planning, carrying out, and following up on a patient visit; planning patient visits that focus on prevention and care manageme…
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psnet.ahrq.gov/node/47241/psn-pdf
October 10, 2018 - Impact of high-reliability education on adverse event
reporting by registered nurses.
October 10, 2018
McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by
Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.0000000000000291.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/43404/psn-pdf
August 06, 2014 - 'Even now it makes me angry': health care students'
professionalism dilemma narratives.
August 6, 2014
Monrouxe L, Rees CE, Endacott R, et al. 'Even now it makes me angry': health care students'
professionalism dilemma narratives. Med Educ. 2014;48(5):502-17. doi:10.1111/medu.12377.
https://psnet.ahrq.gov/issue/ev…
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psnet.ahrq.gov/node/47730/psn-pdf
January 23, 2019 - Assessment of a simulated case-based measurement of
physician diagnostic performance.
January 23, 2019
Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of
Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006.
doi:10.1001/jamanetworkopen.2018.7006.
https://psn…
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psnet.ahrq.gov/node/35510/psn-pdf
February 19, 2010 - Simulation study of rested versus sleep-deprived
anesthesiologists.
February 19, 2010
Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists.
Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-200306000-00008.
https://psnet.ahrq.gov/issue/simulation-study-res…
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psnet.ahrq.gov/node/46352/psn-pdf
October 15, 2018 - Optimal Resources for Surgical Quality and Safety.
October 15, 2018
Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242.
https://psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
Surgery is complex and involves a wide range of possibilities for error that can r…
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psnet.ahrq.gov/node/43955/psn-pdf
December 04, 2016 - For Colorado mom, story of daughter's hospital death is
key to others' safety.
December 4, 2016
Daley J. Colorado Public Radio. February 17, 2015.
https://psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety
Patient and family stories of harm are increasingly promoted as a strategy to…
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psnet.ahrq.gov/node/73627/psn-pdf
January 01, 2022 - The problem with 'My Five Moments for Hand Hygiene'.
August 25, 2021
Gould D, Purssell E, Jeanes A, et al. The problem with ‘My Five Moments for Hand Hygiene’. BMJ Qual
Saf. 2022;31(4):322-326. doi:10.1136/bmjqs-2020-011911.
https://psnet.ahrq.gov/issue/problem-my-five-moments-hand-hygiene
The “My Five Moments for…
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psnet.ahrq.gov/node/47892/psn-pdf
March 27, 2019 - Addressing medicine's bias against patients who are
overweight.
March 27, 2019
Rubin R. Addressing Medicine's Bias Against Patients Who Are Overweight. JAMA. 2019;321(10):925-927.
doi:10.1001/jama.2019.0048.
https://psnet.ahrq.gov/issue/addressing-medicines-bias-against-patients-who-are-overweight
Patients with o…
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psnet.ahrq.gov/node/37134/psn-pdf
March 23, 2011 - Effect of crew resource management on diabetes care
and patient outcomes in an inner-city primary care clinic.
March 23, 2011
Taylor CR, Hepworth JT, Buerhaus P, et al. Effect of crew resource management on diabetes care and
patient outcomes in an inner-city primary care clinic. Qual Saf Health Care. 2007;16(4):244…
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psnet.ahrq.gov/node/45015/psn-pdf
July 18, 2016 - Interhospital transfer handoff practices among US tertiary
care centers: a descriptive survey.
July 18, 2016
Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care
centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:10.1002/jhm.2577.
https://psnet.ahr…
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psnet.ahrq.gov/node/47656/psn-pdf
March 13, 2019 - Sleep and alertness in a duty-hour flexibility trial in
internal medicine.
March 13, 2019
Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. 2019;380:915-923.
https://psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
This cluster-randomized trial compared…
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psnet.ahrq.gov/node/38735/psn-pdf
June 24, 2009 - Reflection and analysis of how pharmacy students learn
to communicate about medication errors.
June 24, 2009
Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about
medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/10410230902889399.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/73392/psn-pdf
June 16, 2021 - AI for radiographic COVID-19 detection selects shortcuts
over signal.
June 16, 2021
DeGrave AJ, Janizek JD, Lee S-I. AI for radiographic COVID-19 detection selects shortcuts over signal.
Nat Mach Intell. 2021;3:610–619. doi:10.1038/s42256-021-00338-7.
https://psnet.ahrq.gov/issue/ai-radiographic-covid-19-detection…
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psnet.ahrq.gov/node/47641/psn-pdf
March 20, 2019 - Guided reflection interventions show no effect on
diagnostic accuracy in medical students.
March 20, 2019
Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in
Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297.
https://psnet.ahrq.gov/issue/gu…
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psnet.ahrq.gov/node/43556/psn-pdf
December 19, 2014 - Establishing a safe container for learning in simulation:
the role of the presimulation briefing.
December 19, 2014
Rudolph JW, Raemer D, Simon R. Establishing a safe container for learning in simulation: the role of the
presimulation briefing. Simul Healthc. 2014;9(6):339-49. doi:10.1097/SIH.0000000000000047.
htt…
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psnet.ahrq.gov/node/60669/psn-pdf
July 08, 2020 - Participation in a system-thinking simulation experience
changes adverse event reporting.
July 8, 2020
Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event
reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.
https://psnet.ahrq.gov/issue/parti…
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psnet.ahrq.gov/node/39109/psn-pdf
November 18, 2009 - Action research, simulation, team communication, and
bringing the tacit into voice. Society for Simulation in
Healthcare.
November 18, 2009
Forsythe L. Action research, simulation, team communication, and bringing the tacit into voice society for
simulation in healthcare. Simul Healthc. 2009;4(3):143-148. doi:10.1…
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psnet.ahrq.gov/node/44386/psn-pdf
August 12, 2015 - Using simulation to improve systems.
August 12, 2015
Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885-
92. doi:10.1016/j.suc.2015.04.007.
https://psnet.ahrq.gov/issue/using-simulation-improve-systems
Safety approaches from aviation that can be applied to health c…