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The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

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Displaying 1 - 2 of 2 Results
Eichbaum Q, Adkins B, Craig-Owens L, et al. Diagnosis (Berl). 2019;6:249-257.
Morbidity and mortality (M&M) conferences were traditionally promoted as a strategy to learn from adverse events. Researchers conducted a retrospective review of 49 M&M rounds cases in the pathology department of a single medical center and found that 36% of cases likely involved errors related to cognitive bias.
Graber ML, Rusz D, Jones ML, et al. Diagnosis (Berl). 2017;4:225-238.
Teamwork has been highlighted as a key component of patient safety that also applies to improving diagnosis. This commentary describes how the team approach to diagnosis is anchored in patient-centered care and suggests that the diagnostic team must expand beyond the focus on physicians and involve a wide range of professionals, including pathologists, allied health practitioners, and medical librarians.