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Bethesda, MD: Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health. May 21, 2018. PA-18-790; PA-18-791.
This dual-component funding program will support collaborative research and project development projects that explore strategies to reduce medical error in both routine hospital settings and intensive care units.
Higher quality of care and patient safety associated with better NICU work environments.
Lake ET, Hallowell SG, Kutney-Lee A, et al. J Nurs Care Qual. 2016;31:24-32.
Another tragic parenteral nutrition compounding error.
ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.
Measuring faculty reflection on adverse patient events: development and initial validation of a case-based learning system.
Wittich CM, Lopez-Jimenez F, Decker LK, et al. J Gen Intern Med. 2011;26:293-298.
PA-PSRS Patient Saf Advis. December 2009;6(suppl 1):1-32.
Team-based Approaches to the Diagnostic Process.
Washington Patient Safety Coalition. WPSC Lunchtime Webinar Series. April 24, 2019; 2:00 PM (Eastern).
Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.
Radhakrishnan NS, Singh H, Southwick FS. Diagnosis (Berl). 2019 Mar 16; [Epub ahead of print].
Medicare trims payments to 800 hospitals, citing patient safety incidents.
Rau J. Kaiser Health News. March 1, 2019.
Reclaiming the systems approach to paediatric safety.
Cheung R, Roland D, Lachman P. Arch Dis Child. 2019 Feb 23; [Epub ahead of print].
Engineering a foundation for partnership to improve medication safety during care transitions.
Xiao Y, Abebe E, Gurses AP. J Patient Saf Risk Manag. 2019;24:30–36.
Payment innovations to improve diagnostic accuracy and reduce diagnostic error.
Berenson R, Singh H. Health Aff (Millwood). 2018;37:1828-1835.
Reducing Diagnostic Errors in Primary Care Pediatrics (Project RedDE!) Toolkit.
Itasca, IL: American Academy of Pediatrics; 2018.
IV push medications survey results—part 1 and part 2.
ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5.
Medication handling: towards a practical, human-centred approach.
Marshall SD, Chrimes N. Anaesthesia. 2019;74:280-284.
Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events.
Kang H, Wang J, Yao B, Zhou S, Gong Y. JAMIA Open. 2019;2:179–186.
System-related and cognitive errors in laboratory medicine.
Plebani M. Diagnosis (Berl). 2018;5:191-196.
Diagnostic heuristics in dermatology—part 1 and part 2.
Lowenstein EJ, Sidlow R. Br J Dermatol. 2018;179:1263-1269;1270-1276.
Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research.
Armstrong N. BMJ Qual Saf. 2018;27:571-575.
Diagnostic performance dashboards: tracking diagnostic errors using big data.
Mane KK, Rubenstein KB, Nassery N, et al. BMJ Qual Saf. 2018;27:567-570.
Transgender patients and diagnostic safety: back to basics.
Carr S. ImproveDx. February 2018;5:1-4.
Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement.
Rockville, MD: Agency for Healthcare Research and Quality; January 2018.
Implementation of diagnostic pauses in the ambulatory setting.
Huang GC, Kriegel G, Wheaton C, et al. BMJ Qual Saf. 2018;27:492-497.
Recognition and prevention of nosocomial malnutrition: a review and a call to action!
Kirkland LL, Shaughnessy E. Am J Med. 2017;130:1345-1350.
Diagnostic errors in primary care pediatrics: Project RedDE.
Rinke ML, Singh H, Heo M, et al. Acad Pediatr. 2018;18:220-227.
Primary care collaboration to improve diagnosis and screening for colorectal cancer.
Schiff GD, Bearden T, Hunt LS, et al. Jt Comm J Qual Patient Saf. 2017;43:338–350.
The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking.
Norman GR, Monteiro SD, Sherbino J, Ilgen JS, Schmidt HG, Mamede S. Acad Med. 2017;92:23-30.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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