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1641. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867380/psn-pdf
      December 18, 2024 - Cognitive biases and artificial intelligence. December 18, 2024 Wang J, Redelmeier DA. Cognitive biases and artificial intelligence. NEJM AI. 2024;1(12):AIcs2400639. doi:10.1056/aics2400639. https://psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence Previous studies have raised concerns about cognit…

1642. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46680/psn-pdf
      December 13, 2017 - Patient safety culture in care homes for older people: a scoping review. December 13, 2017 Gartshore E, Waring J, Timmons S. Patient safety culture in care homes for older people: a scoping review. BMC Health Serv Res. 2017;17(1):752. doi:10.1186/s12913-017-2713-2. https://psnet.ahrq.gov/issue/patient-safety-cultu…

1643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46355/psn-pdf
      October 09, 2017 - Diagnostic reasoning: an endangered competency in internal medicine training. October 9, 2017 Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163. https://psnet.ahrq.gov/issue/diagnostic-reasoning…

1644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42877/psn-pdf
      January 22, 2014 - Identification of poor performance in a national medical workforce over 11 years: an observational study. January 22, 2014 Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical workforce over 11 years: an observational study. BMJ Qual Saf. 2014;23(2):147-52. doi:10.1136…

1645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33842/psn-pdf
      January 01, 2018 - Assessing the Safety of Electronic Health Records: What Have We Learned? September 1, 2017 Sittig DF, Singh H. Assessing the Safety of Electronic Health Records: What Have We Learned? PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned Perspec…

1646. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49760/psn-pdf
      May 01, 2016 - Mismanagement of Delirium May 1, 2016 Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/mismanagement-delirium The Case An 85-year-old man with early stage vascular dementia fell on the sidewalk and fractured his leg. Although fitted with a cast at a regional ho…

1647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854635/psn-pdf
      January 01, 2024 - CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. October 18, 2023 Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136/bmjqs-2023-016030. https://psn…

1648. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37946/psn-pdf
      June 10, 2010 - Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? June 10, 2010 Engel KG, Heisler M, Smith DM, et al. Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? Ann Emerg Med. 2009;53(…

1649. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854823/psn-pdf
      October 25, 2023 - Safety of office-based lens surgery: U.S. multicenter study October 25, 2023 Kugler LJ, Kapeles MJ, Durrie DS. Safety of office-based lens surgery: U.S. multicenter study. J Cataract Refract Surg. 2023;49(9):907-911. doi:10.1097/j.jcrs.0000000000001231. https://psnet.ahrq.gov/issue/safety-office-based-lens-surgery…

1650. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837415/psn-pdf
      June 15, 2022 - Instruments for measuring patient safety competencies in nursing: a scoping review. June 15, 2022 Mortensen M, Naustdal KI, Uibu E, et al. Instruments for measuring patient safety competencies in nursing: a scoping review. BMJ Open Qual. 2022;11(2):e001751. doi:10.1136/bmjoq-2021-001751. https://psnet.ahrq.gov/iss…

1651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46412/psn-pdf
      October 11, 2017 - Team-based care: the changing face of cardiothoracic surgery. October 11, 2017 Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003. https://psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothor…

1652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43681/psn-pdf
      June 03, 2016 - Learning from failure: the need for independent safety investigation in healthcare. June 3, 2016 Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939. https://psnet.ahrq.gov/issue/learning-failure-n…

1653. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837846/psn-pdf
      August 17, 2022 - Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. August 17, 2022 Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administration. JAMA Network Open. 2022;5(8):e2…

1654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48114/psn-pdf
      July 17, 2019 - Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. July 17, 2019 Deilkås ECT, Hofoss D, Husebo BS, et al. Opportunities for improvement in nursing homes: Variance of six patient safety …

1655. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40263/psn-pdf
      March 02, 2011 - Trauma resuscitation errors and computer-assisted decision support. March 2, 2011 FitzGerald M, Cameron P, Mackenzie CF, et al. Trauma resuscitation errors and computer-assisted decision support. Arch Surg. 2011;146(2):218-25. doi:10.1001/archsurg.2010.333. https://psnet.ahrq.gov/issue/trauma-resuscitation-errors-…

1656. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838237/psn-pdf
      October 05, 2022 - Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. October 5, 2022 Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. Health Technol Assess. 2022;26(32)…

1657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45245/psn-pdf
      June 27, 2018 - Medication Without Harm: WHO's Third Global Patient Safety Challenge. June 27, 2018 Geneva, Switzerland: World Health Association; 2017. https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge Adverse drug events are likely the most common source of preventable harm in both …

1658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47335/psn-pdf
      August 22, 2018 - Seeking answers, hearing silence. August 22, 2018 Hemmelgarn C. Seeking Answers, Hearing Silence. Health Aff (Millwood). 2018;37(8):1332-1334. doi:10.1377/hlthaff.2017.1535. https://psnet.ahrq.gov/issue/seeking-answers-hearing-silence Lack of transparency regarding errors in patient care contributes to harm, mistr…

1659. Diagnostic Failure: The Growing Deficit | PSNet
      psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
      June 01, 2005 - Diagnostic Failure: The Growing Deficit Citation Text: Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNo…

1660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36648/psn-pdf
      January 18, 2011 - The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units. January 18, 2011 Vogus TJ, Sutcliffe K. The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units. Med Care. 2007;45(1):46-5…