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psnet.ahrq.gov/node/50374/psn-pdf
September 25, 2019 - Explainable artificial intelligence for safe intraoperative
decision support.
September 25, 2019
Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision
Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821.
https://psnet.ahrq.gov/issue/explainable-artificial-int…
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psnet.ahrq.gov/node/39725/psn-pdf
August 11, 2010 - The Invisible Gorilla: and Other Ways Our Intuitions
Deceive Us.
August 11, 2010
Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659.
https://psnet.ahrq.gov/issue/invisible-gorilla-and-other-ways-our-intuitions-deceive-us
This book explores inattentional blindness, as demonstrated in …
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psnet.ahrq.gov/node/47842/psn-pdf
April 10, 2019 - Learning From Invited Reviews.
April 10, 2019
London, UK: Royal College of Surgeons of England; 2019.
https://psnet.ahrq.gov/issue/learning-invited-reviews
Physical demands and technical complexities can affect surgical safety. This resource is designed to
capture frontline perceptions of surgeons in the United Ki…
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psnet.ahrq.gov/node/861294/psn-pdf
January 24, 2024 - Shining a glaring light on surgery: technology that
records every move aims to improve safety.
January 24, 2024
Freyer FJ. Boston Globe. January 13, 2024.
https://psnet.ahrq.gov/issue/shining-glaring-light-surgery-technology-records-every-move-aims-improve-
safety
The surgical black box uses cameras and microphon…
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psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
June 01, 2018 - will be provided and competency assessed; what should be documented and whether and how images can be captured
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psnet.ahrq.gov/node/41231/psn-pdf
March 21, 2012 - Junior doctors' reflections on patient safety.
March 21, 2012
Ahmed M, Arora S, Carley S, et al. Junior doctors' reflections on patient safety. Postgrad Med J.
2012;88(1037):125-9. doi:10.1136/postgradmedj-2011-130301.
https://psnet.ahrq.gov/issue/junior-doctors-reflections-patient-safety
This study used written p…
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psnet.ahrq.gov/node/35595/psn-pdf
January 04, 2009 - Patient Safety: Achieving a New Standard of Care.
January 4, 2009
Institute of Medicine (US) Committee on Data Standards for Patient Safety, Aspden P, Corrigan JM,
Wolcott J, Erickson SM, eds. Washington (DC): National Academies Press (US); 2004.
https://psnet.ahrq.gov/issue/patient-safety-achieving-new-standa…
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psnet.ahrq.gov/node/35133/psn-pdf
March 11, 2011 - Parents as partners in obtaining the medication history.
March 11, 2011
Porter SC, Kohane IS, Goldmann DA. Parents as partners in obtaining the medication history. J Am Med
Inform Assoc. 2005;12(3):299-305.
https://psnet.ahrq.gov/issue/parents-partners-obtaining-medication-history
This study examined the utility o…
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psnet.ahrq.gov/node/843325/psn-pdf
February 01, 2023 - Untenable expectations: nurses' work in the context of
medication administration, error, and the organization.
February 1, 2023
Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration,
error, and the organization. Glob Qual Nurs Res. 2022;9:233339362211317.
doi:10.117…
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psnet.ahrq.gov/node/836858/psn-pdf
April 06, 2022 - Psychological safety during the test of new work
processes in an emergency department.
April 6, 2022
Dieckmann P, Tulloch S, Dalgaard AE, et al. Psychological safety during the test of new work processes in
an emergency department. BMC Health Serv Res. 2022;22(1):307. doi:10.1186/s12913-022-07687-y.
https://psnet.…
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psnet.ahrq.gov/node/74083/psn-pdf
November 17, 2021 - Novel telephone-based interactive voice response system
for incident reporting.
November 17, 2021
McNiven B, Brown AD. Novel telephone-based interactive voice response system for incident reporting. Jt
Comm J Qual Patient Saf. 2021;47(12):809-813. doi:10.1016/j.jcjq.2021.09.010.
https://psnet.ahrq.gov/issue/novel-…
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psnet.ahrq.gov/node/33643/psn-pdf
December 01, 2006 - Well, when you have captured culture at the patient care area
level, you can first target those who
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psnet.ahrq.gov/node/867694/psn-pdf
March 05, 2025 - Hospital ward incidents through the eyes of nurses – a
thick description on the appeal and deadlock of incident
reporting systems.
March 5, 2025
Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses
- a thick description on the appeal and deadlock of incident rep…
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psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
December 21, 2016 - Study
Classic
Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention.
Citation Text:
Lawton R, O'Hara JK, Sheard L, et al. Can patient involvement improve…
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psnet.ahrq.gov/node/47879/psn-pdf
June 05, 2019 - The attitudes of nursing students and clinical instructors
towards reporting irregular incidents in the medical clinic.
June 5, 2019
Halperin O, Bronshtein O. The attitudes of nursing students and clinical instructors towards reporting
irregular incidents in the medical clinic. Nurse Educ Pract. 2019;36:34-39. doi:…
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psnet.ahrq.gov/node/859299/psn-pdf
December 20, 2023 - Interprofessional staff perspectives on the adoption of OR
black box technology and simulations to improve patient
safety: a multi-methods survey.
December 20, 2023
Campbell K, Gardner A, Scott DJ, et al. Interprofessional staff perspectives on the adoption of or black box
technology and simulations to improve pat…
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psnet.ahrq.gov/innovation/there-app-mobile-technology-improves-complication-reporting-and-resident-perception
November 28, 2012 - EMERGING INNOVATIONS
There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety
Citation Text:
Johnson CR, Noorzad A, Pujari A, et al. There is an app for that: mobile technology improves complication reporting and resident p…
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psnet.ahrq.gov/node/33611/psn-pdf
July 01, 2005 - Most of the errors were
captured that way, so there was rarely a need for the observers to intervene
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psnet.ahrq.gov/node/33816/psn-pdf
October 01, 2016 - If the data aren't captured or there's
no more record of how it got to be the way it is, then we're
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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - many of which occurred in
nonprimary care settings like dental offices, and very few of which were captured