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  1. psnet.ahrq.gov/issue/risk-management-and-patient-safety-artificial-intelligence-era-systematic-review
    February 15, 2023 - Review Risk management and patient safety in the artificial intelligence era: a systematic review. Citation Text: Ferrara M, Bertozzi G, Di Fazio N, et al. Risk management and patient safety in the artificial intelligence era: a systematic review. Healthcare (Basel). 2024;12(5):549. doi:…
  2. psnet.ahrq.gov/issue/cognitive-and-implicit-biases-nurses-judgment-and-decision-making-scoping-review
    October 20, 2021 - Review Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. Citation Text: Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j…
  3. psnet.ahrq.gov/issue/building-learning-organization
    June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
  4. psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
    October 19, 2022 - Commentary Utilizing pharmacy students in transitions-of-care services. Citation Text: L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561. Copy Citation Format…
  5. psnet.ahrq.gov/issue/towards-framework-managing-risk-associated-technology-induced-error
    May 10, 2013 - Commentary Towards a framework for managing risk associated with technology-induced error. Citation Text: Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. Copy Citation Format: …
  6. psnet.ahrq.gov/issue/are-personal-health-records-phrs-facilitating-patient-safety-scoping-review
    February 09, 2022 - Review Are personal health records (PHRs) facilitating patient safety? A scoping review. Citation Text: Joseph AL, Monkman H, Kushniruk AW, et al. Are personal health records (PHRs) facilitating patient safety? A scoping review. Stud Health Technol Inform. 2022;2022:535-539. doi:10.3233/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33836/psn-pdf
    June 01, 2017 - The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? June 1, 2017 Martin VK, Mirnateghi N, Khoshchehreh M. The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? . PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed Per…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33598/psn-pdf
    June 15, 2024 - Falls June 15, 2024 Falls. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/falls PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Background Falls are a common …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33578/psn-pdf
    September 15, 2024 - Human Factors Engineering September 15, 2024 Human Factors Engineering. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/human-factors-engineering PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safe…
  10. psnet.ahrq.gov/primer/rapid-response-systems
    July 18, 2024 - Rapid Response Systems Citation Text: Rapid Response Systems. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  11. psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
    September 01, 2007 - But when I'm in the operating room or seeing a patient in the clinic or heading down to the ED, at that
  12. psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
    November 01, 2006 - The hospital or clinic would instinctively think of calling in experts in design and human factors and
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33796/psn-pdf
    January 01, 2016 - For example, if I don't diagnose something correctly in clinic, that patient may go on into the hospital
  14. psnet.ahrq.gov/web-mm/bleeding-risk
    November 01, 2003 - Bleeding Risk Citation Text: Crowther MA. Bleeding Risk. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861882/psn-pdf
    January 31, 2024 - Patient Safety in Office-Based Care Settings January 31, 2024 Ricciardi R, Lee M, Mossburg S. Patient Safety in Office-Based Care Settings. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings The Institute of Medicine’s 2000 publication To Err Is Human summarized res…
  16. psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
    April 24, 2024 - Right Electrocardiogram, Wrong Patient Citation Text: Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33618/psn-pdf
    September 01, 2005 - Playing Well with Others: "Translocational Research" in Patient Safety September 1, 2005 Wachter R. Playing Well with Others: "Translocational Research" in Patient Safety. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety Perspective Translation…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50696/psn-pdf
    November 27, 2019 - Complications of Vascular Access Procedures in Patients with Kidney Disease November 27, 2019 Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease The Ca…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49426/psn-pdf
    November 01, 2003 - Don't Push November 1, 2003 Meltzer HY. Don't Push. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/dont-push The Case A 37-year-old HIV-positive woman was brought to the emergency room by her family because she had exhibited altered mentation for 3 days. The patient had been diagnosed with HIV infection 3 …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49662/psn-pdf
    August 01, 2012 - Wrong Turn through Colon: Misplaced PEG August 1, 2012 Sorokin R, Conn M. Wrong Turn through Colon: Misplaced PEG. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg The Case An 87-year-old man was admitted for congestive heart failure (CHF) exacerbation. In addition, a pa…

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