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psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark
September 07, 2022 - Commentary
The limits of clinician vigilance as an AI safety bulwark.
Citation Text:
Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark. JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620.
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psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence
March 27, 2024 - Study
Cognitive biases and artificial intelligence.
Citation Text:
Wang J, Redelmeier DA. Cognitive biases and artificial intelligence. NEJM AI. 2024;1(12):AIcs2400639. doi:10.1056/aics2400639.
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psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
April 24, 2018 - Commentary
Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.
Citation Text:
Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…
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psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err
August 04, 2021 - Study
To err is human, but what happens when surgeons err?
Citation Text:
Lin JS, Olutoye OO, Samora JB. To err is human, but what happens when surgeons err? J Pediatr Surg. 2023;58(3):496-502. doi:10.1016/j.jpedsurg.2022.06.019.
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psnet.ahrq.gov/issue/health-information-technology-vehicle-not-destination-conversation-david-j-brailer
March 19, 2019 - Commentary
Health information technology is a vehicle, not a destination: a conversation with David J. Brailer.
Citation Text:
Brailer DJ. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Interview by Arnold Milstein. Health Aff (Mill…
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psnet.ahrq.gov/issue/when-less-more-role-overdiagnosis-and-overtreatment-patient-safety
July 22, 2020 - Commentary
When less is more: the role of overdiagnosis and overtreatment in patient safety.
Citation Text:
Kamzan AD, Ng E. When less is more: the role of overdiagnosis and overtreatment in patient safety. Adv Pediatr. 2021;68:21-35. doi:10.1016/j.yapd.2021.05.013.
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psnet.ahrq.gov/issue/psychology-insights-apologizing-patients
March 27, 2024 - Commentary
Psychology insights on apologizing to patients.
Citation Text:
Redelmeier DA, Roach J. Psychology insights on apologizing to patients. J Hosp Med. 2024;Epub Dec 30. doi:10.1002/jhm.13585.
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psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-neuromuscular-blocker
June 19, 2019 - Newspaper/Magazine Article
Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event.
Citation Text:
Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. ISMP Medication Safety Alert! Acute Ca…
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psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia
April 24, 2019 - Newspaper/Magazine Article
Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional.
Citation Text:
Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesi…
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psnet.ahrq.gov/issue/quality-and-safety-artificial-intelligence-generated-health-information
October 19, 2022 - Commentary
Quality and safety of artificial intelligence generated health information.
Citation Text:
Sorich MJ, Menz BD, Hopkins AM. Quality and safety of artificial intelligence generated health information. BMJ. 2024;384:q596. doi:10.1136/bmj.q596.
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psnet.ahrq.gov/issue/seeking-answers-hearing-silence
October 09, 2024 - Commentary
Seeking answers, hearing silence.
Citation Text:
Hemmelgarn C. Seeking Answers, Hearing Silence. Health Aff (Millwood). 2018;37(8):1332-1334. doi:10.1377/hlthaff.2017.1535.
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psnet.ahrq.gov/issue/how-one-hospital-improved-patient-safety-10-minutes-day
April 11, 2018 - Newspaper/Magazine Article
How one hospital improved patient safety in 10 minutes a day.
Citation Text:
How one hospital improved patient safety in 10 minutes a day. van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018.
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psnet.ahrq.gov/issue/variability-and-quality-medication-container-labels
March 04, 2009 - Study
The variability and quality of medication container labels.
Citation Text:
Shrank WH, Agnew-Blais J, Choudhry NK, et al. The variability and quality of medication container labels. Arch Intern Med. 2007;167(16):1760-1765.
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psnet.ahrq.gov/issue/advancing-science-measurement-diagnostic-errors-healthcare-safer-dx-framework
December 06, 2023 - Commentary
Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
Citation Text:
Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf. 2015;24(2):103-110. doi:10.1136/bm…
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psnet.ahrq.gov/issue/telehealth
January 27, 2019 - Commentary
Telehealth.
Citation Text:
Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323.
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psnet.ahrq.gov/issue/improving-patient-safety-through-systematic-evaluation-patient-outcomes
August 25, 2011 - Review
Improving patient safety through the systematic evaluation of patient outcomes.
Citation Text:
Forster AJ, Dervin G, Martin C, et al. Improving patient safety through the systematic evaluation of patient outcomes. Can J Surg. 2012;55(6):418-25. doi:10.1503/cjs.007811.
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psnet.ahrq.gov/issue/do-medication-samples-jeopardize-patient-safety
November 16, 2022 - Study
Do medication samples jeopardize patient safety?
Citation Text:
Franks AS, Ray S' M, Wallace LS, et al. Do medication samples jeopardize patient safety? Ann Pharmacother. 2009;43(1):51-6. doi:10.1345/aph.1L362.
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psnet.ahrq.gov/issue/implementing-strategies-prevent-home-medication-administration-errors-children-medical
March 14, 2022 - Commentary
Implementing strategies to prevent home medication administration errors in children with medical complexity.
Citation Text:
Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in children with medical complexity. Clin Pediatr (Ph…
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psnet.ahrq.gov/issue/missed-diagnoses-urologists-resulting-malpractice-payment
November 21, 2021 - Study
Missed diagnoses by urologists resulting in malpractice payment.
Citation Text:
Badger WJ, Moran ME, Abraham C, et al. Missed diagnoses by urologists resulting in malpractice payment. J Urol. 2007;178(6):2537-9.
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psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
April 08, 2011 - Commentary
Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems.
Citation Text:
Braithwaite J, Runciman WB, Merry AF. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Qual Saf Health …