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psnet.ahrq.gov/issue/mitigating-racial-bias-machine-learning
July 22, 2020 - Commentary
Mitigating racial bias in machine learning.
Citation Text:
Kostick-Quenet KM, Cohen IG, Gerke S, et al. Mitigating racial bias in machine learning. J Law Med Ethics. 2022;50(1):92-100. doi:10.1017/jme.2022.13.
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DOI Google Scholar BibTeX EndNo…
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psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
September 07, 2016 - Government Resource
Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care.
Citation Text:
Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16-328.…
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psnet.ahrq.gov/issue/explainable-artificial-intelligence-safe-intraoperative-decision-support
October 13, 2015 - Commentary
Explainable artificial intelligence for safe intraoperative decision support.
Citation Text:
Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821.
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psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring
December 01, 2021 - Commentary
Targeting zero harm: a stretch goal that risks breaking the spring.
Citation Text:
Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring. NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354.
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psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report
May 13, 2015 - Book/Report
Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report.
Citation Text:
Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Graber ML, Bailey R, Johnston D. RTI International; Washi…
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psnet.ahrq.gov/issue/physician-engagement-malpractice-risk-reduction-uphs-case-study
June 02, 2019 - Commentary
Physician engagement in malpractice risk reduction: a UPHS case study.
Citation Text:
Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.…
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psnet.ahrq.gov/issue/interruptions-and-distractions-healthcare-review-and-reappraisal
January 19, 2011 - Review
Classic
Interruptions and distractions in healthcare: review and reappraisal.
Citation Text:
Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2…
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psnet.ahrq.gov/issue/factors-predicting-change-hospital-safety-climate-and-capability-multi-site-patient-safety
February 01, 2011 - Study
Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study.
Citation Text:
Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a multi-site pa…
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psnet.ahrq.gov/issue/supporting-second-victims-patient-safety-events-shouldnt-these-communications-be-covered
November 06, 2019 - Commentary
Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege?
Citation Text:
de Wit ME, Marks CM, Natterman JP, et al. Supporting second victims of patient safety events: shouldn't these communications be covered by legal pri…
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psnet.ahrq.gov/issue/challenges-ethics-safety-best-practices-and-oversight-regarding-hit-vendors-their-customers
July 30, 2014 - Commentary
Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force.
Citation Text:
Goodman KW, Berner ES, Dente MA, et al. Challenges in ethics, safety, best practices, and oversight regard…
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psnet.ahrq.gov/issue/what-context-features-might-be-important-determinants-effectiveness-patient-safety-practice
September 20, 2011 - Study
What context features might be important determinants of the effectiveness of patient safety practice interventions?
Citation Text:
Taylor SL, Dy SM, Foy R, et al. What context features might be important determinants of the effectiveness of patient safety practice interventions?…
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-and-quality-improvement-science-integrating-approaches-safety
December 06, 2013 - Commentary
Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare.
Citation Text:
Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. BM…
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - What Happened on Telemetry?
April 1, 2019
Sandau KE, Funk M. What Happened on Telemetry? PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/what-happened-telemetry
Case Objectives
Describe current hospital practices for continuous telemetry monitoring.
Appreciate key recommendations from the Update to Practice…
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psnet.ahrq.gov/node/836885/psn-pdf
May 16, 2022 - Management of Cardiac Arrest in Unconventional
Locations.
May 16, 2022
Agrawal G, Molla M. Management of Cardiac Arrest in Unconventional Locations. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
The Case
Case #1: An 80-year-old man with history of Parkins…
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psnet.ahrq.gov/node/73336/psn-pdf
May 26, 2021 - The “Great Pretender” (Syphilis) is Still Stumping
Healthcare Providers
May 26, 2021
Glaser K, Vongspanich-Dray J. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers.
PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
The Case
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psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
June 15, 2024 - In Conversation With… Andrew Bindman, MD
November 1, 2016
Citation Text:
In Conversation With… Andrew Bindman, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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For…
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psnet.ahrq.gov/node/49506/psn-pdf
March 01, 2006 - The Wet Read
March 1, 2006
Arenson RL. The Wet Read. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/wet-read
Case Objectives
Appreciate the limitations of radiology resident emergency coverage.
Understand the rate of discrepancy between radiology resident preliminary reads and attending
radiologists' fina…
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - Medication Reconciliation With a Twist (or Dare We Say, a
Patch?)
May 1, 2014
Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
Case Objectives
Appreciate that medication discrepanc…
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psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - Misplaced Nasogastric Tube Resulting in Aspiration
April 11, 2024
Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
The Case
An 82-year-old woman presented to the Emergency Department (ED) for …
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psnet.ahrq.gov/node/33734/psn-pdf
August 01, 2012 - In Conversation With… Nicholas G. Castle, MHA, PhD
August 1, 2012
In Conversation With… Nicholas G. Castle, MHA, PhD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
Editor's note: The topic of patient safety in long-term care facilities has not received the attent…