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7321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47937/psn-pdf
      July 31, 2019 - Special Issue on Medication Safety. July 31, 2019 Chui MA, Pohjanoksa-Mäntylä M, Snyder ME, eds. Res Social Adm Pharm. 2019;15(7):811-906. https://psnet.ahrq.gov/issue/special-issue-medication-safety Medication safety is a worldwide challenge. This special issue discusses factors affecting the reliability of the o…

7322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47041/psn-pdf
      June 27, 2018 - Medicare takes aim at boomerang hospitalizations of nursing home patients. June 27, 2018 Rau J. Kaiser Health News. June 13, 2018. https://psnet.ahrq.gov/issue/medicare-takes-aim-boomerang-hospitalizations-nursing-home-patients Safety problems are common in nursing homes due to challenges such as poor safety cultu…

7323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73699/psn-pdf
      September 15, 2021 - Making safety training stickier: a richer model of safety training engagement and transfer. September 15, 2021 Casey T, Turner N, Hu X, et al. Making safety training stickier: a richer model of safety training engagement and transfer. J Safety Res. 2021;78:303-313. doi:10.1016/j.jsr.2021.06.004. https://psnet.ahrq…

7324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50821/psn-pdf
      January 22, 2020 - Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice January 22, 2020 Reisch LM, Prouty CD, Elmore JG, et al. Communicating with patients about diagnostic errors in breast cancer care: Providers’ attitudes, experiences, and advice. Patient Educ Co…

7325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43467/psn-pdf
      September 09, 2015 - Development and validation of the Johns Hopkins Disruptive Clinician Behavior Survey. September 9, 2015 Dang D, Nyberg D, Walrath JM, et al. Development and Validation of the Johns Hopkins Disruptive Clinician Behavior Survey. Am J Med Qual. 2014;30(5):470-476. doi:10.1177/1062860614544193. https://psnet.ahrq.gov/…

7326. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74847/psn-pdf
      February 16, 2022 - Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. February 16, 2022 Sittig DF, Sengstack P, Singh H. Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. JAMA. 2022;327(8):719-720. doi:10.1001/ja…

7327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35365/psn-pdf
      February 17, 2011 - Accidental deaths, saved lives, and improved quality. February 17, 2011 Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157. https://psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-qua…

7328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61058/psn-pdf
      October 28, 2020 - Interventions and measurements of highly reliable/resilient organization implementations: a literature review. October 28, 2020 Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon. 2020;90:103241. doi:10.1016/j.…

7329. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47799/psn-pdf
      March 20, 2019 - Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. March 20, 2019 Topol E. New York, NY: Basic Books; 2019. ISBN: 9781541644632. https://psnet.ahrq.gov/issue/deep-medicine-how-artificial-intelligence-can-make-healthcare-human-again This book explores how advancements in technology can impr…

7330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47507/psn-pdf
      December 21, 2018 - The fate of medicine in the time of AI. December 21, 2018 Coiera E. The fate of medicine in the time of AI. Lancet. 2018;392(10162):2331-2332. doi:10.1016/S0140- 6736(18)31925-1. https://psnet.ahrq.gov/issue/fate-medicine-time-ai Artificial intelligence can improve practice by making synthesized data available in …

7331. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47212/psn-pdf
      July 11, 2018 - Medicine and the rise of the robots: a qualitative review of recent advances of artificial intelligence in health. July 11, 2018 Loh E. BMJ Leader. 2018;2(2):59-63. https://psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial- intelligence-health Artificial intelligence (AI)…

7332. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34667/psn-pdf
      January 17, 2018 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. January 17, 2018 Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-657. https://psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond- blaming-individuals In Octobe…

7333. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60823/psn-pdf
      August 19, 2020 - Disaster ergonomics: human factors in COVID-19 pandemic emergency management. August 19, 2020 Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428. https://psnet.ahrq.gov/issue/disaster-e…

7334. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39975/psn-pdf
      March 03, 2011 - Communication failure in the operating room. March 3, 2011 Halverson AL, Casey JT, Andersson J, et al. Communication failure in the operating room. Surgery. 2011;149(3):305-310. doi:10.1016/j.surg.2010.07.051. https://psnet.ahrq.gov/issue/communication-failure-operating-room Communication failures are a well-chara…

7335. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45031/psn-pdf
      February 18, 2017 - Information transfer in multidisciplinary operating room teams: a simulation-based observational study. February 18, 2017 Cumin D, Skilton C, Weller J. Information transfer in multidisciplinary operating room teams: a simulation- based observational study. BMJ Qual Saf. 2017;26(3):209-216. doi:10.1136/bmjqs-2015-00…

7336. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867097/psn-pdf
      November 06, 2024 - Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. November 6, 2024 Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024. h…

7337. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47773/psn-pdf
      April 17, 2019 - People, systems and safety: resilience and excellence in healthcare practice. April 17, 2019 Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/anae.14519. https://psnet.ahrq.gov/issue/people-systems-and-safety-resilience…

7338. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44657/psn-pdf
      November 11, 2015 - Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. November 11, 2015 Bruno MA, Walker EA, Abujudeh H. Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. Radiographics. 2015;35(6):…

7339. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35251/psn-pdf
      April 06, 2011 - Promoting health care safety through training high reliability teams. April 6, 2011 Wilson KA. Promoting health care safety through training high reliability teams. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010090. https://psnet.ahrq.gov/issue/promoting-health-care-safety-through-trainin…

7340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843321/psn-pdf
      February 01, 2023 - Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. February 1, 2023 ISMP Medication Safety Alert! Acute care edition. January 12, 2023;28(1):1-4. https://psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event- reach-patient …