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3721. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72561/psn-pdf
      December 09, 2020 - Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. December 9, 2020 Washington DC; United States Government Accountability Office; November 26, 2020. Publication GAO- 21-7SP. https://psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challeng…

3722. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72828/psn-pdf
      March 10, 2021 - A recurring call to action: every healthcare organization needs a medication safety officer! March 10, 2021 ISMP Medication Safety Alert! Acute care edition. February 25, 2021;26(4);1-4. https://psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety- officer Leadership ro…

3723. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47615/psn-pdf
      January 30, 2019 - A Crisis in Health Care: A Call to Action on Physician Burnout. January 30, 2019 Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvard T.H. Chan School of Public Health, and Harvard Global Health Institute; 2019. https://psnet.ahrq.g…

3724. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47246/psn-pdf
      September 19, 2018 - Implementing Optimal Team-Based Care to Reduce Clinician Burnout. September 19, 2018 Smith CD, Corbridge S, Dopp AL, et al. NAM Perspectives. Washington DC: National Academy of Medicine; 2018. https://psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout Teamwork can contribute to a h…

3725. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46691/psn-pdf
      December 06, 2017 - Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. December 6, 2017 Washington, DC: United States Government Accountability Office; November 2017. Publication GAO-18- 63. https://psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-rep…

3726. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47076/psn-pdf
      August 15, 2018 - Incident learning in radiation oncology: a review. August 15, 2018 Ford E, Evans SB. Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. doi:10.1002/mp.12800. https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review Learning from adverse events is a core component of …

3727. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45186/psn-pdf
      June 15, 2017 - Patient and family empowerment as agents of ambulatory care safety and quality. June 15, 2017 Roter DL, Wolff JL, Wu AW, et al. Patient and family empowerment as agents of ambulatory care safety and quality. BMJ Qual Saf. 2017;26(6):508-512. doi:10.1136/bmjqs-2016-005489. https://psnet.ahrq.gov/issue/patient-and-f…

3728. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47577/psn-pdf
      January 16, 2019 - Reversing the rise in maternal mortality. January 16, 2019 Kozhimannil KB. Reversing The Rise In Maternal Mortality. Health Aff (Millwood). 2018;37(11):1901-1904. doi:10.1377/hlthaff.2018.1013. https://psnet.ahrq.gov/issue/reversing-rise-maternal-mortality Maternal harm is a sentinel event that is gaining increase…

3729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46476/psn-pdf
      October 04, 2017 - The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. October 4, 2017 Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. J Clin Nurs. 2017;26(17-18):2511-2526. doi…

3730. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47032/psn-pdf
      May 23, 2018 - Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them. May 23, 2018 Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.21815/JDE.018.037. https://psnet.ahrq.g…

3731. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47393/psn-pdf
      November 28, 2018 - Still Failing the Frail. November 28, 2018 Simmons-Ritchie D. Penn Live. November 15, 2018. https://psnet.ahrq.gov/issue/still-failing-frail Nursing home patients are vulnerable to preventable harm due to poor safety culture, insufficient staffing levels, lack of regulation enforcement, and misaligned financial in…

3732. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45564/psn-pdf
      October 03, 2017 - Fostering transparency in outcomes, quality, safety, and costs. October 3, 2017 Austin M, McGlynn EA, Pronovost P. Fostering Transparency in Outcomes, Quality, Safety, and Costs. JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039. https://psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-a…

3733. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44967/psn-pdf
      March 16, 2016 - Wrong site surgery: a critical incident analysis of a near miss. March 16, 2016 Tichanow S. Wrong site surgery: A critical incident analysis of a near miss. J Perioper Pract. 2016;26(1- 2):11-5. https://psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss Despite efforts to prevent wrong-s…

3734. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45398/psn-pdf
      August 15, 2016 - Incorporating indications into medication ordering—time to enter the age of reason. August 15, 2016 Schiff G, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter the Age of Reason. N Engl J Med. 2016;375(4):306-9. doi:10.1056/NEJMp1603964. https://psnet.ahrq.gov/issue/inco…

3735. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43365/psn-pdf
      November 19, 2016 - Identifying facilitators and barriers for patient safety in a medicine label design system using patient simulation and interviews. November 19, 2016 Dieckmann P, Clemmensen MH, Sørensen TK, et al. Identifying Facilitators and Barriers for Patient Safety in a Medicine Label Design System Using Patient Simulation a…

3736. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44024/psn-pdf
      October 13, 2015 - Cultivating a culture of medication safety in prelicensure nursing students. October 13, 2015 Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148. https://psnet.ahrq.gov/issue/cultivatin…

3737. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45010/psn-pdf
      March 30, 2016 - Most dangerous time at the hospital? It may be when you leave. March 30, 2016 Khullar D. New York Times. March 17, 2016. https://psnet.ahrq.gov/issue/most-dangerous-time-hospital-it-may-be-when-you-leave Preventing readmissions after hospital discharge is a national policy priority. This newspaper article discuss…

3738. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47810/psn-pdf
      March 13, 2019 - Debriefing in the OR: a quality improvement project. March 13, 2019 Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J. 2019;109(3):336-344. doi:10.1002/aorn.12616. https://psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project Debriefing has emerged as a s…

3739. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60020/psn-pdf
      March 04, 2020 - The eNOTSS platform for surgeons’ nontechnical skills performance improvement. March 4, 2020 Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880. https://psnet.ahrq.gov/issue/enotss-platform-s…

3740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47641/psn-pdf
      March 20, 2019 - Guided reflection interventions show no effect on diagnostic accuracy in medical students. March 20, 2019 Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297. https://psnet.ahrq.gov/issue/gu…