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3141. 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…

3142. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853975/psn-pdf
      September 27, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. September 27, 2023 Amin D, Cosby K. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. Publication No. 23-0040-6-EF. https://psnet.ahrq.gov/issue/strategies-improving-clinician-psychologica…

3143. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46707/psn-pdf
      October 13, 2018 - Medication errors involving nursing students: a systematic review. October 13, 2018 Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481. https://psnet.ahrq.gov/issue/medication-errors-i…

3144. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838930/psn-pdf
      October 26, 2022 - Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. October 26, 2022 Washington DC: United States Government Accountability Office and National Academy of Medicine;  September 2022. Report no. GAO-22-104629. https://psnet.ahrq.gov/issue/ar…

3145. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840489/psn-pdf
      November 30, 2022 - A longitudinal study on the impact of simulation on positive deviance through speaking up. November 30, 2022 M. Violato E. A longitudinal study on the impact of simulation on positive deviance through speaking up. Can J Respir Ther. 2022;58:137-142. doi:10.29390/cjrt-2022-006. https://psnet.ahrq.gov/issue/longitud…

3146. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47586/psn-pdf
      March 20, 2019 - Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. March 20, 2019 Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative Blood Component Admin…

3147. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861292/psn-pdf
      January 24, 2024 - Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. January 24, 2024 Washington DC: VA Office of the Inspector General; January 4, 2024; Report no. 22-02294-42. https://psnet.ahrq.gov/issue/deficiencies-community-care-n…

3148. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838193/psn-pdf
      September 28, 2022 - Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. September 28, 2022 de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2022. OECD Health Working Papers, No. 147. …

3149. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45561/psn-pdf
      January 01, 2021 - Measuring patient safety: the Medicare Patient Safety Monitoring System (past, present, and future). November 2, 2016 Classen D, Munier W, Verzier N, et al. Measuring Patient Safety: The Medicare Patient Safety Monitoring System (Past, Present, and Future). J Patient Saf. 2021;17(3):e234-e240. https://psnet.ahrq.g…

3150. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47279/psn-pdf
      July 23, 2018 - No Place Like Home: Advancing the Safety of Care in the Home. July 23, 2018 Boston, MA: Institute for Healthcare Improvement; 2018. https://psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home The home care setting harbors unique challenges to patient safety. This report builds on a previous evidence ass…

3151. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43065/psn-pdf
      April 09, 2014 - Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care. April 9, 2014 van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care. A…

3152. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42697/psn-pdf
      December 05, 2013 - An initiative to improve the management of clinically significant test results in a large health care network. December 5, 2013 Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt Comm J Qual Patient Saf. 2013;39(1…

3153. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44384/psn-pdf
      August 12, 2015 - Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. August 12, 2015 Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork. J Healthc Risk Manag. 2015;35(1):21-30. doi:10.1002/jhrm.21174…

3154. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43850/psn-pdf
      March 11, 2015 - Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. March 11, 2015 Gupta RT, Sexton B, Milne J, et al. Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice…

3155. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46474/psn-pdf
      November 08, 2017 - Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. November 8, 2017 St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at Syracuse University, and Jefferson Center; 2017. https://psnet.ahrq.gov/issue/cle…

3156. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44130/psn-pdf
      May 13, 2015 - Recent Evidence That Health IT Improves Patient Safety: Issue Brief. May 13, 2015 Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. https://psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief Rapid implementatio…

3157. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45822/psn-pdf
      April 24, 2018 - Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. April 24, 2018 Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. J Am Med Inform Assoc. 2017…

3158. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43257/psn-pdf
      August 14, 2014 - Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. August 14, 2014 Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int J Qual Health Care. 2014;26(4):4…

3159. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44344/psn-pdf
      July 22, 2015 - Making healthcare safer by understanding, designing and buying better IT. July 22, 2015 Thimbleby H, Lewis A, Williams J. Making healthcare safer by understanding, designing and buying better IT. Clin Med (Lond). 2015;15(3):258-62. doi:10.7861/clinmedicine.15-3-258. https://psnet.ahrq.gov/issue/making-healthcare-s…

3160. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60005/psn-pdf
      March 04, 2020 - What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. March 4, 2020 Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage Patients In Learning From Errors. Washin…