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3201. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46485/psn-pdf
      October 18, 2017 - Medical team training improves team performance: AOA critical issues. October 18, 2017 Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290. https://psnet.ahrq.gov/issue/medical-team-t…

3202. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866937/psn-pdf
      October 09, 2024 - Improving nursing home safety through adoption of a practical resilient health care approach. October 9, 2024 Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014. doi:10.1016/j.jamda.2024.03.124. ht…

3203. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40365/psn-pdf
      February 12, 2014 - Strategies for learning from failure. February 12, 2014 Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. https://psnet.ahrq.gov/issue/strategies-learning-failure Failures are inevitable in any industry, especially in one as complex as health care. The ability to learn from fai…

3204. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867702/psn-pdf
      September 01, 2021 - Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. September 1, 2021 Agency for Healthcare Research and Quality. Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. September 2021. https://psnet.ahrq.gov/issue/toolkit-reduce-cauti-and-other-hais-long-term-care-facilities Cathete…

3205. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47558/psn-pdf
      November 14, 2018 - What we can do about maternal mortality—and how to do it quickly. November 14, 2018 Mann S, Hollier LM, McKay K, et al. What We Can Do about Maternal Mortality - And How to Do It Quickly. New Engl J Med. 2018;379(18):1689-1691. doi:10.1056/NEJMp1810649. https://psnet.ahrq.gov/issue/what-we-can-do-about-maternal-mo…

3206. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43614/psn-pdf
      October 22, 2014 - Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. October 22, 2014 Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;21(6):515-20. doi:10.1097/MOH.000…

3207. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60826/psn-pdf
      August 19, 2020 - Variation in electronic test results management and its implications for patient safety: a multisite investigation. August 19, 2020 Thomas J, Dahm MR, Li J, et al. Variation in electronic test results management and its implications for patient safety: a multisite investigation. J Am Med Inform Assoc. 2020;27(8):12…

3208. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73166/psn-pdf
      April 21, 2021 - Trust and medical AI: the challenges we face and the expertise needed to overcome them. April 21, 2021 Quinn TP, Senadeera M, Jacobs S, et al. Trust and medical AI: the challenges we face and the expertise needed to overcome them. J Amer Med Inform Assoc. 2021;28(4):890-894. doi:10.1093/jamia/ocaa268. https://psne…

3209. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60629/psn-pdf
      June 24, 2020 - Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. June 24, 2020 Auerbach AD, Bates DW, Rao JK, et al, eds. Ann Intern Med. 2020;172(11_Supp):S69-S144. https://psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era- electronic-he…

3210. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74092/psn-pdf
      November 17, 2021 - Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. November 17, 2021 Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. Int …

3211. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48020/psn-pdf
      July 17, 2019 - 'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety. July 17, 2019 Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize …

3212. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61077/psn-pdf
      October 28, 2020 - Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. October 28, 2020 Farnborough, UK: Healthcare Safety Investigation Branch; September 24, 2020.  https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-servi…

3213. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837675/psn-pdf
      July 13, 2022 - Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. July 13, 2022 Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):621-631. doi:10.1055/s-0042-1749598. …

3214. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46761/psn-pdf
      February 14, 2018 - Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. February 14, 2018 Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the lite…

3215. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47693/psn-pdf
      January 23, 2019 - Solving alarm fatigue with smartphone technology. January 23, 2019 Short K, Chung YJ. Solving alarm fatigue with smartphone technology. Nursing (Brux). 2019;49(1):52-57. doi:10.1097/01.NURSE.0000549728.37810.d9. https://psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology Alarm fatigue contributes to d…

3216. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40263/psn-pdf
      March 02, 2011 - Trauma resuscitation errors and computer-assisted decision support. March 2, 2011 FitzGerald M, Cameron P, Mackenzie CF, et al. Trauma resuscitation errors and computer-assisted decision support. Arch Surg. 2011;146(2):218-25. doi:10.1001/archsurg.2010.333. https://psnet.ahrq.gov/issue/trauma-resuscitation-errors-…

3217. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837073/psn-pdf
      May 11, 2022 - Clinical progress note: situation awareness for clinical deterioration in hospitalized children. May 11, 2022 Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:10.1002/jhm.2774. https://psnet.ahrq.gov/…

3218. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47542/psn-pdf
      January 16, 2019 - Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. January 16, 2019 Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of Medicine; 2019. https://psnet.ahrq.gov/issue/utilizing-systems-and-design-…

3219. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34907/psn-pdf
      August 03, 2009 - Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? August 3, 2009 Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):189-92. https://psnet.ahrq.gov/issue…

3220. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45408/psn-pdf
      September 07, 2016 - Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. September 7, 2016 van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on the frequency of erroneously cru…