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psnet.ahrq.gov/node/38431/psn-pdf
February 25, 2009 - Surgical team training: the Northwestern Memorial
Hospital experience.
February 25, 2009
Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial
Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545.
https://psnet.ahrq.gov/issue/surgical-team-tra…
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psnet.ahrq.gov/node/38340/psn-pdf
April 19, 2011 - What is the scale of prescribing errors committed by
junior doctors? A systematic review.
April 19, 2011
Ross S, Bond C, Rothnie H, et al. What is the scale of prescribing errors committed by junior doctors? A
systematic review. Br J Clin Pharmacol. 2009;67(6):629-40. doi:10.1111/j.1365-2125.2008.03330.x.
https://…
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psnet.ahrq.gov/node/45755/psn-pdf
December 21, 2016 - Can computers help doctors reduce diagnostic errors?
December 21, 2016
Shryock T. Med Econ. December 5, 2016.
https://psnet.ahrq.gov/issue/can-computers-help-doctors-reduce-diagnostic-errors
Computerized decision support and advanced computing are being used to augment various processes in
health care, such as med…
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psnet.ahrq.gov/node/35053/psn-pdf
November 18, 2015 - Measured response to identified suicide risk and
violence: what you need to know about psychiatric
patient safety.
November 18, 2015
Yeager KR, Saveanu R, Roberts AR, et al. Brief Treat Crisis Intervent. 2005;5(2):121-141
https://psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-…
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psnet.ahrq.gov/node/37855/psn-pdf
August 27, 2009 - Advanced auditory displays and head-mounted displays:
advantages and disadvantages for monitoring by the
distracted anesthesiologist.
August 27, 2009
Sanderson P, Watson MO, Russell WJ, et al. Advanced auditory displays and head-mounted displays:
advantages and disadvantages for monitoring by the distracted anesth…
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psnet.ahrq.gov/node/37913/psn-pdf
July 31, 2008 - Reliability of a revised NOTECHS scale for use in surgical
teams.
July 31, 2008
Sevdalis N, Davis R, Koutantji M, et al. Reliability of a revised NOTECHS scale for use in surgical teams.
Am J Surg. 2008;196(2):184-90. doi:10.1016/j.amjsurg.2007.08.070.
https://psnet.ahrq.gov/issue/reliability-revised-notechs-scale…
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psnet.ahrq.gov/node/43985/psn-pdf
December 06, 2017 - Development of a medication safety and quality survey
for small rural hospitals.
December 6, 2017
Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for
Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.0000000000000154.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/37479/psn-pdf
February 22, 2011 - Performance of a web-based clinical diagnosis support
system for internists.
February 22, 2011
Graber ML, Mathew A. Performance of a web-based clinical diagnosis support system for internists. J Gen
Intern Med. 2008;23 Suppl 1:37-40. doi:10.1007/s11606-007-0271-8.
https://psnet.ahrq.gov/issue/performance-web-based…
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psnet.ahrq.gov/node/38352/psn-pdf
June 14, 2011 - Developing a tool for assessing competency in root cause
analysis.
June 14, 2011
Gupta P, Varkey P. Developing a tool for assessing competency in root cause analysis. Jt Comm J Qual
Patient Saf. 2009;35(1):36-42.
https://psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
Root cause anal…
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psnet.ahrq.gov/node/37003/psn-pdf
September 14, 2011 - Does incorporating medications in the surveyors'
interpretive guidelines reduce the use of potentially
inappropriate medications in nursing homes?
September 14, 2011
Lapane KL, Hughes CM, Quilliam BJ. Does Incorporating Medications in the Surveyors' Interpretive
Guidelines Reduce the Use of Potentially Inappropria…
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psnet.ahrq.gov/node/72514/psn-pdf
November 25, 2020 - AI is wrestling with a replication crisis.
November 25, 2020
Heaven WD. MIT Technology Review. November 12, 2020.
https://psnet.ahrq.gov/issue/ai-wrestling-replication-crisis
Lack of transparency of research and development processes are thought to undermine the value of
artificial intelligence (AI) and trust in i…
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psnet.ahrq.gov/node/50807/psn-pdf
January 15, 2020 - Artificial intelligence is rushing into patient care - and
could raise risks.
January 15, 2020
Szabo L. Scientific American and Kaiser Health News. December 24, 2019.
https://psnet.ahrq.gov/issue/artificial-intelligence-rushing-patient-care-and-could-raise-risks
Artificial intelligence (AI) has the potential to im…
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psnet.ahrq.gov/node/35147/psn-pdf
June 22, 2009 - Accuracy of adverse-drug-event reports collected using
an automated dispensing system.
June 22, 2009
Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing
system. Am J Health Syst Pharm. 2005;62(13):1375-80.
https://psnet.ahrq.gov/issue/accuracy-adverse-drug-event-repo…
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psnet.ahrq.gov/node/35317/psn-pdf
July 14, 2009 - Accreditation Council on Graduate Medical Education
technical skills competency compliance: urologic surgical
skills.
July 14, 2009
Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical
Skills Competency Compliance: Urologic Surgical Skills. J Am Coll Surg. 2005;201(3).
…
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psnet.ahrq.gov/node/42666/psn-pdf
January 08, 2015 - Safety in home care: a mapping review of the
international literature.
January 8, 2015
Harrison MB, Keeping-Burke L, Godfrey CM, et al. Safety in home care: a mapping review of the
international literature. Int J Evid Based Healthc. 2013;11(3). doi:10.1111/1744-1609.12027.
https://psnet.ahrq.gov/issue/safety-home-…
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psnet.ahrq.gov/node/36543/psn-pdf
July 14, 2010 - Creating safety culture on nursing units: human
performance and organizational system factors that make
a difference.
July 14, 2010
Moody RF, Pesut DJ, Harrington CF. Creating Safety Culture on Nursing Units. J Patient Saf. 2008;2(4).
doi:10.1097/01.jps.0000242978.40424.24.
https://psnet.ahrq.gov/issue/creating-s…
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psnet.ahrq.gov/node/45835/psn-pdf
February 01, 2017 - Deploying and measuring a risk and patient safety
program.
February 1, 2017
Orel H, McGroarty M, Marchegiani H. Deploying and measuring a risk and patient safety program. J
Healthc Risk Manag. 2017;36(3):26-33. doi:10.1002/jhrm.21266.
https://psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-pro…
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psnet.ahrq.gov/node/866359/psn-pdf
June 01, 2022 - Diagnostic Safety Toolkit.
June 1, 2022
Diagnostic Safety Toolkit.
https://psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
Effective communication is critical as patients shift from one level of care to another as their diagnosis
evolves. This toolkit is designed to help academic medical centers initiate conversa…
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psnet.ahrq.gov/node/34753/psn-pdf
March 28, 2005 - Report on the Medical Insurance Feasibility Study.
March 28, 2005
Mills DH. San Francisco, CA: California Medical Association; 1977.
https://psnet.ahrq.gov/issue/report-medical-insurance-feasibility-study
Escalating professional liability costs prompted this study on the nature of adverse outcomes related to
medic…
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psnet.ahrq.gov/node/35255/psn-pdf
April 06, 2011 - Safety Climate Survey: reliability of results from a
multicenter ICU survey.
April 6, 2011
Kho ME. Safety Climate Survey: reliability of results from a multicenter ICU survey. Quality and Safety in
Health Care. 2005;14(4). doi:10.1136/qshc.2005.014316.
https://psnet.ahrq.gov/issue/safety-climate-survey-reliability…