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81. AI for radiographic COVID-19 detection selects shortcuts over signal. | PSNet
    psnet.ahrq.gov/issue/ai-radiographic-covid-19-detection-selects-shortcuts-over-signal
    May 13, 2020 - April 7, 2021 Bias at warp speed: how AI may contribute to the disparities gap in the … September 23, 2020 Bias at warp speed: how AI may contribute to the disparities gap in

82. The benefits and harms of open notes in mental health: a Delphi survey of international experts. | PSNet
    psnet.ahrq.gov/issue/benefits-and-harms-open-notes-mental-health-delphi-survey-international-experts
    July 07, 2021 - July 7, 2021 Filling a gap in safety metrics: development of a patient-centred framework … April 13, 2022 Patient safety and mental health-a growing quality gap in Canada.

83. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. | PSNet
    psnet.ahrq.gov/issue/coping-errors-operating-room-intraoperative-strategies-postoperative-strategies-and-sex
    September 09, 2020 - February 16, 2022 Filling a gap in safety metrics: development of a patient-centred framework … November 13, 2013 Bridging the communication gap in the operating room with medical team

84. The husband's story: from tragedy to learning and action. | PSNet
    psnet.ahrq.gov/issue/husbands-story-tragedy-learning-and-action
    February 02, 2022 - November 25, 2020 Bridging the feedback gap: a sociotechnical approach to informing clinicians … July 8, 2020 Filling a gap in safety metrics: development of a patient-centred framework

85. Crisis checklists in emergency medicine: another step forward for cognitive aids. | PSNet
    psnet.ahrq.gov/issue/crisis-checklists-emergency-medicine-another-step-forward-cognitive-aids
    April 21, 2021 - February 2, 2022 Bridging the feedback gap: a sociotechnical approach to informing clinicians … June 29, 2022 Filling a gap in safety metrics: development of a patient-centred framework

86. Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning. | PSNet
    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-ethical-principles-regulatory-approach-bias-healthcare
    April 21, 2021 - November 11, 2020 Bias at warp speed: how AI may contribute to the disparities gap in … September 16, 2020 Bias at warp speed: how AI may contribute to the disparities gap in

87. An objective framework for evaluating unrecognized bias in medical AI models predicting COVID-19 outcomes. | PSNet
    psnet.ahrq.gov/issue/objective-framework-evaluating-unrecognized-bias-medical-ai-models-predicting-covid-19
    July 22, 2020 - July 22, 2020 Bias at warp speed: how AI may contribute to the disparities gap in the … September 23, 2020 Bias at warp speed: how AI may contribute to the disparities gap in

88. Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? | PSNet
    psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-work-environments-been-transformed
    April 04, 2018 - June 25, 2008 Addressing the quality and safety gap—parts I-III. … May 11, 2016 Addressing the quality and safety gap—parts I-III.

89. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. | PSNet
    psnet.ahrq.gov/issue/looking-back-history-patient-safety-opportunity-reflect-and-ponder-future-challenges
    July 10, 2019 - June 22, 2022 Filling a gap in safety metrics: development of a patient-centred framework … March 2, 2022 Patient safety and mental health-a growing quality gap in Canada.

90. Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool. | PSNet
    psnet.ahrq.gov/issue/partnering-patients-and-families-living-chronic-conditions-coproduce-diagnostic-safety
    October 27, 2021 - Download Citation Related Resources From the Same Author(s) Filling a gap … March 9, 2022 Bridging the feedback gap: a sociotechnical approach to informing clinicians

91. COVID-19 and open notes: a new method to enhance patient safety and trust. | PSNet
    psnet.ahrq.gov/issue/covid-19-and-open-notes-new-method-enhance-patient-safety-and-trust
    December 08, 2021 - December 8, 2021 Filling a gap in safety metrics: development of a patient-centred framework … October 14, 2020 Bias at warp speed: how AI may contribute to the disparities gap in

92. Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. | PSNet
    psnet.ahrq.gov/issue/interdisciplinary-quality-improvement-conference-using-revised-morbidity-and-mortality-format
    July 22, 2020 - June 24, 2020 Filling a gap in safety metrics: development of a patient-centred framework … January 27, 2021 Bridging the gap between culture and safety in a critical care context

93. Application of electronic trigger tools to identify targets for improving diagnostic safety. | PSNet
    psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
    January 26, 2022 - January 26, 2022 Bridging the feedback gap: a sociotechnical approach to informing clinicians … June 30, 2021 Filling a gap in safety metrics: development of a patient-centred framework

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/842919/psn-pdf
    February 01, 2023 - His chemistry panel included a serum glucose of 292 mg/dl and a calculated normal anion gap of 11. … Results included a serum glucose of 787 mg/dL with a markedly elevated anion gap of 22. … the Inpatient Glycemic Team the next morning, which noted hyperglycemia, a slightly elevated anion gap … Other system improvements may include alerting providers when patients have an increasing anion gap or … to facilitate earlier recognition of hyperglycemia and early signs of DKA (e.g., increasing anion gap

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865610/psn-pdf
    April 24, 2024 - a multidisciplinary team is convened, a standard definition of suicide risk is established, and a gap … In addition, the innovating organization should conduct a gap analysis. … The gap analysis will evaluate the current state of managing risk of suicide among patients presenting … In addition, the organization will use data discovered in the gap analysis to monitor the success of … The innovator conducted spot checks using the same measures that were created during the gap analysis

96. Suicide Prevention in an Emergency Department Population: ED-SAFE | PSNet
    psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
    July 23, 2024 - , a multidisciplinary team is convened, a standard definition of suicide risk is established, and a gap … In addition, the innovating organization should conduct a gap analysis. … The gap analysis will evaluate the current state of managing risk of suicide among patients presenting … In addition, the organization will use data discovered in the gap analysis to monitor the success of … The innovator conducted spot checks using the same measures that were created during the gap analysis

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60538/psn-pdf
    May 27, 2020 - process in children’s hospital care, including the use of time outs, case analysis and communication gap

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72484/psn-pdf
    November 18, 2020 - simulation-anaesthesia-and-surgery https://psnet.ahrq.gov/issue/real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-reality

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/846168/psn-pdf
    March 15, 2023 - missing-evidence-systematic-review-patients-experiences-adverse-events-health-care https://psnet.ahrq.gov/issue/filling-gap-safety-metrics-development-patient-centred-framework-identify-and-categorise

100. Hospital-Acquired Diabetic Ketoacidosis. | PSNet
     psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
     October 28, 2020 - His chemistry panel included a serum glucose of 292 mg/dl and a calculated normal anion gap of 11. … Results included a serum glucose of 787 mg/dL with a markedly elevated anion gap of 22. … the Inpatient Glycemic Team the next morning, which noted hyperglycemia, a slightly elevated anion gap … despite higher glucose levels and greater anion gaps among the former patients. 4 Typically, an anion gap … Other system improvements may include alerting providers when patients have an increasing anion gap or