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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45837/psn-pdf
    March 08, 2017 - Promoting civility in the OR: an ethical imperative. March 8, 2017 Clark CM, Kenski D. Promoting Civility in the OR: An Ethical Imperative. AORN J. 2017;105(1):60-66. doi:10.1016/j.aorn.2016.10.019. https://psnet.ahrq.gov/issue/promoting-civility-or-ethical-imperative The operating room is a complex environment th…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38638/psn-pdf
    May 20, 2009 - The preliminary development and testing of a global trigger tool to detect error and patient harm in primary- care records. May 20, 2009 de Wet C, Bowie P. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. Postgrad Med J. 2009;85(1002):176-80…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35704/psn-pdf
    March 28, 2011 - Relationship between patient complaints and surgical complications. March 28, 2011 Murff HJ, France DJ, Blackford J, et al. Relationship between patient complaints and surgical complications. Qual Saf Health Care. 2006;15(1):13-6. https://psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-co…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72805/psn-pdf
    March 03, 2021 - When machine learning goes off the rails. A guide to managing the risks. March 3, 2021 Babic B, Cohen IG,  Evgeniou T, et al. Harv Bus Rev.  2021 January/February;99(1):76- 84. https://psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks  This article discusses how machine lea…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44121/psn-pdf
    May 13, 2015 - Educating medical trainees on medication reconciliation: a systematic review. May 13, 2015 Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. https://psnet.ahrq.gov/issue/educating-medic…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837336/psn-pdf
    June 08, 2022 - Automated identification of diagnostic labelling errors in medicine. June 8, 2022 Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039. https://psnet.ahrq.gov/issue/automated-identification-diagnostic-labe…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36132/psn-pdf
    May 27, 2011 - Motion study in surgery. May 27, 2011 Gilbreth FB. Can J Med Surg. 1916:22-31. https://psnet.ahrq.gov/issue/motion-study-surgery This study was one of the first "time-motion" studies of physicians, and pioneered the application of human factors engineering and industrial principles to medical practice. The authors…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42574/psn-pdf
    December 21, 2014 - Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. December 21, 2014 Meyer AND, Payne VL, Meeks DW, et al. Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern Med. 2013;173(21):1952-1958. doi:10.1001/jamainternmed.2013.10081. https:/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41453/psn-pdf
    November 26, 2014 - Judging whether a patient is actually improving: more pitfalls from the science of human perception. November 26, 2014 Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the science of human perception. J Gen Intern Med. 2012;27(9):1195-9. doi:10.1007/s11606-012-2097-2.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44095/psn-pdf
    May 13, 2015 - Retained foreign bodies: risk and outcomes at the national level. May 13, 2015 Al-Qurayshi ZH, Hauch AT, Slakey DP, et al. Retained foreign bodies: risk and outcomes at the national level. J Am Coll Surg. 2015;220(4):749-759. doi:10.1016/j.jamcollsurg.2014.12.015. https://psnet.ahrq.gov/issue/retained-foreign-bodi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73256/psn-pdf
    May 12, 2021 - Addiction treatment providers in Pa. face little state scrutiny despite harm to clients. May 12, 2021 Pattani A, Mahon E. Kaiser Health News.  April 30, 2021. https://psnet.ahrq.gov/issue/addiction-treatment-providers-pa-face-little-state-scrutiny-despite-harm-clients Systemic oversight weaknesses and lack of…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44281/psn-pdf
    July 22, 2015 - Surgeon Scorecard. July 22, 2015 Wei S; Allen M; Pierce O. https://psnet.ahrq.gov/issue/surgeon-scorecard Transparency has been advocated as a key element of safe, patient-centered care, but data on individual performance has not been made widely available. This database compiles the death and complication rates …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43120/psn-pdf
    September 27, 2016 - How studying human factors improves patient safety. September 27, 2016 Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9. https://psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety Human factors engineering is being increasingly promoted as an…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47512/psn-pdf
    February 20, 2019 - Framing the challenges of artificial intelligence in medicine. February 20, 2019 Yu K-H, Kohane IS. Framing the challenges of artificial intelligence in medicine. BMJ Qual Saf. 2019;28(3):238-241. doi:10.1136/bmjqs-2018-008551. https://psnet.ahrq.gov/issue/framing-challenges-artificial-intelligence-medicine Use o…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867650/psn-pdf
    January 01, 2022 - Opioid deprescribing toolkit. January 1, 2022 Health Innovation East, National Health Service. Opioid deprescribing toolkit. https://psnet.ahrq.gov/issue/opioid-deprescribing-toolkit Sudden discontinuation of long-term prescription opioid use can lead to adverse outcomes for patients. Based on research and clinici…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838638/psn-pdf
    September 01, 2012 - Directed peer review in surgical pathology. September 1, 2012 Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7. https://psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology Diagnostic error in pathology can result in delaye…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35022/psn-pdf
    June 22, 2009 - The investigation and analysis of critical incidents and adverse events in healthcare. June 22, 2009 Woloshynowych M, Rogers S, Taylor-Adams S, et al. The investigation and analysis of critical incidents and adverse events in healthcare. Health Technol Assess. 2005;9(19):1-143, iii. https://psnet.ahrq.gov/issue/in…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40764/psn-pdf
    December 29, 2014 - Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. December 29, 2014 Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.1093/intqhc/mzr045. https://psnet…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39619/psn-pdf
    September 26, 2010 - Devastatingly human: an analysis of registered nurses' medication error accounts. September 26, 2010 Treiber LA, Jones JH. Devastatingly human: an analysis of registered nurses' medication error accounts. Qual Health Res. 2010;20(10):1327-42. doi:10.1177/1049732310372228. https://psnet.ahrq.gov/issue/devastatingly…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43000/psn-pdf
    March 05, 2014 - Elective surgical patients' narratives of hospitalization: the co-construction of safety. March 5, 2014 DOHERTY CAROLE, Saunders MNK. Elective surgical patients' narratives of hospitalization: the co- construction of safety. Soc Sci Med. 2013;98:29-36. doi:10.1016/j.socscimed.2013.08.014. https://psnet.ahrq.gov/is…

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