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psnet.ahrq.gov/node/865931/psn-pdf
July 22, 2024 - Examining the Impact of Artificial Intelligence (AI) on
Healthcare Safety (R18).
July 22, 2024
Rockville, MD: Agency for Research and Quality; July 15, 2024. PA-24-261.
https://psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-examining-impact-
artificial
Health systems are increasingly …
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psnet.ahrq.gov/node/73499/psn-pdf
July 14, 2021 - Ethics & Governance of Artificial Intelligence for Health.
July 14, 2021
Health Ethics & Governance, World Health Organization. Geneva, Switzerland: World Health
Organization; 2021. ISBN: 9789240029200
https://psnet.ahrq.gov/issue/ethics-governance-artificial-intelligence-health
Advanced computing t…
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psnet.ahrq.gov/node/47943/psn-pdf
May 20, 2019 - Governing the safety of artificial intelligence in
healthcare.
May 20, 2019
Macrae C. Governing the safety of artificial intelligence in healthcare. BMJ Qual Saf. 2019;28(6):495-498.
doi:10.1136/bmjqs-2019-009484.
https://psnet.ahrq.gov/issue/governing-safety-artificial-intelligence-healthcare
The unintended risk…
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psnet.ahrq.gov/node/842769/psn-pdf
January 18, 2023 - Production pressure and its relationship to safety: a
systematic review and future directions.
January 18, 2023
Hashemian SM, Triantis K. Production pressure and its relationship to safety: a systematic review and
future directions. Safety Sci. 2023;159:106045. doi:10.1016/j.ssci.2022.106045.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/47324/psn-pdf
November 07, 2018 - Engaging patients to improve quality of care: a
systematic review.
November 7, 2018
Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review.
Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z.
https://psnet.ahrq.gov/issue/engaging-patients-improve-quality-ca…
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psnet.ahrq.gov/node/837747/psn-pdf
July 27, 2022 - Measure Dx: A Resource to Identify, Analyze, and Learn
from Diagnostic Safety Events.
July 27, 2022
Rockville, MD: Agency for Healthcare Research and Quality; July 2022. AHRQ Publication No. 22-
0038.
https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
Diagno…
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psnet.ahrq.gov/node/837745/psn-pdf
July 27, 2022 - Making electronic health records both SAFER and
SMARTER.
July 27, 2022
Johnson KB, Stead WW. Making electronic health records both SAFER and SMARTER. JAMA.
2022;328(6):523-524. doi:10.1001/jama.2022.12243.
https://psnet.ahrq.gov/issue/making-electronic-health-records-both-safer-and-smarter
Electronic health recor…
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psnet.ahrq.gov/node/41693/psn-pdf
July 02, 2014 - Internal medicine trainees' views of training adequacy and
duty hours restrictions in 2009.
July 2, 2014
Shea JA, Weissman A, McKinney S, et al. Internal medicine trainees' views of training adequacy and duty
hours restrictions in 2009. Acad Med. 2012;87(7):889-94. doi:10.1097/ACM.0b013e3182582583.
https://psnet.a…
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psnet.ahrq.gov/node/45111/psn-pdf
May 11, 2016 - Educational opportunities with postevent debriefing.
May 11, 2016
Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA.
2014;312(22):2333-4. doi:10.1001/jama.2014.15741.
https://psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing
Real-time or near real-time lear…
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psnet.ahrq.gov/node/73245/psn-pdf
May 12, 2021 - Just culture: the foundation of staff safety in the
perioperative environment.
May 12, 2021
Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative
environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352.
https://psnet.ahrq.gov/issue/just-culture-foundation-sta…
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psnet.ahrq.gov/node/47220/psn-pdf
September 12, 2018 - Strategically Advancing Patient and Family Advisory
Councils in New York State Hospitals.
September 12, 2018
Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018.
https://psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state-
hospitals
Hospital patien…
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psnet.ahrq.gov/node/39218/psn-pdf
January 13, 2010 - Prolonged hospital stay and the resident duty hour rules
of 2003.
January 13, 2010
Silber JH, Rosenbaum PR, Rosen AK, et al. Prolonged Hospital Stay and the Resident Duty Hour Rules of
2003. Med Care. 2009;47(12). doi:10.1097/mlr.0b013e3181adcbff.
https://psnet.ahrq.gov/issue/prolonged-hospital-stay-and-resident-d…
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psnet.ahrq.gov/node/41835/psn-pdf
May 19, 2015 - Interventions for reducing wrong-site surgery and
invasive procedures.
May 19, 2015
Algie CM, Mahar RK, Wasiak J, et al. Interventions for reducing wrong-site surgery and invasive clinical
procedures. Cochrane Database Syst Rev. 2015;3)(3):CD009404. doi:10.1002/14651858.CD009404.pub3.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/35501/psn-pdf
June 15, 2011 - Ethical issues in patient safety.
June 15, 2011
Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501.
https://psnet.ahrq.gov/issue/ethical-issues-patient-safety
This commentary, written by patient safety expert Lucian Leape, begins with a retrospective view on the
birth of patient safety…
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psnet.ahrq.gov/node/839327/psn-pdf
December 05, 2024 - The National Healthcare System Action Alliance for
Patient and Workforce Safety.
December 5, 2024
US Department of Health and Human Services.
https://psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
The large system change required to reduce patient harm requires multi-stakeho…
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psnet.ahrq.gov/node/44574/psn-pdf
October 21, 2015 - Patient safety and quality improvement: reducing risk of
harm.
October 21, 2015
Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev.
2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
T…
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psnet.ahrq.gov/node/44946/psn-pdf
February 01, 2017 - Quality gaps identified through mortality review.
February 1, 2017
Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual
Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735.
https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
Inpatien…
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psnet.ahrq.gov/node/47221/psn-pdf
August 29, 2018 - Barriers and facilitators to injection safety in ambulatory
care settings.
August 29, 2018
Leback C, Johnson DH, Anderson L, et al. Barriers and Facilitators to Injection Safety in Ambulatory Care
Settings. Infect Control Hosp Epidemiol. 2018;39(7):841-848. doi:10.1017/ice.2018.82.
https://psnet.ahrq.gov/issue/bar…
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psnet.ahrq.gov/node/44291/psn-pdf
September 13, 2016 - A piece of my mind. I'm sorry.
September 13, 2016
Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507.
https://psnet.ahrq.gov/issue/piece-my-mind-im-sorry
Being accountable for errors and working to learn from them is key to improving patient safety. This
commentary descri…
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psnet.ahrq.gov/node/44251/psn-pdf
January 13, 2016 - Early impact of the 2011 ACGME duty hour regulations on
surgical outcomes.
January 13, 2016
Scally CP, Ryan AM, Thumma JR, et al. Early impact of the 2011 ACGME duty hour regulations on surgical
outcomes. Surgery. 2015;158(6):1453-61. doi:10.1016/j.surg.2015.05.002.
https://psnet.ahrq.gov/issue/early-impact-2011-a…