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psnet.ahrq.gov/node/60156/psn-pdf
March 25, 2020 - The cognitive health system.
March 25, 2020
Coiera E. The cognitive health system. Lancet. 2020;395(10222):463-466. doi:10.1016/s0140-
6736(19)32987-3.
https://psnet.ahrq.gov/issue/cognitive-health-system
This article discusses the influence of artificial intelligence tools and cyber-social systems on human
decis…
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psnet.ahrq.gov/node/40790/psn-pdf
January 01, 2012 - Nurses' perceptions of simulation-based interprofessional
training program for rapid response and code blue
events.
December 1, 2011
Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. Nurses' perceptions of simulation-based
interprofessional training program for rapid response and code blue events. J Nurs Care Qual.
2…
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psnet.ahrq.gov/node/60008/psn-pdf
July 09, 2024 - IHI Patient Safety Congress.
July 9, 2024
Institute for Healthcare Improvement. San Diego, CA, March 10-11, 2025.
https://psnet.ahrq.gov/issue/ihi-patient-safety-congress
This annual conference will host pre-session workshops, panels, and presentations covering a variety of
patient safety topics that ali…
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psnet.ahrq.gov/node/854252/psn-pdf
October 04, 2023 - Standardization and visualization of the surgical time-out.
October 4, 2023
Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf.
2023;19(7):453-459. doi:10.1097/pts.0000000000001156.
https://psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-…
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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/865818/psn-pdf
May 08, 2024 - The role for policy in AI-assisted medical diagnosis.
May 8, 2024
Newman-Toker DE, Sharfstein JM. The role for policy in AI-assisted medical diagnosis. JAMA Health
Forum. 2024;5(4):e241339. doi:10.1001/jamahealthforum.2024.1339.
https://psnet.ahrq.gov/issue/role-policy-ai-assisted-medical-diagnosis
Artificial inte…
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psnet.ahrq.gov/node/74848/psn-pdf
February 16, 2022 - Patients for Patient Safety US.
February 16, 2022
404.510.8787; info@pfps.us
https://psnet.ahrq.gov/issue/patients-patient-safety-us
Patient safety improvement has made progress but more can be done. This organization supports
community efforts in the United States to engage policymakers in work toward aligning ef…
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psnet.ahrq.gov/node/46244/psn-pdf
June 28, 2017 - Changing the narratives for patient safety.
June 28, 2017
Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ.
2017;95(6):478-480. doi:10.2471/BLT.16.178392.
https://psnet.ahrq.gov/issue/changing-narratives-patient-safety
Mental models represent established …
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psnet.ahrq.gov/node/60604/psn-pdf
June 17, 2020 - The limits of current A.I. in health care: patient safety
policing in hospitals.
June 17, 2020
Furrow BR. NE Univ Law Rev. 2020;12(1):1-55.
https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals
Artificial intelligence (AI) has the potential to improve the use of big data to e…
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psnet.ahrq.gov/node/47433/psn-pdf
February 22, 2019 - Impact of nurse peer review on a culture of safety.
February 22, 2019
Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual.
2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361.
https://psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety
This commentary describes an…
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psnet.ahrq.gov/node/837667/psn-pdf
July 13, 2022 - Challenges and opportunities of patient safety event
reporting.
July 13, 2022
Gong Y. Challenges and opportunities of patient safety event reporting. Stud Health Technol Inform.
2022;291:133-150. doi:10.3233/shti220014.
https://psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
Repor…
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psnet.ahrq.gov/node/74749/psn-pdf
February 09, 2022 - A safety maturity model for technology-induced errors.
February 9, 2022
Borycki EM, Kushniruk AW. A safety maturity model for technology-induced errors. Stud Health Technol
Inform. 2022;289:447-451. doi:10.3233/shti210954.
https://psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
Although health…
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psnet.ahrq.gov/node/46787/psn-pdf
October 15, 2018 - Institute for Safe Medication Practices International
Mentorship Program.
October 15, 2018
Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/institute-safe-medication-practices-international-mentorship-program
Structured interaction with a wide variety of experts and environments enables medica…
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psnet.ahrq.gov/node/45315/psn-pdf
September 07, 2016 - Healthcare professionals' views on feedback of a patient
safety culture assessment.
September 7, 2016
Zwijnenberg NC, Hendriks M, Hoogervorst-Schilp J, et al. Healthcare professionals' views on feedback of a
patient safety culture assessment. BMC Health Serv Res. 2016;16:199. doi:10.1186/s12913-016-1404-8.
https:/…
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psnet.ahrq.gov/node/853251/psn-pdf
July 19, 2024 - Annual Speak Up Data Reports.
July 19, 2024
Stratford, London; The National Guardian.
https://psnet.ahrq.gov/issue/annual-speak-data-reports
Organizational efforts to collect and respond to the concerns of staff and patients are a cornerstone to
patient safety improvement despite challenges to implement them. This…
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psnet.ahrq.gov/node/44863/psn-pdf
July 01, 2016 - Rating the raters: the inconsistent quality of health care
performance measurement.
July 1, 2016
Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health
Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.0000000000001631.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/47684/psn-pdf
March 20, 2019 - The impact of mobile technology on teamwork and
communication in hospitals: a systematic review.
March 20, 2019
Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in
hospitals: a systematic review. J Am Med Inform Assoc. 2019;26(4):339-355. doi:10.1093/jamia/ocy175.
…
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psnet.ahrq.gov/node/44300/psn-pdf
July 29, 2015 - Learning From Serious Failings in Care: Main Report.
July 29, 2015
Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Academy of Medical Royal Colleges
and Faculties in Scotland; May 2015.
https://psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
Substantive reports of failures have t…
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psnet.ahrq.gov/node/42467/psn-pdf
August 08, 2013 - Changes in language services use by US pediatricians.
August 8, 2013
DeCamp LR, Kuo DZ, Flores G, et al. Changes in language services use by US pediatricians. Pediatrics.
2013;132(2):e396-406. doi:10.1542/peds.2012-2909.
https://psnet.ahrq.gov/issue/changes-language-services-use-us-pediatricians
Limited English pr…
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psnet.ahrq.gov/node/40550/psn-pdf
June 22, 2011 - Applying a multidisciplinary approach to the selection,
evaluation, and acquisition of smart infusion pumps.
June 22, 2011
Namshirin P. Applying a multidisciplinary approach to the selection, evaluation, and acquisition of smart
infusion pumps. . J Med Bio Eng. 2011;31(2):93-98. doi:10.5405/jmbe.839.
https://psnet…