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  1. Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. | PSNet

    psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
    March 06, 2024 - Newspaper/Magazine Article Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. Citation Text: Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. Pradhan R, Wells K. KFF Health News and Morning Edition, Michigan Public Radio: June 19, 2024.…

  2. Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. | PSNet

    psnet.ahrq.gov/issue/charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he-didnt-expect-be-one-them
    March 29, 2023 - Newspaper/Magazine Article Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Citation Text: Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Donovan-Sm…

  3. Physician liability in the age of data reliance and errors. | PSNet

    psnet.ahrq.gov/issue/physician-liability-age-data-reliance-and-errors
    March 18, 2020 - Commentary Physician liability in the age of data reliance and errors. Citation Text: Physician liability in the age of data reliance and errors. Montesantos L. Ann Health Law Life Sci. 2022;31(Spring):179-215. Copy Citation Save Save to your library Print…

  4. Abandon the term "second victim." | PSNet

    psnet.ahrq.gov/issue/abandon-term-second-victim
    October 09, 2024 - Commentary Emerging Classic Abandon the term "second victim." Citation Text: Clarkson MD, Haskell H, Hemmelgarn C, et al. Abandon the term "second victim". BMJ. 2019;364:l1233. doi:10.1136/bmj.l1233. Copy Citation Format: DOI Google Scholar PubMed …

  5. Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
    January 08, 2014 - Book/Report Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Citation Text: Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Washington DC; United States Government Accountabil…

  6. Respectful Management of Serious Clinical Adverse Events. Second Edition. | PSNet

    psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
    January 27, 2016 - Book/Report Classic Respectful Management of Serious Clinical Adverse Events. Second Edition. Citation Text: Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…

  7. National Report of Findings 2016: Issue Brief No. 2: Patient Safety. | PSNet

    psnet.ahrq.gov/issue/national-report-findings-2016-issue-brief-no-2-patient-safety
    November 18, 2020 - Book/Report National Report of Findings 2016: Issue Brief No. 2: Patient Safety. Citation Text: National Report of Findings 2016: Issue Brief No. 2: Patient Safety. Clinical Learning Environment Review. Chicago, IL: Accreditation Council for Graduate Medical Education; 2016. Copy Citat…

  8. Health Literacy Interventions and Outcomes: An Updated Systematic Review. | PSNet

    psnet.ahrq.gov/issue/health-literacy-interventions-and-outcomes-updated-systematic-review
    August 17, 2022 - Book/Report Health Literacy Interventions and Outcomes: An Updated Systematic Review. Citation Text: Health Literacy Interventions and Outcomes: An Updated Systematic Review. Berkman ND, Sheridan SL, Donahue KE, et al. Evidence Report/Technology Assessment: Number 199. Rockville, MD:…

  9. The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. | PSNet

    psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-innovation-and-growth
    May 16, 2012 - Book/Report Classic The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. Citation Text: The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. Edm…

  10. AI as an ecosystem — ensuring generative AI is safe and effective. | PSNet

    psnet.ahrq.gov/issue/ai-ecosystem-ensuring-generative-ai-safe-and-effective
    January 16, 2019 - Commentary AI as an ecosystem — ensuring generative AI is safe and effective. Citation Text: Coiera E, Fraile-Navarro D. AI as an ecosystem — ensuring generative AI is safe and effective. NEJM AI. 2024;1(9):AIp2400611. doi:10.1056/aip2400611. Copy Citation Format: DOI Googl…

  11. Systemic failures in health care oversight. | PSNet

    psnet.ahrq.gov/issue/systemic-failures-health-care-oversight
    July 05, 2006 - Commentary Systemic failures in health care oversight. Citation Text: Systemic failures in health care oversight. Campbell JL. Ga L Rev. 2024;58(2):737-802. Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…

  12. To improve health care, focus on fixing systems — not people. | PSNet

    psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
    September 08, 2021 - Newspaper/Magazine Article To improve health care, focus on fixing systems — not people. Citation Text: Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people. Harvard Business Review. July 12, 2024; Copy Citation Format: Google Scho…

  13. Implementing and validating a comprehensive unit-based safety program. | PSNet

    psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
    July 14, 2010 - Study Implementing and validating a comprehensive unit-based safety program. Citation Text: Implementing and validating a comprehensive unit-based safety program. Pronovost P, Weast B, Rosenstein B, et al. J Patient Saf. 2005;1(1):33-40. Copy Citation Save Sav…

  14. Improving medication reconciliation in hospitals. | PSNet

    psnet.ahrq.gov/issue/improving-medication-reconciliation-hospitals
    October 25, 2017 - Commentary Improving medication reconciliation in hospitals. Citation Text: Improving medication reconciliation in hospitals. Schnipper JL. Ann Intern Med. 2022;175(8):ho2-ho3. Copy Citation Save Save to your library Print Download PDF Sha…

  15. Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. | PSNet

    psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
    April 20, 2022 - Newspaper/Magazine Article Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. Citation Text: Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. ISMP Medication Safety Alert! Acute care edition! August 25, 2…

  16. Patient safety, systems design and ergonomics. | PSNet

    psnet.ahrq.gov/issue/patient-safety-systems-design-and-ergonomics
    February 03, 2021 - Study Patient safety, systems design and ergonomics. Citation Text: Buckle P, Clarkson PJ, Coleman R, et al. Patient safety, systems design and ergonomics. Appl Ergon. 2006;37(4):491-500. doi:10.1016/j.apergo.2006.04.016. Copy Citation Format: DOI Google Scholar BibTeX E…

  17. The cognitive health system. | PSNet

    psnet.ahrq.gov/issue/cognitive-health-system
    September 04, 2024 - Commentary The cognitive health system. Citation Text: Coiera E. The cognitive health system. Lancet. 2020;395(10222):463-466. doi:10.1016/s0140-6736(19)32987-3. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  18. Profiles in patient safety: medication errors in the emergency department. | PSNet

    psnet.ahrq.gov/issue/profiles-patient-safety-medication-errors-emergency-department
    February 03, 2010 - Study Profiles in patient safety: medication errors in the emergency department. Citation Text: Croskerry P, Shapiro MJ, Campbell S, et al. Profiles in patient safety: medication errors in the emergency department. Acad Emerg Med. 2004;11(3):289-99. Copy Citation Format: G…

  19. Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. | PSNet

    psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
    June 08, 2022 - Special or Theme Issue Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. Citation Text: Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344. Co…

  20. Policy and the future of adverse event detection using information technology. | PSNet

    psnet.ahrq.gov/issue/policy-and-future-adverse-event-detection-using-information-technology
    August 31, 2011 - Commentary Policy and the future of adverse event detection using information technology. Citation Text: Bates DW, Evans S, Murff HJ, et al. Policy and the future of adverse event detection using information technology. J Am Med Inform Assoc. 2003;10(2):226-8. Copy Citation Forma…
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