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  1. psnet.ahrq.gov/issue/workarounds-workplace-second-look
    December 08, 2021 - Commentary Workarounds in the workplace: a second look. Citation Text: Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …
  2. psnet.ahrq.gov/issue/safety-through-redundancy-case-study-hospital-patient-transfers
    November 03, 2015 - Study Safety through redundancy: a case study of in-hospital patient transfers. Citation Text: Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972. Copy Citation Format: …
  3. psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overriding-drug-drug-interaction-alerts
    April 27, 2010 - Study Reasons provided by prescribers when overriding drug–drug interaction alerts. Citation Text: Grizzle AJ, Mahmood MH, Ko Y, et al. Reasons provided by prescribers when overriding drug-drug interaction alerts. Am J Manag Care. 2007;13(10):573-578. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/essential-activities-electronic-health-record-safety-qualitative-study
    April 29, 2018 - Study Essential activities for electronic health record safety: a qualitative study. Citation Text: Ash JS, Singh H, Wright A, et al. Essential activities for electronic health record safety: A qualitative study. Health Informatics J. 2019:1460458219833109. doi:10.1177/1460458219833109. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49604/psn-pdf
    June 01, 2010 - Tacit Handover, Overt Mishap June 1, 2010 Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap The Case A 61-year-old man was admitted for management of an infected aortic stent, which had been placed 3 years earlier to treat an abdo…
  6. psnet.ahrq.gov/print/pdf/node/74277
    January 01, 2021 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Medication/Drug Errors Curated Library Primers Medication Administration Errors Paul MacDowell, PharmD, BCPS, Ann Cabri, PharmD, and Michaela Davis, MSN, RN, CNS | March, 12 2021 Medication administration errors are a persistent patient saf…
  7. psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
    August 01, 2019 - Medical Scribes and Patient Safety Deborah Woodcock, MS, MBA; Robby Bergstrom | August 1, 2019  Also Read a Conversation View more articles from the same authors. Citation Text: Woodcock D, Bergstrom R. Medical Scribes and Patient Safety. PSNet [internet]. Rockv…
  8. psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
    August 01, 2015 - In Conversation With… Robert M. Wachter, MD August 1, 2015  Also Read an Essay Citation Text: In Conversation With… Robert M. Wachter, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
  9. psnet.ahrq.gov/perspective/conversation-susan-smith-md
    August 01, 2019 - In Conversation With… Susan Smith, MD August 1, 2019  Also Read an Essay Citation Text: In Conversation With… Susan Smith, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Ci…
  10. psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
    August 01, 2012 - In Conversation With… Nicholas G. Castle, MHA, PhD August 1, 2012  Also Read an Essay Citation Text: In Conversation With… Nicholas G. Castle, MHA, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…
  11. psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
    August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It Jerry Gurwitz, MD | August 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix I…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49807/psn-pdf
    October 01, 2017 - Translating From Normal to Abnormal October 1, 2017 Turner AM. Translating From Normal to Abnormal. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/translating-normal-abnormal Case Objectives Define limited English proficiency. Understand the principal approaches to machine translation. Review the way mach…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74691/psn-pdf
    January 01, 2021 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument January 26, 2022 https://psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor- college-medicine Summary The Revised Safer Dx Instr…
  14. psnet.ahrq.gov/web-mm/case-mistaken-intubation
    July 01, 2016 - SPOTLIGHT CASE The Case of Mistaken Intubation Citation Text: Silveira MJ. The Case of Mistaken Intubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX End…
  15. psnet.ahrq.gov/web-mm/signout-fallout
    November 16, 2022 - SPOTLIGHT CASE Signout Fallout Citation Text: Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33609/psn-pdf
    March 15, 2025 - Clinical Decision Support Systems March 15, 2025 Clinical Decision Support Systems. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/clinical-decision-support-systems PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43895/psn-pdf
    November 03, 2015 - The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. November 3, 2015 Wachter R. New York, NY: McGraw-Hill; 2015. ISBN: 9780071849463. https://psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age Over the past few years, driven by $30 billion of federal inc…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39422/psn-pdf
    March 23, 2011 - Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. March 23, 2011 Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. Qual Saf Heal…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867638/psn-pdf
    February 26, 2025 - Artificial intelligence related safety issues associated with FDA medical device reports. February 26, 2025 Handley JL, Krevat SA, Fong A, et al. Artificial intelligence related safety issues associated with FDA medical device reports. NPJ Digit Med. 2024;7(1):351. doi:10.1038/s41746-024-01357-5. https://psnet.ahr…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42588/psn-pdf
    September 18, 2013 - Cognitive debiasing; part 1 and part 2. September 18, 2013 Croskerry P, Singhal G, Mamede S. Cognitive debiasing 1: origins of bias and theory of debiasing. BMJ Qual Saf. 2013;22 Suppl 2:ii58-ii64. doi:10.1136/bmjqs-2012-001712. https://psnet.ahrq.gov/issue/cognitive-debiasing-part-1-and-part-2 Experienced diagnos…

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