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8441. Acknowledgments | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave8.html
      July 01, 2025 - Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Acknowledgments Previous Page Next Page Table of Contents Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Introduction Understanding the AI Wave—What Is AI? Understanding A…

8442. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60332/psn-pdf
      May 13, 2020 - Circle Up Training. May 13, 2020 Center for Medical Simulation. https://psnet.ahrq.gov/issue/circle-training Communication strategies are important for engaging staff in behaviors that support effective teamwork. This website highlights a process that involves briefings, supportive conversations, and debriefings a…

8443. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44906/psn-pdf
      February 17, 2016 - Hospitals find a way to say, 'I'm sorry.' February 17, 2016 Landro L. https://psnet.ahrq.gov/issue/hospitals-find-way-say-im-sorry Communication and resolution strategies that emphasize early disclosure after a medical error can enhance patient safety. This newspaper article reports on communication and resolution…

8444. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38808/psn-pdf
      January 01, 2013 - Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare. July 22, 2009 Dotan DB. Patient safety organizations. J Clin Engineer. 2013;34(3):142-146. doi:10.1097/jce.0b013e3181aae4b2. https://psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-man…

8445. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36272/psn-pdf
      June 29, 2011 - Selecting indicators for patient safety at the health system level in OECD countries. June 29, 2011 McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20. https://psnet.ahrq.gov/issue/selecting-in…

8446. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33946/psn-pdf
      July 26, 2010 - AHRQ WebM&M: Morbidity & Mortality Rounds on the Web. July 26, 2010 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-webmm-morbidity-mortality-rounds-web The Agency for Healthcare Research and Quality's (AHRQ) online journal and forum on patient safety and health care quality. The sit…

8447. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38939/psn-pdf
      September 09, 2009 - A model framework for patient safety training in chiropractic: a literature synthesis. September 9, 2009 Zaugg B, Wangler M. A model framework for patient safety training in chiropractic: a literature synthesis. J Manipulative Physiol Ther. 2009;32(6):493-499. doi:10.1016/j.jmpt.2009.06.004. https://psnet.ahrq.gov…

8448. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40660/psn-pdf
      October 04, 2011 - Incidence, nature and impact of error in surgery. October 4, 2011 Bosma E, Veen EJ, Roukema JA. Incidence, nature and impact of error in surgery. Br J Surg. 2011;98(11):1654-1659. doi:10.1002/bjs.7594. https://psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery This study noted a 6% error rate for patie…

8449. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47678/psn-pdf
      December 19, 2018 - When mistakes happen. December 19, 2018 Beck DL. ASH Clinical News. December 1, 2018. https://psnet.ahrq.gov/issue/when-mistakes-happen This article provides an overview of efforts to understand and improve patient safety and covers topics such as the epidemiology of error, its impact on the individuals involved, …

8450. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35085/psn-pdf
      July 24, 2018 - Working Knowledge: How Organizations Manage What They Know. July 24, 2018 Davenport TH, Prusak L. Boston MA: Harvard Business School Press; 1998. ISBN: 0875846556. https://psnet.ahrq.gov/issue/working-knowledge-how-organizations-manage-what-they-know Two innovators in management consulting introduce core concepts …

8451. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36431/psn-pdf
      March 28, 2011 - Using the internet to deliver education on drug safety. March 28, 2011 Franklin B, O'Grady K, Parr J, et al. Using the internet to deliver education on drug safety. Qual Saf Health Care. 2006;15(5):329-33. https://psnet.ahrq.gov/issue/using-internet-deliver-education-drug-safety The project team implemented a web-…

8452. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43318/psn-pdf
      July 02, 2014 - Sign up to Safety. July 2, 2014 National Health Service. https://psnet.ahrq.gov/issue/sign-safety Through a coordinated effort to set goals and devise plans to improve safety in hospitals, the Sign up to Safety campaign aims to prevent 6000 patient deaths in the next 3 years in National Health Service facilities.…

8453. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39711/psn-pdf
      July 28, 2010 - Revisiting old slides—how worthwhile is it? July 28, 2010 Agarwal S, Wadhwa N. Revisiting old slides--how worthwhile is it? Pathol Res Pract. 2010;206(6):368-71. doi:10.1016/j.prp.2010.01.006. https://psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it This study reviewed more than 2400 surgical pathology…

8454. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34584/psn-pdf
      July 08, 2014 - Advocate Health Care: a systemwide approach to quality and safety. July 8, 2014 Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566. https://psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety Advocate is a l…

8455. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74711/psn-pdf
      April 14, 2023 - World Patient Safety, Science & Technology Summit. April 14, 2023 Patient Safety Movement Foundation. VEA Newport Beach, Newport Beach, CA, June 1-2, 2023. https://psnet.ahrq.gov/issue/world-patient-safety-science-technology-summit Multidisciplinary educational opportunities promote cross-industry learning to impro…

8456. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35379/psn-pdf
      June 15, 2011 - Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families. June 15, 2011 Bostock L, Bairstow S, Fish S, et al. London, UK: Social Care Institute for Excellence; September 2005. https://psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families This…

8457. Evaluation of critical care pharmacist evening services at an academic medical center. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/machine-learning-validation-medication-regimen-complexity-critical-care/citation/evaluation
      January 01, 2024 - Evaluation of critical care pharmacist evening services at an academic medical center. Citation Chase AM, Forehand CC, Keats KR, Taylor AN, Jones TW, Sikora A. Evaluation of critical care pharmacist evening services at an academic medical center. Hosp Pharm. 2024 Apr;59(2):228-233. doi: 10.1177/001857…

8458. Early identification of patients with acute decompensated heart failure. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care/citation/early
      January 01, 2023 - Early identification of patients with acute decompensated heart failure. Citation Blecker S, Sontag D, Horwitz LI, et al. Early identification of patients with acute decompensated heart failure. J Card Fail 2017 Sep 5. pii: S1071-9164(17)31161-2. PMID: 28887109. Link https://www.ncbi.nlm.nih.g…

8459. Mainegeneral Medical Center | Digital Healthcare Research
      digital.ahrq.gov/organization/mainegeneral-medical-center
      January 01, 2023 - Mainegeneral Medical Center Improving Health Information Technology Implementation in a Rural Health System - 2008 Principal Investigator Mingle, Daniel Project Name Improving Health Information Technology Implementation in a Rural Health System …

8460. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40460/psn-pdf
      April 30, 2024 - Patient Safety Authority Annual Reports. April 30, 2024 Pennsylvania Patient Safety Authority. Harrisburg, PA: Patient Safety Authority; April 2024. https://psnet.ahrq.gov/issue/patient-safety-authority-annual-reports This report summarizes patient safety improvement work in the state of Pennsylvania. It reviews th…