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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861287/psn-pdf
    January 24, 2024 - Organizational resilience as paradox management: a systematic review of the literature. January 24, 2024 Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi:10.1111/1468-5973.12495. https:…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863003/psn-pdf
    February 21, 2024 - Positive Patient Identification. February 21, 2024 Healthcare Safety Investigation Branch (HSIB), Dorset, UK:  Health Services Safety Investigations Body; February 2024. https://psnet.ahrq.gov/issue/positive-patient-identification Patient misidentification can result in medication administration errors, …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43084/psn-pdf
    May 19, 2014 - How can the criminal law support the provision of quality in healthcare? May 19, 2014 Yeung K, Horder J. How can the criminal law support the provision of quality in healthcare? BMJ Qual Saf. 2014;23(6):519-24. doi:10.1136/bmjqs-2013-002688. https://psnet.ahrq.gov/issue/how-can-criminal-law-support-provision-quali…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73996/psn-pdf
    October 29, 2021 - Patient, Medical, and Legal Perspectives of Unsafe Care. October 20, 2021 Patient Safety Movement. October 29, 2021.  https://psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care Effective response to medical harm involves a variety of perspectives that are aligned in purpose. This webinar …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44854/psn-pdf
    March 16, 2016 - Bring back the autopsy. March 16, 2016 Jauhar S. New York Times. March 3, 2016. https://psnet.ahrq.gov/issue/bring-back-autopsy Performance of autopsies, previously considered an essential learning tool for clinicians, has decreased in recent years due to insufficient funding to cover costs and lack of physician e…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838639/psn-pdf
    October 19, 2022 - Calibrate Dx: A Resource to Improve Diagnostic Decisions. October 19, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. AHRQ Publication no. 22(23)- 0047-2-EF. https://psnet.ahrq.gov/issue/calibrate-dx-resource-improve-diagnostic-decisions Delayed, wrong, and missed diagnoses are commo…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46882/psn-pdf
    May 23, 2018 - How health care changes when algorithms start making diagnoses. May 23, 2018 Burt A, Volchenboum S. Harv Bus Rev. May 8, 2018. https://psnet.ahrq.gov/issue/how-health-care-changes-when-algorithms-start-making-diagnoses Use of artificial intelligence and computer algorithms as tools to improve diagnosis have both r…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74248/psn-pdf
    January 12, 2022 - Safety, Equity and Engagement in Maternity Services. January 12, 2022 Newcastle upon Tyne, UK: Care Quality Commission; September 2021. https://psnet.ahrq.gov/issue/safety-equity-and-engagement-maternity-services The safety of maternity care is threatened by inequity. This report analyzes a set of United Kingdom i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46520/psn-pdf
    December 19, 2017 - The emotional fallout from the culture of blame and shame. December 19, 2017 Ferguson CC. The emotional fallout from the culture of blame and shame. JAMA Pediatr. 2017;171(12):1141. doi:10.1001/jamapediatrics.2017.2691. https://psnet.ahrq.gov/issue/emotional-fallout-culture-blame-and-shame In this commentary, a p…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46120/psn-pdf
    May 10, 2017 - Medical residents angered at extended work hours. May 10, 2017 Hurt J. https://psnet.ahrq.gov/issue/medical-residents-angered-extended-work-hours Discussions about resident work hours generate debate regarding safety and physician burnout. This magazine article reports resident physician concerns about the shift h…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36114/psn-pdf
    February 24, 2011 - Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements. February 24, 2011 Ratanawongsa N, Bolen S, Howell EE, et al. Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements. J Gen Intern Med. 20…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50781/psn-pdf
    January 08, 2020 - Harnessing the power of medical malpractice data to improve patient care. January 8, 2020 Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. https://psnet.ahrq.gov/issue/harnessing-power-medic…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47353/psn-pdf
    October 03, 2018 - The need for cognition and the curse of cognition. October 3, 2018 Croskerry P. The need for cognition and the curse of cognition. Diagnosis (Berl). 2018;5(3):91-94. doi:10.1515/dx-2018-0072. https://psnet.ahrq.gov/issue/need-cognition-and-curse-cognition Cognitive bias is increasingly receiving recognition as a b…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845075/psn-pdf
    February 22, 2023 - Artificial intelligence, patient safety, and achieving the quintuple aim in anesthesiology. February 22, 2023 Tan JM, Cannesson MP. APSF Newsletter. 2023;38(2):1,3–4,7. https://psnet.ahrq.gov/issue/artificial-intelligence-patient-safety-and-achieving-quintuple-aim-anesthesiology Technological advancement…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43106/psn-pdf
    September 27, 2016 - The sterile cockpit: an effective approach to reducing medication errors? September 27, 2016 Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c. https://psnet.ahrq.gov/issue/sterile-cockpi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44260/psn-pdf
    November 06, 2015 - Innovative teaching in situational awareness. November 6, 2015 Gregory A, Hogg G, Ker J. Innovative teaching in situational awareness. Clin Teach. 2015;12(5):331-5. doi:10.1111/tct.12310. https://psnet.ahrq.gov/issue/innovative-teaching-situational-awareness Nontechnical skills contribute to successful teamwork an…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35326/psn-pdf
    September 14, 2005 - Resident attitudes regarding the impact of the 80–duty- hours work standards. September 14, 2005 Zonia SC, 2nd RJLB, Stommel M, et al. Resident attitudes regarding the impact of the 80-duty-hours work standards. J Am Osteopath Assoc. 2005;105(7):307-313. https://www.degruyter.com/document/doi/10.7556/jaoa.2005.105…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44121/psn-pdf
    May 13, 2015 - Educating medical trainees on medication reconciliation: a systematic review. May 13, 2015 Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. https://psnet.ahrq.gov/issue/educating-medic…
  19. digital.ahrq.gov/ahrq-funded-projects/using-artificial-intelligence-support-efficient-same-day-diagnostic-imaging/citation/using
    January 01, 2024 - Using discrete event simulation to design and assess an AI-aided workflow for same-day diagnostic testing of women undergoing breast screening. Citation Lin Y, Hoyt AC, Manuel VG, Inkelas M, Hsu W. Using discrete event simulation to design and assess an AI-aided workflow for same-day diagnostic testin…
  20. digital.ahrq.gov/ahrq-funded-projects/leveraging-health-system-telehealth-and-informatics-infrastructure-create/citation/patient
    January 01, 2024 - Patient perceptions of audio-only versus video telehealth visits: A qualitative study among patients in an academic medical center setting. Citation Kruis R, Brown EA, Johnson J, Simpson KN, McElligott J, Harvey J. Patient perceptions of audio-only versus video telehealth visits: A qualitative study a…