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psnet.ahrq.gov/node/850353/psn-pdf
June 14, 2023 - Perioperative handoff enhancement opportunities
through technology and artificial intelligence: a narrative
review.
June 14, 2023
Sparling J, Hong Mershon B, Abraham J. Perioperative handoff enhancement opportunities through
technology and artificial intelligence: a narrative review. Jt Comm J Qual Patient Saf. 20…
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psnet.ahrq.gov/node/60628/psn-pdf
July 14, 2020 - The Power to Predict: Leveraging Medical Malpractice
Data to Reduce Patient Harm and Financial Loss.
June 24, 2020
Cambridge, MA; CRICO Strategies: July 14, 2020.
https://psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and-
financial-loss
Malpractice claims can generate …
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psnet.ahrq.gov/node/866243/psn-pdf
July 10, 2024 - Building a resilient patient safety culture: a large
healthcare organization's approach to systematically
reviewing serious harm events.
July 10, 2024
Harvey B, Dhalla IA, O'Neill C, et al. Building a resilient patient safety culture: a large healthcare
organization's approach to systematically reviewing serious h…
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psnet.ahrq.gov/node/860391/psn-pdf
January 10, 2024 - Neonatal near-miss audits: a systematic review and a call
to action.
January 10, 2024
Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to
action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6.
https://psnet.ahrq.gov/issue/neonatal-near-miss-audits-sys…
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psnet.ahrq.gov/node/44797/psn-pdf
March 15, 2016 - Incident and error reporting systems in intensive care: a
systematic review of the literature.
March 15, 2016
Brunsveld-Reinders AH, Arbous S, De Vos R, et al. Incident and error reporting systems in intensive care:
a systematic review of the literature. Int J Qual Health Care. 2016;28(1):2-13. doi:10.1093/intqhc/m…
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psnet.ahrq.gov/node/47873/psn-pdf
March 27, 2019 - Stand-alone artificial intelligence for breast cancer
detection in mammography: comparison with 101
radiologists.
March 27, 2019
Rodriguez-Ruiz A, Lång K, Gubern-Merida A, et al. Stand-Alone Artificial Intelligence for Breast Cancer
Detection in Mammography: Comparison With 101 Radiologists. J Natl Cancer Inst. 20…
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psnet.ahrq.gov/node/46651/psn-pdf
January 17, 2018 - Piloting a patient safety and quality improvement co-
curriculum.
January 17, 2018
Kroker-Bode C, Whicker SA, Pline ER, et al. Piloting a patient safety and quality improvement co-
curriculum. J Community Hosp Intern Med Perspect. 2017;7(6):351-357.
doi:10.1080/20009666.2017.1403830.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/844059/psn-pdf
February 08, 2023 - Misdiagnosis in the emergency department: time for a
system solution.
February 8, 2023
Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA.
2023;329(8):631-632. doi:10.1001/jama.2023.0577.
https://psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solu…
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psnet.ahrq.gov/node/47786/psn-pdf
June 26, 2019 - Creating a Safe Space: Psychological Health and Safety
of Healthcare Workers.
June 26, 2019
Canadian Patient Safety Institute: 2019.
https://psnet.ahrq.gov/issue/creating-safe-space-psychological-health-and-safety-healthcare-workers
Structured approaches to managing negative psychological consequences of medical e…
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psnet.ahrq.gov/node/838029/psn-pdf
September 07, 2022 - Emergency preparedness: be ready for unanticipated
electronic health record (EHR) downtime.
September 7, 2022
ISMP Medication Safety Alert! Acute care edition! August 25, 2022:27(17)1-6.
https://psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-
downtime
Unanticipated…
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psnet.ahrq.gov/node/73468/psn-pdf
July 07, 2021 - The implementation of communication didactics for
OB/GYN residents on the disclosure of adverse
perioperative events.
July 7, 2021
Chung EH, Truong T, Jooste KR, et al. The implementation of communication didactics for OB/GYN
residents on the disclosure of adverse perioperative events. J Surg Educ. 2021;78(3):942-…
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psnet.ahrq.gov/node/60322/psn-pdf
May 13, 2020 - Resilience and regulation, an odd couple? Consequences
of Safety-II on governmental regulation of healthcare
quality.
May 13, 2020
Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental
regulation of healthcare quality. BMJ Qual Saf. 2020;29(10):869–872. doi:10.113…
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psnet.ahrq.gov/node/849131/psn-pdf
May 17, 2023 - The time is now: addressing implicit bias in obstetrics
and gynecology education.
May 17, 2023
Royce CS, Morgan HK, Baecher-Lind L, et al. The time is now: addressing implicit bias in obstetrics and
gynecology education. Am J Obstet Gynecol. 2023;228(4):369-381. doi:10.1016/j.ajog.2022.12.016.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/72507/psn-pdf
November 25, 2020 - In situ simulation: an essential tool for safe preparedness
for the COVID-19 pandemic.
November 25, 2020
Sharara-Chami R, Sabouneh R, Zeineddine R, et al. In situ simulation: an essential tool for safe
preparedness for the COVID-19 pandemic. Simul Healthc. 2020;15(5):303-309.
doi:10.1097/sih.0000000000000504.
htt…
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psnet.ahrq.gov/node/865880/psn-pdf
May 15, 2024 - Racial and ethnic harm in patient care is a patient safety
issue.
May 15, 2024
Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue.
Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012.
https://psnet.ahrq.gov/issue/racial-and-ethnic-har…
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psnet.ahrq.gov/node/39732/psn-pdf
August 04, 2010 - A comparative resident site visit project: a novel
approach for implementing programmatic change in the
duty hours era.
August 4, 2010
Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach
for implementing programmatic change in the duty hours era. Acad Med. 2010;…
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psnet.ahrq.gov/node/60575/psn-pdf
June 10, 2020 - Applying principles from aviation safety investigations to
root cause analysis of a critical incident during a
simulated emergency.
June 10, 2020
Imach S, Eppich W, Zech A, et al. Applying principles from aviation safety investigations to root cause
analysis of a critical incident during a simulated emergency. Sim…
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psnet.ahrq.gov/node/45722/psn-pdf
November 15, 2017 - Patient centred diagnosis: sharing diagnostic decisions
with patients in clinical practice.
November 15, 2017
Berger ZD, Brito JP, Ospina NS, et al. Patient centred diagnosis: sharing diagnostic decisions with patients
in clinical practice. BMJ. 2017;359:j4218. doi:10.1136/bmj.j4218.
https://psnet.ahrq.gov/issue/p…
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psnet.ahrq.gov/node/47931/psn-pdf
January 01, 2020 - Managing risk in hazardous conditions: improvisation is
not enough.
July 24, 2019
Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual
Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443.
https://psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation…
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psnet.ahrq.gov/node/74753/psn-pdf
February 09, 2022 - The morbidity and mortality conference: opportunities for
enhancing patient safety.
February 9, 2022
Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for
enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pts.0000000000000765.
https://psnet.ah…