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psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-systematic-literature
January 18, 2023 - The limitations of incident reporting were discussed in a previous PSNet perspective .
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psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare
September 23, 2020 - strengths of reporting and learning systems (e.g., the opportunity to learn from near-miss events), limitations
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psnet.ahrq.gov/issue/perioperative-handoff-enhancement-opportunities-through-technology-and-artificial
March 20, 2019 - This narrative review summarizes research on the benefits, limitations, and implementation challenges
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psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help
March 31, 2021 - This commentary examines the impact of AI on patient safety , in diagnosis , and on the limitations
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psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist
April 27, 2022 - This editorial discusses the limitations of checklists for perioperative safety (i.e., when used in
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psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric
November 02, 2022 - birth after cesarean (VAC) deliveries in high population density areas, including staffing and resource limitations
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psnet.ahrq.gov/issue/predicting-future-staffing-needs-teaching-hospitals-use-analytical-program-multiple-variables
October 19, 2022 - The authors used a computer model to predict the impact of resident work hour limitations on hiring
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psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-meta-analysis
June 26, 2019 - The authors suggest that these systems may help assist dermatologists in overcoming the limitations of
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psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-blame
February 02, 2022 - Length of text was identified as an enabler of blameful orientation, and limitations as to word count
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psnet.ahrq.gov/issue/effect-cognitive-debiasing-training-among-family-medicine-residents
August 04, 2021 - This work demonstrates some effectiveness and significant limitations of cognitive training as a way
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psnet.ahrq.gov/issue/hospital-patient-safety-grades-may-misrepresent-hospital-performance
September 21, 2022 - This finding reveals limitations in Leapfrog's approach for accurately reporting hospital performances
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psnet.ahrq.gov/issue/promise-big-data-improving-patient-safety-and-nursing-practice
March 09, 2022 - commentary discusses how outcomes data can be applied to enhance safety of nursing care and reviews limitations
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psnet.ahrq.gov/issue/measuring-safety-healthcare-exercise-futility
May 20, 2020 - commentary discusses the challenges associated with detecting and measuring adverse events , the limitations
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psnet.ahrq.gov/issue/why-it-so-hard-reduce-harm-medicines
April 28, 2021 - This article describes ongoing challenges (e.g., workforce limitations, polypharmacy ) faced by safe
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psnet.ahrq.gov/issue/care-post-roe-documenting-cases-poor-quality-care-dobbs-decision
December 09, 2020 - examining 50 cases submitted where clinicians modified care standards in response to abortion access limitations
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psnet.ahrq.gov/issue/when-health-care-moves-online-many-patients-are-left-behind
August 19, 2020 - This article examines how technological limitations present safety issues to patients, such as unreliable
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psnet.ahrq.gov/issue/patient-safety-indicators-overview
December 24, 2008 - Although relying on administrative data has clear limitations, select PSIs have been shown to accurately
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psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-associated-medication
August 28, 2024 - This commentary reviews inconsistencies in the nomenclature used in studies of harm as well as limitations
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psnet.ahrq.gov/issue/false-dawns-and-new-horizons-patient-safety-research-and-practice
July 24, 2024 - This commentary explores limitations in current system-focused approaches to improvements and advocates
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psnet.ahrq.gov/issue/experience-feedback-committees-way-implementing-root-cause-analysis-practice-hospital-medical
October 30, 2024 - An Annual Perspective discussed the limitations of root cause analysis and how this tool can be improved