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  1. psnet.ahrq.gov/issue/nearly-90-major-medical-mistakes-logged-utah-hospitals-2008
    July 02, 2009 - Newspaper/Magazine Article Nearly 90 major medical mistakes logged at Utah hospitals in 2008. Citation Text: Nearly 90 major medical mistakes logged at Utah hospitals in 2008. May H. Salt Lake Tribune. June 26, 2009. Copy Citation Save Save to your library …
  2. psnet.ahrq.gov/issue/second-trial
    November 08, 2017 - Multi-use Website The SECOND Trial Citation Text: The SECOND Trial Northwestern University Feinberg School of Medicine Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  3. psnet.ahrq.gov/issue/intravenous-acetaminophen-united-states-iatrogenic-dosing-errors
    December 20, 2006 - Study Intravenous acetaminophen in the United States: iatrogenic dosing errors. Citation Text: Intravenous acetaminophen in the United States: iatrogenic dosing errors. Dart RC; Rumack BH. Copy Citation Save Save to your library Print Download PDF …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33600/psn-pdf
    June 16, 2024 - Patient Safety 101 June 16, 2024 Patient Safety 101. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/patient-safety-101 PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in…
  5. psnet.ahrq.gov/web-mm/mid-summer-fog
    September 29, 2017 - A Mid-Summer Fog Citation Text: Braddock CH. A Mid-Summer Fog. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  6. psnet.ahrq.gov/web-mm/missing-point-eye-injury
    March 01, 2005 - Missing the Point—Eye Injury Citation Text: Sharma R, Brunette DD. Missing the Point—Eye Injury. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34765/psn-pdf
    January 04, 2017 - The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. January 4, 2017 Senge PM. New York, NY: Currency Doubleday; 2009. ISBN: 9780385517256. https://psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition Senge’s seminal and oft-r…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41306/psn-pdf
    May 04, 2012 - Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. May 4, 2012 Flowerdew L, Brown R, Vincent CA, et al. Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. Ann Emerg Med. 2012;59…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48104/psn-pdf
    August 28, 2019 - The computer will see you now. August 28, 2019 Whitaker P. New Statesman. August 2, 2019;148:38-43. https://psnet.ahrq.gov/issue/computer-will-see-you-now Artificial intelligence (AI) and advanced computing technologies can enhance clinical decision-making. Exploring the strengths and weaknesses of artificial inte…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60604/psn-pdf
    June 17, 2020 - The limits of current A.I. in health care: patient safety policing in hospitals. June 17, 2020 Furrow BR. NE Univ Law Rev. 2020;12(1):1-55. https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals Artificial intelligence (AI) has the potential to improve the use of big data to e…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34646/psn-pdf
    July 01, 2015 - The attributes of medical event reporting systems. July 1, 2015 Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicine. Arch Pathol Lab Med. 1998;122(3):231-8. https://psnet.ahrq.gov/iss…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43395/psn-pdf
    July 30, 2014 - The current and ideal state of anatomic pathology patient safety. July 30, 2014 Raab SS. The current and ideal state of anatomic pathology patient safety. MLO Med Lab Obs. 2014;46(6):8-10. https://psnet.ahrq.gov/issue/current-and-ideal-state-anatomic-pathology-patient-safety This commentary illustrates the proces…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44169/psn-pdf
    November 06, 2015 - Weak oversight allows lab failures to put patients at risk. November 6, 2015 Gabler E. Milwaukee Journal Sentinel. May 15, 2015. https://psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk Reporting on weaknesses in laboratory testing methods, this news article discusses patients' experiences …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46427/psn-pdf
    April 04, 2018 - Improving Diagnosis in Radiology—Progress and Proposals. April 4, 2018 Bruno MA, Johnson K, Argy N, Graber ML, eds. Diagnosis. 2017;4(3):111-191. https://psnet.ahrq.gov/issue/improving-diagnosis-radiology-progress-and-proposals Radiology plays a unique role in the determination of a diagnosis. Cognitive and system…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40105/psn-pdf
    December 22, 2010 - Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. December 22, 2010 Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. Pediatr Emerg Ca…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42199/psn-pdf
    June 12, 2013 - Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. June 12, 2013 McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. BMJ Qual Saf. 2013;2…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34731/psn-pdf
    July 08, 2016 - Crossing the Quality Chasm: A New Health System for the 21st Century. July 8, 2016 Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: National Academies Press; 2001. ISBN: 9780309072809. https://psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century Following…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41699/psn-pdf
    July 08, 2016 - Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. July 8, 2016 Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committee on the Learning Health Care System in America, Institute of Medicine. Washington, DC: National Academies Press; 2012. ISBN: 9780309260732. https://psnet.ahr…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837607/psn-pdf
    June 29, 2022 - Common Formats for Event Reporting - Diagnostic Safety Version 1.0 June 29, 2022 Agency for Healthcare Research and Quality.  https://psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10 Effective measurement of diagnostic error is essential for understanding the problem and genera…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60972/psn-pdf
    January 30, 2003 - Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. January 30, 2003 Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Press: 2003. ISBN 9780309082655. https://psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-dis…

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