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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45670/psn-pdf
    November 16, 2016 - Not thinking clearly? Play a game, seriously! November 16, 2016 Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867- 1868. doi:10.1001/jama.2016.14174. https://psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously Heuristics enable experts to build off their …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48070/psn-pdf
    July 17, 2019 - Controversies in diagnosis: contemporary debates in the diagnostic safety literature. July 17, 2019 Bergl PA, Wijesekera TP, Nassery N, et al. Controversies in diagnosis: contemporary debates in the diagnostic safety literature. Diagnosis (Berl). 2020;7(1):3-9. doi:10.1515/dx-2019-0016. https://psnet.ahrq.gov/issu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60753/psn-pdf
    August 05, 2020 - A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. August 5, 2020 Berzins K, Baker J, Louch G, et al. A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. Health Expec…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838193/psn-pdf
    September 28, 2022 - Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. September 28, 2022 de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2022. OECD Health Working Papers, No. 147. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43257/psn-pdf
    August 14, 2014 - Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. August 14, 2014 Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int J Qual Health Care. 2014;26(4):4…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73864/psn-pdf
    September 22, 2021 - Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. September 22, 2021 Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training p…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43744/psn-pdf
    December 03, 2014 - Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. December 3, 2014 Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel way to improve handoff communication…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43580/psn-pdf
    October 01, 2014 - Reducing medication errors in critical care: a multimodal approach. October 1, 2014 Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530. https://psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multim…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47773/psn-pdf
    April 17, 2019 - People, systems and safety: resilience and excellence in healthcare practice. April 17, 2019 Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/anae.14519. https://psnet.ahrq.gov/issue/people-systems-and-safety-resilience…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72602/psn-pdf
    December 23, 2020 - Patient safety in chiropractic teaching programs: a mixed methods study. December 23, 2020 Pohlman KA, Salsbury SA, Funabashi M, et al. Patient safety in chiropractic teaching programs: a mixed methods study. Chiropr Man Therap. 2020;28(1):50. doi:10.1186/s12998-020-00339-0. https://psnet.ahrq.gov/issue/patient-sa…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866955/psn-pdf
    October 16, 2024 - Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. October 16, 2024 Dalal AK, Plombon S, Konieczny K, et al. Adverse diagnostic events in hospitalised patients: a single- centre, retrospective cohort study. BMJ Qual Saf. 2024;Epub Oct 1. doi:10.1136/bmjqs-2024-017183. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35850/psn-pdf
    May 27, 2011 - Computerization can create safety hazards: a bar-coding near miss. May 27, 2011 McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6. https://psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss This case study shares the …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46474/psn-pdf
    November 08, 2017 - Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. November 8, 2017 St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at Syracuse University, and Jefferson Center; 2017. https://psnet.ahrq.gov/issue/cle…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60005/psn-pdf
    March 04, 2020 - What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. March 4, 2020 Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage Patients In Learning From Errors. Washin…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837068/psn-pdf
    May 11, 2022 - Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey. May 11, 2022 Redley B, Taylor N, Hutchinson A. Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross?sectional survey. J Adv Nurs. 2022;7…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43870/psn-pdf
    January 28, 2015 - Peer review of medical practices: missed opportunities to learn. January 28, 2015 Kadar N. Peer review of medical practices: missed opportunities to learn. Am J Obstet Gynecol. 2014;211(6):596-601. doi:10.1016/j.ajog.2014.08.018. https://psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43038/psn-pdf
    March 05, 2014 - Missed it. March 5, 2014 Green MJ, Rieck R. Missed it. Ann Intern Med. 2013;158(5 Pt 1):357-61. doi:10.7326/0003-4819-158-5- 201303050-00013. https://psnet.ahrq.gov/issue/missed-it-0 This piece uses a graphic novel format to depict a story of a diagnostic error that resulted in a patient’s death. The attention-gr…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846147/psn-pdf
    March 15, 2023 - Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta- analysis. March 15, 2023 Eppler MB, Sayegh AS, Maas M, et al. Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta-analysis. J Clin Med. 2023;12(…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867380/psn-pdf
    December 18, 2024 - Cognitive biases and artificial intelligence. December 18, 2024 Wang J, Redelmeier DA. Cognitive biases and artificial intelligence. NEJM AI. 2024;1(12):AIcs2400639. doi:10.1056/aics2400639. https://psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence Previous studies have raised concerns about cognit…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47595/psn-pdf
    March 06, 2019 - Approaches and Challenges to Electronically Matching Patients' Records Across Providers. March 6, 2019 Washington, DC: United States Government Accountability Office; January 2019. Publication GAO-19-197. https://psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across- provid…

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