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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42419/psn-pdf
    July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44127/psn-pdf
    September 28, 2017 - Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it? September 28, 2017 Gawande A. The New Yorker. May 2015 https://psnet.ahrq.gov/issue/overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and- financially-what The overuse…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854991/psn-pdf
    November 01, 2023 - Assessing biases in medical decisions via clinician and AI chatbot responses to patient vignettes. November 1, 2023 Kim J, Cai ZR, Chen ML, et al. Assessing biases in medical decisions via clinician and AI chatbot responses to patient vignettes. JAMA Netw Open. 2023;6(10):e2338050. doi:10.1001/jamanetworkopen.2023…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854630/psn-pdf
    October 18, 2023 - Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. October 18, 2023 Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. J Hosp Med. 20…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37849/psn-pdf
    March 23, 2011 - The incidence and nature of in-hospital adverse events: a systematic review. March 23, 2011 de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.2007.023622. https://psnet.ahrq.gov/is…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44692/psn-pdf
    January 27, 2016 - Good people who try their best can have problems: recognition of human factors and how to minimise error. January 27, 2016 Brennan PA, Mitchell DA, Holmes S, et al. Good people who try their best can have problems: recognition of human factors and how to minimise error. Br J Oral Maxillofac Surg. 2016;54(1):3-7. d…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45967/psn-pdf
    July 05, 2017 - Root-cause analysis: swatting at mosquitoes versus draining the swamp. July 5, 2017 Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229. https://psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37091/psn-pdf
    March 02, 2016 - The tension between needing to improve care and knowing how to do it. March 2, 2016 Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. https://psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45770/psn-pdf
    January 25, 2017 - Understanding patient-centred readmission factors: a multi-site, mixed-methods study. January 25, 2017 Greysen R, Harrison JD, Kripalani S, et al. Understanding patient-centred readmission factors: a multi-site, mixed-methods study. BMJ Qual Saf. 2017;26(1):33-41. doi:10.1136/bmjqs-2015-004570. https://psnet.ahrq.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41054/psn-pdf
    January 27, 2012 - The impact of nontechnical skills on technical performance in surgery: a systematic review. January 27, 2012 Hull L, Arora S, Aggarwal R, et al. The impact of nontechnical skills on technical performance in surgery: a systematic review. J Am Coll Surg. 2012;214(2):214-230. doi:10.1016/j.jamcollsurg.2011.10.016. ht…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866200/psn-pdf
    June 26, 2024 - Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibility. June 26, 2024 Zawati M'n H, Lang M. Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibility. J Med Internet Res. 2024;26:e5034…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36386/psn-pdf
    July 14, 2010 - Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network. July 14, 2010 Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: Reports of Medical Errors in Primary…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36455/psn-pdf
    December 22, 2010 - Changing the work environment in ICUs to achieve patient-focused care: the time has come. December 22, 2010 McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest. 2006;130(5):1571-8. https://psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844550/psn-pdf
    September 01, 2012 - The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. September 1, 2012 Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation program on surgical pathology specimen accessionin…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854822/psn-pdf
    October 25, 2023 - Cognitive bias during clinical decision-making and its influence on patient outcomes in the emergency department: a scoping review. October 25, 2023 Jala S, Fry M, Elliott R. Cognitive bias during clinical decision?making and its influence on patient outcomes in the emergency department: a scoping review. J Clin N…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72855/psn-pdf
    March 17, 2021 - We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. March 17, 2021 Panda N, Etheridge JC, Singh T, et al. The WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptation…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35032/psn-pdf
    February 03, 2011 - Five years after 'To Err is Human': what have we learned? February 3, 2011 Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90. https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned Two of the leaders in the patient safety movement, Lucian …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73315/psn-pdf
    May 26, 2021 - What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. May 26, 2021 Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. J Pati…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73132/psn-pdf
    April 14, 2021 - Association of clinician diagnostic performance with machine learning–based decision support systems: a systematic review. April 14, 2021 Vasey B, Ursprung S, Beddoe B, et al. Association of clinician diagnostic performance with machine learning–based decision support systems: a systematic review. JAMA Netw Open. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38758/psn-pdf
    July 08, 2009 - An international review of patient safety measures in radiotherapy practice. July 8, 2009 Shafiq J, Barton M, Noble DJ, et al. An international review of patient safety measures in radiotherapy practice. Radiother Oncol. 2009;92(1):15-21. doi:10.1016/j.radonc.2009.03.007. https://psnet.ahrq.gov/issue/international…

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