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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…
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psnet.ahrq.gov/node/34849/psn-pdf
May 14, 2012 - The end of the beginning: patient safety five years after
'To Err Is Human.'
May 14, 2012
Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff.
2004;23(Suppl1). doi:10.1377/hlthaff.w4.534.
https://psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-…
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psnet.ahrq.gov/node/839821/psn-pdf
November 09, 2022 - Cognitive biases encountered by physicians in the
emergency room.
November 9, 2022
Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room.
BMC Emerg Med. 2022;22(1):148. doi:10.1186/s12873-022-00708-3.
https://psnet.ahrq.gov/issue/cognitive-biases-encountered-physicians-em…
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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-…
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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 …
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psnet.ahrq.gov/node/39197/psn-pdf
January 06, 2010 - Resident fatigue: is there a patient safety issue?
January 6, 2010
Mitchell CD, Mooty CR, Dunn EL, et al. Resident fatigue: is there a patient safety issue? Am J Surg.
2009;198(6):811-6. doi:10.1016/j.amjsurg.2009.04.028.
https://psnet.ahrq.gov/issue/resident-fatigue-there-patient-safety-issue
Regulations limiting…
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psnet.ahrq.gov/node/867017/psn-pdf
October 23, 2024 - Clinicians' use of health information exchange
technologies for medication reconciliation in the U.S.
Department of Veterans Affairs: a qualitative analysis.
October 23, 2024
Snyder ME, Nguyen KA, Patel H, et al. Clinicians' use of health information exchange technologies for
medication reconciliation in the U.S. …
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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…
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psnet.ahrq.gov/node/60048/psn-pdf
March 18, 2020 - 'Immunising' physicians against availability bias in
diagnostic reasoning: a randomised controlled
experiment.
March 18, 2020
Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in
diagnostic reasoning: a randomised controlled experiment. BMJ Qual Saf. 2020;29(7):…
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psnet.ahrq.gov/node/847050/psn-pdf
April 05, 2023 - CHaMP: A model for building a center to support health
care worker well-being after experiencing an adverse
event.
April 5, 2023
McIntosh MS, Garvan C, Kalynych CJ, et al. CHaMP: A model for building a center to support health care
worker well-being after experiencing an adverse event. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/node/36524/psn-pdf
May 31, 2011 - A human factors engineering paradigm for patient safety:
designing to support the performance of the healthcare
professional.
May 31, 2011
Karsh B-T, Holden RJ, Alper SJ, et al. A human factors engineering paradigm for patient safety: designing
to support the performance of the healthcare professional. Qual Saf He…
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psnet.ahrq.gov/node/36003/psn-pdf
March 28, 2011 - The "To Err Is Human Report" and the patient safety
literature.
March 28, 2011
Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature.
Qual Saf Health Care. 2006;15(3):174-8.
https://psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature
This study …
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psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - A National Trauma Care System: Integrating Military and
Civilian Trauma Systems to Achieve Zero Preventable
Deaths After Injury.
October 21, 2016
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press;
2016.
https://psnet.ahrq.gov/issue/national-trauma-care-system-inte…
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psnet.ahrq.gov/node/35872/psn-pdf
September 07, 2011 - Improving ambulatory prescribing safety with a handheld
decision support system: a randomized controlled trial.
September 7, 2011
Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision
support system: a randomized controlled trial. J Am Med Inform Assoc. 2006;13(2):17…
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psnet.ahrq.gov/node/72627/psn-pdf
January 13, 2021 - Creating a framework to integrate residency program and
medical center approaches to quality improvement and
patient safety training
January 13, 2021
Chen A, Wolpaw BJ, Vande Vusse LK, et al. Creating a framework to integrate residency program and
medical center approaches to quality improvement and patient safety…
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psnet.ahrq.gov/node/60593/psn-pdf
June 17, 2020 - Failure to follow medication changes made at hospital
discharge is associated with adverse events in 30 days.
June 17, 2020
Weir DL, Motulsky A, Abrahamowicz M, et al. Failure to follow medication changes made at hospital
discharge is associated with adverse events in 30 days. Health Serv Res. 2020;55(4):512-523.
…
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psnet.ahrq.gov/node/40119/psn-pdf
January 05, 2011 - Effects of learning climate and registered nurse staffing
on medication errors.
January 5, 2011
Chang YK, Mark BA. Effects of Learning Climate and Registered Nurse Staffing on Medication Errors. Nurs
Res. 2010;60(1). doi:10.1097/nnr.0b013e3181ff73cc.
https://psnet.ahrq.gov/issue/effects-learning-climate-and-regist…
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psnet.ahrq.gov/node/36380/psn-pdf
February 28, 2011 - Graduate medical education and patient safety: a busy--
and occasionally hazardous--intersection.
February 28, 2011
Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and
occasionally hazardous--intersection. Ann Intern Med. 2006;145(8):592-8.
https://psnet.ahrq.gov/issue/gra…
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psnet.ahrq.gov/node/36867/psn-pdf
August 31, 2011 - Multidisciplinary approach to inpatient medication
reconciliation in an academic setting.
August 31, 2011
Varkey P, Cunningham J, O'Meara J, et al. Multidisciplinary approach to inpatient medication reconciliation
in an academic setting. Am J Health Syst Pharm. 2007;64(8):850-4.
https://psnet.ahrq.gov/issue/multid…
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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…