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  1. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet

    psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
    March 27, 2024 - Healthcare organizations would benefit from forming a multidisciplinary team consisting of data scientists … World Health Organization. Ethics and Governance of Artificial Intelligence for Health. … Geneva, Switzerland: World Health Organization; 2021. … Sarah Mossburg: In terms of strategies or practices for organizations that are integrating AI, would

  2. Learning from accidents—what more do we need to know? | PSNet

    psnet.ahrq.gov/issue/learning-accidents-what-more-do-we-need-know
    May 29, 2014 - Commentary Learning from accidents—what more do we need to know? Citation Text: Lindberg A-K, Hansson SO, Rollenhagen C. Learning from accidents – What more do we need to know? Saf Sci. 2010;48(6). doi:10.1016/j.ssci.2010.02.004. Copy Citation Format: DOI Google Scholar B…

  3. Video technology to advance safety in the operating room and perioperative environment. | PSNet

    psnet.ahrq.gov/issue/video-technology-advance-safety-operating-room-and-perioperative-environment
    April 27, 2010 - Commentary Video technology to advance safety in the operating room and perioperative environment. Citation Text: Xiao Y, Schimpff S, Mackenzie CF, et al. Video technology to advance safety in the operating room and perioperative environment. Surg Innov. 2007;14(1):52-61. Copy Citati…

  4. The science of human factors: separating fact from fiction. | PSNet

    psnet.ahrq.gov/issue/science-human-factors-separating-fact-fiction
    January 07, 2015 - Commentary The science of human factors: separating fact from fiction. Citation Text: Russ AL, Fairbanks RJ, Karsh B-T, et al. The science of human factors: separating fact from fiction. BMJ Qual Saf. 2013;22(10):802-8. doi:10.1136/bmjqs-2012-001450. Copy Citation Format: …

  5. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. | PSNet

    psnet.ahrq.gov/issue/enhancing-effectiveness-team-debriefings-medical-simulation-more-best-practices
    March 17, 2021 - Commentary Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Citation Text: Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3…

  6. Variation in surgical time-out and site marking within pediatric otolaryngology. | PSNet

    psnet.ahrq.gov/issue/variation-surgical-time-out-and-site-marking-within-pediatric-otolaryngology
    October 27, 2010 - Study Variation in surgical time-out and site marking within pediatric otolaryngology. Citation Text: Shah RK, Arjmand E, Roberson DW, et al. Variation in surgical time-out and site marking within pediatric otolaryngology. Arch Otolaryngol Head Neck Surg. 2011;137(1):69-73. doi:10.1001/a…

  7. Continuous improvement as an ideal in health care. | PSNet

    psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
    August 04, 2021 - Commentary Classic Continuous improvement as an ideal in health care. Citation Text: Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  8. Use of a surgical safety checklist to improve team communication. | PSNet

    psnet.ahrq.gov/issue/use-surgical-safety-checklist-improve-team-communication
    August 08, 2018 - Commentary Use of a surgical safety checklist to improve team communication. Citation Text: Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019. Copy Citation Format…

  9. Reducing interruptions to improve medication safety. | PSNet

    psnet.ahrq.gov/issue/reducing-interruptions-improve-medication-safety
    January 04, 2015 - Study Reducing interruptions to improve medication safety. Citation Text: Freeman R, McKee S, Lee-Lehner B, et al. Reducing interruptions to improve medication safety. J Nurs Care Qual. 2013;28(2):176-85. doi:10.1097/NCQ.0b013e318275ac3e. Copy Citation Format: DOI Google Sc…

  10. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
    November 16, 2016 - Commentary Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Citation Text: Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc N…

  11. The deterrent effect of tort law: evidence from medical malpractice reform. | PSNet

    psnet.ahrq.gov/issue/deterrent-effect-tort-law-evidence-medical-malpractice-reform
    July 26, 2017 - Study The deterrent effect of tort law: evidence from medical malpractice reform. Citation Text: Zabinski Z, Black BS. The deterrent effect of tort law: evidence from medical malpractice reform. J Health Econ. 2022;84:102638. doi:10.1016/j.jhealeco.2022.102638. Copy Citation Format…

  12. Retained surgical items and minimally invasive surgery. | PSNet

    psnet.ahrq.gov/issue/retained-surgical-items-and-minimally-invasive-surgery
    April 28, 2021 - Commentary Retained surgical items and minimally invasive surgery. Citation Text: Gibbs VC. Retained surgical items and minimally invasive surgery. World J Surg. 2011;35(7):1532-9. doi:10.1007/s00268-011-1060-4. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  13. An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/investigation-relationship-between-safety-climate-and-medication-errors-well-other-nurse-and
    June 26, 2019 - Study An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. Citation Text: Hofmann DA, Mark BA. AN INVESTIGATION OF THE RELATIONSHIP BETWEEN SAFETY CLIMATE AND MEDICATION ERRORS AS WELL AS OTHER NURSE AND PATIENT …

  14. What's the difference between a hospital and a bottling factory? | PSNet

    psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
    October 08, 2008 - Commentary What's the difference between a hospital and a bottling factory? Citation Text: Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727. Copy Citation Format: DOI Google Scholar BibTeX…

  15. Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. | PSNet

    psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-florida
    June 13, 2012 - Government Resource Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. Citation Text: Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. Washington, DC: VA Office of Inspector General; April 1…

  16. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
    October 28, 2020 - Commentary Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Citation Text: Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…

  17. Towards safer neonatal transfer: the importance of critical incident review. | PSNet

    psnet.ahrq.gov/issue/towards-safer-neonatal-transfer-importance-critical-incident-review
    October 02, 2019 - Study Towards safer neonatal transfer: the importance of critical incident review. Citation Text: Moss SJ. Towards safer neonatal transfer: the importance of critical incident review. Arch Dis Child. 2005;90(7). doi:10.1136/adc.2004.066639. Copy Citation Format: DOI Googl…

  18. Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. | PSNet

    psnet.ahrq.gov/issue/perceptions-medical-errors-cancer-care-analysis-how-news-media-describe-sentinel-events
    September 11, 2013 - Study Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. Citation Text: Li JW, Morway L, Velasquez A, et al. Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. J Patient Saf. 201…

  19. Why a sociotechnical framework is necessary to address diagnostic error. | PSNet

    psnet.ahrq.gov/issue/why-sociotechnical-framework-necessary-address-diagnostic-error
    September 14, 2022 - Commentary Why a sociotechnical framework is necessary to address diagnostic error. Citation Text: Ladell MM, Yale S, Bordini BJ, et al. Why a sociotechnical framework is necessary to address diagnostic error. BMJ Qual Saf. 2024;33(12):823-828. doi:10.1136/bmjqs-2024-017231. Copy Citat…

  20. Framing diagnostic error: an epidemiological perspective. | PSNet

    psnet.ahrq.gov/issue/framing-diagnostic-error-epidemiological-perspective
    January 12, 2022 - Review Framing diagnostic error: an epidemiological perspective. Citation Text: Hunter MK, Singareddy C, Mundt KA. Framing diagnostic error: an epidemiological perspective. Front Public Health. 2024;12:1479750. doi:10.3389/fpubh.2024.1479750. Copy Citation Format: DOI Googl…
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