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  1. 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60292/psn-pdf
    May 06, 2020 - Overcoming COVID-19: what can human factors and ergonomics offer? May 6, 2020 Gurses AP, Tschudy MM, McGrath-Morrow S, et al. Overcoming COVID-19: what can human factors and ergonomics offer? J Patient Saf Risk Manag. 2020;25(2):49-54. doi:10.1177/2516043520917764. https://psnet.ahrq.gov/issue/overcoming-covid-19-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46319/psn-pdf
    August 09, 2017 - Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. August 9, 2017 Office of the Inspector General. Washington, DC: US Department of Health and Human Services; July 2017. Report No. OEI-02-17-00250. https://psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34013/psn-pdf
    December 22, 2008 - Defining and measuring patient safety. December 22, 2008 Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin. 2005;21(1):1-19, vii. https://psnet.ahrq.gov/issue/defining-and-measuring-patient-safety This review discusses the increasing demand for improving patient…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73491/psn-pdf
    July 14, 2021 - Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. July 14, 2021 Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. Jt Comm J Qual Patient Saf. 2021…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47636/psn-pdf
    December 12, 2018 - Learning from tragedy: the Julia Berg story. December 12, 2018 Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067. https://psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story This commentary provides a clinical review of …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38098/psn-pdf
    March 03, 2011 - Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study. March 3, 2011 Derkx HP, Rethans J-JE, Muijtjens AM, et al. Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study. BMJ. 2008;337:a1264. doi:10.1136/bmj.a126…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42922/psn-pdf
    April 12, 2014 - Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. April 12, 2014 Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. Jt Comm J Qual Patient S…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47108/psn-pdf
    June 06, 2018 - Cognitive bias in clinical practice—nurturing healthy skepticism among medical students. June 6, 2018 Bhatti A. Cognitive bias in clinical practice - nurturing healthy skepticism among medical students. Adv Med Educ Pract. 2018;9:235-237. doi:10.2147/AMEP.S149558. https://psnet.ahrq.gov/issue/cognitive-bias-clinic…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837961/psn-pdf
    August 31, 2022 - Risk reduction strategy to decrease incidence of retained surgical items. August 31, 2022 Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264. https://psnet.ahrq.gov/issue/risk-reduc…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47431/psn-pdf
    September 26, 2018 - Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. September 26, 2018 Kirby J, Cannon C, Darrah L, et al. Patient Exp J. 2018;5:76-90. https://psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce- pr…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44490/psn-pdf
    September 16, 2015 - Implementation of a custom alert to prevent medication- timing errors associated with computerized prescriber order entry. September 16, 2015 Idemoto LM, Williams BL, Ching JM, et al. Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. Am J Heal…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852282/psn-pdf
    August 09, 2023 - Implementation of medication reconciliation in outpatient cancer care. August 9, 2023 Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care. BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211. https://psnet.ahrq.gov/issue/implementation-medication-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47158/psn-pdf
    August 15, 2018 - A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. August 15, 2018 Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From Auditory Distractions in Resident Physicians. Simul Healthc. 2018;13(4):233-238. doi:10.1097/SIH.00…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50910/psn-pdf
    February 19, 2020 - SEIPS 3.0: human-centered design of the patient journey for patient safety. February 19, 2020 Carayon P, Wooldridge AR, Hoonakker P, et al. SEIPS 3.0: human-centered design of the patient journey for patient safety. App Ergon. 2020;84:103033. doi:10.1016/j.apergo.2019.103033. https://psnet.ahrq.gov/issue/seips-30-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47564/psn-pdf
    December 05, 2018 - Challenges and opportunities for improving patient safety through human factors and systems engineering. December 5, 2018 Carayon P, Wooldridge A, Hose B-Z, et al. Challenges And Opportunities For Improving Patient Safety Through Human Factors And Systems Engineering. Health Aff (Millwood). 2018;37(11):1862-1869. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46487/psn-pdf
    May 16, 2018 - High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. May 16, 2018 van Stralen D, Byrum SL, Inozu B. North Charleston, SC: CreateSpace Publishing; 2018. ISBN: 1974506371. https://psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-b…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34677/psn-pdf
    February 09, 2011 - Patients' and physicians' attitudes regarding the disclosure of medical errors. February 9, 2011 Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA. 2003;289(8):1001-7. https://psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regar…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837666/psn-pdf
    July 13, 2022 - Developing and aligning a safety event taxonomy for inpatient psychiatry. July 13, 2022 Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935. https://psnet.ahrq.gov/issue/developing-a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34761/psn-pdf
    November 15, 2016 - The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals. November 15, 2016 Robins NS. New York NY: Delacorte Press; 1995. ISBN: 9780385308090.  https://psnet.ahrq.gov/issue/girl-who-died-twice-every-patients-nightmare-libby-zion-case-and-hidden- hazards-hosp…

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