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6441. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72591/psn-pdf
      December 23, 2020 - Bias and racism teaching rounds at an academic medical center. December 23, 2020 Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073. https://psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-c…

6442. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60800/psn-pdf
      January 01, 2021 - Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention. August 12, 2020 Linnander EL, McNatt Z, Boehmer K, et al. Changing hospital organisational culture for improved patient outcomes: developing and implementing the leadership s…

6443. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46519/psn-pdf
      December 22, 2018 - Delirium in hospitalized older adults. December 22, 2018 Marcantonio ER. Delirium in Hospitalized Older Adults. N Engl J Med. 2017;377(15):1456-1466. doi:10.1056/NEJMcp1605501. https://psnet.ahrq.gov/issue/delirium-hospitalized-older-adults Delirium is considered a patient safety problem that can be prevented with…

6444. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33927/psn-pdf
      June 23, 2015 - Errors, incidents and accidents in anaesthetic practice. June 23, 2015 Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5):506-19. https://psnet.ahrq.gov/issue/errors-incidents-and-accidents-anae…

6445. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60604/psn-pdf
      June 17, 2020 - The limits of current A.I. in health care: patient safety policing in hospitals. June 17, 2020 Furrow BR. NE Univ Law Rev. 2020;12(1):1-55. https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals Artificial intelligence (AI) has the potential to improve the use of big data to e…

6446. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836833/psn-pdf
      March 30, 2022 - As a nurse faces prison for a deadly error, her colleagues worry: could I be next? March 30, 2022 Kelman B. Kaiser Health News. March 22, 2022 https://psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next Criminalization of medical mistakes typifies the blame-focused approach pa…

6447. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46090/psn-pdf
      December 22, 2018 - More than a tick box: medical checklist development, design, and use. December 22, 2018 Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286. https://psnet.ahrq.gov/issue/more-tick-box-medi…

6448. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47464/psn-pdf
      October 17, 2018 - How to prevent the top 4 medication errors. October 17, 2018 Sederstrom J. Drug Topics. September 17, 2018. https://psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors Medication errors continue to be a worldwide patient safety challenge that requires both systems and individual practice strategies for improv…

6449. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50425/psn-pdf
      September 04, 2019 - Why doctors still offer treatments that may not help. September 4, 2019 Frakt A. New York Times. August 26, 2019. https://psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help The slow adoption of improvement innovations is a persistent challenge to high-quality and safe patient care. This newspaper…

6450. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854265/psn-pdf
      October 04, 2023 - Can AI help doctors come up with better diagnoses? October 4, 2023 Landro L. Wall Street Journal. September 24, 2023. https://psnet.ahrq.gov/issue/can-ai-help-doctors-come-better-diagnoses Artificial intelligence (AI) is being considered as a strong contender in the effort to reduce harmful diagnostic error, but c…

6451. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73415/psn-pdf
      June 23, 2021 - Patient safety in dermatology: a ten-year update. June 23, 2021 Patel J, Otto E, Taylor JS, et al. Dermatol Online J. 2021;27(3). https://psnet.ahrq.gov/issue/patient-safety-dermatology-ten-year-update In an update to their 2010 article, this review’s authors summarized the patient safety literature in dermatology…

6452. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44333/psn-pdf
      July 15, 2015 - One hospital's initiatives to encourage safe opioid use. July 15, 2015 Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. https://psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use This commentar…

6453. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47632/psn-pdf
      April 10, 2019 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. April 10, 2019 Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …

6454. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46336/psn-pdf
      August 23, 2017 - Improving the Working Environment for Safe Surgical Care. August 23, 2017 Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017. https://psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care Surgical training is demanding and can r…

6455. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46524/psn-pdf
      October 18, 2017 - Pressure Injury Prevention in Hospitals Training Program. October 18, 2017 Rockville, MD: Agency for Healthcare Research and Quality; September 2017. https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program Pressure ulcers are a common hospital-acquired condition that can lead to patient h…

6456. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42010/psn-pdf
      December 21, 2014 - Impact of attending physician workload on patient care: a survey of hospitalists. December 21, 2014 Michtalik HJ, Yeh H-C, Pronovost P, et al. Impact of attending physician workload on patient care: a survey of hospitalists. JAMA Intern Med. 2013;173(5):375-7. doi:10.1001/jamainternmed.2013.1864. https://psnet.ahr…

6457. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47289/psn-pdf
      October 24, 2018 - ASHP guidelines on managing drug product shortages. October 24, 2018 Fox ER, McLaughlin MM. ASHP guidelines on managing drug product shortages. Am J Health Syst Pharm. 2018;75(21):1742-1750. doi:10.2146/ajhp180441. https://psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages Drug shortages are a pe…

6458. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43772/psn-pdf
      June 24, 2019 - Betsy Lehman Center for Patient Safety. June 24, 2019 501 Boylston Street, 5th Floor, Boston, MA, 02116 info@BetsyLehmanCenterMA.gov https://psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety The Betsy Lehman Center is a nonregulatory Massachusetts state agency named for Betsy Lehman, the Boston Globe columni…

6459. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46384/psn-pdf
      November 14, 2018 - Peggy Lillis Foundation. November 14, 2018 266 12th Street #6, Brooklyn, NY 11215. https://psnet.ahrq.gov/issue/peggy-lillis-foundation Clostridium difficile infections are considered a serious hospital-acquired infection. This grassroots foundation employs educational, policy, and advocacy strategies aimed at red…

6460. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37754/psn-pdf
      May 14, 2008 - Potentially inappropriate medication use in hospitalized elders. May 14, 2008 Rothberg MB, Pekow PS, Liu F, et al. Potentially inappropriate medication use in hospitalized elders. J Hosp Med. 2008;3(2):91-102. doi:10.1002/jhm.290. https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-hospitalized-e…