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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38000/psn-pdf
    August 03, 2009 - The competitive imperative of learning. August 3, 2009 Edmondson A. The competitive imperative of learning. Harv Bus Rev. 2008;86(7-8):60-7, 160. https://psnet.ahrq.gov/issue/competitive-imperative-learning This article draws on experience analyzing team behavior in hospitals to discuss how learning processes can …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48041/psn-pdf
    July 10, 2019 - Accuracy of computer-aided diagnosis of melanoma: a meta-analysis. July 10, 2019 Dick V, Sinz C, Mittlböck M, et al. Accuracy of Computer-Aided Diagnosis of Melanoma. JAMA Dermatol. 2019;155(11):1291-1299. doi:10.1001/jamadermatol.2019.1375. https://psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-m…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866247/psn-pdf
    July 10, 2024 - Analysis of critical incident reports using natural language processing. July 10, 2024 Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health Technol Inform. 2024;313:1-6. doi:10.3233/shti240002. https://psnet.ahrq.gov/issue/analysis-critical-incident-reports-using…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38752/psn-pdf
    September 24, 2016 - Interruptions and geographic challenges to nurses' cognitive workload. September 24, 2016 Redding DA, Robinson S. Interruptions and geographic challenges to nurses' cognitive workload. J Nurs Care Qual. 2009;24(3):194-200; quiz 201-202. doi:10.1097/01.NCQ.0000356907.95076.31. https://psnet.ahrq.gov/issue/interrupt…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35020/psn-pdf
    June 22, 2009 - Surgical skill is predicted by the ability to detect errors. June 22, 2009 Bann S, Khan M, Datta V, et al. Surgical skill is predicted by the ability to detect errors. Am J Surg. 2005;189(4):412-5. https://psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors The investigators observed surgeons parti…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42799/psn-pdf
    December 04, 2013 - All can be lost: the risk of putting our knowledge in the hands of machines. December 4, 2013 Carr N. The Atlantic. November 2013. https://psnet.ahrq.gov/issue/all-can-be-lost-risk-putting-our-knowledge-hands-machines Increasingly, computerized systems are performing more complex tasks in high-risk industries like…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848383/psn-pdf
    May 03, 2023 - Burnout in Primary Care: Assessing and Addressing It in Your Practice. May 3, 2023 Gerteis J, Booker C, Brach C, et al. Rockville, MD:  Agency for Healthcare Research and Quality; February 2023. AHRQ Publication No. 23-0025. https://psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-pr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47775/psn-pdf
    April 03, 2019 - Reducing diagnostic errors worldwide through diagnostic management teams. April 3, 2019 Verna R, Velazquez AB, Laposata M. Reducing Diagnostic Errors Worldwide Through Diagnostic Management Teams. Ann Lab Med. 2019;39(2):121-124. doi:10.3343/alm.2019.39.2.121. https://psnet.ahrq.gov/issue/reducing-diagnostic-error…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33602/psn-pdf
    March 15, 2025 - fatigued or placed in situations in which they lack adequate training or supervision to perform a task
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33580/psn-pdf
    April 01, 2022 - Human factors engineering principles hold that when an individual is attempting a complex task, such … hospitalized patient, the work environment should be as conducive as possible to carrying out that task
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49479/psn-pdf
    April 01, 2005 - for specific problems, the technique scales poorly, since it is impractical to implement on paper task-specific … support, which alerts the user about a potential issue without diverting him or her from the current task
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863215/psn-pdf
    February 28, 2024 - Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. February 28, 2024 Gong Y, Chen Y. Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. Stud Health Technol Inform. 2024;310:324-328. doi:10.3233/shti230980. https://p…
  13. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
    September 01, 2006 - Spotlight Case September 2006 Spotlight Case September 2006 Triple Handoff Source and Credits This presentation is based on the September 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Arpana Vidyarthi, MD, UCSF Sc…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60840/psn-pdf
    August 26, 2020 - Role of artificial intelligence in patient safety outcomes: systematic literature review. August 26, 2020 Choudhury A, Asan O. Role of artificial intelligence in patient safety outcomes: systematic literature review. JMIR Med Inform. 2020;8(7):e18599. doi:10.2196/18599. https://psnet.ahrq.gov/issue/role-artificial…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843325/psn-pdf
    February 01, 2023 - Untenable expectations: nurses' work in the context of medication administration, error, and the organization. February 1, 2023 Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Glob Qual Nurs Res. 2022;9:233339362211317. doi:10.117…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73112/psn-pdf
    April 07, 2021 - Smartphone distraction during nursing care: systematic literature review. April 7, 2021 Fiorinelli M, Di Mario S, Surace A, et al. Smartphone distraction during nursing care: systematic literature review. Appl Nurs Res. 2021;58:151405. doi:10.1016/j.apnr.2021.151405. https://psnet.ahrq.gov/issue/smartphone-distrac…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40927/psn-pdf
    November 16, 2011 - Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure." November 16, 2011 Covinsky KE, Pierluissi E, Johnston B. Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure". JAMA. 2011;306(16):1782-93. doi:10.1001/jama.2011.1556. https://psnet.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43152/psn-pdf
    May 07, 2014 - The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. May 7, 2014 Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. J Perioper Pract. 2014;24(3):56-58. https://psnet.ahrq.gov/issue/trainees-voice-recog…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856588/psn-pdf
    November 29, 2023 - It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. November 29, 2023 Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. J Contingencies Cr…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74097/psn-pdf
    November 24, 2021 - Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. November 24, 2021 De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.0257508. https://psnet.ahrq.gov/iss…

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