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psnet.ahrq.gov/node/38699/psn-pdf
June 17, 2009 - Mapping research on culture and safety in high-risk
organizations: arguments for a sociotechnical
understanding of safety culture.
June 17, 2009
Naevestad T-O. Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a
Sociotechnical Understanding of Safety Culture. J Contingencies Crisis M…
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psnet.ahrq.gov/node/41994/psn-pdf
March 11, 2013 - Does training with human patient simulation translate to
improved patient safety and outcome?
March 11, 2013
Shear TD, Greenberg SB, Tokarczyk A. Does training with human patient simulation translate to improved
patient safety and outcome? Curr Opin Anaesthesiol. 2013;26(2):159-63.
doi:10.1097/ACO.0b013e32835dc0af…
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psnet.ahrq.gov/node/42793/psn-pdf
December 04, 2013 - Radiation protection and dose monitoring in medical
imaging: a journey from awareness, through
accountability, ability and action … but where will we
arrive?
December 4, 2013
Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J
Patient Saf. 2013;9(4):232-238. doi:10…
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psnet.ahrq.gov/node/44363/psn-pdf
May 05, 2018 - Selection of incorrect medication pump leads to
chemotherapy overdose.
May 5, 2018
ISMP Canada. August 26, 2015;15:1-4.
https://psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose
Checklists are cognitive aids that help clinicians remember important steps to ensure safe practice. I…
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psnet.ahrq.gov/node/72514/psn-pdf
November 25, 2020 - AI is wrestling with a replication crisis.
November 25, 2020
Heaven WD. MIT Technology Review. November 12, 2020.
https://psnet.ahrq.gov/issue/ai-wrestling-replication-crisis
Lack of transparency of research and development processes are thought to undermine the value of
artificial intelligence (AI) and trust in i…
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psnet.ahrq.gov/node/60674/psn-pdf
July 08, 2020 - Sway: Unravelling Unconscious Bias
July 8, 2020
Agarwal P. London, UK: Bloomsbury Sigma; 2020. ISBN 9781472971357.
https://psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias
Implicit biases influence behavior and decision making. This publication discusses how a range of implicit
biases affect legal…
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psnet.ahrq.gov/node/37121/psn-pdf
March 09, 2009 - An innovative mobile approach for patient safety
services: the case of a Taiwan health care provider.
March 9, 2009
Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of
a Taiwan health care provider. Technovation. 2007;27(6-7). doi:10.1016/j.technovation.2006.12.00…
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psnet.ahrq.gov/node/50807/psn-pdf
January 15, 2020 - Artificial intelligence is rushing into patient care - and
could raise risks.
January 15, 2020
Szabo L. Scientific American and Kaiser Health News. December 24, 2019.
https://psnet.ahrq.gov/issue/artificial-intelligence-rushing-patient-care-and-could-raise-risks
Artificial intelligence (AI) has the potential to im…
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psnet.ahrq.gov/node/41098/psn-pdf
March 04, 2015 - Automated identification of extreme-risk events in clinical
incident reports.
March 4, 2015
Ong M-S, Magrabi F, Coiera E. Automated identification of extreme-risk events in clinical incident reports. J
Am Med Inform Assoc. 2012;19(e1):e110-8.
https://psnet.ahrq.gov/issue/automated-identification-extreme-risk-event…
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psnet.ahrq.gov/node/48136/psn-pdf
August 07, 2019 - Safe Practices for Drug Allergies—Using CDS and Health
IT.
August 7, 2019
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019.
https://psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
Inconsistent checking for and consideration of drug allergy alerts can d…
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psnet.ahrq.gov/node/46452/psn-pdf
November 15, 2017 - Quality Improvement.
November 15, 2017
Gupta M, Kaplan HC, eds. Clin Perinatol. 2017;44(3):469-728.
https://psnet.ahrq.gov/issue/quality-improvement
Improvement efforts in health care focus on quality and patient safety. Articles in this special issue explore
the complexities of providing effective perinatal–neona…
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psnet.ahrq.gov/node/41102/psn-pdf
February 01, 2012 - Medication administration errors for older people in long-
term residential care.
February 1, 2012
Szczepura A, Wild D, Nelson S. Medication administration errors for older people in long-term residential
care. BMC Geriatr. 2011;11:82. doi:10.1186/1471-2318-11-82.
https://psnet.ahrq.gov/issue/medication-administra…
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psnet.ahrq.gov/node/41896/psn-pdf
December 12, 2012 - Bar-code verification: reducing but not eliminating
medication errors.
December 12, 2012
Henneman PL, Marquard J, Fisher DL, et al. Bar-code verification: reducing but not eliminating medication
errors. J Nurs Adm. 2012;42(12):562-6. doi:10.1097/NNA.0b013e318274b545.
https://psnet.ahrq.gov/issue/bar-code-verificat…
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psnet.ahrq.gov/node/39966/psn-pdf
February 01, 2011 - Journey to no preventable risk: The Baylor Health Care
System patient safety experience.
February 1, 2011
Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System
patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.1177/1062860610374645.
https://psnet.ahr…
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psnet.ahrq.gov/node/42694/psn-pdf
August 02, 2015 - Compensation of chief executive officers at nonprofit US
hospitals.
August 2, 2015
Joynt KE, Le ST, Orav J, et al. Compensation of chief executive officers at nonprofit US hospitals. JAMA
Intern Med. 2014;174(1):61-7. doi:10.1001/jamainternmed.2013.11537.
https://psnet.ahrq.gov/issue/compensation-chief-executive-o…
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psnet.ahrq.gov/node/36495/psn-pdf
May 11, 2014 - Improving safety throughout the medication use process
in a neonatal intensive care unit.
May 11, 2014
Asdigha MN. Improving Safety Throughout the Medication Use Process in a Neonatal Intensive Care Unit.
Hosp Pharm. 2010;41(11):1067-1075. doi:10.1310/hpj4111-1067.
https://psnet.ahrq.gov/issue/improving-safety-thr…
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psnet.ahrq.gov/node/37576/psn-pdf
May 24, 2015 - Saving Lives, Saving Money: The Imperative for
Computerized Physician Order Entry in Massachusetts
Hospitals.
May 24, 2015
Adams M, Bates D, Coffman G, et al. Boston, MA: Massachusetts Technology Collaborative; New England
Healthcare Institute; February 2008.
https://psnet.ahrq.gov/issue/saving-lives-saving-money…
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psnet.ahrq.gov/node/34048/psn-pdf
May 27, 2011 - Computerized physician order entry: helpful or harmful?
May 27, 2011
Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc.
2004;11(2):100-3.
https://psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful
The authors critically review the published …
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psnet.ahrq.gov/node/839330/psn-pdf
November 02, 2022 - Diagnosis: Reducing Errors and Improving Quality.
November 2, 2022
Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine,
21e. New York, NY: McGraw Hill; 2022
https://psnet.ahrq.gov/issue/diagnosis-reducing-errors-and-improving-quality
The task of performing a …
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psnet.ahrq.gov/node/41040/psn-pdf
January 04, 2012 - Implementing an electronic medical record with
computerized prescriber order entry at a critical access
hospital.
January 4, 2012
Horning R. Implementing an electronic medical record with computerized prescriber order entry at a critical
access hospital. Am J Health Syst Pharm. 2011;68(23):2288-92. doi:10.2146/ajh…