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psnet.ahrq.gov/node/41123/psn-pdf
February 08, 2012 - Patient Safety.
February 8, 2012
Bagian JP. Health care and patient safety: The failure of traditional approaches - how human factors and
ergonomics can and MUST help. Human Factors and Ergonomics in Manufacturing & Service Industries.
2011;22(1). doi:10.1002/hfm.20261.
https://psnet.ahrq.gov/issue/patient-safety-…
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psnet.ahrq.gov/node/39310/psn-pdf
April 01, 2010 - Some unintended effects of teamwork in healthcare.
April 1, 2010
Finn R, Learmonth M, Reedy P. Some unintended effects of teamwork in healthcare. Soc Sci Med.
2010;70(8):1148-54. doi:10.1016/j.socscimed.2009.12.025.
https://psnet.ahrq.gov/issue/some-unintended-effects-teamwork-healthcare
This study explores the di…
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psnet.ahrq.gov/node/37397/psn-pdf
January 16, 2008 - The Selective Attention Task.
January 16, 2008
Simons DJ. Visual Cognition Lab. Champaign, IL: University of Illinois; 2010.
https://psnet.ahrq.gov/issue/selective-attention-task
This instructional tool, commonly known as the "gorilla video," illustrates the importance of selective
attention theories. These theori…
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psnet.ahrq.gov/node/50584/psn-pdf
October 23, 2019 - Unprotected: broken promises in Georgia’s senior care
industry.
October 23, 2019
Schrade B, Teegardin C. Atlanta Journal-Constitution. Sept-October 2019.
https://psnet.ahrq.gov/issue/unprotected-broken-promises-georgias-senior-care-industry
Assisted living facilities have challenges that reduce the quality and saf…
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psnet.ahrq.gov/node/40452/psn-pdf
May 11, 2011 - The novice nurse and clinical decision-making: how to
avoid errors.
May 11, 2011
Saintsing D, Gibson LM, Pennington AW. The novice nurse and clinical decision-making: how to avoid
errors. J Nurs Manag. 2011;19(3):354-9. doi:10.1111/j.1365-2834.2011.01248.x.
https://psnet.ahrq.gov/issue/novice-nurse-and-clinical-de…
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psnet.ahrq.gov/node/42480/psn-pdf
August 07, 2013 - A multi-tiered approach to safety education.
August 7, 2013
Oates K, Sammut J, Kennedy P. A multi-tiered approach to safety education. Clin Teach. 2013;10(4):214-
8. doi:10.1111/tct.12037.
https://psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
This commentary describes an initiative that incorporated …
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psnet.ahrq.gov/node/37184/psn-pdf
October 06, 2011 - Establishing a simulation center for surgical skills: what
to do and how to do it.
October 6, 2011
Haluck RS, Satava RM, Fried G, et al. Establishing a simulation center for surgical skills: what to do and
how to do it.
https://psnet.ahrq.gov/issue/establishing-simulation-center-surgical-skills-what-do-and-how-do-…
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psnet.ahrq.gov/node/41908/psn-pdf
December 05, 2012 - Accident prevention in day-to-day clinical radiation
therapy practice.
December 5, 2012
Baeza M. Accident prevention in day-to-day clinical radiation therapy practice. Ann ICRP. 2012;41(3-
4):179-87. doi:10.1016/j.icrp.2012.06.001.
https://psnet.ahrq.gov/issue/accident-prevention-day-day-clinical-radiation-therapy…
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psnet.ahrq.gov/node/38374/psn-pdf
July 28, 2013 - Medication errors and response bias: the tip of the
iceberg.
July 28, 2013
Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med
Assoc J. 2008;10(11):771-4.
https://psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
A very low response rate to …
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psnet.ahrq.gov/node/42241/psn-pdf
May 01, 2013 - Special Issue on Teamwork.
May 1, 2013
Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.
https://psnet.ahrq.gov/issue/special-issue-teamwork
Articles in this special issue explore theory-driven and simulation-based approaches to improve teamwork
in health care.
https://psnet.ahrq.gov/issue/special-…
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psnet.ahrq.gov/node/36307/psn-pdf
June 30, 2011 - Is "first do no harm" a lost concept in medical education?
June 30, 2011
O'Leary D. Is "first do no harm" a lost concept in medical education. MedGenMed. 2006;8(3):77.
https://psnet.ahrq.gov/issue/first-do-no-harm-lost-concept-medical-education
This commentary advocates for better patient safety training in medical…
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psnet.ahrq.gov/node/39971/psn-pdf
January 22, 2017 - Rapid response systems: from implementation to
evidence base.
January 22, 2017
Sarani B, Scott SD. Rapid response systems: from implementation to evidence base. Jt Comm J Qual
Patient Saf. 2010;36(11):514-7, 481.
https://psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base
This commentary revi…
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digital.ahrq.gov/location/usa-id-twin-falls
January 01, 2023 - USA, ID, Twin Falls
Rural Community Partnerships - Electronic Medical Record (EMR) Implementation Project
Description
Implemented an ambulatory EMR in multiple rural primary and specialist care provider settings and measures the impact of health information technology on clini…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/wheelchair-service_disposition-comments.pdf
January 01, 2012 - world-wide
agreement that the optimal service delivery team should
consist of a physiatrist or similarly trained … Perhaps the focus should be on the lack of trained
physicians being a barrier to this process. … Attaining a critical mass of trained medical professionals
and RTPs to serve the growing need of consumers
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
January 01, 2008 - Title Page
Grant Final Report
Grant ID: 1UC1HS015270
Improving Health Care Quality via
Information Technology
Inclusive Dates: 10/01/04 - 09/30/08
Principal Investigator:
Avis Hayden, Ph.D.
Team Members:
Jean Bacon, Ph.D.
Performing Organization:
Southwestern Vermont …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
April 20, 2008 - this need, the Accreditation Council for Graduate Medical Education16 has called
for residents to be trained
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/management-adhd-adults-protocol.pdf
June 10, 2024 - presence of co-interventions that are likely to
modify the effectiveness, and the presence of highly trained … screened by at least one human
literature reviewer and a DistillerSR software machine learning algorithm trained
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/management-adhd-adults-protocol-amendment.pdf
January 08, 2025 - presence of co-interventions that are likely to
modify the effectiveness, and the presence of highly trained … screened by at least one human
literature reviewer and a DistillerSR software machine learning algorithm trained
-
psnet.ahrq.gov/node/865466/psn-pdf
March 27, 2024 - suggested
that the future utility of AI is complex, but at minimum, as regulation develops, AI should be trained
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ludwick.pdf
June 21, 2004 - staff member who returned from an extended leave had
not been involved in the process changes nor trained