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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40052/psn-pdf
    December 08, 2010 - Electronic health records and adverse drug events after patient transfer. December 8, 2010 Boockvar KS, Livote EE, Goldstein N, et al. Electronic health records and adverse drug events after patient transfer. Qual Saf Health Care. 2010;19(5):e16. doi:10.1136/qshc.2009.033050. https://psnet.ahrq.gov/issue/electroni…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45988/psn-pdf
    April 24, 2018 - Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. April 24, 2018 Pannick S, Archer S, Johnston MJ, et al. Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. BMJ Open. 201…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36168/psn-pdf
    August 31, 2011 - Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people. August 31, 2011 Simon SR, Smith DH, Feldstein AC, et al. Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications i…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45882/psn-pdf
    June 28, 2017 - Early death after discharge from emergency departments: analysis of national US insurance claims data. June 28, 2017 Obermeyer Z, Cohn B, Wilson M, et al. Early death after discharge from emergency departments: analysis of national US insurance claims data. BMJ. 2017;356:j239. doi:10.1136/bmj.j239. https://psnet.a…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40189/psn-pdf
    February 02, 2011 - Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. February 2, 2011 Moniz TT, Seger AC, Keohane CA, et al. Addition of electronic prescription transmission to computerized prescriber order entry: Effect on dispensing errors …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37363/psn-pdf
    February 03, 2011 - Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital. February 3, 2011 Sharek PJ, Parast L, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children's Hospital. JAMA. 2007;298(19):2267-74. h…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47102/psn-pdf
    June 26, 2018 - Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system. June 26, 2018 Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a l…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47392/psn-pdf
    January 23, 2019 - Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. January 23, 2019 Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results o…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37327/psn-pdf
    March 03, 2011 - Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. March 3, 2011 Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical pati…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46110/psn-pdf
    January 01, 2019 - Examination of the relationship between management and clinician perception of patient safety climate and patient satisfaction. December 21, 2018 Mazurenko O, Richter J, Kazley AS, et al. Examination of the relationship between management and clinician perception of patient safety climate and patient satisfaction.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46645/psn-pdf
    January 23, 2019 - Emergency department contribution to the prescription opioid epidemic. January 23, 2019 Axeen S, Seabury SA, Menchine M. Emergency Department Contribution to the Prescription Opioid Epidemic. Ann Emerg Med. 2018;71(6):659-667.e3. doi:10.1016/j.annemergmed.2017.12.007. https://psnet.ahrq.gov/issue/emergency-departm…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47115/psn-pdf
    August 15, 2018 - Adverse events in hospitalized pediatric patients. August 15, 2018 Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients. Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360. https://psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients This study u…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45177/psn-pdf
    June 01, 2016 - Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review. June 1, 2016 Heneka N, Shaw T, Rowett D, et al. Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: A systematic review. Palliat Med. 2016;30(6):520…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40562/psn-pdf
    July 03, 2014 - Paid malpractice claims for adverse events in inpatient and outpatient settings. July 3, 2014 Bishop TF, Ryan AM, Ryan AK, et al. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427-31. doi:10.1001/jama.2011.813. https://psnet.ahrq.gov/issue/paid-malpractice-cla…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46454/psn-pdf
    August 20, 2018 - First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. August 20, 2018 Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISBN 9781947103108. https://psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic M…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43063/psn-pdf
    May 01, 2015 - More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. May 1, 2015 Hearing Before the Subcommittee on Primary Health and Aging, 113th Cong (July 17, 2014). https://psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety A group of patient safety…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39662/psn-pdf
    April 30, 2014 - Patient record review of the incidence, consequences, and causes of diagnostic adverse events. April 30, 2014 Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21. doi:10.1001/archinternmed.2010.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40239/psn-pdf
    February 23, 2011 - Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. February 23, 2011 Field T, Tjia J, Mazor KM, et al. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Am J Med. 2011;124(2):179.e1-7. doi:10.1016/j.amjmed.2010.09.017. htt…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40393/psn-pdf
    December 21, 2014 - Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. December 21, 2014 O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Med. 2011;171(7):678-684. doi:10.1001/archinternmed.2011.128. http…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46343/psn-pdf
    March 21, 2018 - Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. March 21, 2018 Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. BMJ Qual Saf.…