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  1. psnet.ahrq.gov/issue/critical-role-health-information-technology-safe-integration-behavioral-health-and-primary
    February 22, 2023 - Commentary The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care. Citation Text: Segal M, Giuffrida P, Possanza L, et al. The critical role of health information technology in the safe integration of behav…
  2. psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-discharge
    August 20, 2018 - Study Classic Association of changing hospital readmission rates with mortality rates after hospital discharge. Citation Text: Dharmarajan K, Wang Y, Lin Z, et al. Association of Changing Hospital Readmission Rates With Mortality Rates After Hospital Discharge. …
  3. psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
    August 18, 2021 - Study Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications. Citation Text: Wagner TH, Taylor T, Cowgill E, et al. Intended and unintended effects of large-scale adverse event disclosure: a controlled…
  4. psnet.ahrq.gov/issue/patient-outcomes-dose-reduction-or-discontinuation-long-term-opioid-therapy-systematic-review
    April 08, 2019 - Review Classic Patient outcomes in dose reduction or discontinuation of long-term opioid therapy: a systematic review. Citation Text: Frank JW, Lovejoy TI, Becker WC, et al. Patient Outcomes in Dose Reduction or Discontinuation of Long-Term Opioid Therapy: A Sys…
  5. psnet.ahrq.gov/issue/association-label-drug-use-and-adverse-drug-events-adult-population
    February 03, 2011 - Study Classic Association of off-label drug use and adverse drug events in an adult population. Citation Text: Eguale T, Buckeridge DL, Verma A, et al. Association of Off-label Drug Use and Adverse Drug Events in an Adult Population. JAMA Intern Med. 2016;176(1)…
  6. psnet.ahrq.gov/issue/leaders-and-followers-individual-experiences-during-early-phase-simulation-based-team
    January 18, 2011 - Study Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. Citation Text: Meurling L, Hedman L, Felländer-Tsai L, et al. Leaders' and followers' individual experiences during the early phase of simulation-based t…
  7. psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system
    April 07, 2021 - Study A prospective controlled trial of an electronic hand hygiene reminder system. Citation Text: Ellison RT, Barysauskas CM, Rundensteiner EA, et al. A Prospective Controlled Trial of an Electronic Hand Hygiene Reminder System. Open Forum Infect Dis. 2015;2(4):ofv121. doi:10.1093/ofid/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38317/psn-pdf
    September 01, 2016 - Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. September 1, 2016 Lo HG, Matheny ME, Seger DL, et al. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. J Am Med Inform Assoc. 2009;16(1):66-71. doi:10.1197/jamia.M2687. https://psnet.ahrq.go…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46271/psn-pdf
    January 30, 2018 - Debiasing health-related judgments and decision making: a systematic review. January 30, 2018 Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review. Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672. https://psnet.ahrq.gov/issue/debiasing-health-related-jud…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37365/psn-pdf
    March 04, 2011 - Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. March 4, 2011 Slonim A, Marcin JP, Turenne W, et al. Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. Health Serv Res. 2007;42(6 Pt 1):2275-9…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74196/psn-pdf
    December 15, 2021 - Adverse glycemic events and critical emergencies. December 15, 2021 ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. https://psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies Insulin is a high-alert medication that requires extra attention to safely manage blood sugar …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45925/psn-pdf
    April 19, 2017 - All consumer medication information is not created equal: implications for medication safety. April 19, 2017 Monkman H, Kushniruk AW. All Consumer Medication Information Is Not Created Equal: Implications for Medication Safety. Stud Health Technol Inform. 2017;234:233-237. https://psnet.ahrq.gov/issue/all-consumer…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46551/psn-pdf
    October 25, 2017 - Inpatient notes: diagnostic excellence starts with an incessant watch. October 25, 2017 Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447. https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73100/psn-pdf
    March 31, 2021 - Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine. March 31, 2021 Fed Register. 2021;86(51):14752-14753. https://psnet.ahrq.gov/issue/public-comment-period-extended-strategies-improve-patient-safety-d…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45275/psn-pdf
    November 01, 2017 - Electronic tools to support medication reconciliation—a systematic review. November 1, 2017 Marien S, Krug B, Spinewine A. Electronic tools to support medication reconciliation: a systematic review. J Am Med Inform Assoc. 2017;24(1):227-240. doi:10.1093/jamia/ocw068. https://psnet.ahrq.gov/issue/electronic-tools-s…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38509/psn-pdf
    April 01, 2009 - Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. April 1, 2009 Pape H-C, Pfeifer R. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. Patient Saf Surg. 2009;3(1):…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72573/psn-pdf
    December 16, 2020 - Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers. December 16, 2020 Gui JL, Nemergut EC, Forkin KT. Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72662/psn-pdf
    January 20, 2021 - Interventions to engage patients and families in patient safety: a systematic review. January 20, 2021 Lee M, Lee N-J, Seo H-J, et al. Interventions to Engage Patients and Families in Patient Safety: A Systematic Review. West J Nurs Res. 2021;43(10):972-983. doi:10.1177/0193945920980770. https://psnet.ahrq.gov/iss…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850349/psn-pdf
    June 14, 2023 - Cognitive biases in internal medicine: a scoping review. June 14, 2023 Loncharich MF, Robbins RC, Durning SJ, et al. Cognitive biases in internal medicine: a scoping review. Diagnosis (Berl). 2023;10(3):205-214. doi:10.1515/dx-2022-0120. https://psnet.ahrq.gov/issue/cognitive-biases-internal-medicine-scoping-review…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852278/psn-pdf
    August 09, 2023 - Identifying failure modes in telemedicine: an instructional needs assessment. August 9, 2023 Monkman H, Kuziemsky C, Homco J, et al. Identifying failure modes in telemedicine: an instructional needs assessment. Stud Health Technol Inform. 2023;304:39-43. doi:10.3233/shti230365. https://psnet.ahrq.gov/issue/identif…

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