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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37758/psn-pdf
    March 10, 2011 - Informatics opportunities: the intersection of patient safety and clinical informatics. March 10, 2011 Kilbridge PM, Classen D. The informatics opportunities at the intersection of patient safety and clinical informatics. J Am Med Inform Assoc. 2008;15(4):397-407. doi:10.1197/jamia.M2735. https://psnet.ahrq.gov/is…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41525/psn-pdf
    July 18, 2012 - Effect of clinical decision-support systems: a systematic review. July 18, 2012 Bright TJ, Wong A, Dhurjati R, et al. Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157(1):29-43. doi:10.7326/0003-4819-157-1-201207030-00450. https://psnet.ahrq.gov/issue/effect-clinical-decisi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34782/psn-pdf
    November 01, 2016 - When systems fail. November 1, 2016 Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090- 2616(01)00025-0. https://psnet.ahrq.gov/issue/when-systems-fail This review provides a detailed account of managerial causes of failure and managerial failure prevention strategies. The aut…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37872/psn-pdf
    January 11, 2017 - The effectiveness of root cause analysis: what does the literature tell us? January 11, 2017 Percarpio KB, Watts V, Weeks WB. The effectiveness of root cause analysis: what does the literature tell us? Jt Comm J Qual Patient Saf. 2008;34(7):391-8. https://psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34082/psn-pdf
    July 21, 2009 - Microsystems in health care: Part 2. Creating a rich information environment. July 21, 2009 Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information environment. Jt Comm J Qual Patient Saf. 2003;29(1):5-15. https://psnet.ahrq.gov/issue/microsystems-health-care-part-2-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74102/psn-pdf
    January 01, 2022 - Workforce planning and safe workload in sterile compounding hospital pharmacy services. November 24, 2021 Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379. https://psnet…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50675/psn-pdf
    November 20, 2019 - A systematic review of natural language processing for classification tasks in the field of incident reporting and adverse event analysis. November 20, 2019 Young IJB, Luz S, Lone N. A systematic review of natural language processing for classification tasks in the field of incident reporting and adverse event ana…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60557/psn-pdf
    January 01, 2021 - Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. June 3, 2020 Huth K, Stack AM, Hatoun J, et al. Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. BMJ Qual Saf. 2021;30(3):208-215. doi:10.1136/bmjqs-2019-010540. https://psnet.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72703/psn-pdf
    February 03, 2021 - Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. February 3, 2021 Hedsköld M, Sachs MA, Rosander T, et al. Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety wor…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60621/psn-pdf
    June 24, 2020 - Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. June 24, 2020 Sweet W, Snyder D, Raymond M. Design and implementation of the infection prevention program into risk management: Managing high level disin…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40599/psn-pdf
    November 23, 2011 - Organizational climate determinants of resident safety culture in nursing homes. November 23, 2011 Arnetz JE, Zhdanova LS, Elsouhag D, et al. Organizational climate determinants of resident safety culture in nursing homes. Gerontologist. 2011;51(6):739-49. doi:10.1093/geront/gnr053. https://psnet.ahrq.gov/issue/or…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39439/psn-pdf
    May 10, 2010 - Improving insulin distribution and administration safety using Lean Six Sigma methodologies. May 10, 2010 Yamamoto J, Abraham D, Malatestinic B. Improving Insulin Distribution and Administration Safety Using Lean Six Sigma Methodologies. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-212. https://psnet.ahrq.gov/issue…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43844/psn-pdf
    January 21, 2015 - Unintended side effects: arbitration and the deterrence of medical error. January 21, 2015 Shieh D. N Y Univ Law Rev. 2014;89:1806-1835. https://psnet.ahrq.gov/issue/unintended-side-effects-arbitration-and-deterrence-medical-error This commentary explores the role of medical malpractice arbitration as a deterrent …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42974/psn-pdf
    September 07, 2016 - Chemotherapy drug shortages in pediatric oncology: a consensus statement. September 7, 2016 Decamp M, Joffe S, Fernandez C, et al. Chemotherapy drug shortages in pediatric oncology: a consensus statement. Pediatrics. 2014;133(3):e716-24. doi:10.1542/peds.2013-2946. https://psnet.ahrq.gov/issue/chemotherapy-drug-sh…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38352/psn-pdf
    June 14, 2011 - Developing a tool for assessing competency in root cause analysis. June 14, 2011 Gupta P, Varkey P. Developing a tool for assessing competency in root cause analysis. Jt Comm J Qual Patient Saf. 2009;35(1):36-42. https://psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis Root cause anal…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38613/psn-pdf
    May 20, 2009 - Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. May 20, 2009 Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00268-009-9952-2. https://psnet.ahrq.go…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37477/psn-pdf
    January 16, 2008 - Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. January 16, 2008 Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. J Nurs Adm. 2008;38(1):27-32. do…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37857/psn-pdf
    May 26, 2011 - The impact of computerized physician medication order entry in hospitalized patients—a systematic review. May 26, 2011 Eslami S, de Keizer NF, Abu-Hanna A. The impact of computerized physician medication order entry in hospitalized patients--a systematic review. Int J Med Inform. 2008;77(6):365-76. https://psnet.a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37416/psn-pdf
    March 28, 2012 - The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. March 28, 2012 McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40113/psn-pdf
    December 21, 2014 - Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time. December 21, 2014 Stepaniak PS, Vrijland WW, de Quelerij M, et al. Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time. Arch S…

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