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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73394/psn-pdf
    June 16, 2021 - Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care. June 16, 2021 Killin L, Hezam A, Anderson KK, et al. Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug ev…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72555/psn-pdf
    December 09, 2020 - Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. December 9, 2020 Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73299/psn-pdf
    May 19, 2021 - More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. May 19, 2021 ISMP Medication Safety Alert! Acute Care Edition. May 6, 2021;26(9):1-4. https://psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product- labeling-and-packaging Look-al…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60940/psn-pdf
    September 23, 2020 - Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. September 23, 2020 Joseph R, Lee SW, Anderson SV, et al. Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. Am J Health-System Pharm. 2020;77(15):1231-1236. doi:1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60732/psn-pdf
    July 29, 2020 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City. July 29, 2020 Juprasert JM, Gray KD, Moore MD, et al. Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons fro…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48076/psn-pdf
    July 24, 2019 - Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. July 24, 2019 Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Simul Healthc. 2019;14(4):209-216. do…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34701/psn-pdf
    January 04, 2017 - Making the business case for patient safety. January 4, 2017 Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4, 1. https://psnet.ahrq.gov/issue/making-business-case-patient-safety While the costs of medical error to patients are well appreciated, the direct costs…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44612/psn-pdf
    October 28, 2015 - Transitional chaos or enduring harm? The EHR and the disruption of medicine. October 28, 2015 Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. https://psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34660/psn-pdf
    December 24, 2008 - Building a learning organization. December 24, 2008 Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. https://psnet.ahrq.gov/issue/building-learning-organization Garvin, a Harvard Business School professor, postulates that for organizations to truly improve over time and succeed, they ne…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40184/psn-pdf
    December 29, 2014 - Non-emergency patient transport: what are the quality and safety issues? A systematic review. December 29, 2014 Hains IM, Marks A, Georgiou A, et al. Non-emergency patient transport: what are the quality and safety issues? A systematic review. Int J Qual Health Care. 2011;23(1):68-75. doi:10.1093/intqhc/mzq076. ht…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38600/psn-pdf
    October 03, 2017 - Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. October 3, 2017 Fukuda H, Imanaka Y. Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. J Eval Clin Pract. 2009;15(3):451-9. doi:10.1111/j.1365-2753.2008.01033.x. https…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36132/psn-pdf
    May 27, 2011 - Motion study in surgery. May 27, 2011 Gilbreth FB. Can J Med Surg. 1916:22-31. https://psnet.ahrq.gov/issue/motion-study-surgery This study was one of the first "time-motion" studies of physicians, and pioneered the application of human factors engineering and industrial principles to medical practice. The authors…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42446/psn-pdf
    May 19, 2014 - The Human Factors Analysis Classification System (HFACS) applied to health care. May 19, 2014 Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623. https://psnet.ahrq.gov/issue/human-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39185/psn-pdf
    January 06, 2010 - Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. January 6, 2010 Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;18(6):505-9. doi:10.1136/qshc.2007.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34930/psn-pdf
    April 06, 2011 - "Going solid": a model of system dynamics and consequences for patient safety. April 6, 2011 Cook R, Rasmussen J. "Going solid": a model of system dynamics and consequences for patient safety. Qual Saf Health Care. 2005;14(2):130-4. https://psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-pa…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836861/psn-pdf
    April 06, 2022 - How health systems decide to use artificial intelligence for clinical decision support. April 6, 2022 Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:10.1056/cat.21.0416. https://psnet…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74007/psn-pdf
    October 27, 2021 - The impact of hospital accreditation on the quality of healthcare: a systematic literature review. October 27, 2021 Hussein M, Pavlova M, Ghalwash M, et al. The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC Health Serv Res. 2021;21(1):1057. doi:10.1186/s12913-021…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837423/psn-pdf
    June 15, 2022 - Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study. June 15, 2022 Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes created by online and offline speech recogniti…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837148/psn-pdf
    May 18, 2022 - Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study. May 18, 2022 Tate K, McLane P, Reid C, et al. Assessing quality of older persons’ emergency transitions between long- term and acute care settings: a proof-of-concept study. BMJ Open Qual.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851193/psn-pdf
    July 05, 2023 - Overlapping surgery in arthroplasty - a systematic review and meta-analysis. July 5, 2023 Kim RG, An VVG, Lee SLK, et al. Overlapping surgery in arthroplasty – a systematic review and meta- analysis. Orthop Traumatol Surg Res. 2023;109(4):103299. doi:10.1016/j.otsr.2022.103299. https://psnet.ahrq.gov/issue/overlap…

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