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  1. psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
    June 14, 2023 - Study Analysis of critical incident reports using natural language processing. Citation Text: Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health Technol Inform. 2024;313:1-6. doi:10.3233/shti240002. Copy Citation Format: …
  2. psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands
    June 16, 2021 - Commentary Patient safety and the problem of many hands. Citation Text: Dixon-Woods M, Pronovost P. Patient safety and the problem of many hands. BMJ Qual Saf. 2016;25(7):485-488. doi:10.1136/bmjqs-2016-005232. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …
  3. psnet.ahrq.gov/issue/encouraging-patients-speak-about-problems-cancer-care
    March 11, 2013 - Study Encouraging patients to speak up about problems in cancer care. Citation Text: Mazor KM, Kamineni A, Roblin DW, et al. Encouraging patients to speak up about problems in cancer care. J Patient Saf. 2021;17(8):e1278-e1284. doi:10.1097/pts.0000000000000510. Copy Citation Format…
  4. psnet.ahrq.gov/issue/espen-guideline-hospital-nutrition
    February 17, 2015 - Organizational Policy/Guidelines ESPEN guideline on hospital nutrition. Citation Text: Thibault R, Abbasoglu O, Ioannou E, et al. ESPEN guideline on hospital nutrition. Clin Nutr. 2021;40(12):5684-5709. doi:10.1016/j.clnu.2021.09.039. Copy Citation Format: DOI Google Schola…
  5. psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
    November 29, 2023 - Book/Report Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. Citation Text: Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …
  6. psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
    April 12, 2023 - Despite advances in electronic health record (EHR) capabilities, EHR interoperability to allow sharing … to assist with information exchange (i.e., templates, electronic health information exchange, shared electronichealth records); what, if any, communication guidelines exist (i.e., timeliness of communication prior
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49742/psn-pdf
    September 01, 2015 - A Fumbled Handoff to Inpatient Rehab September 1, 2015 Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab The Case An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…
  8. psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
    April 24, 2024 - nurses face special challenges related to being unfamiliar with the facility and other things, like the electronichealth record, medication storage, supplies, or the code cart. … However, care settings with high agency nurse use tend to have lower ratings for work environment. 8 Electronichealth records are another work environment factor that may mitigate patient safety risks. … It is possible that standardizing parts of the electronic health record across systems could reduce access
  9. psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
    March 30, 2016 - safety standards contributing to this error, there are further considerations related to the use of the electronichealth record (EHR) for chemotherapy ordering.
  10. psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
    April 24, 2024 - However, care settings with high agency nurse use tend to have lower ratings for work environment. 8 Electronichealth records are another work environment factor that may mitigate patient safety risks. … It is possible that standardizing parts of the electronic health record across systems could reduce access … nurses face special challenges related to being unfamiliar with the facility and other things, like the electronichealth record, medication storage, supplies, or the code cart.
  11. psnet.ahrq.gov/curated-article-libraries
    March 14, 2025 - Coding and Radiofrequency ID Tagging (2) Clinical Information Systems (3) ElectronicHealth Records (2) Computerized Adverse Event Detection (3) Computerized
  12. psnet.ahrq.gov/issue/program-provide-clinicians-feedback-their-diagnostic-performance-learning-health-system
    October 12, 2022 - Study A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Citation Text: Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J …
  13. psnet.ahrq.gov/issue/factors-affect-opioid-quality-improvement-initiatives-primary-care-insights-ten-health
    November 03, 2021 - Study Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. Citation Text: Childs E, Tano CA, Mikosz CA, et al. Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. Jt Comm J …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33636/psn-pdf
    July 01, 2006 - As organizations move toward electronic medical records and computerized provider order entry, the safety
  15. psnet.ahrq.gov/issue/patient-safety-and-sense-security-when-telemonitoring-chronic-conditions-home-views-patients
    August 21, 2024 - Study Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study. Citation Text: Ekstedt M, Nordheim ES, Hellström A, et al. Patient safety and sense of security when telemonitoring chronic…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33764/psn-pdf
    April 01, 2014 - The electronic medical record has given patients at least the possibility of ubiquitous access to their
  17. psnet.ahrq.gov/web-mm/returning-home-safely
    December 22, 2018 - One essential tool is an electronic health record (EHR) template that (i) embeds transition planning … are more likely to be reliable providers of high-quality transitional care when they are armed with electronichealth record tools and other organizational supports.
  18. psnet.ahrq.gov/issue/medication-errors-pediatric-liquid-acetaminophen-after-standardization-concentration-and
    May 19, 2021 - Study Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. Citation Text: Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After Standardization of Concentration and Packagi…
  19. psnet.ahrq.gov/issue/overcoming-barriers-implementation-pharmacy-bar-code-scanning-system-medication-dispensing
    October 25, 2010 - Commentary Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study. Citation Text: Nanji KC, Cina J, Patel N, et al. Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensi…
  20. psnet.ahrq.gov/issue/nurses-clinical-reasoning-practices-support-safe-medication-administration-integrative-review
    October 19, 2022 - Review Nurses' clinical reasoning practices that support safe medication administration: an integrative review of the literature. Citation Text: Rohde E, Domm E. Nurses' clinical reasoning practices that support safe medication administration: An integrative review of the literature. J C…

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