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5801. Incidence and preventability of adverse drug events in hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-hospitalized-patients
      May 27, 2011 - Study Classic Incidence and preventability of adverse drug events in hospitalized patients. Citation Text: Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med. 1993;8(6):289-294. Copy Ci…

5802. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. | PSNet
      psnet.ahrq.gov/issue/parenteral-nutrition-prescribing-processes-using-computerized-prescriber-order-entry
      September 11, 2019 - Study Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. Citation Text: Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. JPEN …

5803. Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. | PSNet
      psnet.ahrq.gov/issue/increasing-reporting-adverse-events-improve-educational-value-morbidity-and-mortality
      February 04, 2016 - Study Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. Citation Text: McVeigh TP, Waters PS, Murphy R, et al. Increasing reporting of adverse events to improve the educational value of the morbidity and mortality confere…

5804. Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery. | PSNet
      psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-surgical-safety-checklists-cesarean
      May 18, 2022 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery. Citation Text: Combs CA, Einerson BD, Toner LE. Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean deliver…

5805. Safety in home care: a mapping review of the international literature. | PSNet
      psnet.ahrq.gov/issue/safety-home-care-mapping-review-international-literature
      February 10, 2012 - Review Safety in home care: a mapping review of the international literature. Citation Text: Harrison MB, Keeping-Burke L, Godfrey CM, et al. Safety in home care: a mapping review of the international literature. Int J Evid Based Healthc. 2013;11(3). doi:10.1111/1744-1609.12027. Copy C…

5806. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. | PSNet
      psnet.ahrq.gov/issue/comparison-traditional-trigger-tool-data-warehouse-based-screening-identifying-hospital
      June 11, 2010 - Study Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. Citation Text: O'Leary KJ, Devisetty VK, Patel AR, et al. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse ev…

5807. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49496/psn-pdf
      December 01, 2005 - Discharged Blindly December 1, 2005 Iezzoni LI. Discharged Blindly. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/discharged-blindly The Case An elderly blind man developed a deep vein thrombosis during his hospital stay. At discharge, he was to receive enoxaparin (Lovenox) for self-administration at home…

5808. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-391
      April 26, 2023 - Study Qualitative perspectives of emergency nurses on electronic health record

5809. Discrepancies between home medications listed at hospital admission and reported medical conditions. | PSNet
      psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and-reported-medical
      November 03, 2021 - Study Discrepancies between home medications listed at hospital admission and reported medical conditions. Citation Text: Slain D, Kincaid SE, Dunsworth TS. Discrepancies between home medications listed at hospital admission and reported medical conditions. Am J Geriatr Pharmacother.…

5810. Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade. | PSNet
      psnet.ahrq.gov/issue/interventions-reduce-pediatric-prescribing-errors-professional-healthcare-settings-systematic
      September 29, 2021 - Review Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade. Citation Text: Koeck JA, Young NJ, Kontny U, et al. Interventions to Reduce Pediatric Prescribing Errors in Professional Healthcare Settings: A Systema…

5811. Managing diagnostic uncertainty in primary care: a systematic critical review. | PSNet
      psnet.ahrq.gov/issue/managing-diagnostic-uncertainty-primary-care-systematic-critical-review
      February 15, 2017 - Review Managing diagnostic uncertainty in primary care: a systematic critical review. Citation Text: Alam R, Cheraghi-Sohi S, Panagioti M, et al. Managing diagnostic uncertainty in primary care: a systematic critical review. BMC Fam Pract. 2017;18(1):79. doi:10.1186/s12875-017-0650-0. …

5812. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. | PSNet
      psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
      June 16, 2021 - Review Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. Citation Text: McGraw C, Drennan VM. Evaluation of the suitability of root cause analysis frameworks for the i…

5813. Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/impact-automated-email-notification-system-results-tests-pending-discharge-cluster-randomized
      December 31, 2014 - Study Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. Citation Text: Dalal A, Roy CL, Poon EG, et al. Impact of an automated email notification system for results of tests pending at discharge: a cluster-r…

5814. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation. | PSNet
      psnet.ahrq.gov/issue/remote-assessment-real-world-surgical-safety-checklist-performance-using-or-black-box-multi
      March 17, 2021 - Study Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation. Citation Text: Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a mul…

5815. When the lights go down in the delivery room: lessons from a ransomware attack. | PSNet
      psnet.ahrq.gov/issue/when-lights-go-down-delivery-room-lessons-ransomware-attack
      September 02, 2020 - Commentary When the lights go down in the delivery room: lessons from a ransomware attack. Citation Text: Gabbay‐Benziv R, Ben‐Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002…

5816. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. | PSNet
      psnet.ahrq.gov/issue/implementing-pre-operative-checklist-increase-patient-safety-1-year-follow-personnel
      October 19, 2012 - Study Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Citation Text: Nilsson L, Lindberget O, Gupta A, et al. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Acta…

5817. The attributes of medical event reporting systems. | PSNet
      psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
      February 14, 2024 - Study Classic The attributes of medical event reporting systems. Citation Text: Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicin…

5818. Interventions to engage patients and families in patient safety: a systematic review. | PSNet
      psnet.ahrq.gov/issue/interventions-engage-patients-and-families-patient-safety-systematic-review
      March 04, 2020 - Review Interventions to engage patients and families in patient safety: a systematic review. Citation Text: 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:10.1177/01939459209…

5819. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74021/psn-pdf
      October 25, 2021 - For a pharmacy provider who works in a community setting that may not have access to the electronic … health record, or may not have direct access to the provider, there's still the responsibility of taking

5820. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
      January 01, 2023 - • When the anesthesia care provider later opened the patient’s electronic health record, he discovered … As Electronic Health Records (EHRs) become more customizable, there is an opportunity for technology