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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46203/psn-pdf
    June 14, 2017 - Prescription errors related to the use of computerized provider order-entry system for pediatric patients. June 14, 2017 Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Int J Med Inform. 2017;103:15-19. doi:10.1016/j…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39624/psn-pdf
    June 23, 2010 - Single-parameter early warning criteria to predict life- threatening adverse events. June 23, 2010 Rothschild JM, Gandara E, Woolf S, et al. Single-Parameter Early Warning Criteria to Predict Life- Threatening Adverse Events. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181dcaf32. https://psnet.ahrq.gov/issue/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46599/psn-pdf
    August 20, 2018 - Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. August 20, 2018 Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curriculum on Improved Clinician Preparedness in the Intensive Care Un…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45555/psn-pdf
    June 15, 2017 - Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. June 15, 2017 Sheringham J, Sequeira R, Myles J, et al. Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. BMJ Qual Saf. 2017;26(6…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47058/psn-pdf
    August 20, 2018 - The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. August 20, 2018 Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice Competencies Indicates Major Deficit…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37484/psn-pdf
    April 01, 2010 - Using patient safety indicators to estimate the impact of potential adverse events on outcomes. April 1, 2010 Rivard PE, Luther SL, Christiansen CL, et al. Using Patient Safety Indicators to Estimate the Impact of Potential Adverse Events on Outcomes. Med Care Res Rev. 2008;65(1):67-87. doi:10.1177/107755870730961…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38145/psn-pdf
    March 04, 2011 - Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. March 4, 2011 Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA National Surgical Quality Improvement Program data. Health Serv Res. 2009;44(1):182…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37842/psn-pdf
    November 20, 2017 - An epistemology of patient safety research: a framework for study design and interpretation. November 20, 2017 Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 4. One size does not fit all. Quality and Safety in Health Care. 2008;17(…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43037/psn-pdf
    October 31, 2014 - Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. October 31, 2014 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; February 2014. Report No. OEI-06-11-00370. https://psnet.ahrq.gov/issue/adverse-events-skilled-nu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73121/psn-pdf
    April 07, 2021 - The impact of introducing automated dispensing cabinets, barcode medication administration, and closed- loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review. April 7, 2021 Zheng WY, Lichtner V, Van Dort BA, et al. The impact of intr…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37768/psn-pdf
    April 27, 2010 - The wisdom and justice of not paying for "preventable complications." April 27, 2010 Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197. https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40675/psn-pdf
    November 28, 2016 - Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study. November 28, 2016 Iedema R, Allen S, Britton K, et al. Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: t…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45541/psn-pdf
    September 28, 2016 - Is there evidence for a better health care for cancer patients after a second opinion? A systematic review. September 28, 2016 Ruetters D, Keinki C, Schroth S, et al. Is there evidence for a better health care for cancer patients after a second opinion? A systematic review. J Cancer Res Clin Oncol. 2016;142(7):1521…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46587/psn-pdf
    January 23, 2019 - Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. January 23, 2019 van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication administration errors in bar-code-assisted medication administration…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43486/psn-pdf
    September 01, 2016 - Indication alerts intercept drug name confusion errors during computerized entry of medication orders. September 1, 2016 Galanter W, Bryson M, Falck S, et al. Indication alerts intercept drug name confusion errors during computerized entry of medication orders. PLoS One. 2014;9(7):e101977. doi:10.1371/journal.pone…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865531/psn-pdf
    April 10, 2024 - Implicit bias and patient care: mitigating bias, preventing harm. April 10, 2024 Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm. MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343. https://psnet.ahrq.gov/innovation/implicit-bias-and-patient-c…
  17. psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
    November 30, 2021 - She was evaluated by multiple obstetric, medical, and surgical teams, and ultimately the correct diagnosis
  18. psnet.ahrq.gov/web-mm/getting-root-matter
    September 01, 2005 - Finally, we suggest that all changes be re-evaluated periodically to ensure the new process is indeed
  19. psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
    May 14, 2020 - In Conversation With... Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD May 14, 2020  Also Read the Essay Citation Text: In Conversation With.. Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD. PSNet [internet]. 2020.In Conversation With... Joel Willis, DO, PA,…
  20. psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
    May 14, 2020 - Telehealth and Patient Safety During the COVID-19 Response May 14, 2020  Also Read the Conversation View more articles from the same authors. Citation Text: Sikka N, Willis JS, Fitall E, et al. Telehealth and Patient Safety During the COVID-19 Response. PSNet [i…

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