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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37850/psn-pdf
    June 18, 2008 - Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. June 18, 2008 Cresswell K, Sheikh A. Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. J Allergy Clin Immunol. 2008;121(5):1112-1117.e7. doi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72685/psn-pdf
    January 27, 2021 - Human Factors and Ergonomics in Healthcare. January 27, 2021 Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.    https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare Human factors approaches have been identified as one of the primary vehicles to create las…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37367/psn-pdf
    May 26, 2011 - Reasons provided by prescribers when overriding drug–drug interaction alerts. May 26, 2011 Grizzle AJ, Mahmood MH, Ko Y, et al. Reasons provided by prescribers when overriding drug-drug interaction alerts. Am J Manag Care. 2007;13(10):573-578. https://psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overridi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38824/psn-pdf
    March 04, 2011 - Evaluation of a physician informatics tool to improve patient handoffs. March 4, 2011 Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892. https://psnet.ahrq.gov/issue/evaluation-phys…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39751/psn-pdf
    August 11, 2010 - Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. August 11, 2010 Davies EC, Green CF, Mottram DR, et al. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. Br J Clin Pharmacol. 2010;70(1):102-8. doi:10.1111/j.1365-2125.2010.03671.x. https://…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37920/psn-pdf
    May 24, 2015 - Functional health literacy and understanding of medications at discharge. May 24, 2015 Maniaci MJ, Heckman MG, Dawson NL. Functional health literacy and understanding of medications at discharge. Mayo Clin Proc. 2008;83(5):554-8. doi:10.4065/83.5.554. https://psnet.ahrq.gov/issue/functional-health-literacy-and-und…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46385/psn-pdf
    October 23, 2018 - The key to reducing doctors' misdiagnoses. October 23, 2018 Landro L. Wall Street Journal. September 12, 2017. https://psnet.ahrq.gov/issue/key-reducing-doctors-misdiagnoses Misdiagnosis has gained recognition as an important patient safety problem. This newspaper article reports on several areas of research and i…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44097/psn-pdf
    June 10, 2015 - Hospital nurses' perceptions of human factors contributing to nursing errors. June 10, 2015 Roth C, Wieck L, Fountain R, et al. Hospital nurses' perceptions of human factors contributing to nursing errors. J Nurs Adm. 2015;45(5):263-9. doi:10.1097/NNA.0000000000000196. https://psnet.ahrq.gov/issue/hospital-nurses-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40713/psn-pdf
    August 24, 2011 - Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. August 24, 2011 Boockvar KS, Santos SL, Kushniruk AW, et al. Medication reconciliation: Barriers and facilitators from the perspectives of resident physicians and pharmacists. J Hosp Med. 2011;6(6). do…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45450/psn-pdf
    February 13, 2018 - Avoiding Unconscious Bias: a Guide for Surgeons. February 13, 2018 London, UK: Royal College of Surgeons of England; 2016. https://psnet.ahrq.gov/issue/avoiding-unconscious-bias-guide-surgeons Biases can affect decision making and behaviors toward colleagues and patients. This guidance provides information for sur…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41098/psn-pdf
    March 04, 2015 - Automated identification of extreme-risk events in clinical incident reports. March 4, 2015 Ong M-S, Magrabi F, Coiera E. Automated identification of extreme-risk events in clinical incident reports. J Am Med Inform Assoc. 2012;19(e1):e110-8. https://psnet.ahrq.gov/issue/automated-identification-extreme-risk-event…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47791/psn-pdf
    March 20, 2019 - Essential activities for electronic health record safety: a qualitative study. March 20, 2019 Ash JS, Singh H, Wright A, et al. Essential activities for electronic health record safety: A qualitative study. Health Informatics J. 2019:1460458219833109. doi:10.1177/1460458219833109. https://psnet.ahrq.gov/issue/esse…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37338/psn-pdf
    January 02, 2017 - Using the rapid response system to provide better oversight of patient care processes. January 2, 2017 Moore MS, Howard SK, Lighthall GK. Using the rapid response system to provide better oversight of patient care processes. Jt Comm J Qual Patient Saf. 2007;33(11):695-8, 645. https://psnet.ahrq.gov/issue/using-rap…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60741/psn-pdf
    July 29, 2020 - As college students return, a crisis in campus care awaits. July 29, 2020 Abelson J, Tran AB, Kornfield M, et al. As college students return, a crisis in campus care awaits. The Seattle Times. 2020;July 13. https://psnet.ahrq.gov/issue/college-students-return-crisis-campus-care-awaits The COVID-19 pandemic has im…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38920/psn-pdf
    January 03, 2017 - How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. January 3, 2017 Lanham H, McDaniel RR, Crabtree B, et al. How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. Jt Comm J Qual Patient Saf. 2009;35(9):4…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39050/psn-pdf
    January 04, 2010 - Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study. January 4, 2010 de Neef M, Bos AP, Tol D. Safety as a criterion for quality: the critical nursing situation index in paediatric critical care, an observational study. Intensive Crit Care Nur…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38637/psn-pdf
    September 24, 2016 - Work interruptions and their contribution to medication administration errors: an evidence review. September 24, 2016 Biron AD, Loiselle CG, Lavoie-Tremblay M. Work interruptions and their contribution to medication administration errors: an evidence review. Worldviews Evid Based Nurs. 2009;6(2):70-86. doi:10.1111…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43790/psn-pdf
    October 23, 2023 - Complaints to the Parliamentary and Health Service Ombudsman. October 23, 2023 Manchester, UK: Parliamentary and Health Service Ombudsman. https://psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017 The National Health Service broadly reports the results of system-level analyses and investigations into t…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35304/psn-pdf
    July 14, 2009 - Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events. July 14, 2009 DeLorenze GN, Follansbee SF, Nguyen DP, et al. Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events. Med Care. 2005;43(9 Suppl):III63-II…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41896/psn-pdf
    December 12, 2012 - Bar-code verification: reducing but not eliminating medication errors. December 12, 2012 Henneman PL, Marquard J, Fisher DL, et al. Bar-code verification: reducing but not eliminating medication errors. J Nurs Adm. 2012;42(12):562-6. doi:10.1097/NNA.0b013e318274b545. https://psnet.ahrq.gov/issue/bar-code-verificat…

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