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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73137/psn-pdf
    April 14, 2021 - Adverse drug event-related admissions to a pediatric emergency unit. April 14, 2021 Carvalho IV, Sousa VM de, Visacri MB, et al. Adverse drug event-related admissions to a pediatric emergency unit. Pediatr Emerg Care. 2021;37(4):e152-e158. doi:10.1097/pec.0000000000001582. https://psnet.ahrq.gov/issue/adverse-drug…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838246/psn-pdf
    October 05, 2022 - The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. October 5, 2022 Li E, Clarke J, Ashrafian H, et al. The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. J…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72497/psn-pdf
    November 25, 2020 - A multisite study of interprofessional teamwork and collaboration on general medical services. November 25, 2020 O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and collaboration on general medical services. Jt Comm J Qual Patient Saf. 2020;46(12):667-672. doi:10.1016/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851200/psn-pdf
    July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. July 5, 2023 Washington DC:  Department of Veterans Affairs, Office of Inspector General; May 10, 2023.  Report no. 22-01116-110. https://psnet.ahrq.gov/issue/defi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73340/psn-pdf
    June 02, 2021 - Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop. June 2, 2021 Thomas J, Dahm MR, Li J, et al. Can patients contribute to enhancing the safety and effectiveness of test? result follow?up? Qualitative outcomes from a hea…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73363/psn-pdf
    June 09, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. June 9, 2021 Hada A, Coyer F. Shift?to?shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73286/psn-pdf
    May 19, 2021 - Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. May 19, 2021 Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. Appl Er…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764404/psn-pdf
    March 02, 2022 - Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis of the experiences of English health and social care for people with learning disabilities, their families and carers. March 2, 2022 Ramsey L, Albutt AK, Perfetto K, et al. Systemic safety inequities for people wit…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73315/psn-pdf
    May 26, 2021 - What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. May 26, 2021 Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. J Pati…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866079/psn-pdf
    June 05, 2024 - Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. June 5, 2024 Kuitunen S, Airaksinen M, Holmström A-R. Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44857/psn-pdf
    March 23, 2016 - Health IT Safe Practices. Toolkit for the Safe Use of Copy and Paste. March 23, 2016 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016. https://psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste Electronic health records have potential to improve health …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42641/psn-pdf
    January 07, 2015 - Classification of medication incidents associated with information technology. January 7, 2015 Cheung K-C, van der Veen W, Bouvy ML, et al. Classification of medication incidents associated with information technology. J Am Med Inform Assoc. 2014;21(e1):e63-70. doi:10.1136/amiajnl-2013-001818. https://psnet.ahrq.g…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73425/psn-pdf
    June 23, 2021 - A qualitative study of what care workers do to provide patient safety at home through telecare. June 23, 2021 Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at home through telecare. BMC Health Serv Res. 2021;21(1):553. doi:10.1186/s12913-021-06556-4. htt…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60670/psn-pdf
    July 08, 2020 - Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. July 8, 2020 Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. Patient Saf. 2020;2(2):16-27. d…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72820/psn-pdf
    March 10, 2021 - Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review. March 10, 2021 Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry systems in hospitals and how they change over time: A narrative re…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837804/psn-pdf
    August 10, 2022 - Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study. August 10, 2022 Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person to the hospital: a multi?method qualitative study. J Adv Nurs. 2022;78(1…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72592/psn-pdf
    December 23, 2020 - Home health staff perspectives on infection prevention and control: implications for Coronavirus Disease 2019. December 23, 2020 Pogorzelska-Maziarz M, Chastain AM, Mangal S, et al. Home health staff perspectives on infection prevention and control: implications for Coronavirus Disease 2019. J Am Med Dir Assoc. 20…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837595/psn-pdf
    June 29, 2022 - Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study. June 29, 2022 Gleeson LL, Ludlow A, Wallace E, et al. Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study. Explor Res Clin Soc…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837069/psn-pdf
    January 01, 2024 - Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. May 11, 2022 Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72509/psn-pdf
    November 25, 2020 - Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. November 25, 2020 Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.…

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