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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42399/psn-pdf
    December 29, 2014 - Information technology interventions to improve medication safety in primary care: a systematic review. December 29, 2014 Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in primary care: a systematic review. Int J Qual Health Care. 2013;25(5):590-8. doi:10.1093/intq…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844040/psn-pdf
    February 08, 2023 - A customized triggers program: a children's hospital's experience in improving trigger usability. February 8, 2023 Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e2022056452. doi:10.1542/peds.2022-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43474/psn-pdf
    August 28, 2017 - Racial and ethnic disparities in patient safety. August 28, 2017 Okoroh JS, Uribe EF, Weingart SN. Racial and Ethnic Disparities in Patient Safety. J Patient Saf. 2017;13(3):153-161. doi:10.1097/PTS.0000000000000133. https://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety Prior studies have raise…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48143/psn-pdf
    January 01, 2020 - Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. August 7, 2019 Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. BMJ Qual Saf. 2020;29(…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73374/psn-pdf
    June 09, 2021 - Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease. June 9, 2021 Singh D, Fahim G, Ghin HL, et al. Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients wi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39405/psn-pdf
    March 31, 2010 - ED overcrowding is associated with an increased frequency of medication errors. March 31, 2010 Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. https://psnet.ahrq.gov/issue/ed-ov…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850162/psn-pdf
    June 07, 2023 - Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. June 7, 2023 Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechn…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50704/psn-pdf
    December 04, 2019 - Hospital-Acquired Condition Reduction Program is not associated with additional patient safety improvement. December 4, 2019 Sheetz KH, Dimick JB, Englesbe MJ, et al. Hospital-Acquired Condition Reduction Program Is Not Associated With Additional Patient Safety Improvement. Health Aff (Millwood). 2019;38(11):1858-1…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41898/psn-pdf
    December 05, 2012 - Pharmacy dispensing of electronically discontinued medications. December 5, 2012 Allen AS, Sequist TD. Pharmacy dispensing of electronically discontinued medications. Ann Intern Med. 2012;157(10):700-705. doi:10.7326/0003-4819-157-10-201211200-00006. https://psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866907/psn-pdf
    October 09, 2024 - A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners' reports using the Human Factors Analysis and Classification System for Healthcare October 9, 2024 Sweeting P, Finlayson M, Hartz D. A review of modifiable health care factors contributing to inpatient suicide: a…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850161/psn-pdf
    June 07, 2023 - Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. June 7, 2023 Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysis of the nature and contributory fa…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60347/psn-pdf
    January 01, 2021 - Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. May 20, 2020 Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. J Patient Saf. 2021;17(…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41572/psn-pdf
    October 29, 2012 - Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. October 29, 2012 Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmjqs-2012-000803. https://psnet.ahrq…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847716/psn-pdf
    April 19, 2023 - Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. April 19, 2023 Mahmoud HA, Thavorn K, Mulpuru S, et al. Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844043/psn-pdf
    February 08, 2023 - In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic? February 8, 2023 Gómez-Pérez V, Escrivá Peiró D, Sancho-Cantus D, et al. In Situ Simulation: A Strategy to Restore Patient Safety in Intensive Care Units after the COVID-19 Pandemic? Systematic Review. Heal…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47496/psn-pdf
    June 15, 2019 - Fatal flaws in clinical decision making. June 15, 2019 Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955. https://psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making Clinical decision-making is a complex process affected…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47178/psn-pdf
    July 10, 2018 - Defining, estimating, and communicating overdiagnosis in cancer screening. July 10, 2018 Davies L, Petitti DB, Martin L, et al. Defining, estimating, and communicating overdiagnosis in cancer screening. Ann Intern Med. 2018;169(1):36-43. doi:10.7326/M18-0694. https://psnet.ahrq.gov/issue/defining-estimating-and-co…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44462/psn-pdf
    January 22, 2016 - An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. January 22, 2016 Johnston MJ, Paige JT, Aggarwal R, et al. An overview of research priorities in surgical simulation: what the literature shows has been achieved during t…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862991/psn-pdf
    February 21, 2024 - Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. February 21, 2024 Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incide…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848314/psn-pdf
    May 03, 2023 - Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. May 3, 2023 Ude-Okeleke RC, Aslanpour Z, Dhillon S, et al. Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. J Pharm Pract. 2023;36(2):357-369. d…

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