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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46266/psn-pdf
    July 19, 2017 - New unintended adverse consequences of electronic health records. July 19, 2017 Sittig DF, Wright A, Ash J, et al. New Unintended Adverse Consequences of Electronic Health Records. Yearb Med Inform. 2016;(1):7-12. https://psnet.ahrq.gov/issue/new-unintended-adverse-consequences-electronic-health-records Pressures…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46114/psn-pdf
    June 07, 2017 - Standardizing concentrations of adult drug infusions in Indiana. June 7, 2017 Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana. Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018. https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39922/psn-pdf
    October 13, 2010 - What’s past is prologue: organizational learning from a serious patient injury. October 13, 2010 Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005. https://psnet.ahrq.gov/issue/whats-past-prologue-or…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35736/psn-pdf
    May 27, 2011 - Video capture of clinical care to enhance patient safety. May 27, 2011 Weinger MB, Gonzales DC, Slagle J, et al. Video capture of clinical care to enhance patient safety. Qual Saf Health Care. 2004;13(2):136-44. https://psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety This study describes th…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43149/psn-pdf
    July 23, 2014 - FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. July 23, 2014 Washington, DC: Office of the National Coordinator for Health Information Technology, Federal Communications Commission. Silver Spring, MD: Food and Drug Administration. April 2014. https://psnet.ahrq.gov/issue…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36470/psn-pdf
    September 27, 2010 - Prioritizing patient safety interventions in small and rural hospitals. September 27, 2010 Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702. https://psnet.ahrq.gov/issue/prioritizing-patient-safety-interv…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38839/psn-pdf
    August 05, 2009 - Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.   August 5, 2009 Flood KL, Carroll MB, Le C, et al. Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34780/psn-pdf
    March 28, 2005 - Disseminating innovations in health care. March 28, 2005 Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969. https://psnet.ahrq.gov/issue/disseminating-innovations-health-care This commentary and review discusses the ability to adopt growing numbers of …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44836/psn-pdf
    January 27, 2016 - Advancing the next generation of handover research and practice with cognitive load theory. January 27, 2016 Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.1136/bmjqs-2015-004181. https://psnet.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42489/psn-pdf
    May 19, 2014 - Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. May 19, 2014 Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. A…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50372/psn-pdf
    September 25, 2019 - Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. September 25, 2019 Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamanetworkopen.2019.10967. https://psnet.ahr…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45418/psn-pdf
    May 09, 2017 - Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. May 9, 2017 Cook DA, Teixeira MT, Heale BS, et al. Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. J Am Med Inform Assoc. 2017;24(2):460-468. doi:10.1093/jamia/ocw1…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50558/psn-pdf
    October 16, 2019 - Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities. October 16, 2019 Weis JJ, Croft CL, Bhoja R, et al. Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities. J Surg Educ. 2019;76(6):e232-e…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35216/psn-pdf
    December 22, 2009 - An educational intervention to enhance nurse leaders' perceptions of patient safety culture. December 22, 2009 Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020. https://psnet.ahrq.gov/issue/e…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841785/psn-pdf
    December 21, 2022 - Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. December 21, 2022 Agency for Healthcare Research and Quality. Fed Register. December 12, 2022;87:76046-76048. https://psnet.ahrq.gov/issue/request-information-creating-national-healthcare-system-action-alliance…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43498/psn-pdf
    October 06, 2016 - Creating a distraction simulation for safe medication administration. October 6, 2016 Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004. https://psnet.ahrq.gov/issue/creating-distraction-simulation-safe…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46403/psn-pdf
    September 06, 2017 - Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program. September 6, 2017 Quality and Safety Education for Nurses. https://psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program Patient safety and quality improvement competencies are developed through interprof…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44465/psn-pdf
    November 20, 2015 - Why even good physicians do not wash their hands. November 20, 2015 Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. https://psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands Insufficient hand hygiene comp…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45331/psn-pdf
    August 03, 2016 - Health information technologies: from hazardous to the dark side. August 3, 2016 Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671. https://psnet.ahrq.gov/issue/health-information-technologies-haz…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35130/psn-pdf
    March 11, 2011 - A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. March 11, 2011 Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. J Am Med Inform Assoc…

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