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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38995/psn-pdf
    March 04, 2011 - Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. March 4, 2011 Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. J Am Med Inform Assoc. 2009;16(5):613-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866563/psn-pdf
    August 21, 2024 - Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. August 21, 2024 Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2024;44(1):17-23. doi:10.1002/jhrm…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42400/psn-pdf
    July 10, 2013 - Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. July 10, 2013 Kemper PF, van Noord I, de Bruijne M, et al. Development and reliability of the explicit professional oral communication observation tool to quantify…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74141/psn-pdf
    December 01, 2021 - Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021 Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41132/psn-pdf
    March 13, 2012 - Spreading a medication administration intervention organizationwide in six hospitals. March 13, 2012 Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. https://psnet.ahrq.gov/issue/spreading-medi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40172/psn-pdf
    January 26, 2011 - Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. January 26, 2011 Morriss FH, Abramowitz PW, Nelson S, et al. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code-assisted medication administrat…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34889/psn-pdf
    March 04, 2011 - Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. March 4, 2011 Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330(7491):581. https://psnet.ahrq.gov/issue/effec…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43169/psn-pdf
    May 07, 2014 - Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. May 7, 2014 Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. Chest. 2014;145(3):632-8. doi:10.1378…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74264/psn-pdf
    January 19, 2022 - Characteristics of critical incident reporting systems in primary care: an international survey. January 19, 2022 Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care: an international survey. J Patient Saf. 2022;18(1):e85-e91. doi:10.1097/pts.000000000000070…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865677/psn-pdf
    April 24, 2024 - The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. April 24, 2024 Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. doi:10.1097/pts.0000000000001197. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44884/psn-pdf
    February 17, 2016 - Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project. February 17, 2016 Sowan AK, Gomez TM, Tarriela AF, et al. Changes in Default Alarm Settings and Standard In-Service are Insufficient to Improve Alarm Fatigue in an Intensi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42909/psn-pdf
    December 12, 2014 - Does applying technology throughout the medication use process improve patient safety with antineoplastics? December 12, 2014 Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process improve patient safety with antineoplastics? J Oncol Pharm Pract. 2014;20(6):445-60. do…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838917/psn-pdf
    October 26, 2022 - The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. October 26, 2022 Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-436. doi:10.1515/dx-2022-0083. https:/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41245/psn-pdf
    March 29, 2012 - The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. March 29, 2012 James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. J …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863222/psn-pdf
    February 28, 2024 - Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional development, system improvements, clinician engagement, and enhanced patient safety culture? February 28, 2024 Steel EJ, Janda M, Jamali S, et al. Systematic review of morbidity and mortality meeting standar…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42918/psn-pdf
    February 05, 2014 - Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. February 5, 2014 Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. Health Aff (M…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865873/psn-pdf
    May 15, 2024 - A review of medication errors and the second victim in pediatric pharmacy. May 15, 2024 Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. https://psnet.ahrq.gov/issue/review-me…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857452/psn-pdf
    December 06, 2023 - Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. December 6, 2023 Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning from successes and failures: qualita…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836831/psn-pdf
    March 30, 2022 - A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians' lived experiences. March 30, 2022 Upadhyay S, Hu H-fen. . A Qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians' lived experiences. He…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45760/psn-pdf
    February 08, 2017 - Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. February 8, 2017 Tsou AY, Lehmann CU, Michel J, et al. Safe Practices for Copy and Paste in the EHR. Systematic Review, Recommendations, and Novel Model for Health IT Collaboration. Appl C…

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