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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60192/psn-pdf
    April 01, 2020 - Effective Reporting Could Improve Safe Use of Electronic Health Records. April 1, 2020 Philadelphia, PA: Pew Charitable Trusts; March 2020. https://psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records Electronic health records both enhance and challenge the safety of care proce…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35485/psn-pdf
    May 27, 2011 - Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. May 27, 2011 Koshy R. Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. Transfusion (Paris). 2005;45(4 Suppl):189S-205S. https://psnet.ahrq.go…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39505/psn-pdf
    November 26, 2014 - Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. November 26, 2014 O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. doi:10.1007/s11606-010-1345-6. h…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40329/psn-pdf
    August 25, 2011 - Using prospective clinical surveillance to identify adverse events in hospital. August 25, 2011 Forster AJ, Worthington JR, Hawken S, et al. Using prospective clinical surveillance to identify adverse events in hospital. BMJ Qual Saf. 2011;20(9):756-63. doi:10.1136/bmjqs.2010.048694. https://psnet.ahrq.gov/issue/u…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40980/psn-pdf
    December 31, 2014 - Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. December 31, 2014 Grossman JM, Cross DA, Boukus ER, et al. Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. J Am Med Inform Assoc. 2012;19(3):353-9. doi:1…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43018/psn-pdf
    March 19, 2014 - Improved obstetric safety through programmatic collaboration. March 19, 2014 Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131. https://psnet.ahrq.gov/issue/improved-obstetric-safety-through-program…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50825/psn-pdf
    January 22, 2020 - Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth. January 22, 2020 Farnborough, UK; Healthcare Safety Investigation Branch; December 18, 2019. https://psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following- childbirth Maternal care during a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38803/psn-pdf
    December 14, 2016 - Improving patient safety: effects of a safety program on performance and culture in a department of radiology. December 14, 2016 Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety: effects of a safety program on performance and culture in a department of radiology. AJR Am J Roentgenol. 2009;1…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45572/psn-pdf
    March 22, 2017 - Ordering interruptions in a tertiary care center: a prospective observational study. March 22, 2017 Dadlez NM, Azzarone G, Sinnett MJ, et al. Ordering Interruptions in a Tertiary Care Center: A Prospective Observational Study. Hosp Pediatr. 2017;7(3):134-139. doi:10.1542/hpeds.2016-0127. https://psnet.ahrq.gov/iss…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45927/psn-pdf
    April 12, 2017 - How redesigning the abrasive alarms of hospital soundscapes can save lives. April 12, 2017 Couch C. Fast Company. April 3, 2017. https://psnet.ahrq.gov/issue/how-redesigning-abrasive-alarms-hospital-soundscapes-can-save-lives Alarm frequency can contribute to distractions and stress in the hospital environment. Re…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72805/psn-pdf
    March 03, 2021 - When machine learning goes off the rails. A guide to managing the risks. March 3, 2021 Babic B, Cohen IG,  Evgeniou T, et al. Harv Bus Rev.  2021 January/February;99(1):76- 84. https://psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks  This article discusses how machine lea…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50838/psn-pdf
    January 29, 2020 - Start the new year off right by preventing these top 10 medication errors and hazards. January 29, 2020 ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2):1-6. https://psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards Medication errors routinely c…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35836/psn-pdf
    March 28, 2011 - Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. March 28, 2011 Donihi AC, DiNardo MM, Devita MA, et al. Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. Qual Saf Health Care. 2006;15(2)…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867347/psn-pdf
    December 11, 2024 - Recommendations to ensure safety of AI in real-world clinical care. December 11, 2024 Sittig DF, Singh H. Recommendations to ensure safety of AI in real-world clinical care. JAMA. 2025;333(6):457-458. doi:10.1001/jama.2024.24598. https://psnet.ahrq.gov/issue/recommendations-ensure-safety-ai-real-world-clinical-car…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837908/psn-pdf
    August 24, 2022 - Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. August 24, 2022 Integrated Health Services. Geneva, Switzerland: World Health Organization; 2022. ISBN: 9789240055094. https://psnet.ahrq.gov/issue/implication-covid-19-pandemic-patient-safety-rapid-review The COVID-19 pandemic created new r…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40603/psn-pdf
    December 31, 2014 - ICU nurses' acceptance of electronic health records. December 31, 2014 Carayon P, Cartmill R, Blosky MA, et al. ICU nurses' acceptance of electronic health records. J Am Med Inform Assoc. 2011;18(6):812-9. doi:10.1136/amiajnl-2010-000018. https://psnet.ahrq.gov/issue/icu-nurses-acceptance-electronic-health-records …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38925/psn-pdf
    September 16, 2009 - A literature review of the individual and systems factors that contribute to medication errors in nursing practice. September 16, 2009 Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice. J Nurs Manag. 2009;17(6):679-97…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44332/psn-pdf
    July 29, 2015 - Health IT Safety Center Roadmap. July 29, 2015 RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838909/psn-pdf
    October 26, 2022 - Designing safety interventions for specific contexts: results from a literature review. October 26, 2022 Karanikas N, Khan SR, Baker PRA, et al. Designing safety interventions for specific contexts: Results from a literature review. Safety Sci. 2022;156:105906. doi:10.1016/j.ssci.2022.105906. https://psnet.ahrq.go…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47739/psn-pdf
    February 20, 2019 - Artificial intelligence, bias and clinical safety. February 20, 2019 Challen R, Denny J, Pitt M, et al. Artificial intelligence, bias and clinical safety. BMJ Qual Saf. 2019;28(3):231-237. doi:10.1136/bmjqs-2018-008370. https://psnet.ahrq.gov/issue/artificial-intelligence-bias-and-clinical-safety Artificial intell…

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