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  1. 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…
  2. 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46372/psn-pdf
    September 13, 2017 - Impact of a successful speaking up program on health- care worker hand hygiene behavior. September 13, 2017 Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK. https://psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene- behavior Improving hand hygiene in health care f…
  4. 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. …
  5. 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…
  6. 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…
  7. 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:/…
  8. 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 …
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72794/psn-pdf
    March 03, 2021 - Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. March 3, 2021 Cramer JD, Balakrishnan K, Roy S, et al. Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. OTO Open. 2020;4(4):2473974X2097573. doi:10.1177/24739…
  11. 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…
  12. 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…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38697/psn-pdf
    June 10, 2009 - A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. June 10, 2009 Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38144/psn-pdf
    October 15, 2008 - Do faculty and resident physicians discuss their medical errors? October 15, 2008 Kaldjian LC, Forman-Hoffman VL, Jones EW, et al. Do faculty and resident physicians discuss their medical errors? J Med Ethics. 2008;34(10):717-22. doi:10.1136/jme.2007.023713. https://psnet.ahrq.gov/issue/do-faculty-and-resident-phy…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859343/psn-pdf
    December 20, 2023 - Reducing retained foreign objects in the operating room: a quality improvement initiative. December 20, 2023 Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847. https…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34829/psn-pdf
    April 06, 2011 - Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. April 6, 2011 Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4. https://psnet.ahrq.gov/issue/use-medical-emerg…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60869/psn-pdf
    September 02, 2020 - A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other? September 2, 2020 Ashcroft J, Wilkinson A, Khan M. A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35540/psn-pdf
    August 05, 2009 - Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. August 5, 2009 Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to- physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45365/psn-pdf
    August 03, 2016 - Workarounds and test results follow-up in electronic health record–based primary care. August 3, 2016 Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015-10-RA-0135. https://psnet.ahrq.g…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860722/psn-pdf
    January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? January 17, 2024 Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525. https://psnet.ahrq.gov/issue/ten-y…

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