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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47079/psn-pdf
    July 02, 2019 - Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record. July 2, 2019 Wright A, Aaron S, Seger DL, et al. Reduced Effectiveness of Interruptive Drug-Drug Interaction Alerts after Conversion to a Commercial Electronic Health Record. J Gen Intern M…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45255/psn-pdf
    January 23, 2017 - Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. January 23, 2017 Hwang Y, Yoon D, Ahn EK, et al. Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop m…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44882/psn-pdf
    July 18, 2016 - An ethical framework for allocating scarce life-saving chemotherapy and supportive care drugs for childhood cancer. July 18, 2016 Unguru Y, Fernandez C, Bernhardt B, et al. An Ethical Framework for Allocating Scarce Life-Saving Chemotherapy and Supportive Care Drugs for Childhood Cancer. J Natl Cancer Inst. 2016;1…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42968/psn-pdf
    February 26, 2014 - From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. February 26, 2014 Cochran GL, Klepser DG, Morien M, et al. From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-se…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40289/psn-pdf
    March 16, 2011 - Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. March 16, 2011 Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother. 2011;45(1):17-22. doi:10.1345/aph.1…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47991/psn-pdf
    July 12, 2019 - What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review. July 12, 2019 La Regina M, Guarneri F, Romano E, et al. What Quality and Safety of Care for Patients Admitted to Clinically Inappropriate Wards: a Systematic Review. J Gen Intern Med. 2019;34(7):1314-1321. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44522/psn-pdf
    June 21, 2016 - Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. June 21, 2016 Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop com…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46806/psn-pdf
    January 01, 2020 - Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. February 28, 2018 Sammer C, Hauck L, Jones C, et al. Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures at the Frontline of Care. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45419/psn-pdf
    June 29, 2017 - Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study. June 29, 2017 Robinson EJ, Smith GB, Power GS, et al. Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42924/psn-pdf
    April 24, 2014 - Role-modeling and medical error disclosure: a national survey of trainees. April 24, 2014 Martinez W, Hickson GB, Miller BM, et al. Role-modeling and medical error disclosure: a national survey of trainees. Acad Med. 2014;89(3):482-9. doi:10.1097/ACM.0000000000000156. https://psnet.ahrq.gov/issue/role-modeling-and…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40565/psn-pdf
    June 29, 2011 - National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. June 29, 2011 Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. J Emerg…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47666/psn-pdf
    January 01, 2020 - A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. February 6, 2019 Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partially Structured Postoperative Ha…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39215/psn-pdf
    January 03, 2017 - Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. January 3, 2017 Classen D, Jaser L, Budnitz DS. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. Jt Co…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43590/psn-pdf
    October 08, 2014 - Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance and accreditation outcomes in 96 Australian hospitals. October 8, 2014 Mumford V, Greenfield D, Hogden A, et al. Disentangling quality and safety indicator data: a longitudinal, comparative study of hand …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45352/psn-pdf
    September 01, 2018 - Predictors of gaps in patient safety and quality in U.S. hospitals. September 1, 2018 Unruh L, Hofler R. Predictors of Gaps in Patient Safety and Quality in U.S. Hospitals. Health Serv Res. 2016;51(6):2258-2281. doi:10.1111/1475-6773.12468. https://psnet.ahrq.gov/issue/predictors-gaps-patient-safety-and-quality-us…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40601/psn-pdf
    September 29, 2017 - A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative. September 29, 2017 Arriaga AF, Elbardissi AW, Regenbogen SE, et al. A policy-based intervention for the reduction of communication breakdowns in inpatient surg…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42423/psn-pdf
    July 17, 2013 - National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. July 17, 2013 Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002843. h…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46299/psn-pdf
    September 13, 2017 - Simulation-based assessment of the management of critical events by board-certified anesthesiologists. September 13, 2017 Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 2017;127(3):475-489. doi:10.1097…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46662/psn-pdf
    August 20, 2018 - Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study. August 20, 2018 Aldridge C, Bion J, Boyal A, et al. Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study. Lancet. 2016;388(10040):178-86. do…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47261/psn-pdf
    August 15, 2018 - The association between professional burnout and engagement with patient safety culture and outcomes: a systematic review. August 15, 2018 Mossburg SE, Himmelfarb CD. The Association Between Professional Burnout and Engagement With Patient Safety Culture and Outcomes: A Systematic Review. J Patient Saf. 2018;17(8)…