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  1. psnet.ahrq.gov/issue/why-diagnostic-errors-dont-get-any-respect-and-what-can-be-done-about-them
    February 10, 2015 - Commentary Why diagnostic errors don't get any respect--and what can be done about them. Citation Text: Wachter RM. Why Diagnostic Errors Don’t Get Any Respect—And What Can Be Done About Them. Health Aff (Millwood). 2010;29(9):1605-1610. doi:10.1377/hlthaff.2009.0513. Copy Citation …
  2. psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
    September 29, 2017 - Book/Report Classic Identification and Prioritization of Health IT Patient Safety Measures. Citation Text: Identification and Prioritization of Health IT Patient Safety Measures. Washington, DC: National Quality Forum; February 2016. Copy Citation …
  3. psnet.ahrq.gov/issue/procuring-interoperability-achieving-high-quality-connected-and-person-centered-care
    September 19, 2018 - Book/Report Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. Citation Text: Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. Pronovost P, Johns MME, Palmer S, et al, eds. Washington, DC: National Academy of M…
  4. psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care-0
    March 29, 2007 - Book/Report Classic Patient Safety: Achieving a New Standard of Care. Citation Text: Patient Safety: Achieving a New Standard of Care. Institute of Medicine (US) Committee on Data Standards for Patient Safety, Aspden P, Corrigan JM, Wolcott J, Erickson SM, e…
  5. psnet.ahrq.gov/issue/translating-electronic-health-record-based-patient-safety-algorithms-research-clinical
    October 27, 2021 - Study Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. Citation Text: Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. Zimolzak AJ, Singh H,…
  6. psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
    December 02, 2020 - SPOTLIGHT CASE The Lost Start Date: an Unknown Risk of E-prescribing Citation Text: Wright A, Schiff G. The Lost Start Date: an Unknown Risk of E-prescribing. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Cit…
  7. psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
    October 19, 2022 - CYP450 Drugs: Expect the Unexpected Citation Text: Gonzalez CJ. CYP450 Drugs: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNot…
  8. psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
    December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets Citation Text: McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49780/psn-pdf
    January 01, 2017 - The Missing Abscess: Radiology Reads in the Digital Era January 1, 2017 Siegel EL. The Missing Abscess: Radiology Reads in the Digital Era. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era Case Objectives Identify the most common complication of hysterectomy. Descr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33850/psn-pdf
    January 01, 2018 - EHR Copy and Paste and Patient Safety January 1, 2018 Dean SM. EHR Copy and Paste and Patient Safety. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety Perspective Although the ability to copy and paste text is a central benefit of computing in general, and electronic…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50368/psn-pdf
    September 25, 2019 - A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers. September 25, 2019 Bourgeois FC, Fossa A, Gerard M, et al. A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers. J Am Med Inform As…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46232/psn-pdf
    February 10, 2018 - Implications of electronic health record downtime: an analysis of patient safety event reports. February 10, 2018 Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Med Inform Assoc. 2018;25(2):187-191. doi:10.1093/jamia/ocx057. ht…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43452/psn-pdf
    August 20, 2014 - Electronic health record–related safety concerns: a cross- sectional survey. August 20, 2014 Menon S, Singh H, Meyer AND, et al. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146. https://psnet.ahrq.gov/issue/electronic-health…
  14. psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
    February 01, 2014 - In Conversation With… Enrico Coiera, MB, BS, PhD February 1, 2014  Also Read an Essay Citation Text: In Conversation With… Enrico Coiera, MB, BS, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S…
  15. psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
    March 01, 2011 - In Conversation with…Vineet Arora, MD, MA March 1, 2011  Also Read an Essay Citation Text: In Conversation with…Vineet Arora, MD, MA . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. …
  16. psnet.ahrq.gov/periodic-issue/weekly-resource
    March 25, 2025 - March 12, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…
  17. psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
    September 13, 2023 - Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 31…
  18. psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
    March 30, 2020 - Making Healthcare Safer III Report March 30, 2020  Also Read the Conversation View more articles from the same authors. Citation Text: Gaffey AD, Spurlock B, Fitall E, et al. Making Healthcare Safer III Report. PSNet [internet]. Rockville (MD): Agency for Health…
  19. psnet.ahrq.gov/issue/preventing-accidents-and-injuries-mri-suite
    July 18, 2024 - Press Release/Announcement Preventing accidents and injuries in the MRI suite. Citation Text: Preventing accidents and injuries in the MRI suite. Sentinel Event Alert. 2008;38(38):1-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47777/psn-pdf
    January 01, 2021 - The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. March 27, 2019 de Vos MS, Hamming JF, Boosman H, et al. The Association Between Complications, Incidents, and Patient Experience: Retrospective Linkage of Routine P…

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