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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37373/psn-pdf
    July 15, 2010 - eHealth for Safety: Impact of ICT on Patient Safety and Risk Management. July 15, 2010 European Commission Information Society and Media. October 2007 https://psnet.ahrq.gov/issue/ehealth-safety-impact-ict-patient-safety-and-risk-management This European report foresees the impact that new communication technologi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73102/psn-pdf
    July 01, 2022 - Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use March 31, 2021 https://psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail- community-dwelling Summary Care management staff (such …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49484/psn-pdf
    June 01, 2005 - Two Pills, Same Drug June 1, 2005 Horsky J, Patel VL. Two Pills, Same Drug. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/two-pills-same-drug The Case A 34-year-old woman with AIDS developed a fever and hypotension due to suspected pneumonia. Her past medical history included several AIDS-related complica…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49472/psn-pdf
    March 01, 2005 - Preventable Rash March 1, 2005 McLean C. Preventable Rash. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/preventable-rash The Case A 35-year-old man with HIV was being followed in an outpatient internal medicine clinic. At a routine visit, screening laboratories were checked. The clinic never contacted th…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39449/psn-pdf
    April 14, 2010 - Human Factors Engineering for Healthcare Applications. April 14, 2010 Beuscart-Zéphir MC, Aarts J, Elkin P, eds. Intern J Med Inform. 2010;79:223-303, e1-e88.   https://psnet.ahrq.gov/issue/human-factors-engineering-healthcare-applications This special issue contains articles on human factors engineering and i…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41505/psn-pdf
    May 07, 2014 - Health IT Hazard Manager. May 7, 2014 Rockville, MD: Agency for Healthcare Research and Quality. AHRQ Publication No. 12-0058-EF May 2012. https://psnet.ahrq.gov/issue/health-it-hazard-manager This Web site provides information associated with a software tool to identify and prevent hazards from health information…
  7. psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
    September 01, 2005 - Playing Well with Others: "Translocational Research" in Patient Safety Robert M. Wachter, MD | September 1, 2005  Also Read a Conversation View more articles from the same authors. Citation Text: Wachter R. Playing Well with Others: "Translocational Research" in…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36989/psn-pdf
    June 18, 2013 - Medication Management: Detailed Use Case. June 18, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology, US Department of Health and Human Services; 2007. https://psnet.ahrq.gov/issue/medication-management-detailed-use-case This report provides two example scenarios—inpatient m…
  9. psnet.ahrq.gov/issue/high-priority-drug-drug-interactions-use-electronic-health-records
    September 01, 2016 - Study High-priority drug–drug interactions for use in electronic health records. Citation Text: Phansalkar S, Desai AA, Bell D, et al. High-priority drug-drug interactions for use in electronic health records. J Am Med Inform Assoc. 2012;19(5):735-43. doi:10.1136/amiajnl-2011-000612. C…
  10. psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory
    August 03, 2022 - Study Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center Citation Text: Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory p…
  11. psnet.ahrq.gov/issue/overriding-drug-drug-interaction-alerts-clinical-decision-support-systems-scoping-review
    April 06, 2022 - Review Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. Citation Text: Villa Zapata L, Subbian V, Boyce RD, et al. Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. Stud Health Technol Inform. 20…
  12. psnet.ahrq.gov/issue/cranky-comments-detecting-clinical-decision-support-malfunctions-through-free-text-override
    April 29, 2018 - Study Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. Citation Text: Aaron S, McEvoy DS, Ray S, et al. Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. J Am Med Inform Assoc. 2019;2…
  13. psnet.ahrq.gov/issue/diagnostic-discordance-health-information-exchange-and-inter-hospital-transfer-outcomes
    May 19, 2021 - Study Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. Citation Text: Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. J Gen In…
  14. psnet.ahrq.gov/issue/patient-groups-clinicians-and-healthcare-professionals-agree-all-test-results-need-be-seen
    September 27, 2023 - Study Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. Citation Text: Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all test results need to be seen, underst…
  15. psnet.ahrq.gov/issue/analysis-errors-dictated-clinical-documents-assisted-speech-recognition-software-and
    July 06, 2022 - Study Emerging Classic Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. Citation Text: Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted…
  16. psnet.ahrq.gov/issue/improving-allergy-documentation-retrospective-electronic-health-record-system-wide-patient
    June 15, 2022 - Study Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. Citation Text: Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patie…
  17. psnet.ahrq.gov/issue/comparison-accuracy-physical-examination-findings-initial-progress-notes-between-paper-charts
    May 11, 2022 - Study Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record. Citation Text: Yadav S, Kazanji N, C. NK, et al. Comparison of accuracy of physical examination findings in initial progress note…
  18. psnet.ahrq.gov/issue/stakeholder-perspectives-handovers-between-hospital-staff-and-general-practitioners
    October 03, 2012 - Study Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens. Citation Text: Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and general practitioners: an e…
  19. psnet.ahrq.gov/issue/do-patient-engagement-it-functionalities-influence-patient-safety-outcomes-study-us-hospitals
    October 21, 2020 - Study Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. Citation Text: Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. J Public Health Manag…
  20. psnet.ahrq.gov/issue/prevalence-dose-errors-among-paediatric-patients-hospital-wards-and-without-health
    November 02, 2018 - Review The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis. Citation Text: Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in Hospi…

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