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  1. psnet.ahrq.gov/issue/challenges-electronic-health-records-and-diabetes-electronic-prescribing-implications-safety
    September 23, 2020 - Review The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations. Citation Text: Ratanawongsa N, Chan LLS, Fouts MM, et al. The Challenges of Electronic Health Records and Diabetes Electronic Prescribing: Imp…
  2. psnet.ahrq.gov/issue/systematic-review-types-and-causes-prescribing-errors-generated-using-computerized-provider
    July 02, 2019 - Review A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. Citation Text: Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing err…
  3. psnet.ahrq.gov/issue/failure-utilize-functions-electronic-prescribing-system-and-subsequent-generation-technically
    February 15, 2012 - Study Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. Citation Text: Baysari M, Reckmann MH, Li L, et al. Failure to utilize functions of an electronic prescribing system and the subsequent g…
  4. psnet.ahrq.gov/issue/impact-commercial-order-entry-system-prescribing-errors-amenable-computerised-decision
    December 21, 2022 - Study Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study. Citation Text: Pontefract SK, Hodson J, Slee A, et al. Impact of a commercial order entry system on prescribing errors am…
  5. psnet.ahrq.gov/issue/national-survey-assessing-number-records-allowed-open-electronic-health-records-hospitals-and
    May 29, 2019 - Study A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. Citation Text: Adelman JS, Berger MA, Rai A, et al. A national survey assessing the number of records allowed open in electronic health records at hospital…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35327/psn-pdf
    March 15, 2017 - Common Program Requirements. The Learning and Working Environment (Duty Hours). March 15, 2017 Accreditation Council for Graduate Medical Education. https://psnet.ahrq.gov/issue/common-program-requirements-learning-and-working-environment-duty-hours This website provides information about efforts to study and set …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35523/psn-pdf
    December 14, 2010 - ISMP Medication Errors Reporting Program. December 14, 2010 Institute for Safe Medication Practices https://psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program The Institute for Safe Medication Practices (ISMP) administers this national reporting program, which collects confidential reports of medication…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46759/psn-pdf
    January 31, 2018 - Health Literacy Toolkit. January 31, 2018 Leeds, UK: Health Education England, Public Health England, NHS England and Community Health and Learning Foundation; December 11, 2017. https://psnet.ahrq.gov/issue/health-literacy-toolkit Limits in patients' ability to understand health instructions and information affec…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60810/psn-pdf
    August 12, 2020 - Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems. August 12, 2020 Philadelphia, PA: Pew Charitable Trusts; July 21, 2020. https://psnet.ahrq.gov/issue/hospitals-can-take-key-steps-improve-safe-use-digital-systems Tracking problems with health information technology (Health IT) is an important st…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45353/psn-pdf
    July 20, 2016 - Using the web or an app instead of seeing a doctor? Caution is advised. July 20, 2016 Frakt A. New York Times. July 11, 2016. https://psnet.ahrq.gov/issue/using-web-or-app-instead-seeing-doctor-caution-advised Patients are increasingly using online symptom checkers for medical information and health care recommen…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45429/psn-pdf
    December 19, 2016 - ONC Health IT Certification Program: Enhanced Oversight and Accountability. November 30, 2016 Office of the National Coordinator for Health Information Technology; ONC; Health and Human Services; HHS. https://psnet.ahrq.gov/issue/onc-health-it-certification-program-enhanced-oversight-and-accountability Requiremen…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46477/psn-pdf
    January 08, 2018 - The iatrogenic potential of the physician's words. January 8, 2018 Barsky AJ. The Iatrogenic Potential of the Physician's Words. JAMA. 2017;318(24):2425-2426. doi:10.1001/jama.2017.16216. https://psnet.ahrq.gov/issue/iatrogenic-potential-physicians-words Inadequate information sharing between physicians and patien…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36130/psn-pdf
    September 29, 2010 - OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. September 29, 2010 Stoop AP, Bal R, Berg M. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Int J Med Inform. 2007;76 Suppl 1:S229-35. https://psnet.ahrq.g…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43031/psn-pdf
    March 12, 2014 - WARNING health IT may be hazardous to your healthcare. March 12, 2014 Dimick C. https://psnet.ahrq.gov/issue/warning-health-it-may-be-hazardous-your-healthcare This article relates the development of a taxonomy that hospitals and vendors can use to detect, sort, and analyze risks associated with health information…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38824/psn-pdf
    March 04, 2011 - Evaluation of a physician informatics tool to improve patient handoffs. March 4, 2011 Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892. https://psnet.ahrq.gov/issue/evaluation-phys…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40218/psn-pdf
    December 29, 2014 - Preventable adverse drug events and their causes and contributing factors: the analysis of register data. December 29, 2014 Jylhä V, Saranto K, Bates DW. Preventable adverse drug events and their causes and contributing factors: the analysis of register data. Int J Qual Health Care. 2011;23(2):187-97. doi:10.1093/i…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45849/psn-pdf
    February 22, 2017 - Monitoring teamwork: a narrative review. February 22, 2017 Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72 Suppl 1:84-94. doi:10.1111/anae.13744. https://psnet.ahrq.gov/issue/monitoring-teamwork-narrative-review Anesthesiology was an early adopter of teamwork as a safety improvement st…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41098/psn-pdf
    March 04, 2015 - Automated identification of extreme-risk events in clinical incident reports. March 4, 2015 Ong M-S, Magrabi F, Coiera E. Automated identification of extreme-risk events in clinical incident reports. J Am Med Inform Assoc. 2012;19(e1):e110-8. https://psnet.ahrq.gov/issue/automated-identification-extreme-risk-event…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34668/psn-pdf
    June 06, 2018 - Please don't sleep through this wake-up call. June 6, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 2, 2001.   https://psnet.ahrq.gov/issue/please-dont-sleep-through-wake-call This is an alert from the Institute for Safe Medication Practices informing readers of a fatal medication error that occu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50607/psn-pdf
    December 01, 2020 - Digital Health and Patient Safety. December 1, 2020 Health Informatics J. 2020;26:181-189;576-591;683-718;1017-1042;2295-2299;3123-3162. https://psnet.ahrq.gov/issue/digital-health-and-patient-safety-technology-not-magic-wand This special collection examines the use of novel health information technology (HIT) to p…

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