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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…
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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…
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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…