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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35715/psn-pdf
    February 15, 2006 - Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. February 15, 2006 Wong DH; Gallegos Y; Weinger MB; Clack S; Slagle J; Anderson CT. https://psnet.ahrq.gov/issue/changes-intensive-care-unit-nurse-task-activity-after-installation-thir…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60586/psn-pdf
    June 10, 2020 - Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. June 10, 2020 US Health and Human Services Office of the Assistant Secretary for Preparedness and Response’s Technical Resources, Assistance Center, & Information Exchange; US Health and Human Services/FEMA COVID-19 Healthcare Resilience Task Fo…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38213/psn-pdf
    November 12, 2008 - AHRQ announces interest in research on diagnostic errors in ambulatory care settings. November 12, 2008 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-error…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44565/psn-pdf
    October 14, 2015 - How to use online clinician rating systems. October 14, 2015 Razmaria AA, Livingston EH. JAMA PATIENT PAGE. How to Use Online Clinician Rating Systems. JAMA. 2015;314(13):1418. doi:10.1001/jama.2015.11957. https://psnet.ahrq.gov/issue/how-use-online-clinician-rating-systems Clinician rating sites may not always pr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46557/psn-pdf
    November 22, 2017 - Safe handover. November 22, 2017 Merten H, van Galen LS, Wagner C. Safe handover. BMJ. 2017;359:j4328. doi:10.1136/bmj.j4328. https://psnet.ahrq.gov/issue/safe-handover Patient handovers between clinical teams are a common point of information exchange that can be challenging to perform due to interruptions, produ…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35254/psn-pdf
    April 06, 2011 - Adverse events and near miss reporting in the NHS. April 6, 2011 Shaw R. Adverse events and near miss reporting in the NHS. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010553. https://psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs This study evaluated the utility of a volu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36488/psn-pdf
    January 07, 2011 - Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era. January 7, 2011 Armstrong I, Cox MA. Horus meets Nightingale in the modern age: How nursing communicates with pharmacy in HCIT era. Stud Health Technol Inform. 2006;122:585-6. https://psnet.ahrq.gov/issue/horus-meets-nig…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74167/psn-pdf
    December 08, 2021 - National Patient Safety Board Advocacy Coalition. December 8, 2021 EQT Plaza, 625 Liberty Ave, Ste. 2500, Pittsburgh, PA 15222. https://psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition Centralized reporting and analysis of adverse events in health care is a safety improvement model from the av…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73379/psn-pdf
    June 09, 2021 - How medical jargon can make COVID health disparities even worse. June 9, 2021 Kritz F. Health Shots. National Public Radio; May 24, 2021. https://psnet.ahrq.gov/issue/how-medical-jargon-can-make-covid-health-disparities-even-worse Health literacy efforts address challenges related to both language and effecti…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45503/psn-pdf
    October 29, 2017 - All CLEAR? Preparing for IT downtime. October 29, 2017 Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546. https://psnet.ahrq.gov/issue/all-clear-preparing-it-downtime Due to the increasing integration of health care proc…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36226/psn-pdf
    August 30, 2006 - Framework for a High Performance Health System for the United States. August 30, 2006 Mongan JJ. New York, NY; The Commonwealth Fund: 2006. https://psnet.ahrq.gov/issue/framework-high-performance-health-system-united-states This report calls for providing "safe, well-coordinated, accessible, and efficient" care th…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39374/psn-pdf
    March 17, 2010 - Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. March 17, 2010 Ferranti JM, Langman MK, Tanaka D, et al. Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. J Am Med Inform Assoc. 2010;1…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34902/psn-pdf
    February 27, 2009 - Hospital rules-based system: the next generation of medical informatics for patient safety. February 27, 2009 Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505. https://psnet.ahrq.gov/issue/hospit…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43657/psn-pdf
    November 26, 2014 - Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital. November 26, 2014 American Society of Health-System Pharmacists https://psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital Insulin is classified as a high-alert medication due to the potential to cause serious patient harm w…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39268/psn-pdf
    April 01, 2010 - Multi-professional patterns and methods of communication during patient handoffs. April 1, 2010 Benham-Hutchins MM, Effken JA. Multi-professional patterns and methods of communication during patient handoffs. Int J Med Inform. 2010;79(4):252-67. doi:10.1016/j.ijmedinf.2009.12.005. https://psnet.ahrq.gov/issue/mult…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47166/psn-pdf
    July 02, 2019 - Meaningful use's benefits and burdens for US family physicians. July 2, 2019 Holman T, Waldren SE, Beasley JW, et al. Meaningful use's benefits and burdens for US family physicians. J Am Med Inform Assoc. 2018;25(6):694-701. doi:10.1093/jamia/ocx158. https://psnet.ahrq.gov/issue/meaningful-uses-benefits-and-burden…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848825/psn-pdf
    May 10, 2023 - Laura Levis' death outside ER has changed hospital signage, lighting in Mass. May 10, 2023 Mullins L, Menard F. WBUR. April 27, 2023. https://psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass Incomplete information and building design problems can reduce access to care an…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44649/psn-pdf
    November 11, 2015 - Seven (potentially) deadly prescribing errors. November 11, 2015 Graham LR, Scudder L, Stokowski L. Medscape. October 22, 2015. https://psnet.ahrq.gov/issue/seven-potentially-deadly-prescribing-errors Errors in the prescribing process can lead to adverse drug events. This slide set provides information about commo…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39861/psn-pdf
    September 22, 2010 - A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals. September 22, 2010 Wakefield DS, Ward MM, Loes JL, et al. A network collaboration implementing technology to improve medication dispensing and administration in critical access hospital…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44332/psn-pdf
    July 29, 2015 - Health IT Safety Center Roadmap. July 29, 2015 RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…

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