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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42488/psn-pdf
    August 14, 2013 - Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. August 14, 2013 Simon SR, Keohane CA, Amato MG, et al. Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. BMC Med Inform Decis…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41400/psn-pdf
    January 01, 2013 - Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. December 12, 2012 Hundt AS, Adams JA, Schmid A, et al. Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. Int J Med Inform. 2013;82(1):25-38. doi:10.1016/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72662/psn-pdf
    January 20, 2021 - Interventions to engage patients and families in patient safety: a systematic review. January 20, 2021 Lee M, Lee N-J, Seo H-J, et al. Interventions to Engage Patients and Families in Patient Safety: A Systematic Review. West J Nurs Res. 2021;43(10):972-983. doi:10.1177/0193945920980770. https://psnet.ahrq.gov/iss…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42623/psn-pdf
    October 02, 2013 - Unintended adverse consequences of introducing electronic health records in residential aged care homes. October 2, 2013 Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records in residential aged care homes. Int J Med Inform. 2013;82(9):772-88. doi:10.1016/j.ijmedinf.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37340/psn-pdf
    November 14, 2007 - Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences. November 14, 2007 Schultz K, Carayon P, Hundt AS, et al. Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their …
  6. psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
    December 01, 2007 - In Conversation with...Eric Coleman, MD, MPH December 1, 2007  Also Read an Essay Citation Text: In Conversation with..Eric Coleman, MD, MPH. PSNet [internet]. 2007.In Conversation with...Eric Coleman, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthca…
  7. psnet.ahrq.gov/perspective/care-transitions
    December 01, 2007 - Care Transitions Sunil Kripalani, MD, MSc | December 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Kripalani S. Care Transitions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depart…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43645/psn-pdf
    November 12, 2014 - Health IT and Clinical Decision Support Systems. November 12, 2014 Ohno-Machado L, ed. J Am Med Inform Assoc. 2014;21:e180-e375. https://psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems A universal agreement on how to calculate the return on investment for health information technology (IT) and…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73481/psn-pdf
    July 07, 2021 - Leadership To Improve Diagnosis: A Call to Action. July 7, 2021 Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2021. AHRQ Publication No. 20(21)-0040-5-EF. https://psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action The mindset on diagnostic error…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43134/psn-pdf
    September 04, 2015 - Evaluating the accuracy of electronic pediatric drug dosing rules. September 4, 2015 Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793. https://psnet.ahrq.gov/issue/evaluating-accuracy-elec…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45908/psn-pdf
    April 05, 2017 - Towards a framework for managing risk associated with technology-induced error. April 5, 2017 Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. https://psnet.ahrq.gov/issue/towards-framework-managing-risk-associated…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838029/psn-pdf
    September 07, 2022 - Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. September 7, 2022 ISMP Medication Safety Alert! Acute care edition! August 25, 2022:27(17)1-6. https://psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr- downtime Unanticipated…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40566/psn-pdf
    June 29, 2011 - Comparison of computerized surveillance and manual chart review for adverse events. June 29, 2011 Tinoco A, Evans S, Staes CJ, et al. Comparison of computerized surveillance and manual chart review for adverse events. J Am Med Inform Assoc. 2011;18(4):491-7. doi:10.1136/amiajnl-2011-000187. https://psnet.ahrq.gov/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38306/psn-pdf
    January 07, 2009 - Impact of barcode medication administration technology on how nurses spend their time providing patient care. January 7, 2009 Poon EG, Keohane CA, Bane A, et al. Impact of Barcode Medication Administration Technology on How Nurses Spend Their Time Providing Patient Care. JONA: The Journal of Nursing Administration.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34868/psn-pdf
    February 03, 2011 - Role of computerized physician order entry systems in facilitating medication errors. February 3, 2011 Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):1197-203. https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41482/psn-pdf
    June 27, 2012 - Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce medication errors in primary care. June 27, 2012 Hemming K, Chilton PJ, Lilford RJ, et al. Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce medication e…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43881/psn-pdf
    February 11, 2015 - Cognitive Systems Engineering in Health Care. February 11, 2015 Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960. https://psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care This publication provides information about the role of cognition in medical error. Th…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73417/psn-pdf
    June 23, 2021 - Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. June 23, 2021 Aftab H, Shah SHH, Habli I. Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Stud Health Technol Inform. 2021;281:…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854259/psn-pdf
    January 01, 2024 - The power of written word: reflection reduces errors of omission. October 4, 2023 Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission. Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630. https://psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74065/psn-pdf
    November 10, 2021 - AHRQ announces interest in research on digital healthcare safety. November 10, 2021 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021 Publication No. NOT-HS-22-004. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety Digital in…

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