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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38900/psn-pdf
    January 03, 2017 - Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. January 3, 2017 Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J Qual Patient Saf. 2009;35(9):467…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40786/psn-pdf
    December 30, 2014 - Exploring situational awareness in diagnostic errors in primary care. December 30, 2014 Singh H, Giardina TD, Petersen LA, et al. Exploring situational awareness in diagnostic errors in primary care. BMJ Qual Saf. 2011;21(1):30-38. doi:10.1136/bmjqs-2011-000310. https://psnet.ahrq.gov/issue/exploring-situational-a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47333/psn-pdf
    October 10, 2018 - Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. October 10, 2018 Jalal H, Buchanich JM, Roberts MS, et al. Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. Science (1979). 2018;361(6408). doi:10.1126/science.aau1184. https://p…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41049/psn-pdf
    December 31, 2014 - Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use? December 31, 2014 Love JS, Wright A, Simon SR, et al. Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electroni…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38817/psn-pdf
    April 04, 2011 - Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. April 4, 2011 Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. J Gen Intern Med. 2009;24(9)…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46975/psn-pdf
    November 16, 2018 - Electronic health record usability issues and potential contribution to patient harm. November 16, 2018 Howe JL, Adams KT, Hettinger Z, et al. Electronic Health Record Usability Issues and Potential Contribution to Patient Harm. JAMA. 2018;319(12):1276-1278. doi:10.1001/jama.2018.1171. https://psnet.ahrq.gov/issue…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42483/psn-pdf
    January 22, 2014 - What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use. January 22, 2014 Serper M, McCarthy D, Patzer RE, et al. What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use. Patient Educ Couns. 2013;93(2):306-11. doi:10.1016/j…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47666/psn-pdf
    January 01, 2020 - A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. February 6, 2019 Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partially Structured Postoperative Ha…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45310/psn-pdf
    January 03, 2017 - Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. January 3, 2017 Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54. https://psnet.ahrq.gov/issue/mind…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42628/psn-pdf
    January 07, 2015 - Engaging patients in medication reconciliation via a patient portal following hospital discharge. January 7, 2015 Heyworth L, Paquin AM, Clark J, et al. Engaging patients in medication reconciliation via a patient portal following hospital discharge. J Am Med Inform Assoc. 2014;21(e1):e157-62. doi:10.1136/amiajnl-2…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39212/psn-pdf
    March 04, 2011 - The impact of computerized provider order entry on medication errors in a multispecialty group practice. March 4, 2011 Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med Inform Assoc. 2010;17(1):78-84. doi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46956/psn-pdf
    January 23, 2019 - Impact of a national QI programme on reducing electronic health record notifications to clinicians. January 23, 2019 Shah T, Patel-Teague S, Kroupa L, et al. Impact of a national QI programme on reducing electronic health record notifications to clinicians. BMJ Qual Saf. 2018;28(1):10-14. doi:10.1136/bmjqs-2017-007…
  13. psnet.ahrq.gov/web-mm/what-happened-telemetry
    January 18, 2012 - SPOTLIGHT CASE What Happened on Telemetry? Citation Text: Sandau KE, Funk M. What Happened on Telemetry?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNo…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72911/psn-pdf
    March 15, 2021 - The Impact of Communication on Medication Errors March 15, 2021 Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors The Case   A 93-year-old man with a history of chronic systolic heart failure…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49756/psn-pdf
    April 01, 2016 - Lost in Sign Out and Documentation April 1, 2016 Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation The Case A 71-year-old man presented to the emergency department with chest pain. While being evaluated by the emergency physician, …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49479/psn-pdf
    April 01, 2005 - The Forgotten Med April 1, 2005 Cucina R. The Forgotten Med. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/forgotten-med The Case A 78-year-old woman with a history of chronic obstructive pulmonary disease (COPD) came to the hospital with increasing shortness of breath and chest pain. Although she had no …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33582/psn-pdf
    September 15, 2024 - Detection of Safety Hazards September 15, 2024 Detection of Safety Hazards. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/detection-safety-hazards PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient s…
  18. psnet.ahrq.gov/primer/detection-safety-hazards
    March 30, 2022 - Detection of Safety Hazards Citation Text: Detection of Safety Hazards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33856/psn-pdf
    April 01, 2018 - Patient Safety During Hospital Discharge April 1, 2018 Liang K, Alper E. Patient Safety During Hospital Discharge. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge Perspective Patients are admitted to the hospital in the United States 35 million times per year.(1)…
  20. psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
    August 04, 2021 - SPOTLIGHT CASE The NSTEMI Curbside Consultation Citation Text: Villablanca AC, Wong GX. The NSTEMI Curbside Consultation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scho…

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