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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43573/psn-pdf
    October 01, 2014 - Effective communication with primary care providers. October 1, 2014 Smith K. Effective communication with primary care providers. Pediatr Clin North Am. 2014;61(4):671-679. doi:10.1016/j.pcl.2014.04.004. https://psnet.ahrq.gov/issue/effective-communication-primary-care-providers Highlighting how the disconnect be…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38835/psn-pdf
    September 02, 2009 - Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. September 2, 2009 Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sci. 2009;31(5):596-602. doi:10.10…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34789/psn-pdf
    December 23, 2008 - Medication error prevention by pharmacists. December 23, 2008 Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3. https://psnet.ahrq.gov/issue/medication-error-prevention-pharmacists This study investigated the impact of hospital pharmacists in preve…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40091/psn-pdf
    December 15, 2010 - Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. December 15, 2010 Wakefield DS, Ward MM, Loes JL, et al. Implementation of a telepharmacy service to provide round-the- clock medication order review by pharmacists. American Journal of Health-System Pharmacy…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45587/psn-pdf
    January 23, 2017 - Comparison of physician and computer diagnostic accuracy. January 23, 2017 Semigran HL, Levine DM, Nundy S, et al. Comparison of Physician and Computer Diagnostic Accuracy. JAMA Intern Med. 2016;176(12):1860-1861. doi:10.1001/jamainternmed.2016.6001. https://psnet.ahrq.gov/issue/comparison-physician-and-computer-d…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43646/psn-pdf
    January 01, 2021 - Patient Safety Systems Chapter. January 1, 2021 In: 2021 Comprehensive Accreditation Manual for Hospitals. CAMH. Oakbrook Terrace, IL: Joint Commission; January 2021:PS1-PS46. https://psnet.ahrq.gov/issue/patient-safety-systems-chapter This chapter provides information about how organizations can re-design existin…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42981/psn-pdf
    March 19, 2014 - Recognizing and managing errors of cognitive underspecification. March 19, 2014 Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1. https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification Inc…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47025/psn-pdf
    April 11, 2018 - Chemotherapy medication errors. April 11, 2018 Weingart SN, Zhang L, Sweeney M, et al. Chemotherapy medication errors. Lancet Oncol. 2018;19(4):e191-e199. doi:10.1016/S1470-2045(18)30094-9. https://psnet.ahrq.gov/issue/chemotherapy-medication-errors Chemotherapy errors can result in serious patient harm. This revi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41396/psn-pdf
    May 23, 2012 - In search of common ground in handoff documentation in an intensive care unit. May 23, 2012 Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007. https://psnet.ahrq.gov/issue/search-c…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42374/psn-pdf
    January 07, 2014 - Patient safety in nursing education: contexts, tensions and feeling safe to learn. January 7, 2014 Steven A, Magnusson C, Smith P, et al. Patient safety in nursing education: contexts, tensions and feeling safe to learn. Nurse Educ Today. 2014;34(2):277-84. doi:10.1016/j.nedt.2013.04.025. https://psnet.ahrq.gov/is…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43741/psn-pdf
    December 03, 2014 - Overdiagnosis: how our compulsion for diagnosis may be harming children. December 3, 2014 Coon ER, Quinonez RA, Moyer VA, et al. Overdiagnosis: how our compulsion for diagnosis may be harming children. Pediatrics. 2014;134(5):1013-23. doi:10.1542/peds.2014-1778. https://psnet.ahrq.gov/issue/overdiagnosis-how-our-c…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35924/psn-pdf
    April 14, 2011 - Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi- experimental study. April 14, 2011 Ramnarayan P, Roberts GC, Coren M, et al. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study. BMC Med Inf…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43056/psn-pdf
    January 07, 2015 - Electronic handoff instruments: a truly multidisciplinary tool? January 7, 2015 Schuster KM, Jenq GY, Thung SF, et al. Electronic handoff instruments: a truly multidisciplinary tool? J Am Med Inform Assoc. 2014;21(e2):e352-e357. doi:10.1136/amiajnl-2013-002361. https://psnet.ahrq.gov/issue/electronic-handoff-instr…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37619/psn-pdf
    March 19, 2008 - Learning from error: identifying contributory causes of medication errors in an Australian hospital. March 19, 2008 Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(5):276-9. https://psnet.ahrq.gov/is…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44206/psn-pdf
    December 16, 2015 - Your new medical team: algorithms and physicians. December 16, 2015 Frakt A. New York Times. December 7, 2015. https://psnet.ahrq.gov/issue/your-new-medical-team-algorithms-and-physicians Humans are vulnerable to distraction, fatigue, and memory lapses, which can hinder their ability to process information. This n…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38552/psn-pdf
    April 15, 2009 - Understanding pharmacist decision making for adverse drug event (ADE) detection. April 15, 2009 Phansalkar S, Hoffman JM, Hurdle JF, et al. Understanding pharmacist decision making for adverse drug event (ADE) detection. J Eval Clin Pract. 2009;15(2):266-75. doi:10.1111/j.1365-2753.2008.00992.x. https://psnet.ahrq…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42929/psn-pdf
    February 05, 2014 - Do no harm: is it time to rethink the Hippocratic Oath? February 5, 2014 Walton M, Kerridge I. Do no harm: is it time to rethink the Hippocratic Oath? Med Educ. 2014;48(1):17-27. doi:10.1111/medu.12275. https://psnet.ahrq.gov/issue/do-no-harm-it-time-rethink-hippocratic-oath This commentary discusses how health ca…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46095/psn-pdf
    April 26, 2017 - Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety. April 26, 2017 Riga M, ed. Hershey, PA: IGI Global; 2017. ISBN: 9781522523376. https://psnet.ahrq.gov/issue/impact-medical-errors-and-malpractice-health-economics-quality-and-patient- safety This book provides information o…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36736/psn-pdf
    March 21, 2012 - FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. March 21, 2012 Silver Spring MD; Center for Devices and Radiological Health, Food and Drug Administration; March1, 2007. https://psnet.ahrq.gov/issue/fda-preliminary-public-health-notific…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44437/psn-pdf
    September 04, 2015 - A piece of my mind. Writing the wrong. September 4, 2015 Patel JJ. A PIECE OF MY MIND. Writing the Wrong. JAMA. 2015;314(7):671-2. doi:10.1001/jama.2015.5281. https://psnet.ahrq.gov/issue/piece-my-mind-writing-wrong Despite the potential for electronic health record (EHR) systems to improve access to patient data,…

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