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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42551/psn-pdfMay 21, 2019 - Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care safety improvement? May 21, 2019 Enbom JA. Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care safety improvement? Am J Obstet Gynecol. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73359/psn-pdfJune 02, 2020 - Patient Safety Movement Foundation. June 2, 2020 15642 Sand Canyon Ave. #51268, Irvine, CA 92619. 877-236-0279, info@psmf.org. https://psnet.ahrq.gov/issue/patient-safety-movement-foundation This organization shares best practices to align and optimize efforts toward eliminating patient harm by the … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42049/psn-pdfFebruary 20, 2013 - Mitigating error vulnerability at the transition of care through the use of health IT applications. February 20, 2013 Cortelyou-Ward K, Swain A, Yeung T. Mitigating Error Vulnerability at the Transition of Care through the Use of Health IT Applications. J Med Syst. 2012;36(6). doi:10.1007/s10916-012-9855-x. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44200/psn-pdfFebruary 18, 2019 - Structured handover in general surgery: an audit of current practice. February 18, 2019 Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201. https://psnet.ahrq.gov/issue/structured-handover-general-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40570/psn-pdfJune 25, 2012 - Effect of computerized physician order entry on radiologic examination order indication quality. June 25, 2012 Schneider E, Franz W, Spitznagel R, et al. Effect of computerized physician order entry on radiologic examination order indication quality. Arch Intern Med. 2011;171(11):1036-8. doi:10.1001/archinternmed.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46104/psn-pdfMay 03, 2017 - Secret data on hospital inspections may soon become public. May 3, 2017 Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017. https://psnet.ahrq.gov/issue/secret-data-hospital-inspections-may-soon-become-public Summary data about serious errors in hospitals are available, but often detail… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45958/psn-pdfJanuary 01, 2021 - The effects of bar-coding technology on medication errors: a systematic literature review. April 19, 2017 Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic Literature Review. J Patient Saf. 2021;17(3):e192-e206. doi:10.1097/PTS.0000000000000366. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38889/psn-pdfApril 01, 2010 - Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. April 1, 2010 Peute LW, Aarts J, Bakker PJM, et al. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Int J Med Inform. 2010;79(4):e58-70. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45607/psn-pdfJuly 14, 2019 - Duke Center for Healthcare Safety and Quality. July 14, 2019 Duke University Health System. https://psnet.ahrq.gov/issue/duke-center-healthcare-safety-and-quality This website provides resources to help individuals, hospitals, outpatient practices, and others improve quality and patient safety. The materials inclu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44999/psn-pdfAugust 03, 2017 - An analysis of electronic health record–related patient safety incidents. August 3, 2017 Palojoki S, Mäkelä M, Lehtonen L, et al. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-145. doi:10.1177/1460458216631072. https://psnet.ahrq.gov/issue/analysis-e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72581/psn-pdfDecember 16, 2020 - Dispensing Errors. December 16, 2020 Phipps D, Ashour A, Riste L, et al. The Pharmaceutical Journal. 2020;305(7943, 7944). November 10, December 1, 2020. https://psnet.ahrq.gov/issue/dispensing-errors Dispensing mistakes are a common contributor to preventable adverse events in community pharmacies. Par… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40356/psn-pdfMay 26, 2011 - Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. May 26, 2011 Khajouei R, Wierenga PC, Hasman A, et al. Clinicians satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. Int J Med Inform. 2011;80(5)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36884/psn-pdfMay 27, 2011 - Evaluation of outpatient computerized physician medication order entry systems: a systematic review. May 27, 2011 Eslami S, Abu-Hanna A, de Keizer NF. Evaluation of outpatient computerized physician medication order entry systems: a systematic review. J Am Med Inform Assoc. 2007;14(4):400-6. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38409/psn-pdfMay 21, 2009 - The state of the evidence for computerized provider order entry: a systematic review and analysis of the quality of the literature. May 21, 2009 Weir C, Staggers N, Phansalkar S. The state of the evidence for computerized provider order entry: a systematic review and analysis of the quality of the literature. Int … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50568/psn-pdfOctober 23, 2019 - Automation of the I-PASS tool to improve transitions of care. October 23, 2019 Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174. https://psnet.ahrq.gov/issue/automation-i-pass-tool-improve-trans… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35132/psn-pdfJune 22, 2009 - 2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: Improving patient care and medication safety. June 22, 2009 2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: improving patient care and medication safety. https://psnet.ahrq.gov/issue/2004-ashp-lea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47311/psn-pdfOctober 10, 2018 - Cognitive error in an academic emergency department. October 10, 2018 Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis (Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011. https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department In 2015, the Nation… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45391/psn-pdfAugust 10, 2016 - Where are my instruments? Hazards in delivery of surgical instruments. August 10, 2016 Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7. https://psnet.ahrq.gov/issue/where-are-my-in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41172/psn-pdfFebruary 29, 2012 - Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. February 29, 2012 Petrovic MA, Aboumatar HJ, Baumgartner WA, et al. Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. J Cardiothorac Vasc … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60192/psn-pdfApril 01, 2020 - Effective Reporting Could Improve Safe Use of Electronic Health Records. April 1, 2020 Philadelphia, PA: Pew Charitable Trusts; March 2020. https://psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records Electronic health records both enhance and challenge the safety of care proce…
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