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5281. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60833/psn-pdf
      September 15, 2020 - Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. August 19, 2020 Institute for Safe Medication Practices. September 15, 2020. https://psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global- medication-safety Medication error reporting is key to …

5282. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36896/psn-pdf
      March 10, 2011 - The utility of adding retrospective medication profiling to computerized provider order entry in an ambulatory care population. March 10, 2011 Glassman PA, Belperio P, Lanto A, et al. The utility of adding retrospective medication profiling to computerized provider order entry in an ambulatory care population. J A…

5283. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38644/psn-pdf
      May 20, 2009 - A quality initiative to decrease pathology specimen- labeling errors using radiofrequency identification in a high-volume endoscopy center. May 20, 2009 Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume en…

5284. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34585/psn-pdf
      March 07, 2005 - John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. March 7, 2005 Bates DW. John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. Interview by Steven Berman. Jt Comm J Qual Improv. 2002;28(12):651-659, 633. h…

5285. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46234/psn-pdf
      October 02, 2017 - Study: clinicians copy and paste about half of text in EHR progress notes. June 14, 2017 Landi H. Healthcare Innovation. October 2, 2017. https://psnet.ahrq.gov/issue/study-clinicians-copy-and-paste-about-half-text-ehr-progress-notes The use of copy and paste is a popular time-saving mechanism to update electronic…

5286. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47112/psn-pdf
      May 09, 2018 - 34 ways to survive your next trip to the hospital. May 9, 2018 Crouch M. Reader's Digest. April 2018. https://psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital Involving patients in their care can help improve safety. This magazine article provides 34 tips from leading patient safety experts to assist p…

5287. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35043/psn-pdf
      June 22, 2009 - Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. June 22, 2009 Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. https://psnet.ahrq.gov/issue/human-factors-e…

5288. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42222/psn-pdf
      April 24, 2013 - Team communication during patient handover from the operating room: more than facts and figures. April 24, 2013 Manser T, Foster S, Flin R, et al. Team communication during patient handover from the operating room: more than facts and figures. Hum Factors. 2013;55(1):138-56. https://psnet.ahrq.gov/issue/team-commu…

5289. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42633/psn-pdf
      October 02, 2013 - Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. October 2, 2013 Roper RA, Anderson KM, Marsh CA, Flemming AC. Rockville, MD: Agency for Healthcare Research and Quality; September 2013. AHRQ Publication No. 13-0059-EF.  https://psnet.ahrq.gov/issue/health-it-enabled-quali…

5290. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41296/psn-pdf
      April 11, 2012 - I-PASS, a mnemonic to standardize verbal handoffs. April 11, 2012 Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966. https://psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs Poor communication at…

5291. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46193/psn-pdf
      May 31, 2017 - Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief. May 31, 2017 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2017. https://psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop-brief Medication safety is a gl…

5292. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47795/psn-pdf
      February 20, 2019 - Three laws for paperlessness. February 20, 2019 Thimbleby H. Three laws for paperlessness. Digit Health. 2019;5:2055207619827722. doi:10.1177/2055207619827722. https://psnet.ahrq.gov/issue/three-laws-paperlessness The digitization of health care data has had some positive effects on patient safety, but it has also…

5293. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837339/psn-pdf
      June 08, 2022 - Mindful workarounds in bar code medication administration. June 8, 2022 Lichtner V, Dowding D. Mindful workarounds in bar code medication administration. Stud Health Technol Inform. 2022;294:740-744. doi:10.3233/shti220575. https://psnet.ahrq.gov/issue/mindful-workarounds-bar-code-medication-administration Barcod…

5294. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34720/psn-pdf
      April 21, 2011 - Human error and the problem of causality in analysis of accidents. April 21, 2011 Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B Biol Sci. 1990;327(1241):449-462. https://psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents Reporting …

5295. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45586/psn-pdf
      November 02, 2016 - Antimicrobial stewardship and patient safety. November 2, 2016 Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356. doi:10.1016/j.aorn.2016.08.002. https://psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety Antimicrobial stewardship has been highlighted as a strate…

5296. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44551/psn-pdf
      September 30, 2015 - Safety culture includes "good catches." September 30, 2015 Traynor K. Safety culture includes "good catches". Am J Health Syst Pharm. 2015;72(19):1597-1599. doi:10.2146/news150065. https://psnet.ahrq.gov/issue/safety-culture-includes-good-catches Near misses can provide opportunities for learning if there is a pro…

5297. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37147/psn-pdf
      October 04, 2011 - Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice. October 4, 2011 SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care computerized system for drug therapy …

5298. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38840/psn-pdf
      August 12, 2009 - Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. August 12, 2009 Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Cytojournal. 2009;6:11. doi:10.4103/17…

5299. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47120/psn-pdf
      July 18, 2018 - Complicated: medical missteps are not inevitable. July 18, 2018 Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178- 1181. doi:10.1377/hlthaff.2017.1550. https://psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable This commentary provides a clini…

5300. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47084/psn-pdf
      July 25, 2018 - Best Practices for Safe Medication Administration During Anesthesia Care. July 25, 2018 APSF Committee on Technology. Anesthesia Patient Safety Foundation. https://psnet.ahrq.gov/issue/best-practices-safe-medication-administration-during-anesthesia-care Medication errors in anesthesia practice can be result in ser…