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5341. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44070/psn-pdf
      September 09, 2015 - Communication of vital signs at emergency department handoff: opportunities for improvement. September 9, 2015 Venkatesh AK, Curley D, Chang Y, et al. Communication of Vital Signs at Emergency Department Handoff: Opportunities for Improvement. Ann Emerg Med. 2015;66(2):125-30. doi:10.1016/j.annemergmed.2015.02.025…

5342. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38365/psn-pdf
      July 24, 2009 - Electronic results management in pediatric ambulatory care: qualitative assessment. July 24, 2009 Ferris T, Johnson SA, Co JPT, et al. Electronic results management in pediatric ambulatory care: qualitative assessment. Pediatrics. 2009;123 Suppl 2:S85-91. doi:10.1542/peds.2008-1755G. https://psnet.ahrq.gov/issue/e…

5343. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60258/psn-pdf
      April 22, 2020 - Operational Measurement of Diagnostic Safety: State of the Science. April 22, 2020 Singh H, Bradford A, Goeschel C. Rockville, MD: Agency for Healthcare Research and Quality; April 2020. AHRQ Publication No. 20-0040-1-EF. https://psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science This is…

5344. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838191/psn-pdf
      September 28, 2022 - Improved Diagnostic Accuracy Through Probability- Based Diagnosis. September 28, 2022 Rockville, MD: Agency for Healthcare Research and Quality; September 2022. AHRQ Publication No. 22- 0026-3-EF. https://psnet.ahrq.gov/issue/improved-diagnostic-accuracy-through-probability-based-diagnosis Correct consideration o…

5345. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44731/psn-pdf
      December 02, 2015 - How to maximize patient safety when prescribing opioids. December 2, 2015 Kirpalani D. How to Maximize Patient Safety When Prescribing Opioids. PM R. 2015;7(11 Suppl):S225- S235. doi:10.1016/j.pmrj.2015.08.016. https://psnet.ahrq.gov/issue/how-maximize-patient-safety-when-prescribing-opioids Inappropriate opioid u…

5346. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41240/psn-pdf
      October 19, 2012 - Prescriptions analysis by clinical pharmacists in the post- operative period: a 4-year prospective study. October 19, 2012 Charpiat B, Goutelle S, Schoeffler M, et al. Prescriptions analysis by clinical pharmacists in the post- operative period: a 4-year prospective study. Acta Anaesthesiol Scand. 2012;56(8):1047-5…

5347. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46143/psn-pdf
      June 14, 2017 - Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. June 14, 2017 Dublin, Ireland: Health Information and Quality Authority; May 2017. https://psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital- tullamore-coun…

5348. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45749/psn-pdf
      January 11, 2017 - Instrument count sheets and set reviews as patient safety tools. January 11, 2017 Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588- 592. doi:10.1016/j.aorn.2016.10.007. https://psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools Inaccu…

5349. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40913/psn-pdf
      December 31, 2014 - Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. December 31, 2014 Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic heal…

5350. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39157/psn-pdf
      June 09, 2011 - The human factors of home health care: a conceptual model for examining safety and quality concerns. June 9, 2011 Henriksen K, Joseph A, Zayas-Cabán T. The Human Factors of Home Health Care. J Patient Saf. 2009;5(4):229-236. doi:10.1097/pts.0b013e3181bd1c2a. https://psnet.ahrq.gov/issue/human-factors-home-health-c…

5351. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42911/psn-pdf
      February 12, 2014 - Computerized physician order entry: promise, perils, and experience. February 12, 2014 Khanna R, Yen T. Computerized physician order entry: promise, perils, and experience. Neurohospitalist. 2014;4(1):26-33. doi:10.1177/1941874413495701. https://psnet.ahrq.gov/issue/computerized-physician-order-entry-promise-peril…

5352. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41536/psn-pdf
      December 31, 2014 - Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. December 31, 2014 Odukoya OK, Chui MA. Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. J Am Med Inform Assoc. 2012;19(6):1059-65. doi:10.1136/amiajnl-2011-000779. https://…

5353. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46071/psn-pdf
      March 20, 2018 - Evaluating situation awareness: an integrative review. March 20, 2018 Orique SB, Despins L. Evaluating Situation Awareness: An Integrative Review. West J Nurs Res. 2018;40(3):388-424. doi:10.1177/0193945917697230. https://psnet.ahrq.gov/issue/evaluating-situation-awareness-integrative-review Situation awareness in…

5354. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41708/psn-pdf
      January 07, 2015 - Computerized clinical decision support for medication prescribing and utilization in pediatrics. January 7, 2015 Stultz JS, Nahata MC. Computerized clinical decision support for medication prescribing and utilization in pediatrics. J Am Med Inform Assoc. 2012;19(6):942-53. doi:10.1136/amiajnl-2011-000798. https://…

5355. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36189/psn-pdf
      February 15, 2010 - Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions. February 15, 2010 Pathologists C of A, Valenstein PN, Raab SS, et al. Identification errors involving clinical laboratories: a College of Amer…

5356. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38565/psn-pdf
      June 26, 2009 - Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use. June 26, 2009 Mannion R, Konteh FH, Davies HTO. Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use. Qual Saf Health Care. 2009;18(2):153-6. doi:10.…

5357. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36338/psn-pdf
      October 26, 2010 - Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. October 26, 2010 Balka E, Kahnamoui N, Nutland K. Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. Int J Med Inform. 200…

5358. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36224/psn-pdf
      October 19, 2010 - Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. October 19, 2010 Potylycki MJ, Kimmel SR, Ritter M, et al. Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative. J Nurs Adm. 2006;36(7-8):370-376. https://ps…

5359. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40002/psn-pdf
      January 19, 2011 - Considerations for the design of safe and effective consumer health IT applications in the home. January 19, 2011 Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67. doi:10.1136/qshc.2010.041897. ht…

5360. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41530/psn-pdf
      July 18, 2012 - Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence. July 18, 2012 Clyne B, Bradley MC, Hughes C, et al. Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmac…