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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45273/psn-pdf
    October 13, 2018 - Using an inpatient portal to engage families in pediatric hospital care. October 13, 2018 Kelly MM, Hoonakker P, Dean SM. Using an inpatient portal to engage families in pediatric hospital care. J Am Med Inform Assoc. 2017;24(1):153-161. doi:10.1093/jamia/ocw070. https://psnet.ahrq.gov/issue/using-inpatient-portal…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42935/psn-pdf
    February 12, 2014 - Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. February 12, 2014 Balka E, Tolar M, Coates S, et al. Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. Int J Med Inform. 2013;8…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38261/psn-pdf
    December 03, 2008 - Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory. December 3, 2008 Goodyear N, Ulness BK, Prentice JL, et al. Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory. Arch Pathol Lab Med. 2008;132(11):1792-5…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837702/psn-pdf
    July 20, 2022 - Patient safety informatics: meeting the challenges of emerging digital health. July 20, 2022 McInerney C, Benn J, Dowding D, et al. Patient safety informatics: meeting the challenges of emerging digital health. Stud Health Technol Inform. 2022;290:364-368. doi:10.3233/shti220097. https://psnet.ahrq.gov/issue/patie…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43677/psn-pdf
    November 19, 2014 - Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. November 19, 2014 Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World Health Organization; October 2014. ISBN: 9789241507943. https://psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-err…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37947/psn-pdf
    May 04, 2010 - Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance. May 4, 2010 Galanter W, Hier DB, Jao C, et al. Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance. Int J …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866072/psn-pdf
    June 05, 2024 - WHO Global Report on Patient Safety. June 5, 2024 Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458. https://psnet.ahrq.gov/issue/who-global-report-patient-safety Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the seven objectives of the…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46791/psn-pdf
    May 23, 2018 - Medication Safety Dashboard. May 23, 2018 National Health Service. https://psnet.ahrq.gov/issue/medication-safety-dashboard Data surveillance and transparency are core to measuring and informing improvement efforts. This website provides detailed data that links ambulatory care prescribing activity to National Hea…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50867/psn-pdf
    February 05, 2020 - Cognitive testing of older clinicians prior to recredentialing. February 5, 2020 Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. https://psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing In an…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47971/psn-pdf
    June 14, 2019 - Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. June 14, 2019 Mondoux S, Shojania KG. Evidence-based medicine: A cornerstone for clinical care but not for quality improvement. J Eval Clin Pract. 2019;25(3):363-368. doi:10.1111/jep.13135. https://psnet.ahrq.gov/issue/eviden…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43977/psn-pdf
    November 16, 2015 - Patient perspectives on test result communication in primary care: a qualitative study. November 16, 2015 Litchfield I, Bentham L, Lilford RJ, et al. Patient perspectives on test result communication in primary care: a qualitative study. Br J Med Pract. 2015;65(632):e133-e140. doi:10.3399/bjgp15X683929. https://ps…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44509/psn-pdf
    October 07, 2015 - Medication errors affecting pediatric patients: unique challenges for this special population. October 7, 2015 Grissinger M. PA-PSRS Patient Saf Advis. September 2015;12:96-102. https://psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special- population This article analyzed …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50575/psn-pdf
    October 23, 2019 - Dynamic pocket card for implementing ISBAR in shift handover communication. October 23, 2019 Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831. https://psnet.ahrq.gov/issue/dynam…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35971/psn-pdf
    May 27, 2011 - Effectiveness of computerized provider order entry with dose range checking on prescribing errors. May 27, 2011 Boling B, McKibben M, Hingl J, et al. Effectiveness of Computerized Provider Order Entry with Dose Range Checking on Prescribing Errors. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000215339.03807.fd. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38474/psn-pdf
    March 10, 2011 - Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations. March 10, 2011 Were MC, Abernathy G, Hui SL, et al. Using computerized provider order entry and clinical decision support to improve referring physicians' …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48082/psn-pdf
    June 19, 2019 - Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. June 19, 2019 Redmond P, McDowell R, Grimes TC, et al. Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. BMJ Open. 2019;9(6):e024747. doi:10.1136/bmjopen-2018- 024747. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42078/psn-pdf
    February 27, 2013 - Findings and Lessons From the Enabling Patient- Centered Care Through Health IT Grant Initiative. February 27, 2013 Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publication No. 13- 0011-EF.    https://psnet.ahrq.gov/issue/findings-and-lessons-enabling-patient-centered-car…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45647/psn-pdf
    February 22, 2017 - Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. February 22, 2017 Lewis M. Nautilus. February 9, 2017. https://psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us Physicians' decision-making can be diminished when they are tired, distracted, or too n…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46854/psn-pdf
    June 20, 2018 - FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. June 20, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. May 29, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related- patient-inju…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36190/psn-pdf
    May 27, 2011 - Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system." May 27, 2011 Sittig DF, Ash JS, Zhang J, et al. Lessons from "Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system". P…

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