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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48028/psn-pdf
    August 28, 2019 - Error Reduction and Prevention in Surgical Pathology, Second Edition. August 28, 2019 Nakhleh RE, Volmar KE, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030184636. https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition Surgical specimen and laboratory process proble…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44988/psn-pdf
    September 20, 2016 - The promise of big data: improving patient safety and nursing practice. September 20, 2016 Linnen D. The promise of big data: Improving patient safety and nursing practice. Nursing (Brux). 2016;46(5):28-34; quiz 34-5. doi:10.1097/01.NURSE.0000482256.71143.09. https://psnet.ahrq.gov/issue/promise-big-data-improving…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866406/psn-pdf
    July 31, 2024 - Impact of a daily huddle on safety in perioperative services. July 31, 2024 Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012. https://psnet.ahrq.gov/issue/impact-daily-huddle-s…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60819/psn-pdf
    August 19, 2020 - Register-based research of adverse events revealing incomplete records threatening patient safety. August 19, 2020 Kinnunen U-M, Kivekäs E, Palojoki S, et al. Register-based research of adverse events revealing incomplete records threatening patient safety. Stud Health Technol Inform. 2020;270:771-775. doi:10.3233…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45281/psn-pdf
    September 01, 2016 - Screen flashes and pop-up reminders: 'alert fatigue' spreads through medicine. September 1, 2016 Luthra S. Kaiser Health News. June 15, 2016. https://psnet.ahrq.gov/issue/screen-flashes-and-pop-reminders-alert-fatigue-spreads-through-medicine Alert fatigue is known to contribute to medical error. This news article…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37769/psn-pdf
    March 10, 2011 - Turning off frequently overridden drug alerts: limited opportunities for doing it safely. March 10, 2011 van der Sijs H, Aarts J, van Gelder T, et al. Turning off frequently overridden drug alerts: limited opportunities for doing it safely. J Am Med Inform Assoc. 2008;15(4):439-48. doi:10.1197/jamia.M2311. https:/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60878/psn-pdf
    January 01, 2021 - Intervention study for the reduction of medication errors in elderly trauma patients. September 2, 2020 Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(1):160-166. doi:10.1111/jep.134…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46666/psn-pdf
    March 28, 2018 - Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: a retrospective study. March 28, 2018 Shimizu T, Nemoto T, Tokuda Y. Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: A retrospective stud…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47319/psn-pdf
    October 10, 2018 - Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. October 10, 2018 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/differences-strength-expression-product-labels-compounders-and- conventional-manufacturers-may Confusin…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42741/psn-pdf
    March 04, 2015 - Impact of an automated email notification system for results of tests pending at discharge: a cluster- randomized controlled trial. March 4, 2015 Dalal A, Roy CL, Poon EG, et al. Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. J Am …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46716/psn-pdf
    January 10, 2018 - Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. January 10, 2018 Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2017. AHRQ Publication No. 1800051EF. https://psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-tran…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44309/psn-pdf
    June 14, 2019 - Provider and patient perceptions of an external medication history function. June 14, 2019 Wolver SE, Stultz JS, Aggarwal A, et al. Provider and Patient Perceptions of an External Medication History Function. J Patient Saf. 2018;14(4):234-240. doi:10.1097/PTS.0000000000000197. https://psnet.ahrq.gov/issue/provider…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46254/psn-pdf
    October 09, 2017 - Using risk stratification to reduce medical errors in cervical cancer prevention. October 9, 2017 Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed.2017.3999. https://psnet.ahrq.gov/is…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46973/psn-pdf
    June 25, 2018 - Balancing innovation and safety when integrating digital tools into health care. June 25, 2018 Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108. https://psnet.ahrq.gov/issue/balancing-inno…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44890/psn-pdf
    July 11, 2017 - The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. July 11, 2017 Her QL, Amato MG, Seger DL, et al. The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. J Am Med Inform Assoc. 2016;23(5):924-33. doi:10.1093/jamia/ocv181. http…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38777/psn-pdf
    March 04, 2011 - Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey. March 4, 2011 Wang J, Patel MH, Schueth AJ, et al. Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey. J Am Med Infor…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46053/psn-pdf
    August 16, 2017 - Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system. August 16, 2017 Sardaneh AA, Burke R, Ritchie A, et al. Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50925/psn-pdf
    February 19, 2020 - Report of the Independent Inquiry into the Issues Raised by Paterson. February 19, 2020 James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020. ISBN 9781528617284. https://psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson Shari…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41191/psn-pdf
    March 21, 2012 - Reviewing the impact of computerized provider order entry on clinical outcomes: the quality of systematic reviews. March 21, 2012 Weir C, Staggers N, Laukert T. Reviewing the impact of computerized provider order entry on clinical outcomes: The quality of systematic reviews. Int J Med Inform. 2012;81(4):219-31. d…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74693/psn-pdf
    January 26, 2022 - Including the reason for use on prescriptions sent to pharmacists: scoping review. January 26, 2022 Mercer K, Carter C, Burns C, et al. Including the reason for use on prescriptions sent to pharmacists: scoping review. JMIR Hum Factors. 2021;8(4):e22325. doi:10.2196/22325. https://psnet.ahrq.gov/issue/including-re…

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