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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839326/psn-pdfNovember 02, 2022 - Safety considerations for challenges when using smart infusion pumps. November 2, 2022 ISMP Medication Safety Alert! Acute care edition. October 20, 2022;20(21):1-5. https://psnet.ahrq.gov/issue/safety-considerations-challenges-when-using-smart-infusion-pumps Errors due to inadequate information use with intraveno… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47408/psn-pdfSeptember 19, 2018 - Ways to Improve Electronic Health Record Safety. September 19, 2018 Philadelphia, PA: Pew Charitable Trusts, American Medical Association, and Medstar Health; 2018. https://psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety Electronic health records both contribute to and detract from safe care. This… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36449/psn-pdfMay 27, 2011 - Medication-related clinical decision support in computerized provider order entry systems: a review. May 27, 2011 Kuperman GJ, Bobb A, Payne TH, et al. Medication-related clinical decision support in computerized provider order entry systems: a review. J Am Med Inform Assoc. 2007;14(1):29-40. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44802/psn-pdfApril 01, 2021 - Overall Hospital Quality Star Ratings. April 1, 2021 Centers for Medicare & Medicaid Services. https://psnet.ahrq.gov/issue/overall-hospital-quality-star-ratings-overview Hospital rating programs have received significant public attention, but concerns have been raised regarding their usefulness. This website prov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40643/psn-pdfJuly 27, 2011 - Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. July 27, 2011 Redwood S, Rajakumar A, Hodson J, et al. Does the implementation of an electronic prescribing system create un… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46392/psn-pdfOctober 13, 2018 - The clinical and medicolegal implications of radiology results communication. October 13, 2018 Aryal B, Khorsand DA, Dubinsky TJ. The Clinical and Medicolegal Implications of Radiology Results Communication. Curr Probl Diagn Radiol. 2018;47(5):287-289. doi:10.1067/j.cpradiol.2017.09.009. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38996/psn-pdfMarch 04, 2011 - Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study. March 4, 2011 Nanji KC, Cina J, Patel N, et al. Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study. J Am Med Inform Assoc. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44667/psn-pdfMarch 15, 2016 - Incorporating metacognition into morbidity and mortality rounds: the next frontier in quality improvement. March 15, 2016 Katz D, Detsky AS. Incorporating metacognition into morbidity and mortality rounds: The next frontier in quality improvement. J Hosp Med. 2016;11(2):120-2. doi:10.1002/jhm.2505. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39373/psn-pdfMarch 17, 2010 - The impact of electronic medical records data sources on an adverse drug event quality measure. March 17, 2010 Kahn MG, Ranade D. The impact of electronic medical records data sources on an adverse drug event quality measure. J Am Med Inform Assoc. 2010;17(2):185-91. doi:10.1136/jamia.2009.002451. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837075/psn-pdfMay 11, 2022 - Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. May 11, 2022 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022. https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43178/psn-pdfJuly 28, 2014 - Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. July 28, 2014 Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849126/psn-pdfMay 17, 2023 - The family's contribution to patient safety. May 17, 2023 Correia T, Martins MM, Barroso F, et al. The family's contribution to patient safety. Nurs Rep. 2023;13(2):634-643. doi:10.3390/nursrep13020056. https://psnet.ahrq.gov/issue/familys-contribution-patient-safety Family involvement in care can have mixed resul… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46931/psn-pdfJanuary 15, 2019 - Strategies for optimizing OR drug safety. January 15, 2019 Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018. https://psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety Perioperative adverse drug events are common and understudied. Reporting on the complexity of medication administration durin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866250/psn-pdfJuly 10, 2024 - Attention among health care professionals : a scoping review. July 10, 2024 Kissler MJ, Porter S, Knees M, et al. Attention among health care professionals : a scoping review. Ann Intern Med. 2024;177(7):941-952. doi:10.7326/m23-3229. https://psnet.ahrq.gov/issue/attention-among-health-care-professionals-scoping-r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45782/psn-pdfJanuary 18, 2017 - Standardization of inpatient handoff communication. January 18, 2017 Jewell JA. Standardization of Inpatient Handoff Communication. Pediatrics. 2016;138(5):e20162681. doi:10.1542/peds.2016-2681. https://psnet.ahrq.gov/issue/standardization-inpatient-handoff-communication Handoffs at shift changes are vulnerable to… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50685/psn-pdfNovember 20, 2019 - 20 Years After “To Err is Human”, Leapfrog Hospital Safety Grades Prove Transparency Can Save Lives. November 20, 2019 Washington DC; National Quality Forum: 2019. https://psnet.ahrq.gov/issue/20-years-after-err-human-leapfrog-hospital-safety-grades-prove-transparency- can-save-lives The Leapfrog Group announces … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74220/psn-pdfDecember 22, 2021 - How nursing homes’ worst offenses are hidden from the public. December 22, 2021 Gebeloff R, Thomas K, Silver-Greenberg J. New York Times. December 9, 2021. https://psnet.ahrq.gov/issue/how-nursing-homes-worst-offenses-are-hidden-public Nursing homes harbor numerous challenges to patient safety and they should… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61126/psn-pdfNovember 11, 2020 - Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers. November 11, 2020 US Food and Drug Administration: November 3, 2020. https://psnet.ahrq.gov/issue/potential-false-positive-results-antigen-tests-rapid-detection-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44116/psn-pdfSeptember 12, 2018 - Procedural timeout compliance is improved with real-time clinical decision support. September 12, 2018 Shear T, Deshur M, Avram MJ, et al. Procedural Timeout Compliance Is Improved With Real-Time Clinical Decision Support. J Patient Saf. 2018;14(3):148-152. doi:10.1097/PTS.0000000000000185. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38802/psn-pdfMarch 04, 2011 - The impact of computerized provider order entry systems on inpatient clinical workflow: a literature review. March 4, 2011 Niazkhani Z, Pirnejad H, Berg M, et al. The impact of computerized provider order entry systems on inpatient clinical workflow: a literature review. J Am Med Inform Assoc. 2009;16(4):539-49. d…
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