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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43726/psn-pdf
    September 01, 2016 - Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department. September 1, 2016 Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co- prescriptions by Admitting Department. Healthc Inform Res. 2014;20(4):280-7. doi:10.4258/hir.2…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41717/psn-pdf
    September 01, 2016 - A clinical data warehouse-based process for refining medication orders alerts. September 1, 2016 Boussadi A, Caruba T, Zapletal E, et al. A clinical data warehouse-based process for refining medication orders alerts. J Am Med Inform Assoc. 2012;19(5):782-5. doi:10.1136/amiajnl-2012-000850. https://psnet.ahrq.gov/i…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38587/psn-pdf
    May 06, 2009 - Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary. May 6, 2009 O'Leary KJ, Liebovitz DM, Feinglass J, et al. Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary. J Hosp Med. 2009;4(4):219-225…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46936/psn-pdf
    April 11, 2018 - You've detailed your last wishes, but doctors may not see them. April 11, 2018 Lamas D. https://psnet.ahrq.gov/issue/youve-detailed-your-last-wishes-doctors-may-not-see-them Advance care planning can affect patient safety if the information is unheeded, unavailable, or unread. Reporting on a physician's experienc…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35127/psn-pdf
    February 24, 2011 - Beyond the medical record: other modes of error acknowledgment. February 24, 2011 Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error acknowledgment. J Gen Intern Med. 2005;20(5):404-9. https://psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment Thi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46386/psn-pdf
    April 03, 2018 - The impact of electronic health records on diagnosis. April 3, 2018 Graber ML, Byrne C, Johnston D. The impact of electronic health records on diagnosis. Diagnosis (Berl). 2017;4(4):211-223. doi:10.1515/dx-2017-0012. https://psnet.ahrq.gov/issue/impact-electronic-health-records-diagnosis Health information technol…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866256/psn-pdf
    July 10, 2024 - Disclosure programmes in the US--an inadequate response to medical error. July 10, 2024 Handley GM. Disclosure programmes in the US—an inadequate response to medical error. BMJ. 2024;385:q1318. doi:10.1136/bmj.q1318. https://psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error Communica…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34644/psn-pdf
    December 23, 2008 - Medication-prescribing errors in a teaching hospital: a 9- year experience. December 23, 2008 Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year experience. Arch Intern Med. 1997;157(14):1569-76. https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospita…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40278/psn-pdf
    March 09, 2011 - Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000–2009. March 9, 2011 Harrington L, Kennerly DA, Johnson C. Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000-2009. J Healthc Manag. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60589/psn-pdf
    June 23, 2020 - Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. June 23, 2020 Institute for Safe Medication Practices and US Food and Drug Administration Division of Drug Information. June 23, 2020. https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-lear…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45673/psn-pdf
    December 07, 2016 - Report on the Safe Use of Pick Lists in Ambulatory Care Settings. December 7, 2016 Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016. https://psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings Standard term selection tools—like pick lists or drop-d…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47872/psn-pdf
    March 27, 2019 - Overview of the Environmental Scan of Primary Care- Based Effort To Reduce Readmissions. March 27, 2019 Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2019. AHRQ Publication No. 18(19)-0055-EF. https://psnet.ahrq.gov/issue/overview-environmental-scan-primar…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852278/psn-pdf
    August 09, 2023 - Identifying failure modes in telemedicine: an instructional needs assessment. August 9, 2023 Monkman H, Kuziemsky C, Homco J, et al. Identifying failure modes in telemedicine: an instructional needs assessment. Stud Health Technol Inform. 2023;304:39-43. doi:10.3233/shti230365. https://psnet.ahrq.gov/issue/identif…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60969/psn-pdf
    November 08, 2023 - Network of Patient Safety Databases Chartbook. November 8, 2023 Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23- 0082. https://psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook The sharing of data is a core element of a learning health system. AHRQ h…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46798/psn-pdf
    March 14, 2018 - NHTSA Fatigue in EMS Project. March 14, 2018 Patterson PD, ed. Prehosp Emerg Care. 2018;22(suppl 1):1-118. https://psnet.ahrq.gov/issue/nhtsa-fatigue-ems-project Health care worker fatigue is a persistent threat to patient safety. Articles in this special issue cover the results of a National Highway Traffic Safet…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37511/psn-pdf
    February 06, 2008 - Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports. February 6, 2008 Kobayashi M, Ikeda S, Kitazawa N, et al. Validity of retrospective review of medical records as a means of identifying adverse events: comparison b…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43938/psn-pdf
    March 18, 2015 - Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. March 18, 2015 Butler M. J AHIMA. March 2015;86:18-23. https://psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues Although health information technology presents opportunities to improve patient safety, …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46479/psn-pdf
    October 04, 2017 - Managing the Costs of Clinical Negligence in Trusts. October 4, 2017 Comptroller and Auditor General, Department of Health; London, UK: National Audit Office; 2017. ISBN: 9781786041395. https://psnet.ahrq.gov/issue/managing-costs-clinical-negligence-trusts Applying evidence generated from complaints submitted to h…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855437/psn-pdf
    November 15, 2023 - Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. November 15, 2023 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2023. ISBN: 9780309711937. https://psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-h…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44330/psn-pdf
    September 02, 2015 - Health Literacy: Past, Present, and Future: Workshop Summary. September 2, 2015 Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015. ISBN: 9780309371544. https://psnet.…

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