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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72626/psn-pdf
    January 13, 2021 - Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. January 13, 2021 Friebe MP, LeGrand JR, Shepherd BE, et al. Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. Appl Clin Inform. 2020;11(5)…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36192/psn-pdf
    June 14, 2011 - Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research. June 14, 2011 Brown M, Frost R, Ko Y, et al. Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and rese…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846767/psn-pdf
    March 29, 2023 - Quality and safety: learning from the past and (re)imagining the future. March 29, 2023 Bates DW, Williams EA. Quality and safety: learning from the past and (re)imagining the future. J Allergy Clin Immunol Pract. 2022;10(12):3141-3144. doi:10.1016/j.jaip.2022.10.008. https://psnet.ahrq.gov/issue/quality-and-safet…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45378/psn-pdf
    January 23, 2017 - Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department. January 23, 2017 Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergency Department. Prehosp Emerg Ca…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837504/psn-pdf
    June 22, 2022 - Business Intelligence dashboards for patient safety and quality: a narrative literature review. June 22, 2022 Davy A, Borycki EM. Business Intelligence dashboards for patient safety and quality: a narrative literature review. Stud Health Technol Inform. 2022;290:438-441. doi:10.3233/shti220113. https://psnet.ahrq.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47107/psn-pdf
    June 20, 2018 - Challenges in communication from referring clinicians to pathologists in the electronic health record era. June 20, 2018 Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists in the Electronic Health Record Era. J Pathol Inform. 2018;9:8. doi:10.4103/jpi.jpi_70_1…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38104/psn-pdf
    February 18, 2011 - Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. February 18, 2011 Metlay JP, Hennessy S, Localio R, et al. Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. J Gen …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47685/psn-pdf
    January 16, 2019 - Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. January 16, 2019 O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:10.1136/bmjqs-2018-008216. https://ps…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837146/psn-pdf
    May 18, 2022 - Applying requisite imagination to safeguard electronic health record transitions. May 18, 2022 Sittig DF, Lakhani P, Singh H. Applying requisite imagination to safeguard electronic health record transitions. J Am Med Inform Assoc. 2022;29(5):1014-1018. doi:10.1093/jamia/ocab291. https://psnet.ahrq.gov/issue/applyi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38679/psn-pdf
    March 01, 2011 - Improving alarm performance in the medical intensive care unit using delays and clinical context. March 1, 2011 Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546-52. doi:10.1213/ane.0b013e31819bdfb…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73222/psn-pdf
    May 05, 2021 - Fatal mistakes: why do ten-fold medication errors in children keep happening? May 5, 2021 Parry C. The Pharmaceutical Journal.  April 22 2021. https://psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening Weight-based prescribing in children harbors challenges to accura…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60628/psn-pdf
    July 14, 2020 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. June 24, 2020 Cambridge, MA; CRICO Strategies: July 14, 2020. https://psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and- financial-loss Malpractice claims can generate …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46292/psn-pdf
    August 02, 2017 - Clinical alerts to decrease high-risk medication use in older adults. August 2, 2017 Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50372/psn-pdf
    September 25, 2019 - Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. September 25, 2019 Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamanetworkopen.2019.10967. https://psnet.ahr…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47314/psn-pdf
    November 24, 2018 - Adverse effects of computers during bedside rounds in a critical care unit. November 24, 2018 Dhillon NK, Francis SE, Tatum JM, et al. Adverse Effects of Computers During Bedside Rounds in a Critical Care Unit. JAMA Surg. 2018;153(11):1052-1053. doi:10.1001/jamasurg.2018.1752. https://psnet.ahrq.gov/issue/adverse-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72846/psn-pdf
    March 17, 2021 - Safety culture: an integration of existing models and a framework for understanding its development. March 17, 2021 Bisbey TM, Kilcullen MP, Thomas EJ, et al. Safety culture: an integration of existing models and a framework for understanding its development. Hum Factors. 2021;63(1):88-110. doi:10.1177/00187208198…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43598/psn-pdf
    October 08, 2014 - Clinical faculty: taking the lead in teaching quality improvement and patient safety. October 8, 2014 Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j.ajog.2014.05.043. https://psnet.ahrq…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47154/psn-pdf
    May 23, 2018 - Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. May 23, 2018 Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JAMA Surg. 2018;153(4):367-375. doi:1…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41393/psn-pdf
    June 06, 2012 - Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. June 6, 2012 Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of prescribing: A multi-method, in situ investigat…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47800/psn-pdf
    June 26, 2019 - Error and Uncertainty in Diagnostic Radiology. June 26, 2019 Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395. https://psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to uncer…

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