-
psnet.ahrq.gov/node/44791/psn-pdf
January 13, 2016 - FDA Drug Safety Communication: FDA cautions about
dosing errors when switching between different oral
formulations of antifungal Noxafil (posaconazole); label
changes approved.
January 13, 2016
US Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosi…
-
psnet.ahrq.gov/node/47660/psn-pdf
January 27, 2019 - Improving electronic health record usability and safety
requires transparency.
January 27, 2019
Ratwani RM, Hodgkins M, Bates DW. Improving Electronic Health Record Usability and Safety Requires
Transparency. JAMA. 2018;320(24):2533-2534. doi:10.1001/jama.2018.14079.
https://psnet.ahrq.gov/issue/improving-electron…
-
psnet.ahrq.gov/node/35044/psn-pdf
September 27, 2017 - Decisions about critical events in device-related
scenarios as a function of expertise.
September 27, 2017
Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a
function of expertise. J Biomed Inform. 2005;38(3):200-12.
https://psnet.ahrq.gov/issue/decisions-ab…
-
psnet.ahrq.gov/node/37928/psn-pdf
March 10, 2011 - A randomized trial of the effectiveness of on-demand
versus computer-triggered drug decision support in
primary care.
March 10, 2011
Tamblyn R, Huang A, Taylor L, et al. A randomized trial of the effectiveness of on-demand versus
computer-triggered drug decision support in primary care. J Am Med Inform Assoc. 2008…
-
psnet.ahrq.gov/node/48118/psn-pdf
August 21, 2019 - Evaluation of interventions to improve inpatient hospital
documentation within electronic health records: a
systematic review.
August 21, 2019
Wiebe N, Varela LO, Niven DJ, et al. Evaluation of interventions to improve inpatient hospital
documentation within electronic health records: a systematic review. J Am Med…
-
psnet.ahrq.gov/node/45271/psn-pdf
August 10, 2016 - Patient identification and tube labelling—a call for
harmonisation.
August 10, 2016
van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for
harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.1515/cclm-2015-
1089.
https://psnet.ah…
-
psnet.ahrq.gov/node/38063/psn-pdf
February 23, 2009 - CPOE in Iran—a viable prospect? Physicians' opinions on
using CPOE in an Iranian teaching hospital.
February 23, 2009
Kazemi A, Ellenius J, Tofighi S, et al. CPOE in Iran--a viable prospect? Physicians' opinions on using
CPOE in an Iranian teaching hospital. Int J Med Inform. 2009;78(3):199-207.
doi:10.1016/j.ijme…
-
psnet.ahrq.gov/node/39269/psn-pdf
April 01, 2010 - Physicians' beliefs about using EMR and CPOE: in pursuit
of a contextualized understanding of health IT use
behavior.
April 1, 2010
Holden RJ. Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of
health IT use behavior. Int J Med Inform. 2010;79(2):71-80. doi:10.1016/j.ijme…
-
psnet.ahrq.gov/node/43186/psn-pdf
May 19, 2014 - ASPEN parenteral nutrition safety consensus
recommendations: translation into practice.
May 19, 2014
Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations:
translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.1177/0884533614531294.
https://psnet.ahr…
-
psnet.ahrq.gov/node/50452/psn-pdf
October 09, 2019 - Implementing a survey for patients to provide safety
experience feedback following a care transition: a
feasibility study
October 9, 2019
Scott J, Heavey E, Waring J, et al. Implementing a survey for patients to provide safety experience
feedback following a care transition: a feasibility study. BMC Health Serv Re…
-
psnet.ahrq.gov/node/47126/psn-pdf
May 16, 2018 - Unintended adverse consequences of a clinical decision
support system: two cases.
May 16, 2018
Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med
Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096.
https://psnet.ahrq.gov/issue/unintended-adverse-consequence…
-
psnet.ahrq.gov/node/40541/psn-pdf
July 22, 2011 - Effect of a pharmacist-led multicomponent intervention
focusing on the medication monitoring phase to prevent
potential adverse drug events in nursing homes.
July 22, 2011
Lapane KL, Hughes C, Daiello LA, et al. Effect of a pharmacist-led multicomponent intervention focusing on
the medication monitoring phase to p…
-
psnet.ahrq.gov/node/45418/psn-pdf
May 09, 2017 - Context-sensitive decision support (infobuttons) in
electronic health records: a systematic review.
May 9, 2017
Cook DA, Teixeira MT, Heale BS, et al. Context-sensitive decision support (infobuttons) in electronic health
records: a systematic review. J Am Med Inform Assoc. 2017;24(2):460-468. doi:10.1093/jamia/ocw1…
-
psnet.ahrq.gov/node/45854/psn-pdf
July 12, 2017 - The second victim phenomenon after a clinical error: the
design and evaluation of a website to reduce caregivers'
emotional responses after a clinical error.
July 12, 2017
Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design
and Evaluation of a Website to Reduce …
-
psnet.ahrq.gov/node/47140/psn-pdf
May 01, 2019 - Reduced verification of medication alerts increases
prescribing errors.
May 1, 2019
Lyell D, Magrabi F, Coiera E. Reduced Verification of Medication Alerts Increases Prescribing Errors. Appl
Clin Inform. 2019;10(1):66-76. doi:10.1055/s-0038-1677009.
https://psnet.ahrq.gov/issue/reduced-verification-medication-aler…
-
psnet.ahrq.gov/node/72470/psn-pdf
January 01, 2021 - Safe use of the EHR by medical scribes: a qualitative
study.
November 18, 2020
Ash JS, Corby S, Mohan V, et al. Safe use of the EHR by medical scribes: a qualitative study. J Amer Med
Inform Assoc. 2021;28(2):294-302. doi:10.1093/jamia/ocaa199.
https://psnet.ahrq.gov/issue/safe-use-ehr-medical-scribes-qualitative-…
-
psnet.ahrq.gov/node/73468/psn-pdf
July 07, 2021 - The implementation of communication didactics for
OB/GYN residents on the disclosure of adverse
perioperative events.
July 7, 2021
Chung EH, Truong T, Jooste KR, et al. The implementation of communication didactics for OB/GYN
residents on the disclosure of adverse perioperative events. J Surg Educ. 2021;78(3):942-…
-
psnet.ahrq.gov/node/50731/psn-pdf
December 11, 2019 - Awareness of diagnosis and follow up care after
discharge from the emergency department
December 11, 2019
Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the
Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec.2019.08.004.
https://psnet.ah…
-
psnet.ahrq.gov/node/836726/psn-pdf
March 09, 2022 - OpenNotes and patient safety: a perilous voyage into
uncharted waters.
March 9, 2022
Schust G, Manning M, Weil A. OpenNotes and patient safety: a perilous voyage into uncharted waters. J
Gen Intern Med. 2022;37(8):2074-2076. doi:10.1007/s11606-021-07384-2.
https://psnet.ahrq.gov/issue/opennotes-and-patient-safety-…
-
psnet.ahrq.gov/node/37737/psn-pdf
January 06, 2017 - Can patient safety be measured by surveys of patient
experiences?
January 6, 2017
Solberg LI, Asche SE, Averbeck BM, et al. Can patient safety be measured by surveys of patient
experiences? Jt Comm J Qual Patient Saf. 2008;34(5):266-274.
https://psnet.ahrq.gov/issue/can-patient-safety-be-measured-surveys-patient-e…