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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38070/psn-pdf
    March 10, 2011 - Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. March 10, 2011 Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. J Am Med Inform Assoc. 20…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38101/psn-pdf
    December 17, 2009 - The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. December 17, 2009 Ash JS, Sittig DF, Dykstra RH, et al. The unintended consequences of computerized provider order entry: Findings from a mixed methods exploration. Int J Med Inform. 2008;78. doi:10.1016/j.i…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45886/psn-pdf
    July 05, 2017 - Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. July 5, 2017 Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid Response Teams. Jt Comm J Qual Patient Saf. 2017;43(6…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47898/psn-pdf
    January 01, 2020 - Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework. May 8, 2019 Giles SJ, Lewis PJ, Phipps D, et al. Capturing Patients' Perspectives on Medication Safety: The Development of a Patient-Centered Medication Safety Framework. J Patient Saf. 2020;16…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47181/psn-pdf
    August 22, 2018 - Critical role of the surgeon–anesthesiologist relationship for patient safety. August 22, 2018 Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology. 2018;129(3):402-405. doi:10.1097/ALN.0000000000002324. https://psnet.ahrq.gov/issue/critical-role-surgeon-anesthes…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43797/psn-pdf
    January 07, 2015 - Building a community engagement approach for patient safety improvement. January 7, 2015 Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044. https://psnet.ahrq.gov/issue/building-community-engagement-appro…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45485/psn-pdf
    July 01, 2017 - Psychological responses, coping and supporting needs of healthcare professionals as second victims. July 1, 2017 Chan ST, Khong PCB, Wang W. Psychological responses, coping and supporting needs of healthcare professionals as second victims. Intern Nurs Rev. 2017;64(2):242-262. doi:10.1111/inr.12317. https://psnet.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46016/psn-pdf
    May 09, 2017 - Resident duty hours and medical education policy—raising the evidence bar. May 9, 2017 Asch DA, Bilimoria KY, Desai S. Resident Duty Hours and Medical Education Policy - Raising the Evidence Bar. N Engl J Med. 2017;376(18):1704-1706. doi:10.1056/NEJMp1703690. https://psnet.ahrq.gov/issue/resident-duty-hours-and-me…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46216/psn-pdf
    July 12, 2017 - Physician satisfaction with transition from CPOE to paper-based prescription. July 12, 2017 Griffon N, Schuers M, Joulakian M, et al. Physician satisfaction with transition from CPOE to paper-based prescription. Int J Med Inform. 2017;103:42-48. doi:10.1016/j.ijmedinf.2017.04.007. https://psnet.ahrq.gov/issue/phys…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45941/psn-pdf
    March 08, 2017 - Medication errors associated with transition from insulin pens to insulin vials. March 8, 2017 Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726. https://psnet.ahrq.gov/issue/medication-er…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44402/psn-pdf
    January 22, 2016 - "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. January 22, 2016 Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (AMC) in VA end-of-shift medicin…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46563/psn-pdf
    February 07, 2018 - Near-miss medication errors provide a wake-up call. February 7, 2018 Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55. doi:10.1097/01.NURSE.0000527615.45031.9e. https://psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call Case studies of adverse events a…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47222/psn-pdf
    October 03, 2018 - Decision support tools, systems, and artificial intelligence in cardiac imaging. October 3, 2018 Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04.032. https://psnet.ahrq.gov/issu…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39270/psn-pdf
    February 03, 2010 - Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. February 3, 2010 Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. BMC Med Info…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73356/psn-pdf
    June 02, 2021 - Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. June 2, 2021 Silver Spring, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health. May 20, 2021. https://psnet.ahrq.gov/issue/testing-and-labeling-medical-d…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39138/psn-pdf
    May 13, 2024 - MHA Keystone Center for Patient Safety and Quality. May 13, 2024 Michigan Health and Hospital Association.   https://psnet.ahrq.gov/issue/mha-keystone-center-patient-safety-and-quality The Michigan Health and Hospital Association's Keystone Center has directed some of the most successful patient safety projec…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50585/psn-pdf
    October 30, 2019 - Introducing the New SOPS Hospital Survey 2.0. October 30, 2019 Agency for Healthcare Research and Quality. October 30, 2019. https://psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture This webinar recording provides information on the updated Hospital Survey on Patient Safety Culture™ (SOPS™) 2.0.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43385/psn-pdf
    August 06, 2014 - Medicines management support to older people: understanding the context of systems failure. August 6, 2014 Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-005302. https://psnet.ahrq.gov/issu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867748/psn-pdf
    March 12, 2025 - Adverse events involving telehealth in the Veterans Health Administration. March 12, 2025 Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002. https://psnet.ahrq.gov/issue/adverse-even…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47235/psn-pdf
    July 11, 2018 - Safety, performance, and satisfaction outcomes in the operating room: a literature review. July 11, 2018 Joseph A, Bayramzadeh S, Zamani Z, et al. Safety, Performance, and Satisfaction Outcomes in the Operating Room: A Literature Review. HERD. 2018;11(2):137-150. doi:10.1177/1937586717705107. https://psnet.ahrq.go…

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