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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837772/psn-pdf
    August 03, 2022 - Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. August 3, 2022 Zimolzak AJ, Singh H, Murphy DR, et al. BMJ Health Care Inform. 2022;29(1):e100565. https://psnet.ahrq.gov/issue/translating-electronic-health-record-based-patient-safety-algori…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866247/psn-pdf
    July 10, 2024 - Analysis of critical incident reports using natural language processing. July 10, 2024 Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health Technol Inform. 2024;313:1-6. doi:10.3233/shti240002. https://psnet.ahrq.gov/issue/analysis-critical-incident-reports-using…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44222/psn-pdf
    December 04, 2016 - The Institute for Safe Medication Practices and poison control centers: collaborating to prevent medication errors and unintentional poisonings. December 4, 2016 Vaida AJ. The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent Medication Errors and Unintentional Poisonings…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852802/psn-pdf
    August 23, 2023 - Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. August 23, 2023 Washington, DC: United States Government Accounting Office; July 10, 2023.  Publication GAO-23- 105722. https://psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events Health info…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40602/psn-pdf
    December 31, 2014 - How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study. December 31, 2014 Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866951/psn-pdf
    October 16, 2024 - Toward a responsible future: recommendations for AI- enabled clinical decision support. October 16, 2024 Labkoff S, Oladimeji B, Kannry J, et al. Toward a responsible future: recommendations for AI-enabled clinical decision support. J Am Med Inform Assoc. 2024;31(11):2730-2739. doi:10.1093/jamia/ocae209. https://p…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39330/psn-pdf
    March 03, 2010 - Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults. March 3, 2010 Hayes BD, Klein-Schwartz W. Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults. Clin Toxicol (Phila). 201…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47068/psn-pdf
    June 25, 2018 - The need for closed-loop systems for management of abnormal test results. June 25, 2018 Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425. https://psnet.ahrq.gov/issue/need-closed-loop-systems…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855106/psn-pdf
    November 08, 2023 - Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. November 8, 2023 Maxwell A. Washington DC: Office of Inspector General; September 2023. Report no. OEI-05-22-00290. https://psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46426/psn-pdf
    September 28, 2017 - Toward more proactive approaches to safety in the electronic health record era. September 28, 2017 Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005. https://psnet.ahrq.gov/issue/toward…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48124/psn-pdf
    July 31, 2019 - Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review. July 31, 2019 Hussain MI, Reynolds TL, Zheng K. Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review. J Am Med Inform Assoc. 2019…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48059/psn-pdf
    June 05, 2019 - Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. June 5, 2019 Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. J R Soc Med. 2019;112(9):365-369. doi:10.1177/014107…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46707/psn-pdf
    October 13, 2018 - Medication errors involving nursing students: a systematic review. October 13, 2018 Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481. https://psnet.ahrq.gov/issue/medication-errors-i…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863217/psn-pdf
    February 28, 2024 - Interpreting and coding causal relationships for quality and safety using ICD-11. February 28, 2024 Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12911-023-02363-5. https://psnet.ahrq…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34933/psn-pdf
    April 06, 2011 - Insights from the sharp end of intravenous medication errors: implications for infusion pump technology. April 6, 2011 Husch M. Insights from the sharp end of intravenous medication errors: implications for infusion pump technology. Quality and Safety in Health Care. 2005;14(2). doi:10.1136/qshc.2004.011957. https…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40427/psn-pdf
    May 04, 2011 - Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. May 4, 2011 Schnipper JL, Liang CL, Hamann C, et al. Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. J Am Med Inf…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44593/psn-pdf
    November 04, 2015 - Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research. November 4, 2015 Miller A, Moon B, Anders S, et al. Integrating computerized clinical decision support systems into clinical work: A meta-synthesis of qualitative research. Int J Med Inform. 201…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60060/psn-pdf
    March 18, 2020 - The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. March 18, 2020 Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. J Health Life Sc…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45455/psn-pdf
    June 29, 2017 - JAMA professionalism: disclosure of medical error. June 29, 2017 Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136. https://psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error Disclosing medical errors to patients is essential for maint…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45243/psn-pdf
    September 14, 2016 - Incidence of speech recognition errors in the emergency department. September 14, 2016 Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform. 2016;93:70-73. doi:10.1016/j.ijmedinf.2016.05.005. https://psnet.ahrq.gov/issue/incidence-speech-recognition-error…

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