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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73391/psn-pdfJune 16, 2021 - Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. June 16, 2021 Carman E-M, Fray M, Waterson P. Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. Appl Ergon. 2021;93:103339. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39692/psn-pdfJuly 21, 2010 - An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. July 21, 2010 Palchuk MB, Fang EA, Cygielnik JM, et al. An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. J Am Med Inform Assoc. 2010;17(4):472-6. doi:10.113… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72526/psn-pdfJanuary 01, 2021 - How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis. December 2, 2020 Gates PJ, Hardie R-A, Raban MZ, et al. How effective are electronic medication systems in reducing medication error rates and as… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60243/psn-pdfApril 22, 2020 - COVID-19: peer support and crisis communication strategies to promote institutional resilience. April 22, 2020 Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote Institutional Resilience. Ann Intern Med. 2020;172(12):822-823. doi:10.7326/m20-1236. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60681/psn-pdfJanuary 01, 2022 - Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. July 16, 2020 Burke JR, Downey C, Almoudaris AM. Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. J Patient Saf. 2022;18(1):e140-e155. doi:10.1097/pts.000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44949/psn-pdfFebruary 01, 2019 - Detecting and treating suicide ideation in all settings. December 23, 2016 Detecting and treating suicide ideation in all settings. Sentinel event alert. 2016;(56):1-7. https://psnet.ahrq.gov/issue/detecting-and-treating-suicide-ideation-all-settings The Joint Commission publishes sentinel event alerts to emphasize… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47754/psn-pdfApril 17, 2019 - FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering. April 17, 2019 Silver Spring, MD: US Food and Drug Administration; April 9, 2019. https://psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851921/psn-pdfAugust 02, 2023 - Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals. August 2, 2023 Rabbani N, Pageler NM, Hoffman JM, et al. Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals. Appl Clin Inform. 2023… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38069/psn-pdfMarch 10, 2011 - Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system. March 10, 2011 Lin C-P, Payne TH, Nichol P, et al. Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Depa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72799/psn-pdfMarch 03, 2021 - Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. March 3, 2021 Olson APJ, Linzer M, Schiff GD. Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Diagnostic Error and Clinician Burnout. J… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60725/psn-pdfJuly 29, 2020 - The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. July 29, 2020 Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74151/psn-pdfJanuary 01, 2022 - Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta- analysis. December 8, 2021 Marufu TC, Bower R, Hendron E, et al. Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. J Pediatr Nurs. 2022;62:e13… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837631/psn-pdfJuly 06, 2022 - The impact of an electronic alert to reduce the risk of co- prescription of low molecular weight heparins and direct oral anticoagulants. July 6, 2022 Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoag… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846757/psn-pdfMarch 29, 2023 - Managing interruptions to improve diagnostic decision- making: strategies and recommended research agenda. March 29, 2023 Sloane JF, Donkin C, Newell BR, et al. Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. J Gen Intern Med. 2023;38(6):1526-1531. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865487/psn-pdfApril 03, 2024 - Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. April 3, 2024 Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a sy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72633/psn-pdfJanuary 13, 2021 - Speaking up about patient-perceived serious visit note errors: patient and family experiences and recommendations. January 13, 2021 Lam BD, Bourgeois FC, Dong ZJ, et al. Speaking up about patient-perceived serious visit note errors: Patient and family experiences and recommendations. J Am Med Inform Assoc. 2021;28… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37878/psn-pdfFebruary 03, 2011 - Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment. February 3, 2011 van der Togt R, van Lieshout EJ, Hensbroek R, et al. Electromagnetic interference from radio frequency identification inducing potentially hazardous incide… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846758/psn-pdfMarch 29, 2023 - Evaluating patient identification practices during intrahospital transfers: a human factors approach. March 29, 2023 Suclupe S, Kitchin J, Sivalingam R, et al. Evaluating patient identification practices during intrahospital transfers: a human factors approach. J Patient Saf. 2023;19(2):117-127. doi:10.1097/pts.00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864848/psn-pdfMarch 20, 2024 - An mHealth design to promote medication safety in children with medical complexity. March 20, 2024 Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000. https://psnet.ahrq.gov/issue/mh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37992/psn-pdfAugust 20, 2008 - Medication errors reported by US family physicians and their office staff. August 20, 2008 Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869. https://psnet.ahrq.gov/issue/medic…
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