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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844543/psn-pdf
    February 15, 2023 - The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. February 15, 2023 Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. Am J Med Qual. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38033/psn-pdf
    September 24, 2010 - Implementing online medication reconciliation at a large academic medical center. September 24, 2010 Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508. https://psnet.ahrq.gov/issue/implementing-online-m…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45322/psn-pdf
    July 20, 2016 - RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30- day inpatient mortality: a national cross-sectional study of acute-care hospitals. July 20, 2016 Smeds-Alenius L, Tishelman C, Lindqvist R, et al. RN assessments of excellent quality of care and patie…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863749/psn-pdf
    March 06, 2024 - Improving situation awareness to advance patient outcomes: a systematic literature review. March 6, 2024 Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a systematic literature review. Comput Inform Nurs. 2024;42(4):277-288. doi:10.1097/cin.0000000000001112. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45374/psn-pdf
    April 24, 2018 - Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist? April 24, 2018 Hanauer DA, Branford GL, Greenberg G, et al. Two-year longitudinal assessment of physicians' perceptions after replacement…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843460/psn-pdf
    February 01, 2023 - Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post- induction checklist. February 1, 2023 Krombach JW, Zürcher C, Simon SG, et al. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checkli…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851055/psn-pdf
    June 28, 2023 - How do we learn about error? A cross-sectional study of urology trainees. June 28, 2023 Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees. J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007. https://psnet.ahrq.gov/issue/how-do-we-learn-about-error…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43662/psn-pdf
    November 05, 2014 - A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. November 5, 2014 ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5. https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly- fr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47251/psn-pdf
    July 25, 2018 - Fail-safe patient ID matching remains just out of reach. July 25, 2018 Arndt RZ. Mod Healthc. July 14, 2018. https://psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach Similarities in patient names and clinical situations can result in medical errors. Discussing how digital technologies can …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850170/psn-pdf
    June 07, 2023 - A scoping review of distributed cognition in acute care clinical decision-making. June 7, 2023 Wilson E, Daniel M, Rao A, et al. A scoping review of distributed cognition in acute care clinical decision- making. Diagnosis (Berl). 2023;10(2):68-88. doi:10.1515/dx-2022-0095. https://psnet.ahrq.gov/issue/scoping-revi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865920/psn-pdf
    May 22, 2024 - Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment. May 22, 2024 Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processes as predictors of resident physic…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43169/psn-pdf
    May 07, 2014 - Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. May 7, 2014 Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. Chest. 2014;145(3):632-8. doi:10.1378…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46300/psn-pdf
    August 16, 2017 - Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. August 16, 2017 Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. J Glob Health. 2017;7(1):011001. doi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39872/psn-pdf
    February 25, 2013 - The Essential Guide for Patient Safety Officers, Second Edition. February 25, 2013 Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute for Healthcare Improvement; 2013. ISBN: 9781599407036. https://psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-se…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46849/psn-pdf
    May 23, 2018 - 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). May 23, 2018 Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018;44(5):260-269. doi:10.1016/j.jcjq.2017.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44047/psn-pdf
    September 09, 2015 - Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. September 9, 2015 Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non- urgent, clinically significant test results in the elect…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50745/psn-pdf
    December 18, 2019 - Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. December 18, 2019 Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. BMJ Open. 2019;9(1…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72574/psn-pdf
    December 16, 2020 - Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. December 16, 2020 Huang C, Koppel R, McGreevey JD, et al. Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Appl Clin Inform. 2020;11(05):742-754. doi:10.1055/s-004…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851350/psn-pdf
    July 12, 2023 - A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. July 12, 2023 Ariaga A, Balzan D, Falzon S, et al. A scoping review of legibility of hand-written prescriptions and drug- orders: the writing on the wall. Expert Rev Clin Pharmacol. 2023;16(7):617-621. doi:10.108…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41920/psn-pdf
    October 08, 2013 - Review of computerized physician handoff tools for improving the quality of patient care. October 8, 2013 Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988. https://psnet.ahrq.gov/issue/review-com…

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