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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45192/psn-pdf
    December 04, 2016 - Evidence summary and recommendations for improved communication during care transitions. December 4, 2016 Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230. https://psnet.ahrq.gov/iss…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863215/psn-pdf
    February 28, 2024 - Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. February 28, 2024 Gong Y, Chen Y. Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. Stud Health Technol Inform. 2024;310:324-328. doi:10.3233/shti230980. https://p…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72474/psn-pdf
    January 01, 2021 - Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. November 18, 2020 Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform Assoc. 2021;28(6):1074-1080. do…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46255/psn-pdf
    September 06, 2017 - Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities. September 6, 2017 Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities The ambulatory env…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45013/psn-pdf
    April 13, 2016 - Good Practice Guides on Medication Errors: Part 1 and Part 2. April 13, 2016 Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264- 016-0410-4. https://psnet.ahrq.gov/issue/go…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846760/psn-pdf
    March 29, 2023 - Electronic health record-based prediction models for in- hospital adverse drug event diagnosis or prognosis: a systematic review. March 29, 2023 Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a syst…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37585/psn-pdf
    April 29, 2010 - Medication errors involving patient-controlled analgesia.   April 29, 2010 Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. https://psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35448/psn-pdf
    September 18, 2009 - Relationship between performance measurement and accreditation: implications for quality of care and patient safety. September 18, 2009 Miller MR, Pronovost P, Donithan M, et al. Relationship between performance measurement and accreditation: implications for quality of care and patient safety. Am J Med Qual. 2005…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866936/psn-pdf
    October 30, 2024 - Improving Hospital Handoffs Using AHRQ's Surveys on Patient Safety Culture Hospital Survey. October 30, 2024 Agency for Healthcare Research and Quality. Improving Hospital Handoffs Using AHRQ's Surveys on Patient Safety Culture Hospital Survey. October 30, 2024. https://psnet.ahrq.gov/issue/improving-hospital-hand…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34889/psn-pdf
    March 04, 2011 - Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. March 4, 2011 Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330(7491):581. https://psnet.ahrq.gov/issue/effec…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43141/psn-pdf
    April 30, 2014 - Engaging residents and fellows to improve institution- wide quality: the first six years of a novel financial incentive program. April 30, 2014 Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850165/psn-pdf
    June 07, 2023 - Adolescents identifying errors and omissions in their electronic health records: a national survey. June 7, 2023 Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic health records: a national survey. Stud Health Technol Inform. 2023;302:242-246. doi:10.3233/shti2…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46202/psn-pdf
    January 01, 2021 - Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system. September 20, 2017 Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic Health Records: Analysis for the Quality and Safety Review System. J Pa…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44033/psn-pdf
    April 22, 2015 - Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. April 22, 2015 Wang H-F, Jin J-F, Feng X-Q, et al. Quality improv…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47691/psn-pdf
    June 02, 2019 - Transfusion safety: the nature and outcomes of errors in patient registration. June 2, 2019 Cohen R, Ning S, Yan MTS, et al. Transfusion Safety: The Nature and Outcomes of Errors in Patient Registration. Transfus Med Rev. 2019;33(2):78-83. doi:10.1016/j.tmrv.2018.11.004. https://psnet.ahrq.gov/issue/transfusion-sa…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47031/psn-pdf
    December 19, 2018 - A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. December 19, 2018 Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. J…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867014/psn-pdf
    October 23, 2024 - Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. October 23, 2024 Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. https://psnet.ahrq.gov/issue/secondary-analys…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38995/psn-pdf
    March 04, 2011 - Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. March 4, 2011 Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. J Am Med Inform Assoc. 2009;16(5):613-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73567/psn-pdf
    August 04, 2021 - Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis. August 4, 2021 Jaam M, Naseralallah LM, Hussain TA, et al. Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systemati…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44456/psn-pdf
    September 02, 2015 - Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults. September 2, 2015 Callinan SM, Brandt NJ. Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety …

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