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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837429/psn-pdf
    January 01, 2022 - Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. January 1, 2022 Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patient Saf. 2022;18(1):e108-e114. d…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35462/psn-pdf
    February 18, 2011 - Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. February 18, 2011 Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. N Engl J Med. 2003;348(22):2218-27. https://psnet.ahrq.gov/issue/effe…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846440/psn-pdf
    March 22, 2023 - "Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses. March 22, 2023 Taft T, Rudd EA, Thraen I, et al. “Are we there yet?” Ten persistent hazards and inefficiencies with the use of medication administration tech…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46532/psn-pdf
    July 30, 2018 - Efficiency and safety of speech recognition for documentation in the electronic health record. July 30, 2018 Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the electronic health record. J Am Med Inform Assoc. 2017;24(6):1127-1133. doi:10.1093/jamia/ocx073. https://…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40807/psn-pdf
    September 01, 2016 - Prevalence of medication administration errors in two medical units with automated prescription and dispensing. September 1, 2016 Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. Prevalence of medication administration errors in two medical units with automated prescription and dispensing. J Am M…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72792/psn-pdf
    March 03, 2021 - Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. March 3, 2021 Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication reconciliation framework and stan…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42542/psn-pdf
    March 17, 2014 - Surgical checklists: a systematic review of impacts and implementation. March 17, 2014 Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797. https://psnet.ahrq.gov/issue/surgical-checklists-systematic…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865483/psn-pdf
    April 03, 2024 - Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. April 3, 2024 Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process and potential solutions to increase…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853965/psn-pdf
    September 27, 2023 - Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis. September 27, 2023 Eriksen AA, Fegran L, Fredwall TE, et al. Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis. J Cl…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50406/psn-pdf
    October 02, 2019 - The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns October 2, 2019 Ward M, Shé ÉN, De Brún A, et al. The co-design, implementation and evaluation of a serious board game 'Pl…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60326/psn-pdf
    May 13, 2020 - Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. May 13, 2020 Weingart SN, Yaghi O, Barnhart L, et al. Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. Appl Clin Inform. 2020;11(02). doi:1…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45942/psn-pdf
    January 01, 2021 - Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: sociotechnical and human factors engineering considerations. March 15, 2017 Carayon P, Wetterneck TB, Cartmill R, et al. Medication Safety in Two Intensive Care Units of a Community Teachi…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35050/psn-pdf
    May 27, 2011 - High rates of adverse drug events in a highly computerized hospital. May 27, 2011 Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized hospital. Arch Intern Med. 2005;165(10):1111-6. https://psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospita…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36222/psn-pdf
    March 10, 2011 - Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controlled trial. March 10, 2011 McGregor JC, Weekes E, Forrest GN, et al. Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controll…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35907/psn-pdf
    October 03, 2017 - Transparent and open discussion of errors does not increase malpractice risk in trauma patients. October 3, 2017 Stewart RM, Corneille MG, Johnston J, et al. Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Ann Surg. 2006;243(5):645-9; discussion 649-51. https://psne…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867384/psn-pdf
    December 18, 2024 - Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. December 18, 2024 Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865711/psn-pdf
    May 01, 2024 - Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system. May 1, 2024 Li L, Badgery-Parker T, Merchant A, et al. Paediatric medication incident reporting: a multicentre comparison study of medication erro…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841151/psn-pdf
    December 07, 2022 - Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. December 7, 2022 Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med Inform Assoc. 2022;29(12):2101-21…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42832/psn-pdf
    September 01, 2016 - Overrides of medication-related clinical decision support alerts in outpatients. September 1, 2016 Nanji KC, Slight SP, Seger DL, et al. Overrides of medication-related clinical decision support alerts in outpatients. J Am Med Inform Assoc. 2014;21(3):487-91. doi:10.1136/amiajnl-2013-001813. https://psnet.ahrq.gov…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42149/psn-pdf
    December 23, 2016 - Medical device alarm safety in hospitals. December 23, 2016 Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3. https://psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals The cacophony of alarms in hospitals has led many health care providers to become desensitized to them, a con…

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