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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37345/psn-pdfMay 26, 2011 - Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. May 26, 2011 Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. Pediatrics. 2007;120(5):1058-66. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41669/psn-pdfNovember 26, 2014 - Patient safety perceptions of primary care providers after implementation of an electronic medical record system. November 26, 2014 McGuire MJ, Noronha G, Samal L, et al. Patient safety perceptions of primary care providers after implementation of an electronic medical record system. J Gen Intern Med. 2013;28(2):18… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47701/psn-pdfJanuary 16, 2019 - Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. January 16, 2019 Aaron S, McEvoy DS, Ray S, et al. Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. J Am Med Inform Assoc. 2019;26(1):37-43. doi:10.1093/jamia/oc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39294/psn-pdfJanuary 03, 2017 - Patient handoffs: standardized and reliable measurement tools remain elusive. January 3, 2017 Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010;36(2):52-61. https://psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39001/psn-pdfApril 04, 2011 - Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential? April 4, 2011 Singh H, Thomas EJ, Mani S, et al. Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records ach… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43514/psn-pdfApril 25, 2016 - A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. April 25, 2016 Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: The Focus on System-Related Factors… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40236/psn-pdfMarch 23, 2012 - The safety implications of missed test results for hospitalised patients: a systematic review. March 23, 2012 Callen J, Georgiou A, Li J, et al. The safety implications of missed test results for hospitalised patients: a systematic review. BMJ Qual Saf. 2011;20(2):194-199. doi:10.1136/bmjqs.2010.044339. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40907/psn-pdfDecember 08, 2011 - Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. December 8, 2011 Öhrn A, Elfström J, Liedgren C, et al. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. Jt Comm J… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46807/psn-pdfJuly 02, 2019 - Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. July 2, 2019 Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text field on electronic prescriptions. J Am Med Inform Assoc. 2018;25(6):709-714. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866699/psn-pdfSeptember 11, 2024 - AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Medication Safety. September 11, 2024 Ahrq-Funded Patient Safety Project Highlights: Improving Patient Safety By Enhancing Medication Safety. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication No. 24-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46435/psn-pdfAugust 20, 2018 - Patients' experiences with communication-and-resolution programs after medical injury. August 20, 2018 Moore J, Bismark M, Mello MM. Patients' Experiences With Communication-and-Resolution Programs After Medical Injury. JAMA Intern Med. 2017;177(11):1595-1603. doi:10.1001/jamainternmed.2017.4002. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46578/psn-pdfApril 29, 2018 - Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. April 29, 2018 Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jamia/ocx106. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46910/psn-pdfJanuary 23, 2019 - Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. January 23, 2019 Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37032/psn-pdfMay 27, 2011 - Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. May 27, 2011 Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Arch Intern Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50814/psn-pdfJanuary 22, 2020 - Evaluation of the extended-release/long-acting opioid prescribing Risk Evaluation and Mitigation Strategy Program by the US Food and Drug Administration: a review. January 22, 2020 Heyward J, Olson L, Sharfstein JM, et al. Evaluation of the Extended-Release/Long-Acting Opioid Prescribing Risk Evaluation and Mitig… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846158/psn-pdfMarch 15, 2023 - Safety risks and workflow implications associated with nursing-related free-text communication orders. March 15, 2023 Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 2023;30(5):828-837. doi:10.1093/jami… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40695/psn-pdfDecember 31, 2014 - Factors contributing to an increase in duplicate medication order errors after CPOE implementation. December 31, 2014 Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. 2011;18(6):774-782. doi:10.113… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41337/psn-pdfMay 29, 2012 - Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. May 29, 2012 Mazor KM, Roblin DW, Greene SM, et al. Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. J Clin Oncol. 2012;30(15):1784-1790. doi:10.1200/JCO.2011.3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42068/psn-pdfApril 09, 2013 - Wisdom through adversity: learning and growing in the wake of an error. April 9, 2013 Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006. https://psnet.ahrq.gov/issue/wisdom-through-adversity-l… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849124/psn-pdfMay 17, 2023 - Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systematic review. May 17, 2023 Awad S, Amon K, Baillie A, et al. Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systema…
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