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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40189/psn-pdf
    February 02, 2011 - Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. February 2, 2011 Moniz TT, Seger AC, Keohane CA, et al. Addition of electronic prescription transmission to computerized prescriber order entry: Effect on dispensing errors …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47102/psn-pdf
    June 26, 2018 - Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system. June 26, 2018 Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a l…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37910/psn-pdf
    February 28, 2011 - Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. February 28, 2011 Wachter R, Flanders S, Fee C, et al. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. Ann Intern Med. 2008;149(1):29-32. https:/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39822/psn-pdf
    February 17, 2011 - The disclosure dilemma—large-scale adverse events. February 17, 2011 Dudzinski DM, Hébert PC, Foglia MB, et al. The disclosure dilemma--large-scale adverse events. New Engl J Med. 2010;363(10):978-986. doi:10.1056/NEJMhle1003134. https://psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events Error disc…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39662/psn-pdf
    April 30, 2014 - Patient record review of the incidence, consequences, and causes of diagnostic adverse events. April 30, 2014 Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21. doi:10.1001/archinternmed.2010.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45555/psn-pdf
    June 15, 2017 - Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. June 15, 2017 Sheringham J, Sequeira R, Myles J, et al. Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. BMJ Qual Saf. 2017;26(6…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867037/psn-pdf
    January 01, 2025 - Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff. October 30, 2024 Browning S, Raleigh RA, Hattingh HL. Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff. Int J…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44545/psn-pdf
    December 20, 2017 - Work conditions, mental workload and patient care quality: a multisource study in the emergency department. December 20, 2017 Weigl M, Müller A, Holland S, et al. Work conditions, mental workload and patient care quality: a multisource study in the emergency department. BMJ Qual Saf. 2016;25(7):499-508. doi:10.113…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43224/psn-pdf
    June 11, 2014 - Look alike/sound alike drugs: a literature review on causes and solutions. June 11, 2014 Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6. https://psnet.ahrq.gov/issue/look-alikesound-alike-drugs-l…
  10. psnet.ahrq.gov/issue/abbott-diabetes-care-blood-glucose-meters
    May 04, 2022 - Government Resource Abbott Diabetes Care blood glucose meters. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November 9, 2005 This announcement alerts patients and practition…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41266/psn-pdf
    January 03, 2017 - Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. January 3, 2017 Bandari J, Schumacher K, Simon M, et al. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qual P…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38645/psn-pdf
    February 15, 2011 - A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial. February 15, 2011 Gillespie U, Alassaad A, Henrohn D, et al. A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial. Arch Inter…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44831/psn-pdf
    January 27, 2016 - IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. January 27, 2016 Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015. https://psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events Prior research has shown that sa…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47921/psn-pdf
    June 18, 2019 - Using incident reports to assess communication failures and patient outcomes. June 18, 2019 Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2019.02.006. https://psnet.ahrq.gov…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40675/psn-pdf
    November 28, 2016 - Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study. November 28, 2016 Iedema R, Allen S, Britton K, et al. Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: t…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73252/psn-pdf
    January 01, 2022 - Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. May 12, 2021 Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;37(1):137-144. doi:10.1007/s11606-021…
  17. psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
    June 19, 2024 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Apri…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836840/psn-pdf
    April 22, 2021 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE April 7, 2022 https://psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and- implements-methods Summary Venous thromboembolism (…
  19. psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
    September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce Peter I. Buerhaus, PhD, RN | September 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Buerhaus P. Preparing for Health Reform: The Federal G…
  20. psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
    September 01, 2006 - Errors and Near Misses: What Health Care Could Learn From Aviation Carl Macrae, PhD | December 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation…

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