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  1. psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
    January 01, 2016 - Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice Hardeep Singh, MD, MPH | January 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Singh H. Diagnostic Errors: A New Chapter in Patient Safe…
  2. psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
    August 22, 2014 - In Conversation With… Urmimala Sarkar, MD, MPH August 1, 2014  Also Read an Essay Citation Text: In Conversation With… Urmimala Sarkar, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60721/psn-pdf
    July 21, 2020 - Special Edition Perspective: Technology Responses to COVID-19 July 21, 2020 Marcin JP, Cohen NM, Lowery C, et al. Special Edition Perspective: Technology Responses to COVID-19. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19 Editor’s note: This …
  4. psnet.ahrq.gov/perspective/ems-patient-safety-field
    July 28, 2021 - EMS Patient Safety in the Field July 28, 2021  Also Read the Conversation View more articles from the same authors. Citation Text: Augustine JJ, Fitall E, Hall KK, et al. EMS Patient Safety in the Field. PSNet [internet]. Rockville (MD): Agency for Healthcare Re…
  5. psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
    August 01, 2014 - Beyond the Hospital: the New Frontier of Patient Safety Margaret Plews-Ogan, MD, MS | August 22, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Plews-Ogan M. Beyond the Hospital: the New Frontier of Patient Safety. PSNet …
  6. psnet.ahrq.gov/issue/resilient-health-care-society
    October 09, 2019 - Multi-use Website Resilient Health Care Society. Citation Text: Resilient Health Care Society. Sweden. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Novem…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45491/psn-pdf
    May 09, 2017 - A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. May 9, 2017 Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing errors generated from using computerize…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860720/psn-pdf
    January 17, 2024 - Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. January 17, 2024 Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal have a higher rate of “loop clo…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60202/psn-pdf
    April 08, 2020 - Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study April 8, 2020 Rogero-Blanco E, Lopez-Rodriguez JA, Sanz-Cuesta T, et al. Use of an electronic clinical decision support …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42923/psn-pdf
    September 26, 2017 - Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. September 26, 2017 Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® for Hospitals: 2000 and 2011.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47531/psn-pdf
    June 19, 2019 - Patient Safety. June 19, 2019 Health Aff (Millwood). 2018;37(11):1723-1908. https://psnet.ahrq.gov/issue/patient-safety-14 The Institute of Medicine report, To Err Is Human, marked the founding of the patient safety field. This special issue of Health Affairs, published 20 years after that report, highlights achie…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43388/psn-pdf
    July 30, 2014 - Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. July 30, 2014 Berner ES, Ray MN, Panjamapirom A, et al. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med. 2014;29(8):1105-12. doi:10.1007/s1…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45797/psn-pdf
    October 31, 2017 - Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures. October 31, 2017 Weingart SN, Stoffel EM, Chung DC, et al. Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. The Joint Commission Journal on Quality and Patient Safety. 2016;43(1)…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44176/psn-pdf
    August 21, 2015 - Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. August 21, 2015 Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Qual Saf. 2015;24(9):583-93. doi:1…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43323/psn-pdf
    January 07, 2015 - Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. January 7, 2015 Nanji KC, Rothschild JM, Boehne JJ, et al. Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. J Am Med Inf…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41866/psn-pdf
    November 28, 2012 - "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. November 28, 2012 Groene RO, Orrego C, Suñol R, et al. "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. BMJ Qual Saf. 2012;21 Suppl 1:i67-75. d…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42968/psn-pdf
    February 26, 2014 - From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. February 26, 2014 Cochran GL, Klepser DG, Morien M, et al. From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-se…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41175/psn-pdf
    December 31, 2014 - Design and implementation of an automated email notification system for results of tests pending at discharge. December 31, 2014 Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44522/psn-pdf
    June 21, 2016 - Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. June 21, 2016 Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop com…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41964/psn-pdf
    April 17, 2013 - Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. April 17, 2013 Wagner LM, Castle NG, Handler S. Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. Geriatr Nurs. 2013;34(2):112-5. doi:10.1016/j.gerinurse.2012.10.003. https://psnet.ahrq.gov/issue/u…

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