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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48137/psn-pdf
    July 17, 2019 - Clinician perspectives on electronic health records, communication, and patient safety across diverse medical oncology practices. July 17, 2019 Patel MR, Friese CR, Mendelsohn-Victor K, et al. Clinician Perspectives on Electronic Health Records, Communication, and Patient Safety Across Diverse Medical Oncology Pra…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44427/psn-pdf
    October 13, 2015 - Problem list completeness in electronic health records: a multi-site study and assessment of success factors. October 13, 2015 Wright A, McCoy AB, Hickman T-TT, et al. Problem list completeness in electronic health records: A multi- site study and assessment of success factors. Int J Med Inform. 2015;84(10):784-90.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41446/psn-pdf
    June 13, 2012 - Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. June 13, 2012 Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge alert filter for abnormal laborator…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46829/psn-pdf
    July 23, 2018 - Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. July 23, 2018 Yang Y, Ward-Charlerie S, Dhavle AA, et al. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Care Spec Pharm. 2018;24(7):691-699. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38816/psn-pdf
    July 29, 2009 - Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. July 29, 2009 Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infection, and Critical Care. 2009;67(1).…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43695/psn-pdf
    August 02, 2015 - The medical liability climate and prospects for reform. August 2, 2015 Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA. 2014;312(20):2146-55. doi:10.1001/jama.2014.10705. https://psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform This review of natio…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45553/psn-pdf
    October 13, 2018 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. October 13, 2018 Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors. J Am Med Inform Assoc. 2017;24(2):316-322. doi:1…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39171/psn-pdf
    February 10, 2015 - Patient safety at ten: unmistakable progress, troubling gaps. February 10, 2015 Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood). 2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785. https://psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps Th…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46299/psn-pdf
    September 13, 2017 - Simulation-based assessment of the management of critical events by board-certified anesthesiologists. September 13, 2017 Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 2017;127(3):475-489. doi:10.1097…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46277/psn-pdf
    August 15, 2017 - Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. August 15, 2017 Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Project. Med Care. 2017;55(8):797-805…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46340/psn-pdf
    September 27, 2017 - A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety. September 27, 2017 Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medication prescribing alerts in ho…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46245/psn-pdf
    June 28, 2017 - Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. June 28, 2017 Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two can…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41535/psn-pdf
    December 31, 2014 - Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. December 31, 2014 Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305-310. doi:10.1136/amiajnl- 201…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44671/psn-pdf
    September 20, 2016 - Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients. September 20, 2016 Mazor KM, Roblin DW, Greene SM, et al. Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients. BMJ Qual Saf. 2016;25(10):787-95. doi:10.113…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39104/psn-pdf
    February 16, 2011 - Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge of quality and patient safety? February 16, 2011 Pingleton SK, Horak BJ, Davis DA, et al. Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge of qu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38710/psn-pdf
    September 14, 2009 - Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial. September 14, 2009 Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster rando…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43115/psn-pdf
    December 18, 2014 - Multistate point-prevalence survey of health care- associated infections. December 18, 2014 Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801. https://psnet.ahrq.gov/issue/multistate-point…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48007/psn-pdf
    May 21, 2019 - Structured override reasons for drug–drug interaction alerts in electronic health records. May 21, 2019 Wright A, McEvoy D, Aaron S, et al. Structured override reasons for drug-drug interaction alerts in electronic health records. J Am Med Info Asso. 2019;26(10):934-942. doi:10.1093/jamia/ocz033. https://psnet.ahr…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45167/psn-pdf
    May 25, 2016 - AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. May 25, 2016 Rockville, MD: Agency for Healthcare Research and Quality; May 2016. https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit Traditionally, health systems have disclosed adverse events to patients only through a …
  20. psnet.ahrq.gov/glossary/handoffs-and-handovers
    September 13, 2021 - Handoffs and Handovers September 13, 2021 Anonymous (not verified) See Primer . The process when one health care professional updates another on the status of one or more patients for the purpose of taking over their care. Typical examples involve a physician who has been on call overnight telling an incoming …

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