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2181. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44004/psn-pdf
      September 01, 2016 - Impact of computerized physician order entry alerts on prescribing in older patients. September 1, 2016 Lester PE, Rios-Rojas L, Islam S, et al. Impact of computerized physician order entry alerts on prescribing in older patients. Drugs Aging. 2015;32(3):227-33. doi:10.1007/s40266-015-0244-2. https://psnet.ahrq.go…

2182. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44372/psn-pdf
      June 21, 2016 - Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital- Acquired Condition Reduction Program. June 21, 2016 Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & Medicaid Services Hospital-Acquire…

2183. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47392/psn-pdf
      January 23, 2019 - Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. January 23, 2019 Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results o…

2184. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47330/psn-pdf
      September 19, 2018 - Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant. September 19, 2018 Bickmore TW, Trinh H, Olafsson S, et al. Patient and consumer safety risks when using conversational assistants for medical information: an…

2185. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45681/psn-pdf
      January 25, 2017 - Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review. January 25, 2017 Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for Bloodstream Infections Related to Central Catheters: A Systema…

2186. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43604/psn-pdf
      October 15, 2014 - The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. October 15, 2014 Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patient safety incidents for people…

2187. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39624/psn-pdf
      June 23, 2010 - Single-parameter early warning criteria to predict life- threatening adverse events. June 23, 2010 Rothschild JM, Gandara E, Woolf S, et al. Single-Parameter Early Warning Criteria to Predict Life- Threatening Adverse Events. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181dcaf32. https://psnet.ahrq.gov/issue/…

2188. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44544/psn-pdf
      October 07, 2015 - Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. October 7, 2015 Golder S, Norman G, Loke YK. Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. Br J Clin Pharmacol. 2015;80(4):878-88. doi:10.1111/b…

2189. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38379/psn-pdf
      April 30, 2014 - Clinical information technologies and inpatient outcomes: a multiple hospital study. April 30, 2014 Amarasingham R, Plantinga L, Diener-West M, et al. Clinical information technologies and inpatient outcomes: a multiple hospital study. Arch Intern Med. 2009;169(2):108-14. doi:10.1001/archinternmed.2008.520. https…

2190. 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…

2191. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45402/psn-pdf
      November 01, 2017 - Potentially preventable 30-day hospital readmissions at a children's hospital. November 1, 2017 Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182. https://psnet.ahrq.gov/issue/potentially-preventabl…

2192. 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…

2193. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45395/psn-pdf
      August 10, 2016 - Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. August 10, 2016 Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. BMJ. 2016;354:i3835. doi:10.1136/bmj.i3835.…

2194. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846564/psn-pdf
      March 29, 2023 - Technology as a Tool for Improving Patient Safety March 29, 2023 Holmgren AJ, McBride S, Gale B, et al. Technology as a Tool for Improving Patient Safety . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety Introduction  In the past several decades, technological a…

2195. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865309/psn-pdf
      May 29, 2024 - A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024 Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post- Tracheostomy Care. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-i…

2196. Cognitive Overload in the ICU | PSNet
      psnet.ahrq.gov/web-mm/cognitive-overload-icu
      June 01, 2005 - SPOTLIGHT CASE Cognitive Overload in the ICU Citation Text: Patel VL, Buchman TG. Cognitive Overload in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTe…

2197. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850450/psn-pdf
      June 14, 2023 - The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. June 14, 2023 Bourgeois JA, Xiong G, Barnes DK, et al. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-…

2198. Technology as a Tool for Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
      April 26, 2023 - Annual Perspective Technology as a Tool for Improving Patient Safety A Jay Holmgren, Susan McBride,Bryan Gale, Sarah Mossburg | March 29, 2023  View more articles from the same authors. Citation Text: Holmgren AJ, McBride S, Gale B, et al. Technology as a …

2199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49753/psn-pdf
      February 01, 2016 - Robotic Surgery: Risks vs. Rewards February 1, 2016 Kirkpatrick T, LaGrange C. Robotic Surgery: Risks vs. Rewards. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards Case Objectives Discuss the background and current trends in robotic surgery. Identify the benefits of robotic s…

2200. The Wrongful Resuscitation | PSNet
      psnet.ahrq.gov/web-mm/wrongful-resuscitation
      October 12, 2012 - This leads to a very important question regarding the actions of the surgeon.