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  1. Making Healthcare Safer IV | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    May 01, 2025 - Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events (Feb. 9,

  2. Complaints as Safety Surveillance | PSNet

    psnet.ahrq.gov/web-mm/complaints-safety-surveillance
    May 05, 2021 - February 4, 2015 Impact of a drug shortage on medication errors and clinical outcomes … Emergency Departments Health Care Providers Quality and Safety Professionals Emergency Medicine Medication … Errors/Preventable Adverse Drug Events View More

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46213/psn-pdf
    June 28, 2017 - preventing-maternal-death https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44768/psn-pdf
    February 03, 2016 - Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents. February 3, 2016 Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient Saf. 2016;42(2):86-91. https://psne…

  5. ISMP Guidelines for Safe Electronic Communication of Medication Information. | PSNet

    psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information
    May 07, 2019 - Book/Report ISMP Guidelines for Safe Electronic Communication of Medication Information. Citation Text: ISMP Guidelines for Safe Electronic Communication of Medication Information. Horsham, PA: Institute for Safe Medication Practices; January 2019. Copy Citation Save …

  6. When mistakes happen. | PSNet

    psnet.ahrq.gov/issue/when-mistakes-happen
    May 13, 2020 - machine learning-based clinical decision support system to identify prescriptions with a high risk of medication … error.

  7. Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07. | PSNet

    psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-district-health-boards-200607
    March 05, 2008 - July 7, 2021 Medication error in the care of HIV/AIDS patients: electronic surveillance

  8. Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. | PSNet

    psnet.ahrq.gov/issue/increased-catheter-related-bloodstream-infection-rates-after-introduction-new-mechanical
    February 07, 2022 - February 7, 2022 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … August 4, 2015 ISMP medication error report analysis.

  9. Interruptions in healthcare: theoretical views. | PSNet

    psnet.ahrq.gov/issue/interruptions-healthcare-theoretical-views
    September 24, 2016 - Review Interruptions in healthcare: theoretical views. Citation Text: Grundgeiger T, Sanderson P. Interruptions in healthcare: theoretical views. Int J Med Inform. 2009;78(5):293-307. doi:10.1016/j.ijmedinf.2008.10.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  10. Health literacy and mortality among elderly persons. | PSNet

    psnet.ahrq.gov/issue/health-literacy-and-mortality-among-elderly-persons
    April 24, 2018 - Study Health literacy and mortality among elderly persons. Citation Text: Baker DW, Wolf MS, Feinglass J, et al. Health literacy and mortality among elderly persons. Arch Intern Med. 2007;167(14):1503-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  11. A call to excellence. | PSNet

    psnet.ahrq.gov/issue/call-excellence
    May 20, 2009 - Commentary A call to excellence. Citation Text: Clancy CM, Scully T. A call to excellence. Health Aff (Millwood). 2003;22(2):113-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  12. Smart infusion pump investigations after an unexplained over-infusion. | PSNet

    psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion
    May 03, 2023 - Newspaper/Magazine Article Smart infusion pump investigations after an unexplained over-infusion. Citation Text: Smart infusion pump investigations after an unexplained over-infusion. ISMP Patient Safety Alert! Acute care edition. May 18, 2023;28(10);1-3. Copy Citation …

  13. Introducing new technology safely. | PSNet

    psnet.ahrq.gov/issue/introducing-new-technology-safely
    April 01, 2010 - Commentary Introducing new technology safely. Citation Text: Mytton OT, Velazquez A, Banken R, et al. Introducing new technology safely. Qual Saf Health Care. 2010;19 Suppl 2:i9-14. doi:10.1136/qshc.2009.038554. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  14. SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience. | PSNet

    psnet.ahrq.gov/issue/safer-electronic-health-records-safety-assurance-factors-ehr-resilience
    December 20, 2017 - Book/Report SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience. Citation Text: SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience. Sittig DF, Singh H, eds. Waretown, NJ: Apple Academic Press; 2015. ISBN: 9781771881173. Copy Citation …

  15. Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations | PSNet

    psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
    April 28, 2021 - Special or Theme Issue Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations Citation Text: Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations …

  16. Diagnostic Safety Toolkit. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-toolkit
    December 05, 2024 - Toolkit Diagnostic Safety Toolkit. Citation Text: Child Health Patient Safety Organization. Diagnostic Safety Toolkit. Washington DC: Children's Hospital Association. May 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  17. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. | PSNet

    psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
    March 27, 2024 - Commentary Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Citation Text: McDonnell C, Laxer RM, Roy L. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Jt Comm J Qual Pat…

  18. The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. | PSNet

    psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
    May 02, 2018 - Book/Report The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Citation Text: The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Slawomirski L, Auraaen A, Klazing…

  19. The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized
    March 04, 2015 - Study Classic The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial. Citation Text: Dalal A, Schaffer A, Gershanik EF, et al. The Impact of Automated Notification on Follow-up of Actiona…

  20. Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. | PSNet

    psnet.ahrq.gov/issue/variations-gps-decisions-investigate-suspected-lung-cancer-factorial-experiment-using
    August 03, 2022 - Study Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. Citation Text: Sheringham J, Sequeira R, Myles J, et al. Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia …
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