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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33575/psn-pdf
    March 15, 2025 - Patient Engagement and Safety March 15, 2025 Patient Engagement and Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/patient-engagement-and-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the pati…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865532/psn-pdf
    April 10, 2024 - Let us to the TWISST; Plan, Simulate, Study and Act. April 10, 2024 Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act In situ simulation can identi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43869/psn-pdf
    November 03, 2015 - Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. November 3, 2015 Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. Int J Med In…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40586/psn-pdf
    March 21, 2017 - Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. March 21, 2017 Waitman LR, Phillips IE, McCoy AB, et al. Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Jt Comm J Qual Patient Saf. 2011;37(7):326-3…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42039/psn-pdf
    December 31, 2014 - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. December 31, 2014 Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommen…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39045/psn-pdf
    April 04, 2011 - Risks of complications by attending physicians after performing nighttime procedures. April 4, 2011 Rothschild JM. Risks of Complications by Attending Physicians After Performing Nighttime Procedures. JAMA. 2009;302(14):1565-1572. doi:10.1001/jama.2009.1423. https://psnet.ahrq.gov/issue/risks-complications-attendi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47610/psn-pdf
    March 13, 2019 - Patient safety outcomes under flexible and standard resident duty-hour rules. March 13, 2019 Silber JH, Bellini LM, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. 2019;380:905-914. https://psnet.ahrq.gov/issue/patient-safety-outcomes-under-flexible-and-standard-resident-duty-hour-rules Duty hour reform for…
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40221/psn-pdf
    July 21, 2011 - The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. July 21, 2011 Ackroyd-Stolarz S, Guernsey R, Mackinnon NJ, et al. The association between a prolonged stay in the emergency department and adverse events in…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60248/psn-pdf
    April 22, 2020 - Circumstances involved in unsupervised solid dose medication exposures among young children. April 22, 2020 Agarwal M, Lovegrove MC, Geller RJ, et al. Circumstances involved in unsupervised solid dose medication exposures among young children. J Pediatr. 2020;219. doi:10.1016/j.jpeds.2019.12.027. https://psnet.ahr…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40565/psn-pdf
    June 29, 2011 - National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. June 29, 2011 Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. J Emerg…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39215/psn-pdf
    January 03, 2017 - Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. January 3, 2017 Classen D, Jaser L, Budnitz DS. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. Jt Co…
  14. 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. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38116/psn-pdf
    February 18, 2011 - Factors associated with intern fatigue. February 18, 2011 Friesen LD, Vidyarthi A, Baron RB, et al. Factors associated with intern fatigue. J Gen Intern Med. 2008;23(12):1981-6. doi:10.1007/s11606-008-0798-3. https://psnet.ahrq.gov/issue/factors-associated-intern-fatigue Reducing duty hours for physicians in train…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42298/psn-pdf
    December 31, 2014 - Using statistical text classification to identify health information technology incidents. December 31, 2014 Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10.1136/amiajnl-2012-001409. htt…
  17. 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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39674/psn-pdf
    July 14, 2010 - The management of test results in primary care: does an electronic medical record make a difference? July 14, 2010 Elder NC, McEwen TR, Flach J, et al. The management of test results in primary care: does an electronic medical record make a difference? Fam Med. 2010;42(5):327-33. https://psnet.ahrq.gov/issue/manag…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43652/psn-pdf
    August 04, 2015 - Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. August 4, 2015 Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous catheters?: a multicenter observational study. Ann Intern Med. 2014;161(8):562-7. doi:10.73…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47261/psn-pdf
    August 15, 2018 - The association between professional burnout and engagement with patient safety culture and outcomes: a systematic review. August 15, 2018 Mossburg SE, Himmelfarb CD. The Association Between Professional Burnout and Engagement With Patient Safety Culture and Outcomes: A Systematic Review. J Patient Saf. 2018;17(8)…

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