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2661. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41920/psn-pdf
      October 08, 2013 - Review of computerized physician handoff tools for improving the quality of patient care. October 8, 2013 Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988. https://psnet.ahrq.gov/issue/review-com…

2662. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841477/psn-pdf
      December 14, 2022 - Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. December 14, 2022 Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. J Nurs Adm. 2022;52(10):511-…

2663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47545/psn-pdf
      December 19, 2018 - Adverse events during dental care for children: implications for practitioner health and wellness. December 19, 2018 Nainar SMH. Adverse events during dental care for children: implications for practitioner health and wellness. Pediatr Dent. 2018;40(5):323-326. https://psnet.ahrq.gov/issue/adverse-events-during-de…

2664. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844546/psn-pdf
      February 15, 2023 - Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. February 15, 2023 Sempere L, Bernabeu P, Cameo J, et al. Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Inflamm Bowel Dis. 2023;29(12):1886-1894. doi:10.1093/ibd/iz…

2665. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72848/psn-pdf
      March 17, 2021 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned. March 17, 2021 Co Z, Holmgren AJ, Classen DC, et al. The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned. Appl Clin Inform. 2021;12(01):153-163. doi:10.1055…

2666. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60726/psn-pdf
      January 01, 2021 - User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. July 29, 2020 Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. BMJ Qual …

2667. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46869/psn-pdf
      April 11, 2018 - Opioid prescribing practices from 2010 through 2015 among dentists in the United States: what do claims data tell us? April 11, 2018 Gupta N, Vujicic M, Blatz A. Opioid prescribing practices from 2010 through 2015 among dentists in the United States: What do claims data tell us? J Am Dent Assoc. 2018;149(4):237-24…

2668. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44122/psn-pdf
      January 01, 2016 - Best practices: an electronic drug alert program to improve safety in an accountable care environment. November 16, 2015 Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety in an Accountable Care Environment. J Manag Care Spec Pharm. 2016;21(4):330-336. doi:10…

2669. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838023/psn-pdf
      September 07, 2022 - Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. September 7, 2022 Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.1097/pts.0000000000000960. htt…

2670. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837029/psn-pdf
      May 04, 2022 - Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. May 4, 2022 doi:10.1001/jamaoncol.2022.0114. https://psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment- breast-radiotherapy Concordance of patient-reported symptoms and p…

2671. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45830/psn-pdf
      June 27, 2018 - Performance of vascular exposure and fasciotomy among surgical residents before and after training compared with experts. June 27, 2018 Mackenzie CF, Garofalo E, Puche A, et al. Performance of Vascular Exposure and Fasciotomy Among Surgical Residents Before and After Training Compared With Experts. JAMA Surg. 2017…

2672. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48096/psn-pdf
      June 19, 2019 - When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. June 19, 2019 Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Qual Saf. 2019;28(12):987-996. doi:…

2673. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73887/psn-pdf
      September 29, 2021 - Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. September 29, 2021 Kim S, Goelz L, Münn F, et al. Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. BMC Musculoskelet Disord. 2021;22(1):589. doi:10.1186/s12891-021-04425-z. htt…

2674. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34063/psn-pdf
      September 18, 2011 - Risk factors for retained instruments and sponges after surgery. September 18, 2011 Gawande AA, Studdert DM, Orav J, et al. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003;348(3):229-35. https://psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery Th…

2675. Origin of Adverse Drug Events in U.S. Hospitals, 2011 - Statistical Brief #158
      hcup-us.ahrq.gov/reports/statbriefs/sb158.jsp
      July 01, 2013 - data can be used to chart the frequency of in-hospital events and to report the frequency of community-occurring … The order of the list is from the most to least frequently occurring cause overall. … Clostridium difficile infection was the most common ADE cause, occurring at a rate of 95 per 10,000 … The next two most frequently occurring ADE causes—antineoplastic drugs and steroids—each occurred at

2676. Parent preferences for medical error disclosure: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
      January 25, 2017 - April 12, 2011 Managing the adverse event occurring during elective, ambulatory pediatric

2677. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. | PSNet
      psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted
      July 13, 2016 - June 30, 2021 Analysis of risk factors for patient safety events occurring in the emergency

2678. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
      April 12, 2011 - More Related Resources Analysis of risk factors for patient safety events occurring

2679. Risk factors for hospital admissions associated with adverse drug events. | PSNet
      psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
      October 18, 2018 - October 30, 2010 Medication errors occurring with the use of bar-code administration

2680. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. | PSNet
      psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
      March 04, 2011 - March 4, 2011 Systematic evaluation of errors occurring during the preparation of intravenous