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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843521/psn-pdf
    February 01, 2023 - How providers can optimize effective and safe scribe use: a qualitative study. February 1, 2023 Corby S, Ash JS, Florig ST, et al. How providers can optimize effective and safe scribe use: a qualitative study. J Gen Intern Med. 2023;38(9):2052-2058. doi:10.1007/s11606-022-07942-2. https://psnet.ahrq.gov/issue/how-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42862/psn-pdf
    January 15, 2014 - VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. January 15, 2014 Draper D. Washington, DC: United States Government Accountability Office; December 3, 2013. Publication GAO-14-55. https://psnet.ahrq.gov/issue/va-health-care-improvements-needed…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837803/psn-pdf
    August 10, 2022 - Association of provider specialty with abortion-related morbidity and adverse events among patients having procedural and medication abortions. August 10, 2022 Patel D, Liu G, Roberts SCM, et al. Association of provider specialty with abortion-related morbidity and adverse events among patients having procedural a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73596/psn-pdf
    August 11, 2021 - Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety. August 11, 2021 Rimondini M, Busch IM, eds. Int J Environ Res Public Health. 2021;18. https://psnet.ahrq.gov/issue/empowering-patients-and-supporting-health-care-providers-new-avenues-high- quality-care-and…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47091/psn-pdf
    March 19, 2019 - Provider interruptions and patient perceptions of care: an observational study in the emergency department. March 19, 2019 Schneider A, Wehler M, Weigl M. Provider interruptions and patient perceptions of care: an observational study in the emergency department. BMJ Qual Saf. 2019;28(4):296-304. doi:10.1136/bmjqs-2…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46563/psn-pdf
    February 07, 2018 - Near-miss medication errors provide a wake-up call. February 7, 2018 Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55. doi:10.1097/01.NURSE.0000527615.45031.9e. https://psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call Case studies of adverse events a…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866446/psn-pdf
    August 07, 2024 - FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. August 7, 2024 FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products.July 26, 2024; https://psnet…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844554/psn-pdf
    February 15, 2023 - Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. February 15, 2023 Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71 https://psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care- providers High-profile medication errors like tha…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49727/psn-pdf
    March 01, 2015 - Critical Opportunity Lost March 1, 2015 Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/critical-opportunity-lost The Case A 55-year-old woman presented to the emergency department (ED) with new onset chest pain. She reported eating a heavy dinner the pre…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45339/psn-pdf
    August 10, 2016 - Hospital at night: an organizational design that provides safer care at night. August 10, 2016 Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17. https://psnet.ahrq.gov/issue/hospi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46141/psn-pdf
    May 17, 2017 - Ethical dilemma in missed melanoma: what to tell the patient and other providers. May 17, 2017 Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016.08.030. https://psnet.ahrq.gov/issue/et…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845633/psn-pdf
    March 08, 2023 - Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis. March 8, 2023 Atey TM, Peterson GM, Salahudeen MS, et al. Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic rev…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73316/psn-pdf
    May 26, 2021 - Racial bias among emergency providers: strategies to mitigate its adverse effects. May 26, 2021 Brockett-Walker C, Lall M, Evans DD, et al. Racial bias among emergency providers: strategies to mitigate its adverse effects. Adv Emerg Nurs J. 2021;43(2):89-101. doi:10.1097/tme.0000000000000352. https://psnet.ahrq.go…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45615/psn-pdf
    October 26, 2016 - Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. October 26, 2016 Dowell D, Zhang K, Noonan RK, et al. Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death Rates. Health Aff (Millwood). 2016;35(10…
  15. psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation
    August 04, 2021 - Study Using implementation safety indicators for CPOE implementation. Citation Text: Weir C, McCarthy CA. Using implementation safety indicators for CPOE implementation. Jt Comm J Qual Saf. 2009;35(1):21-28. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …
  16. psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized
    April 29, 2018 - Commentary Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system." Citation Text: Sittig DF, Ash JS, Zhang J, et al. Lessons from "Unexpected increased mortality after implementation of a commercially sold com…
  17. psnet.ahrq.gov/Information/Privacy
    May 23, 2025 - Privacy Policy Thank you for visiting AHRQ PSNet. The site is produced by an editorial team at the University of California, Davis under a contract from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. We collect no personal information about you when you visit …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49703/psn-pdf
    March 01, 2014 - After-Visit Confusion March 1, 2014 Ventres W. After-Visit Confusion. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/after-visit-confusion The Case An otherwise healthy 18-year-old woman presented to an urgent care clinic with new bumps and white spots near her tongue. The patient's mother accompanied her …
  19. psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
    March 01, 2015 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay Citation Text: O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: G…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47870/psn-pdf
    April 17, 2019 - Saving without compromising: teaching trainees to safely provide high value care. April 17, 2019 Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003. https://psnet.ahrq.gov/issue/saving-with…

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