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  1. psnet.ahrq.gov/issue/what-covid-19-teaches-us-about-implicit-bias-pediatric-health-care
    March 25, 2020 - Commentary What COVID-19 teaches us about implicit bias in pediatric health care. Citation Text: Mulchan SS, Wakefield EO, Santos M. What COVID-19 teaches us about implicit bias in pediatric health care. J Ped Psychol. 2021;46(2):138-143. doi:10.1093/jpepsy/jsaa131. Copy Citation F…
  2. psnet.ahrq.gov/issue/how-patients-can-improve-accuracy-their-medical-records
    July 20, 2022 - Study How patients can improve the accuracy of their medical records. Citation Text: Dullabh P, Sondheimer N, Katsh E, et al. How Patients Can Improve the Accuracy of their Medical Records. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2014;2(3). doi:10.13063/2327-92…
  3. psnet.ahrq.gov/issue/natural-history-recovery-healthcare-provider-second-victim-after-adverse-patient-events
    January 03, 2017 - Study The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Citation Text: Scott SD, Hirschinger LE, Cox KR, et al. The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Qual Saf Healt…
  4. psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
    June 28, 2023 - Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January 31, 2024 Innovation Contact …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40561/psn-pdf
    March 23, 2012 - Principles of conservative prescribing. March 23, 2012 Schiff G, Galanter W, Duhig J, et al. Principles of conservative prescribing. Arch Intern Med. 2011;171(16):1433-1440. doi:10.1001/archinternmed.2011.256. https://psnet.ahrq.gov/issue/principles-conservative-prescribing Strategies to prevent medication errors …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46954/psn-pdf
    January 23, 2019 - Opioid prescribing decreases after learning of a patient's fatal overdose. January 23, 2019 Doctor JN, Nguyen A, Lev R, et al. Opioid prescribing decreases after learning of a patient's fatal overdose. Science. 2018;361(6402):588-590. doi:10.1126/science.aat4595. https://psnet.ahrq.gov/issue/opioid-prescribing-dec…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36460/psn-pdf
    May 27, 2011 - Medication errors related to computerized order entry for children. May 27, 2011 Walsh KE, Adams WG, Bauchner H, et al. Medication errors related to computerized order entry for children. Pediatrics. 2006;118(5):1872-1879. https://psnet.ahrq.gov/issue/medication-errors-related-computerized-order-entry-children Th…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42399/psn-pdf
    December 29, 2014 - Information technology interventions to improve medication safety in primary care: a systematic review. December 29, 2014 Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in primary care: a systematic review. Int J Qual Health Care. 2013;25(5):590-8. doi:10.1093/intq…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38675/psn-pdf
    February 15, 2011 - Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. February 15, 2011 Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospecti…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38163/psn-pdf
    April 11, 2011 - Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department. April 11, 2011 Sard BE, Walsh KE, Doros G, et al. Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric e…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36044/psn-pdf
    April 27, 2010 - Expected and unanticipated consequences of the quality and information technology revolutions. April 27, 2010 Wachter R. Expected and unanticipated consequences of the quality and information technology revolutions. JAMA. 2006;295(23):2780-3. https://psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-qua…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49784/psn-pdf
    February 01, 2017 - Safeguarding Diagnostic Testing at the Point of Care February 1, 2017 Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care The Case A 23-year-old woman presented to the family medicine clinic for…
  13. psnet.ahrq.gov/improvement-tools
    February 26, 2025 - Improvement Resources Overview Patient Safety Innovations highlight important innovations that can lead to improvements in patient safety, while Toolkits provide the practical applications of PSNet research and concepts for front line providers to use in their day to day work. Together these support the implementatio…
  14. psnet.ahrq.gov/web-mm/situational-unawareness
    August 01, 2009 - Situational (Un)Awareness Citation Text: Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
  15. psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
    June 28, 2023 - SPOTLIGHT CASE Prolonged DKA in Pregnancy: A Case of Communication Breakdown. Citation Text: Marshall S, Boe NM. Prolonged DKA in Pregnancy: A Case of Communication Breakdown.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38239/psn-pdf
    November 19, 2008 - Postmarket Drug Safety Information for Patients and Providers. November 19, 2008 US Food and Drug Administration; Center for Drug Evaluation and Research. https://psnet.ahrq.gov/issue/postmarket-drug-safety-information-patients-and-providers This Web site centralizes information for practitioners, policymakers, an…
  17. psnet.ahrq.gov/issue/increasing-adoption-computerized-provider-order-entry-and-persistent-regional-disparities-us
    May 16, 2012 - Study Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. Citation Text: Pallin DJ, Sullivan AF, Espinola JA, et al. Increasing adoption of computerized provider order entry, and persistent regional disparities, in…
  18. psnet.ahrq.gov/issue/using-enhanced-oral-chemotherapy-computerized-provider-order-entry-system-reduce-prescribing
    October 20, 2014 - Study Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety. Citation Text: Collins CM, Elsaid KA. Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve …
  19. psnet.ahrq.gov/issue/association-communication-between-hospital-based-physicians-and-primary-care-providers
    September 09, 2013 - Study Association of communication between hospital-based physicians and primary care providers with patient outcomes. Citation Text: Bell CM, Schnipper JL, Auerbach AD, et al. Association of communication between hospital-based physicians and primary care providers with patient out…
  20. psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-inpatient-clinical-workflow-literature
    February 23, 2009 - Review The impact of computerized provider order entry systems on inpatient clinical workflow: a literature review. Citation Text: Niazkhani Z, Pirnejad H, Berg M, et al. The impact of computerized provider order entry systems on inpatient clinical workflow: a literature review. J Am M…

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