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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844050/psn-pdf
    February 08, 2023 - Using automated methods to detect safety problems with health information technology: a scoping review. February 8, 2023 Surian D, Wang Y, Coiera E, et al. Using automated methods to detect safety problems with health information technology: a scoping review. J Am Med Inform Assoc. 2022;30(2):382-392. doi:10.1093/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45216/psn-pdf
    June 08, 2016 - Ambulatory computerized prescribing and preventable adverse drug events. June 8, 2016 Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194. https://psnet.ahrq.gov/issue/ambulatory-computeriz…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60177/psn-pdf
    April 01, 2020 - What do emergency department physicians and nurses feel? A qualitative study of emotions, triggers, regulation strategies, and effects on patient care. April 1, 2020 Isbell LM, Boudreaux ED, Chimowitz H, et al. What do emergency department physicians and nurses feel? A qualitative study of emotions, triggers, regu…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42758/psn-pdf
    October 17, 2016 - Suffering in silence: a qualitative study of second victims of adverse events. October 17, 2016 Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035. https://psnet.ahrq.gov/issue/suffer…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45829/psn-pdf
    June 27, 2018 - Learning from errors: analysis of medication order voiding in CPOE systems. June 27, 2018 Kannampallil TG, Abraham J, Solotskaya A, et al. Learning from errors: analysis of medication order voiding in CPOE systems. J Am Med Inform Assoc. 2017;24(4):762-768. doi:10.1093/jamia/ocw187. https://psnet.ahrq.gov/issue/le…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41131/psn-pdf
    February 15, 2012 - Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. February 15, 2012 Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39670/psn-pdf
    July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. July 7, 2010 Washington DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care The landmark Institute of Medicine (IOM) report, To Err Is Human,…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34892/psn-pdf
    February 03, 2011 - Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. February 3, 2011 Garg AX, Adhikari NKJ, McDonald H, et al. Effects of Computerized Clinical Decision Support Systems on Practitioner Performance and Patient Outcomes. JAMA. 2005;293(10):…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48143/psn-pdf
    January 01, 2020 - Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. August 7, 2019 Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. BMJ Qual Saf. 2020;29(…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72774/psn-pdf
    February 24, 2021 - Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross- sectional observational study. February 24, 2021 de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug events causing hospitalisation…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33800/psn-pdf
    January 01, 2015 - Computerized Provider Order Entry and Patient Safety January 1, 2015 Sarkar U, Shojania KG. Computerized Provider Order Entry and Patient Safety. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety Annual Perspective 2015 Computerized provider order entry…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33613/psn-pdf
    May 01, 2005 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience May 1, 2005 Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience Pe…
  13. psnet.ahrq.gov/primer/culture-safety
    September 15, 2024 - Culture of Safety Citation Text: Culture of Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…
  14. psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
    May 01, 2005 - Delayed Breast Cancer Diagnosis: A False Sense of Security. Citation Text: Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Cita…
  15. psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
    November 22, 2017 - Book/Report Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Citation Text: Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Washington, DC: United States Government …
  16. psnet.ahrq.gov/issue/saving-without-compromising-teaching-trainees-safely-provide-high-value-care
    August 02, 2015 - Commentary Saving without compromising: teaching trainees to safely provide high value care. Citation Text: 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. …
  17. psnet.ahrq.gov/issue/designing-decision-support-insulin-ordering-computerized-provider-order-entry-system
    March 09, 2011 - Study Designing decision support for insulin ordering in a computerized provider order entry system. Citation Text: Wright L, Feldott CC, Hargrove FR. Designing Decision Support for Insulin Ordering in a Computerized Provider Order Entry System. Hosp Pharm. 2010;42(2). doi:10.1310/hpj4…
  18. psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
    June 19, 2019 - Study Health care provider factors associated with patient-reported adverse events and harm. Citation Text: Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290. doi:…
  19. psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong
    March 14, 2016 - Commentary Should health care providers be forced to apologise after things go wrong? Citation Text: McLennan S, Walker S, Rich LE. Should health care providers be forced to apologise after things go wrong? J Bioeth Inq. 2014;11(4):431-5. doi:10.1007/s11673-014-9571-y. Copy Citation …
  20. psnet.ahrq.gov/issue/developing-and-evaluating-clinical-leadership-interventions-frontline-healthcare-providers
    May 01, 2024 - Review Emerging Classic Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. Citation Text: Mianda S, Voce A. Developing and evaluating clinical leadership interventions for frontline healthc…

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