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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38817/psn-pdf
    April 04, 2011 - Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. April 4, 2011 Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. J Gen Intern Med. 2009;24(9)…
  2. 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. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43695/psn-pdf
    August 02, 2015 - The medical liability climate and prospects for reform. August 2, 2015 Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA. 2014;312(20):2146-55. doi:10.1001/jama.2014.10705. https://psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform This review of natio…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46864/psn-pdf
    August 17, 2018 - Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. August 17, 2018 Wong A, Amato MG, Seger DL, et al. Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. BMJ Qual Saf. 2018;27(9):718-724. doi:10.1136…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44369/psn-pdf
    July 16, 2018 - The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. July 16, 2018 Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implemen…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43653/psn-pdf
    January 01, 2015 - Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers. December 19, 2014 Provenzano A, Rohan S, Trevejo E, et al. Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers. BMJ Qual Saf. 2015;24(1)…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41535/psn-pdf
    December 31, 2014 - Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. December 31, 2014 Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305-310. doi:10.1136/amiajnl- 201…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38829/psn-pdf
    January 03, 2017 - Implementing standardized operating room briefings and debriefings at a large regional medical center. January 3, 2017 Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qual Patient Saf. 2009;35(8):391-7. …
  9. psnet.ahrq.gov/web-mm/code-status-vs-care-status
    September 30, 2020 - SPOTLIGHT CASE Code Status vs. Care Status Citation Text: Krisman RK, Spero H. Code Status vs. Care Status. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX End…
  10. psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
    August 02, 2015 - SPOTLIGHT CASE Despite Clues, Failed to Rescue Citation Text: Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndN…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863641/psn-pdf
    February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training February 28, 2024 Haugstetter M, Hines S, Sousane Z, et al. Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49614/psn-pdf
    November 01, 2010 - Reconciling Records November 1, 2010 Singh H, Sittig DF, Layden M. Reconciling Records. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/reconciling-records The Cases   Case 1. A patient receiving care at a Veterans Affairs (VA) outpatient clinic was admitted to a local teaching hospital. When discharged, h…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49751/psn-pdf
    January 01, 2016 - New Patient Mistakenly Checked in as Another January 1, 2016 Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another The Case A 55-year-old man, presented to a primary care physician's office for an initial vis…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853772/psn-pdf
    September 27, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable September 27, 2023 Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable The Case A fourteen-ye…
  15. psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
    September 01, 2011 - In Conversation With…Kaveh G. Shojania, MD September 1, 2011  Also Read an Essay Citation Text: In Conversation With…Kaveh G. Shojania, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
  16. psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx Spotlight The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department Source and Credits • This presentation is based on the April 2023 AH…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43865/psn-pdf
    May 01, 2015 - Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. May 1, 2015 Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current sy…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42395/psn-pdf
    July 31, 2013 - Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support. July 31, 2013 Zimlichman E, Keohane C, Franz C, et al. Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision suppo…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47694/psn-pdf
    February 06, 2019 - Association of pharmaceutical industry marketing of opioid products with mortality from opioid-related overdoses. February 6, 2019 Hadland SE, Rivera-Aguirre A, Marshall BDL, et al. Association of Pharmaceutical Industry Marketing of Opioid Products With Mortality From Opioid-Related Overdoses. JAMA Netw Open. 201…
  20. psnet.ahrq.gov/issue/isqua-networks
    January 29, 2021 - Multi-use Website ISQua Networks. Citation Text: ISQua Networks. International Society for Quality in Health Care. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

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