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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36661/psn-pdf
    March 22, 2010 - Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors. March 22, 2010 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 6, 2007. https://psnet.ahrq.gov/issue/heparin-sodium-injection-10000-unitsml-and-hep-lock-10-unitsml-medication- errors This …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46494/psn-pdf
    January 24, 2018 - Complications. January 24, 2018 Anaesthesia. 2018;73(suppl 1):3-101. https://psnet.ahrq.gov/issue/complications Study of complications can provide insights into presurgical patient counseling, risk assessment, and medical harm prevention. Articles in this special issue explore complications in anesthesia, includin…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38506/psn-pdf
    February 10, 2015 - Implementation of computerized physician order entry in seven countries. February 10, 2015 Aarts J, Koppel R. Implementation of computerized physician order entry in seven countries. Health Aff (Millwood). 2009;28(2):404-414. doi:10.1377/hlthaff.28.2.404. https://psnet.ahrq.gov/issue/implementation-computerized-ph…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73193/psn-pdf
    April 28, 2021 - The pros and cons of EHR clinical decision support alerts. April 28, 2021 Jason C. EHR Intelligence. April 16, 2021. https://psnet.ahrq.gov/issue/pros-and-cons-ehr-clinical-decision-support-alerts Electronic health record alerting functions are ubiquitous elements of decision support systems. This news article in…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34782/psn-pdf
    November 01, 2016 - When systems fail. November 1, 2016 Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090- 2616(01)00025-0. https://psnet.ahrq.gov/issue/when-systems-fail This review provides a detailed account of managerial causes of failure and managerial failure prevention strategies. The aut…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42318/psn-pdf
    August 15, 2013 - Potential medication errors associated with computer prescriber order entry. August 15, 2013 Villamañán E, Larrubia Y, Ruano M, et al. Potential medication errors associated with computer prescriber order entry. Int J Clin Pharm. 2013;35(4):577-83. doi:10.1007/s11096-013-9771-2. https://psnet.ahrq.gov/issue/potent…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37719/psn-pdf
    July 17, 2018 - AHRQ Health Care Innovations Exchange. July 17, 2018 Agency for Healthcare Research and Quality. 2008-2016. https://psnet.ahrq.gov/issue/ahrq-health-care-innovations-exchange This AHRQ resource provided a searchable collection of innovations in health care, opportunities for medical providers and administrators to…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42518/psn-pdf
    January 07, 2015 - Role of computerized physician order entry usability in the reduction of prescribing errors. January 7, 2015 Peikari HR, Zakaria MS, Yasin NM, et al. Role of computerized physician order entry usability in the reduction of prescribing errors. Healthc Inform Res. 2013;19(2):93-101. doi:10.4258/hir.2013.19.2.93. htt…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47354/psn-pdf
    November 21, 2018 - Improving Diagnosis in Medicine Change Package. November 21, 2018 Chicago, IL: Health Research & Educational Trust; 2018. https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package Proactive identification of conditions that degrade the diagnostic process can drive improvement. This toolkit provides …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45544/psn-pdf
    December 19, 2016 - Prescribing errors that cause harm. December 19, 2016 Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91. https://psnet.ahrq.gov/issue/prescribing-errors-cause-harm Prescribing errors can have harmful results. Analyzing prescribing error reports submitted over a 12- year period, t…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34618/psn-pdf
    July 28, 2013 - National Survey on Consumers' Experiences With Patient Safety and Quality Information. July 28, 2013 Washington DC: Kaiser Family Foundation, Agency for Healthcare Research and Quality, Harvard School of Public Health; 2004. https://psnet.ahrq.gov/issue/national-survey-consumers-experiences-patient-safety-and-qual…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33895/psn-pdf
    April 01, 2024 - The Leapfrog Hospital Survey. April 1, 2024 Leapfrog Group. https://psnet.ahrq.gov/issue/leapfrog-hospital-survey This website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress in implementing specific patient safety practices. Updates to the survey include increased time a…

  13. In Conversation With... Jeffrey Shuren, MD, JD | PSNet

    psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
    May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD May 28, 2020  Also Read the Essay Citation Text: In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020.In Conversation With... Jeffrey Shuren, MD, JD. PSNet [internet]. Rockville (MD): Agency for Healt…

  14. The Role of the FDA in Ensuring Device Safety | PSNet

    psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
    May 28, 2020 - The Role of the FDA in Ensuring Device Safety May 28, 2020  Also Read the Conversation View more articles from the same authors. Citation Text: Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. Rockville (MD): Agency f…

  15. In Conversation With... Heidi Wald, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-heidi-wald-md
    November 26, 2019 - In Conversation With... Heidi Wald, MD November 26, 2019  Also Read the Essay Citation Text: In Conversation With.. Heidi Wald, MD. PSNet [internet]. 2019.In Conversation With... Heidi Wald, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …

  16. Patient Safety in Frail Older Patients | PSNet

    psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
    November 26, 2019 - Patient Safety in Frail Older Patients November 26, 2019  Also Read the Conversation View more articles from the same authors. Citation Text: Wald HL, Hall KK, Fitall E. Patient Safety in Frail Older Patients. PSNet [internet]. Rockville (MD): Agency for Healthc…

  17. When the Meds Don’t Reach the Bed | PSNet

    psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
    May 16, 2022 - When the Meds Don’t Reach the Bed Citation Text: Molla M, Le K, Mendoza P. When the Meds Don’t Reach the Bed. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

  18. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
    July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD July 1, 2017  Also Read an Essay Citation Text: In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Hum…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851568/psn-pdf
    July 31, 2023 - A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion July 31, 2023 Duong T, Boctor N, Bourgeois JA. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomid…

  20. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet

    psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
    July 01, 2017 - Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? David Studdert, LLB, ScD | July 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Studdert DM. Doctors With Multiple Malprac…
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