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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35385/psn-pdf
    January 02, 2017 - El Camino Hospital: using health information technology to promote patient safety. January 2, 2017 Bukunt S, Hunter C, Perkins S, et al. El Camino Hospital: Using Health Information Technology to Promote Patient Safety. Jt Comm J Qual Patient Saf. 2016;31(10):561-565. doi:10.1016/s1553-7250(05)31073-7. https://psn…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38641/psn-pdf
    September 02, 2009 - Assessing the value of electronic prescribing in ambulatory care: A focus group study. September 2, 2009 Weingart SN, Massagli M, Cyrulik A, et al. Assessing the value of electronic prescribing in ambulatory care: a focus group study. Int J Med Inform. 2009;78(9):571-8. doi:10.1016/j.ijmedinf.2009.03.007. https://…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42128/psn-pdf
    August 15, 2013 - Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper- based order entry. August 15, 2013 Jozefczyk KG, Kennedy WK, Lin MJ, et al. Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry. J Pha…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38072/psn-pdf
    February 15, 2011 - Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight. February 15, 2011 Mertens WC, Brown DE, Parisi R, et al. Detection, Classification, and Correction of Defective Chemotherapy Orders Through Nursing and Pharmacy Oversight. J Patient Saf. 2008;4(3):195…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865680/psn-pdf
    September 06, 2024 - Workforce and Patient Safety. September 6, 2024 Dorset, UK: Health Services Safety Investigations Body; 2024. https://psnet.ahrq.gov/issue/workforce-and-patient-safety The complex health care work environment creates conditions that detract from staff ability to provide safe care. This collection of reports to be …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35669/psn-pdf
    July 08, 2008 - Problem doctors: is there a system-level solution? July 8, 2008 Leape L, Fromson J. Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107- 15. https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution This commentary discusses the current systemwide limitations in measur…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39900/psn-pdf
    October 06, 2010 - Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. October 6, 2010 Nerich V, Limat S, Demarchi M, et al. Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. Int J…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38036/psn-pdf
    January 02, 2017 - Debriefing medical teams: 12 evidence-based best practices and tips. January 2, 2017 Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf. 2008;34(9):518-527. https://psnet.ahrq.gov/issue/debriefing-medical-teams-12-evidence-based-best-pr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42205/psn-pdf
    April 24, 2013 - Reported medication errors after introducing an electronic medication management system. April 24, 2013 Redley B, Botti M. Reported medication errors after introducing an electronic medication management system. J Clin Nurs. 2013;22(3-4):579-89. doi:10.1111/j.1365-2702.2012.04326.x. https://psnet.ahrq.gov/issue/re…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73586/psn-pdf
    January 01, 2022 - 'More than words' - interpersonal communication, cognitive bias and diagnostic errors. August 11, 2021 Dahm MR, Williams M, Crock C. ‘More than words’ – Interpersonal communication, cognitive bias and diagnostic errors. Patient Educ Couns. 2022;105(1):252-256. doi:10.1016/j.pec.2021.05.012. https://psnet.ahrq.gov/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40356/psn-pdf
    May 26, 2011 - Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. May 26, 2011 Khajouei R, Wierenga PC, Hasman A, et al. Clinicians satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. Int J Med Inform. 2011;80(5)…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39119/psn-pdf
    November 25, 2009 - Effect of a weight-based prescribing method within an electronic health record on prescribing errors. November 25, 2009 Ginzburg R, Barr WB, Harris M, et al. Effect of a weight-based prescribing method within an electronic health record on prescribing errors. Am J Health Syst Pharm. 2009;66(22):2037-41. doi:10.214…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35485/psn-pdf
    May 27, 2011 - Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. May 27, 2011 Koshy R. Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. Transfusion (Paris). 2005;45(4 Suppl):189S-205S. https://psnet.ahrq.go…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40428/psn-pdf
    May 04, 2011 - Does user-centred design affect the efficiency, usability and safety of CPOE order sets? May 4, 2011 Chan J, Shojania KG, Easty AC, et al. Does user-centred design affect the efficiency, usability and safety of CPOE order sets? J Am Med Inform Assoc. 2011;18(3):276-81. doi:10.1136/amiajnl-2010-000026. https://psne…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38893/psn-pdf
    August 26, 2009 - Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. August 26, 2009 Brunt BA, Gifford L. Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. J Nurses…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40320/psn-pdf
    March 30, 2011 - Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. March 30, 2011 Haynes K, Linkin DR, Fishman NO, et al. Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. Journa…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36716/psn-pdf
    July 26, 2011 - Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. July 26, 2011 Weant KA, Cook AM, Armitstead JA. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. Am J Health Syst Pharm.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38346/psn-pdf
    April 01, 2010 - Human factors engineering in healthcare systems: the problem of human error and accident management. April 1, 2010 Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17. doi:10.1016/j.ijmedinf.2008.10.005. http…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42355/psn-pdf
    February 11, 2015 - Advancing Successful Care Transitions to Improve Outcomes. February 11, 2015 Society of Hospital Medicine https://psnet.ahrq.gov/issue/project-boost-mentored-implementation-program This Web site provides resources associated with the Better Outcomes for Older adults through Safe Transitions project, called Projec…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47112/psn-pdf
    May 09, 2018 - 34 ways to survive your next trip to the hospital. May 9, 2018 Crouch M. Reader's Digest. April 2018. https://psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital Involving patients in their care can help improve safety. This magazine article provides 34 tips from leading patient safety experts to assist p…

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