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3541. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74011/psn-pdf
      October 27, 2021 - Dashboards for visual display of patient safety data: a systematic review. October 27, 2021 Murphy DR, Savoy A, Satterly T, et al. Dashboards for visual display of patient safety data: a systematic review. BMJ Health Care Inform. 2021;28(1):e100437. doi:10.1136/bmjhci-2021-100437. https://psnet.ahrq.gov/issue/dash…

3542. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47681/psn-pdf
      January 30, 2019 - Infection prevention in the operating room anesthesia work area. January 30, 2019 Munoz-Price S, Bowdle A, Johnston L, et al. Infection prevention in the operating room anesthesia work area. Infect Control Hosp Epidemiol. 2018:1-17. doi:10.1017/ice.2018.303. https://psnet.ahrq.gov/issue/infection-prevention-operat…

3543. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37769/psn-pdf
      March 10, 2011 - Turning off frequently overridden drug alerts: limited opportunities for doing it safely. March 10, 2011 van der Sijs H, Aarts J, van Gelder T, et al. Turning off frequently overridden drug alerts: limited opportunities for doing it safely. J Am Med Inform Assoc. 2008;15(4):439-48. doi:10.1197/jamia.M2311. https:/…

3544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74117/psn-pdf
      December 16, 2021 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. November 24, 2021 Rockville, MD: Agency for Healthcare Research and Quality; December 16, 2021. https://psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals The release of the Workplace Safety supplemental items for…

3545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45423/psn-pdf
      September 27, 2016 - Lost in translation: impact of language barriers on children's healthcare. September 27, 2016 Goenka PK. Lost in translation: impact of language barriers on children's healthcare. Curr Opin Pediatr. 2016;28(5):659-666. doi:10.1097/MOP.0000000000000404. https://psnet.ahrq.gov/issue/lost-translation-impact-language-…

3546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50591/psn-pdf
      January 01, 2020 - Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. October 30, 2019 Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380. doi:10.12788/jhm.3305. https://psnet…

3547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38725/psn-pdf
      November 23, 2016 - A new structure of attention? Open disclosure of adverse events to patients and their families. November 23, 2016 Iedema R, Jorm C, Wakefield JG, et al. A New Structure of Attention? J Lang Soc Psychol. 2009;28(2). doi:10.1177/0261927x08330614. https://psnet.ahrq.gov/issue/new-structure-attention-open-disclosure-a…

3548. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44802/psn-pdf
      April 01, 2021 - Overall Hospital Quality Star Ratings. April 1, 2021 Centers for Medicare & Medicaid Services. https://psnet.ahrq.gov/issue/overall-hospital-quality-star-ratings-overview Hospital rating programs have received significant public attention, but concerns have been raised regarding their usefulness. This website prov…

3549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40643/psn-pdf
      July 27, 2011 - Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. July 27, 2011 Redwood S, Rajakumar A, Hodson J, et al. Does the implementation of an electronic prescribing system create un…

3550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72573/psn-pdf
      December 16, 2020 - Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers. December 16, 2020 Gui JL, Nemergut EC, Forkin KT. Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect …

3551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35356/psn-pdf
      May 27, 2011 - Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. May 27, 2011 Thompson DA; Duling L; Holzmueller CG; et al. JCOM. 2(8):407-412 https://psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-error…

3552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41400/psn-pdf
      January 01, 2013 - Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. December 12, 2012 Hundt AS, Adams JA, Schmid A, et al. Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. Int J Med Inform. 2013;82(1):25-38. doi:10.1016/…

3553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851463/psn-pdf
      July 19, 2023 - Adverse Events Toolkit: Clinical Guidance for Identifying Harm July 19, 2023 Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report no. OEI-06-21-00031. https://psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-har…

3554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38274/psn-pdf
      March 31, 2009 - Time motion study in a pediatric emergency department before and after computer physician order entry. March 31, 2009 Yen K, Shane EL, Pawar SS, et al. Time motion study in a pediatric emergency department before and after computer physician order entry. Ann Emerg Med. 2009;53(4):462-468.e1. doi:10.1016/j.annemerg…

3555. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41117/psn-pdf
      March 04, 2015 - The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials. March 4, 2015 McKibbon A, Lokker C, Handler S, et al. The effectiveness of integrated health information technologies across the phases of medication man…

3556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41717/psn-pdf
      September 01, 2016 - A clinical data warehouse-based process for refining medication orders alerts. September 1, 2016 Boussadi A, Caruba T, Zapletal E, et al. A clinical data warehouse-based process for refining medication orders alerts. J Am Med Inform Assoc. 2012;19(5):782-5. doi:10.1136/amiajnl-2012-000850. https://psnet.ahrq.gov/i…

3557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37466/psn-pdf
      May 27, 2011 - Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. May 27, 2011 Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation of computerized physician order entry in a neonatal inte…

3558. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43620/psn-pdf
      October 29, 2014 - Error in intensive care: psychological repercussions and defense mechanisms among health professionals. October 29, 2014 Laurent A, Aubert L, Chahraoui K, et al. Error in intensive care: psychological repercussions and defense mechanisms among health professionals. Crit Care Med. 2014;42(11):2370-8. doi:10.1097/CC…

3559. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34113/psn-pdf
      December 24, 2008 - MEDMARX 5th Anniversary Data Report: A Chartbook of 2003 Findings and Trends 1999-2003. December 24, 2008 Hicks RW, Santell JP, Cousins DD, et al. Rockville, MD: USP Center for the Advancement of Patient Safety; 2004. https://psnet.ahrq.gov/issue/medmarx-5th-anniversary-data-report-chartbook-2003-fi…

3560. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36952/psn-pdf
      September 09, 2011 - Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index. September 9, 2011 Snyder RA, Abarca J, Meza JL, et al. Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index. Phar…