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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39525/psn-pdf
    March 13, 2019 - Effect of bar-code technology on the safety of medication administration. March 13, 2019 Poon EG, Keohane C, Yoon CS, et al. Effect of bar-code technology on the safety of medication administration. New Engl J Med. 2010;362(18):1698-1707. doi:10.1056/NEJMsa0907115. https://psnet.ahrq.gov/issue/effect-bar-code-tech…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39729/psn-pdf
    September 20, 2011 - Contextual errors and failures in individualizing patient care: a multicenter study. September 20, 2011 Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010;153(2):69-75. doi:10.7326/0003-4819-153-2-201007200-00002. https…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43436/psn-pdf
    August 13, 2014 - Decreasing handoff-related care failures in children's hospitals. August 13, 2014 Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844. https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39497/psn-pdf
    February 10, 2015 - The value from investments in health information technology at the U.S. Department of Veterans Affairs. February 10, 2015 Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology at the U.S. Department of Veterans Affairs. Health Aff (Millwood). 2010;29(4):629-638. doi:…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45944/psn-pdf
    August 15, 2018 - Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. August 15, 2018 Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. J Am Med Inform Assoc. 2017;24(5):9…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844787/psn-pdf
    September 11, 2019 - TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records. September 11, 2019 Mirarchi FL, Juhasz K, Cooney TE, et al. TRIAD XII: Are Patients Aware of and Agree With DNR or POLST Orders in Their Medical Records. J Patient Saf. 2019;15(3):230-237. doi:10.1097/PTS.0000000000000631.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40306/psn-pdf
    May 07, 2015 - The benefits of health information technology: a review of the recent literature shows predominantly positive results. May 7, 2015 Buntin MB, Burke MF, Hoaglin MC, et al. The Benefits Of Health Information Technology: A Review Of The Recent Literature Shows Predominantly Positive Results. Health Aff. 2011;30(3):46…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866646/psn-pdf
    September 04, 2024 - Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. September 4, 2024 Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. doi:10.1136/bmjoq-2024- 002848…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855097/psn-pdf
    November 08, 2023 - Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation. November 8, 2023 Pelikan M, Finney RE, Jacob A. AANA J. 2023;91(5):…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38877/psn-pdf
    April 08, 2011 - Computerized order entry with limited decision support to prevent prescription errors in a PICU. April 8, 2011 Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-940. doi:10.1542/peds.2008-2737. https…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862608/psn-pdf
    February 14, 2024 - Communication and birth experiences among Black birthing people who experienced preterm birth. February 14, 2024 Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:10.1370/afm.3048. https://psne…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40993/psn-pdf
    December 14, 2011 - Anticoagulation-associated adverse drug events. December 14, 2011 Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med. 2011;124(12). doi:10.1016/j.amjmed.2011.06.009. https://psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events Warfarin and other anticoagulan…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34714/psn-pdf
    February 18, 2011 - Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. February 18, 2011 Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events Due to Negligence. New England Journal of Medicine. 2010;325(4). doi:10.1…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41898/psn-pdf
    December 05, 2012 - Pharmacy dispensing of electronically discontinued medications. December 5, 2012 Allen AS, Sequist TD. Pharmacy dispensing of electronically discontinued medications. Ann Intern Med. 2012;157(10):700-705. doi:10.7326/0003-4819-157-10-201211200-00006. https://psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60523/psn-pdf
    May 27, 2020 - "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. May 27, 2020 Chuang E, Cuartas PA, Powell T, et al. "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. AJOB Empir …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42229/psn-pdf
    July 03, 2014 - Relationship between occurrence of surgical complications and hospital finances. July 3, 2014 Eappen S, Lane BH, Rosenberg B, et al. Relationship between occurrence of surgical complications and hospital finances. JAMA. 2013;309(15):1599-606. doi:10.1001/jama.2013.2773. https://psnet.ahrq.gov/issue/relationship-be…
  17. psnet.ahrq.gov/issue/patient-safety-group
    March 27, 2024 - Multi-use Website The Patient Safety Group. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 9, 2006 Development of The Patient Safety Group was motivated by the death of…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35978/psn-pdf
    May 27, 2011 - The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation. May 27, 2011 Smith DH, Perrin N, Feldstein AC, et al. The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluatio…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42710/psn-pdf
    December 29, 2014 - Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. December 29, 2014 Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43072/psn-pdf
    November 21, 2016 - Physician attitudes toward family-activated medical emergency teams for hospitalized children. November 21, 2016 Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;40(4):187-192. https://psnet.a…

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