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  1. psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx Spotlight A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion Source and Credits • This presentation is based on the July 2023 AHRQ WebM&M Spotlight Case o See the full article at ht…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40673/psn-pdf
    September 03, 2011 - Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. September 3, 2011 Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patient Saf. 2011;37(8):365-374. htt…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61110/psn-pdf
    November 11, 2020 - Association between parent comfort with English and adverse events among hospitalized children. November 11, 2020 Khan A, Yin HS, Brach C, et al. Association between parent comfort with English and adverse events among hospitalized children. JAMA Pediatr. 2020;174(12):e203215. doi:10.1001/jamapediatrics.2020.3215.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866691/psn-pdf
    September 11, 2024 - Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. September 11, 2024 Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records with large language models (LLM): e…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39392/psn-pdf
    September 20, 2011 - Effect of point-of-care computer reminders on physician behaviour: a systematic review. September 20, 2011 Shojania KG, Jennings A, Mayhew A, et al. Effect of point-of-care computer reminders on physician behaviour: a systematic review. CMAJ. 2010;182(5):E216-25. doi:10.1503/cmaj.090578. https://psnet.ahrq.gov/iss…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45598/psn-pdf
    November 23, 2016 - AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. November 23, 2016 Famolaro T, Yount ND, Greene, K, Hare R, Thorton S, Sorra J. Rockville, MD: Agency for Healthcare Research and Quality; October 2016. AHRQ Publication No. 17-0004-EF. https://psnet.ahrq.gov/issue/ahrq-nursi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40600/psn-pdf
    September 09, 2011 - To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. September 9, 2011 Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(4):288-298. doi:10.1097/HMR.0b01…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45488/psn-pdf
    April 24, 2018 - National trends in safety performance of electronic health record systems in children's hospitals. April 24, 2018 Chaparro JD, Classen D, Danforth M, et al. National trends in safety performance of electronic health record systems in children's hospitals. J Am Med Inform Assoc. 2017;24(2):268-274. doi:10.1093/jami…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37112/psn-pdf
    May 26, 2011 - The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study. May 26, 2011 Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and administration system on prescribing erro…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41101/psn-pdf
    October 16, 2012 - System-related interventions to reduce diagnostic errors: a narrative review. October 16, 2012 Singh H, Graber ML, Kissam SM, et al. System-related interventions to reduce diagnostic errors: a narrative review. BMJ Qual Saf. 2012;21(2):160-170. doi:10.1136/bmjqs-2011-000150. https://psnet.ahrq.gov/issue/system-rel…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45959/psn-pdf
    June 29, 2017 - Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. June 29, 2017 Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Pain. 2017;158(5):833-839. doi:10.1097/j.pain.0000000000000837. https://psnet.ahrq.gov/issue/impact…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38621/psn-pdf
    February 18, 2011 - Process of care failures in breast cancer diagnosis. February 18, 2011 Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0. https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis Di…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39294/psn-pdf
    January 03, 2017 - Patient handoffs: standardized and reliable measurement tools remain elusive. January 3, 2017 Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010;36(2):52-61. https://psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-m…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42154/psn-pdf
    January 07, 2015 - Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. January 7, 2015 Flanagan ME, Saleem JJ, Millitello LG, et al. Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. J Am Med Inform Assoc. 2013;20(e1):e59-66. doi:…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40907/psn-pdf
    December 08, 2011 - Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. December 8, 2011 Öhrn A, Elfström J, Liedgren C, et al. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. Jt Comm J…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40200/psn-pdf
    July 02, 2014 - Checklists to reduce diagnostic errors. July 2, 2014 Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd. https://psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors Diagnostic errors are rapidly gaining attention as the next f…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37019/psn-pdf
    September 15, 2011 - Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. September 15, 2011 Shamliyan TA, Duval S, Du J, et al. Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41764/psn-pdf
    January 18, 2013 - Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions. January 18, 2013 Rosen AK, Loveland S, Shin MH, et al. Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41935/psn-pdf
    December 19, 2012 - Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. December 19, 2012 Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. Health Aff (…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46807/psn-pdf
    July 02, 2019 - Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. July 2, 2019 Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text field on electronic prescriptions. J Am Med Inform Assoc. 2018;25(6):709-714. doi:1…

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