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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60315/psn-pdf
    May 13, 2020 - Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. May 13, 2020 Cinar P, Kubal T, Freifeld A, et al. Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. J Natl Compr Canc Netw. 2020;18(5):504-509. doi:1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859300/psn-pdf
    January 01, 2024 - Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. December 20, 2023 Payne R, Clarke A, Swann N, et al. Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. BMJ Qual Saf. 20…
  3. www.ahrq.gov/research/findings/final-reports/ptmgmt/index.html
    April 01, 2020 - Patient Self-Management Support Programs: An Evaluation Next Page Table of Contents Patient Self-Management Support Programs: An Evaluation Acknowledgments Introduction and Purpose Summary Background Methodology Design Options for a Self-Management Support Program Program Evaluation Co…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47579/psn-pdf
    December 12, 2018 - A prescription for enhancing electronic prescribing safety. December 12, 2018 Schiff G, Mirica MM, Dhavle AA, et al. A Prescription For Enhancing Electronic Prescribing Safety. Health Aff (Millwood). 2018;37(11):1877-1883. doi:10.1377/hlthaff.2018.0725. https://psnet.ahrq.gov/issue/prescription-enhancing-electroni…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43378/psn-pdf
    August 14, 2014 - Interventions to reduce pediatric medication errors: a systematic review. August 14, 2014 Rinke ML, Bundy DG, Velasquez CA, et al. Interventions to reduce pediatric medication errors: a systematic review. Pediatrics. 2014;134(2):338-360. doi:10.1542/peds.2013-3531. https://psnet.ahrq.gov/issue/interventions-reduce…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40450/psn-pdf
    December 21, 2014 - Unit-based care teams and the frequency and quality of physician–nurse communications. December 21, 2014 Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician- nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54. htt…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39892/psn-pdf
    September 20, 2011 - How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data. September 20, 2011 Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients' propensity to sue and their assessment of pro…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41047/psn-pdf
    November 26, 2014 - Failure to follow-up test results for ambulatory patients: a systematic review. November 26, 2014 Callen JL, Westbrook JI, Georgiou A, et al. Failure to Follow-Up Test Results for Ambulatory Patients: A Systematic Review. J Gen Intern Med. 2011;27(10):1334-1348. doi:10.1007/s11606-011-1949-5. https://psnet.ahrq.go…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43002/psn-pdf
    March 12, 2014 - Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. March 12, 2014 Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. Acad Med. 2014;89(2):285-91. doi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37345/psn-pdf
    May 26, 2011 - Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. May 26, 2011 Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. Pediatrics. 2007;120(5):1058-66. htt…
  12. www.ahrq.gov/talkingquality/assess/why-evaluate.html
    May 01, 2019 - Why Evaluate a Health Care Quality Reporting Project? Just as report sponsors hope that health care providers and plans will use data on quality to improve their performance, you need to gather and use data to improve your reporting efforts over time. Experienced report sponsors approach their reporting initiat…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40236/psn-pdf
    March 23, 2012 - The safety implications of missed test results for hospitalised patients: a systematic review. March 23, 2012 Callen J, Georgiou A, Li J, et al. The safety implications of missed test results for hospitalised patients: a systematic review. BMJ Qual Saf. 2011;20(2):194-199. doi:10.1136/bmjqs.2010.044339. https://ps…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841772/psn-pdf
    December 21, 2022 - Detectability of medication errors with a STOPP/START- based medication review in older people prior to a potentially preventable drug-related hospital admission. December 21, 2022 Sallevelt BTGM, Egberts TCG, Huibers CJA, et al. Detectability of medication errors with a STOPP/START- based medication review in old…
  15. 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 …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47238/psn-pdf
    October 13, 2018 - Evaluating shared decision making for lung cancer screening. October 13, 2018 Brenner AT, Malo TL, Margolis M, et al. Evaluating Shared Decision Making for Lung Cancer Screening. JAMA Intern Med. 2018;178(10):1311-1316. doi:10.1001/jamainternmed.2018.3054. https://psnet.ahrq.gov/issue/evaluating-shared-decision-ma…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837028/psn-pdf
    May 04, 2022 - What is needed to sustain improvements in hospital practices post-COVID-19? A qualitative study of interprofessional dissonance in hospital infection prevention and control. May 4, 2022 Gilbert GL, Kerridge I. What is needed to sustain improvements in hospital practices post-COVID-19? a qualitative study of inter…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43367/psn-pdf
    May 01, 2015 - Promoting Patient Safety Through Effective Health Information Technology Risk Management. May 1, 2015 Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND Health. Washington, DC: Office of the National Coordinator for Health Information Technology; May 2014. RR-654-DHHSNCH. https://psnet.ahrq.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46578/psn-pdf
    April 29, 2018 - Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. April 29, 2018 Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jamia/ocx106. https://psnet.ahrq.gov…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45608/psn-pdf
    October 27, 2016 - Errors, omissions, and outliers in hourly vital signs measurements in intensive care. October 27, 2016 Maslove DM, Dubin JA, Shrivats A, et al. Errors, Omissions, and Outliers in Hourly Vital Signs Measurements in Intensive Care. Crit Care Med. 2016;44(11):e1021-e1030. https://psnet.ahrq.gov/issue/errors-omissions…