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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36927/psn-pdf
    April 14, 2011 - The frequency of missed test results and associated treatment delays in a highly computerized health system. April 14, 2011 Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Fam Pract. 2007;8:32. https://psnet.ahrq.gov/issue/frequenc…
  2. 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45435/psn-pdf
    August 24, 2016 - Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages. August 24, 2016 Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly Computerised Hospital: Sign-Off and Action of Electronic Review Messages. PLoS One. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45870/psn-pdf
    March 25, 2017 - Improving communication with primary care physicians at the time of hospital discharge. March 25, 2017 Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. doi:10.1016/j.jcjq.2016.11.005. htt…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45471/psn-pdf
    September 21, 2016 - Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. September 21, 2016 Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention. MMWR Morb Mortal Wkly Rep. 2016;65(33):864-869…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764396/psn-pdf
    March 02, 2022 - Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients. March 2, 2022 Bardach NS, Stotts JR, Fiore DM, et al. Family Input for Quality and Safety (FIQS): Using mobile technology for in?hospital reporting from families and patients. J Hosp Med. 2022;…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845631/psn-pdf
    March 08, 2023 - Evaluation of policies limiting opioid exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large American health system. March 8, 2023 Rennert L, Howard KA, Walker KB, et al. Evaluation of policies limiting opioid exposure on opioid prescribing and patient pai…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45739/psn-pdf
    July 02, 2017 - High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? July 2, 2017 Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65(3):603-607. doi:10.1111/jgs.14703. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41192/psn-pdf
    November 26, 2014 - Effect of patient- and medication-related factors on inpatient medication reconciliation errors. November 26, 2014 Salanitro AH, Osborn CY, Schnipper JL, et al. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. J Gen Intern Med. 2012;27(8):924-932. doi:10.1007/s11606-0…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44530/psn-pdf
    October 21, 2015 - Patient safety and quality of care in developing countries in Southeast Asia: a systematic literature review. October 21, 2015 Harrison R, Cohen AWS, Walton M. Patient safety and quality of care in developing countries in Southeast Asia: a systematic literature review. Int J Qual Health Care. 2015;27(4):240-254. d…
  11. 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.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42177/psn-pdf
    November 23, 2016 - Failure to engage hospitalized elderly patients and their families in advance care planning. November 23, 2016 Heyland DK, Barwich D, Pichora D, et al. Failure to engage hospitalized elderly patients and their families in advance care planning. JAMA Intern Med. 2013;173(9):778-787. doi:10.1001/jamainternmed.2013.18…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43533/psn-pdf
    August 28, 2017 - Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems. August 28, 2017 Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of Smart Infusion Pump Work Arounds: A Study of 3 U.S. Health Systems. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43771/psn-pdf
    May 01, 2015 - The Public's Views on Medical Error in Massachusetts. May 1, 2015 Boston, MA: Harvard School of Public Health; December 2014. https://psnet.ahrq.gov/issue/publics-views-medical-error-massachusetts This statewide public telephone survey in Massachusetts found that more than 20% of respondents experienced a medical …
  15. 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866686/psn-pdf
    September 11, 2024 - Impact of automated alerts on discharge opioid overprescribing after general surgery. September 11, 2024 Rizk E, Kaur N, Duong PY, et al. Impact of automated alerts on discharge opioid overprescribing after general surgery. Am J Health Syst Pharm. 2024;81(24):1288-1296. doi:10.1093/ajhp/zxae185. https://psnet.ahrq…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45509/psn-pdf
    September 28, 2016 - Computerized triggers of big data to detect delays in follow-up of chest imaging results. September 28, 2016 Murphy DR, Meyer AND, Bhise V, et al. Computerized Triggers of Big Data to Detect Delays in Follow-up of Chest Imaging Results. Chest. 2016;150(3):613-20. doi:10.1016/j.chest.2016.05.001. https://psnet.ahrq…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39873/psn-pdf
    January 22, 2017 - A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. January 22, 2017 Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm J Qual Patient Saf. 2010;36(10):461-7…
  19. digital.ahrq.gov/sites/default/files/docs/citation/r21hs024540-ferucci-final-report-2019.pdf
    January 01, 2019 - Evaluation of the Impact of Telemedicine on Management of Rheumatoid Arthritis - Final Report FINAL PROGRESS REPORT Title: Evaluation of the Impact of Telemedicine on Management of Rheumatoid Arthritis Principal Investigator: Elizabeth D. Ferucci, MD, MPH Other Key Personnel: Sara…
  20. psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
    March 01, 2015 - SPOTLIGHT CASE Bad Writing, Wrong Medication Citation Text: Devine B. Bad Writing, Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3…