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6781. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46390/psn-pdf
      October 29, 2017 - Using data to enhance performance and improve quality and safety in surgery. October 29, 2017 Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888. https://psnet.ahrq.gov/issue/using-data-…

6782. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35130/psn-pdf
      March 11, 2011 - A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. March 11, 2011 Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. J Am Med Inform Assoc…

6783. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47593/psn-pdf
      December 12, 2018 - Multi-level analysis of national nursing students' disclosure of patient safety concerns. December 12, 2018 Palese A, Gonella S, Grassetti L, et al. Multi-level analysis of national nursing students' disclosure of patient safety concerns. Med Educ. 2018;52(11):1156-1166. doi:10.1111/medu.13716. https://psnet.ahrq.…

6784. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43326/psn-pdf
      August 13, 2014 - Identifying high-risk medication: a systematic literature review. August 13, 2014 Saedder EA, Brock B, Nielsen LP, et al. Identifying high-risk medication: a systematic literature review. Eur J Clin Pharmacol. 2014;70(6):637-45. doi:10.1007/s00228-014-1668-z. https://psnet.ahrq.gov/issue/identifying-high-risk-medi…

6785. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43080/psn-pdf
      March 26, 2014 - Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. March 26, 2014 Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. Transfu…

6786. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47572/psn-pdf
      January 23, 2019 - In patient safety efforts, pharmacists gain new prominence. January 23, 2019 Gale R. In Patient Safety Efforts, Pharmacists Gain New Prominence. Health Aff (Millwood). 2018;37(11):1726-1729. doi:10.1377/hlthaff.2018.1225. https://psnet.ahrq.gov/issue/patient-safety-efforts-pharmacists-gain-new-prominence This com…

6787. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46813/psn-pdf
      March 14, 2018 - Our other prescription drug problem. March 14, 2018 Lembke A, Papac J, Humphreys K. Our Other Prescription Drug Problem. N Engl J Med. 2018;378(8):693- 695. doi:10.1056/NEJMp1715050. https://psnet.ahrq.gov/issue/our-other-prescription-drug-problem Unintended consequences can emerge when targeted strategies divert …

6788. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43105/psn-pdf
      April 02, 2014 - Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. April 2, 2014 Larson JA, Johnson MH, Bhayani SB. Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. J Am Coll Surg. 2014;218(2):290-3. doi:10.1016/j.jam…

6789. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34890/psn-pdf
      February 17, 2011 - Electronic alerts to prevent venous thromboembolism among hospitalized patients. February 17, 2011 Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969-77. https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thro…

6790. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43830/psn-pdf
      February 04, 2015 - A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study. February 4, 2015 Morgan L, Pickering S, Hadi M, et al. A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series stu…

6791. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47237/psn-pdf
      January 01, 2020 - First-year analysis of the Operating Room Black Box study. July 25, 2018 Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863. https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study An…

6792. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860733/psn-pdf
      January 17, 2024 - Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. January 17, 2024 McGrory K, Bedi N. ProPublica, January 6, 2024. https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy Stories of mental health system failure provid…

6793. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42673/psn-pdf
      October 30, 2013 - Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis and medication safety management. October 30, 2013 Hackl WO, Ammenwerth E, Marcilly R, et al. Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis and medication safe…

6794. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43986/psn-pdf
      September 26, 2016 - The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. September 26, 2016 Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. J Infus Nurs. 2015;38(2):140-51. doi:10.1097/NAN.000000000…

6795. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43692/psn-pdf
      April 22, 2015 - Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. April 22, 2015 Westaby S, De Silva R, Petrou M, et al. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Eur J Cardiothorac Surg. 2015;47(2):341-5. doi:10.1093/ejcts/ezu380. h…

6796. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46130/psn-pdf
      June 21, 2017 - High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation. June 21, 2017 Dufay É, Doerper S, Michel B, et al. High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation. Safety in Health. 2017;3(1):6. doi:10.1186/s40886-017-0057-6. …

6797. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843521/psn-pdf
      February 01, 2023 - How providers can optimize effective and safe scribe use: a qualitative study. February 1, 2023 Corby S, Ash JS, Florig ST, et al. How providers can optimize effective and safe scribe use: a qualitative study. J Gen Intern Med. 2023;38(9):2052-2058. doi:10.1007/s11606-022-07942-2. https://psnet.ahrq.gov/issue/how-…

6798. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50829/psn-pdf
      January 22, 2020 - How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. January 22, 2020 Ganguli I. Washington Post. January 5, 2020. https://psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm- good Overdiagnosis and uncertainty can result in a range of …

6799. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45331/psn-pdf
      August 03, 2016 - Health information technologies: from hazardous to the dark side. August 3, 2016 Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671. https://psnet.ahrq.gov/issue/health-information-technologies-haz…

6800. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837206/psn-pdf
      May 25, 2022 - Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. May 25, 2022 Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. J Emerg Nurs. 2022;48(3):319-327. doi:10.1016/j.jen.…