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  1. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
    February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Essay View more articles from the same authors. Citation Text: Savitz LA, S…

  2. Learning Health Systems for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
    February 26, 2025 - Learning Health Systems for Patient Safety Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Savitz LA, Sousane Z, Mossburg SE. Learning …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49685/psn-pdf
    May 01, 2013 - Polypharmacy May 1, 2013 Guglielmo JB. Polypharmacy. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/polypharmacy The Case A 65-year-old man with schizophrenia receives his routine outpatient psychiatric care through an agency. His case manager visits him weekly regarding medication adherence, which include…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60174/psn-pdf
    March 30, 2020 - Making Healthcare Safer III Report March 30, 2020 Gaffey AD, Spurlock B, Fitall E, et al. Making Healthcare Safer III Report. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report What is the Making Healthcare Safer Report? The Making Healthcare Safer Report represents an ef…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74050/psn-pdf
    November 10, 2021 - Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors. November 10, 2021 Vo J, Gillman A, Mitchell K, et al. Health disparities: impact of health disparities and treatment decision- making biases on cancer adverse effects among …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45491/psn-pdf
    May 09, 2017 - A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. May 9, 2017 Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing errors generated from using computerize…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40586/psn-pdf
    March 21, 2017 - Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. March 21, 2017 Waitman LR, Phillips IE, McCoy AB, et al. Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Jt Comm J Qual Patient Saf. 2011;37(7):326-3…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40656/psn-pdf
    October 16, 2012 - Defining health information technology–related errors: new developments since To Err Is Human. October 16, 2012 Sittig DF, Singh H. Defining health information technology-related errors: new developments since to err is human. Arch Intern Med. 2011;171(14):1281-4. doi:10.1001/archinternmed.2011.327. https://psnet.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43956/psn-pdf
    January 01, 2016 - Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger- based automated adverse-event detection. June 21, 2015 Patregnani JT, Spaeder MC, Lemon V, et al. Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated ad…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40074/psn-pdf
    July 03, 2014 - Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications. July 3, 2014 Yin S, Wolf MS, Dreyer BP, et al. Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications. JAMA. 2010;304(23):2595-602. d…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42039/psn-pdf
    December 31, 2014 - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. December 31, 2014 Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommen…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47266/psn-pdf
    August 08, 2018 - Outpatient opioid prescriptions for children and opioid- related adverse events. August 8, 2018 Chung CP, Callahan T, Cooper WO, et al. Outpatient Opioid Prescriptions for Children and Opioid-Related Adverse Events. Pediatrics. 2018;142(2):e20172156. doi:10.1542/peds.2017-2156. https://psnet.ahrq.gov/issue/outpati…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45385/psn-pdf
    January 03, 2017 - Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. January 3, 2017 Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Associated Urinary Tract Infection …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39045/psn-pdf
    April 04, 2011 - Risks of complications by attending physicians after performing nighttime procedures. April 4, 2011 Rothschild JM. Risks of Complications by Attending Physicians After Performing Nighttime Procedures. JAMA. 2009;302(14):1565-1572. doi:10.1001/jama.2009.1423. https://psnet.ahrq.gov/issue/risks-complications-attendi…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60222/psn-pdf
    April 15, 2020 - Interventions to improve team effectiveness within health care: a systematic review of the past decade. April 15, 2020 Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systematic review of the past decade. Hum Resourc Health. 2020;18(1). doi:10.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45863/psn-pdf
    August 28, 2017 - Large-scale implementation of the I-PASS handover system at an academic medical centre. August 28, 2017 Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjqs-2016-006195. https://psnet.ahr…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38961/psn-pdf
    September 01, 2016 - An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care. September 1, 2016 Weingart SN, Simchowitz B, Padolsky H, et al. An empirical model to estimate the potential impact of medication safety alerts on patient safety,…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40013/psn-pdf
    July 24, 2011 - Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? July 24, 2011 Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? J Patient Saf. 2010;6(4):221-5. h…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44197/psn-pdf
    November 03, 2015 - Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. November 3, 2015 Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. Ann Su…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43323/psn-pdf
    January 07, 2015 - Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. January 7, 2015 Nanji KC, Rothschild JM, Boehne JJ, et al. Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. J Am Med Inf…
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