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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60725/psn-pdf
    July 29, 2020 - The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. July 29, 2020 Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decis…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866202/psn-pdf
    July 24, 2024 - Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. June 26, 2024 Agency for Healthcare Research and Quality. July 24, 2024. https://psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers- and-improve Medication errors a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72710/psn-pdf
    February 03, 2021 - A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. February 3, 2021 Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance regarding medication errors in nurs…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74110/psn-pdf
    November 24, 2021 - New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. November 24, 2021 Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-304. doi:10.3928/19404921-202109…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74082/psn-pdf
    November 17, 2021 - Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. November 17, 2021 Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and communication-related factors on m…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41186/psn-pdf
    January 03, 2017 - The costs of adverse drug events in community hospitals. January 3, 2017 Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. https://psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals Adverse drug events (ADEs) a…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837743/psn-pdf
    July 27, 2022 - The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. July 27, 2022 Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-01137-204. https://psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient- harm Problems w…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47001/psn-pdf
    August 17, 2018 - Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. August 17, 2018 Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumst…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61026/psn-pdf
    October 14, 2020 - A blinded, prospective study of error detection during physician chart rounds in radiation oncology. October 14, 2020 Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart rounds in radiation oncology. Pract Radiat Oncol. 2020;10(5):312-320. doi:10.1016/j.prr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867011/psn-pdf
    October 23, 2024 - Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. October 23, 2024 Burney RE, Mckeown ES, Zhang Y, et al. Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. J Patient Saf Risk Manag. 2024;29(5):…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47391/psn-pdf
    September 12, 2018 - Improving diagnosis by improving education: a policy brief on education in healthcare professions. September 12, 2018 Graber ML, Rencic J, Rusz D, et al. Improving diagnosis by improving education: a policy brief on education in healthcare professions. Diagnosis (Berl). 2018;5(3):107-118. doi:10.1515/dx-2018-0033. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73441/psn-pdf
    June 30, 2021 - Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. June 30, 2021 Green AR, Aschmann H, Boyd CM, et al. Assessment of patient-preferred language to achieve goal- aligned deprescribing in older adults. JAMA Netw Open. 2021;4(4):e212633. doi:10.1001/jamanetworkopen.2021.26…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72717/psn-pdf
    February 10, 2021 - Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? February 10, 2021 Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Int J Environ Res Public Health. 2021;18(2):48…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46446/psn-pdf
    September 27, 2017 - Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. September 27, 2017 Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program to Improve Quality of Care and …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46559/psn-pdf
    December 22, 2018 - Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. December 22, 2018 Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial. JAMA Intern M…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61067/psn-pdf
    January 01, 2021 - A program to provide clinicians with feedback on their diagnostic performance in a learning health system. October 28, 2020 Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J Qual Patient Saf. 2021;47(2):120…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864849/psn-pdf
    March 20, 2024 - Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety. March 20, 2024 Alsabri M, Eapen D, Sabesan V, et al. Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety. Pediatr …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50889/psn-pdf
    February 12, 2020 - Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. February 12, 2020 Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A Novel Resource for Targeting Amb…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73879/psn-pdf
    September 29, 2021 - Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. September 29, 2021 Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. J Patient Saf. 2021;17(8):e1285-e1295. doi:10.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845304/psn-pdf
    March 01, 2023 - For children admitted to hospital, what interventions improve medication safety on ward rounds? March 1, 2023 King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588. doi:10.1136/archdis…

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