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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45117/psn-pdf
    August 03, 2016 - Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. August 3, 2016 Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14):1033-1035. doi:10.2146/ajhp150564. ht…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865344/psn-pdf
    March 27, 2024 - Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review. March 27, 2024 Ruutiainen H, Holmström A-R, Kunnola E, et al. Use of computerized physician order entry with clinical decision support to prevent dose errors in pedia…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41370/psn-pdf
    September 01, 2016 - Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. September 1, 2016 Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform Assoc. 2012;19(e1):e145-8. ht…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847533/psn-pdf
    April 12, 2023 - Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. April 12, 2023 Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. J Patient Saf. 2023;19(…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43446/psn-pdf
    May 06, 2015 - A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project." May 6, 2015 Russ SJ, Sevdalis N, Moorthy K, et al. A qualitative evaluation of the barriers and facilitator…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34689/psn-pdf
    February 10, 2011 - Incidence of adverse drug events and potential adverse drug events: implications for prevention. February 10, 2011 Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274(1):29-34. https://psnet…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35978/psn-pdf
    May 27, 2011 - The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation. May 27, 2011 Smith DH, Perrin N, Feldstein AC, et al. The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluatio…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46565/psn-pdf
    January 23, 2019 - Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. January 23, 2019 Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era Missed an…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48172/psn-pdf
    July 31, 2019 - Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. July 31, 2019 Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ. 20…
  10. psnet.ahrq.gov/issue/patient-safety-group
    March 27, 2024 - Multi-use Website The Patient Safety Group. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 9, 2006 Development of The Patient Safety Group was motivated by the death of…
  11. psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
    September 08, 2021 - Multi-use Website Patient Safety Tools: Improving Safety at the Point of Care. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November 14, 2011 Produced in conjunction with it…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39123/psn-pdf
    April 30, 2014 - Incorrect surgical procedures within and outside of the operating room. April 30, 2014 Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126. https://psnet.ahrq.gov/issue/incorrect-surgical-proced…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45575/psn-pdf
    November 09, 2016 - Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care. November 9, 2016 Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up: a programme of faculty-resident improvement p…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39422/psn-pdf
    March 23, 2011 - Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. March 23, 2011 Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. Qual Saf Heal…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50702/psn-pdf
    December 04, 2019 - Smart pumps improve medication safety but increase alert burden in neonatal care December 4, 2019 Melton KR, Timmons K, Walsh KE, et al. Smart pumps improve medication safety but increase alert burden in neonatal care. BMC Medical Inform Decis Mak. 2019;19(1):213. doi:10.1186/s12911-019-0945-2. https://psnet.ahrq.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864858/psn-pdf
    March 20, 2024 - Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi- institutional evaluation. March 20, 2024 Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-Institutional evaluation. J A…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42588/psn-pdf
    September 18, 2013 - Cognitive debiasing; part 1 and part 2. September 18, 2013 Croskerry P, Singhal G, Mamede S. Cognitive debiasing 1: origins of bias and theory of debiasing. BMJ Qual Saf. 2013;22 Suppl 2:ii58-ii64. doi:10.1136/bmjqs-2012-001712. https://psnet.ahrq.gov/issue/cognitive-debiasing-part-1-and-part-2 Experienced diagnos…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50890/psn-pdf
    February 12, 2020 - Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study. February 12, 2020 Leguelinel-Blache G, Castelli C, Rolain J, et al. Impact of pharmacist-led multidisciplinary medication review on the safety and med…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41119/psn-pdf
    July 03, 2016 - How can we make diagnosis safer? July 3, 2016 Schiff G, Leape L. Commentary: how can we make diagnosis safer? Acad Med. 2012;87(2):135-138. doi:10.1097/ACM.0b013e31823f711c. https://psnet.ahrq.gov/issue/how-can-we-make-diagnosis-safer Autopsy studies spanning five decades consistently show an error rate of almost …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47769/psn-pdf
    May 11, 2019 - Avoiding chemotherapy prescribing errors: analysis and innovative strategies. May 11, 2019 Reinhardt H, Otte P, Eggleton AG, et al. Avoiding chemotherapy prescribing errors: Analysis and innovative strategies. Cancer. 2019;125(9):1547-1557. doi:10.1002/cncr.31950. https://psnet.ahrq.gov/issue/avoiding-chemotherapy…

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