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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852751/psn-pdf
    August 23, 2023 - Automated search methods for identifying wrong patient order entry-a scoping review. August 23, 2023 Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057. https://psnet.ahrq.gov/issue/automated-s…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47035/psn-pdf
    April 18, 2018 - General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all. April 18, 2018 Kwan JL, Singh H. General Internists in Pursuit of Diagnostic Excellence in Primary Care: a #ProudtobeGIM Thread That Unites Us All. J Gen Intern Med. 2018;33(4):395-396. doi:10.1007/s11…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60326/psn-pdf
    May 13, 2020 - Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. May 13, 2020 Weingart SN, Yaghi O, Barnhart L, et al. Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. Appl Clin Inform. 2020;11(02). doi:1…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865586/psn-pdf
    April 17, 2024 - Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. April 17, 2024 Chen F, Wang L, Hong J, et al. Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845074/psn-pdf
    March 02, 2011 - Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. March 2, 2011 Leendertse AJ, van den Bemt PMLA, Poolman JB, et al. Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. Value Health. 2011;14(1):34-40. doi:10.1016/j.jval.2010.10…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867590/psn-pdf
    January 22, 2025 - Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. January 22, 2025 Bradford A, Tran A, Ali KJ, et al. Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. J Gen Intern Med. . 2024;Epub Oct 22. doi:10.1007/s11606-024-09132-8. htt…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851446/psn-pdf
    July 19, 2023 - Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety. July 19, 2023 Aiken LH, Lasater KB, Sloane DM, et al. Physician and nurse well-being and preferred interventions to address burnout in hospital practi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48044/psn-pdf
    June 12, 2019 - What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. June 12, 2019 Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS? Lessons from aviation to improve patient safety. Br J Oral Maxillofac Surg. 2019;57(5):407-411. doi:10.10…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50773/psn-pdf
    January 08, 2020 - Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. January 8, 2020 Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the Treatment of Deteriorating Surgic…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74111/psn-pdf
    November 24, 2021 - Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta- meta-analysis. November 24, 2021 Sotto KT, Burian BK, Brindle ME. Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis. J Am …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865817/psn-pdf
    May 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. May 8, 2024 Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatie…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45447/psn-pdf
    January 01, 2018 - Targeted implementation of the Comprehensive Unit- Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. December 19, 2017 Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of sa…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867440/psn-pdf
    January 08, 2025 - How can specialist investigation agencies inform system- wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch. January 8, 2025 Crompton A, Waring J, Macrae C, et al. How can specialist investigation agencies inform system-wid…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867444/psn-pdf
    January 08, 2025 - Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. January 8, 2025 Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medications in a paediatric hospital…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37562/psn-pdf
    June 14, 2011 - Effectiveness and efficiency of root cause analysis in medicine. June 14, 2011 Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine Application of root c…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72756/psn-pdf
    February 17, 2021 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. February 17, 2021 Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevent…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73350/psn-pdf
    June 02, 2021 - Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. June 2, 2021 Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. doi:10.1097/jhq.0000000000000301. h…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836997/psn-pdf
    April 27, 2022 - The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy. April 27, 2022 Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41700/psn-pdf
    December 31, 2014 - High-priority drug–drug interactions for use in electronic health records. December 31, 2014 Phansalkar S, Desai AA, Bell D, et al. High-priority drug-drug interactions for use in electronic health records. J Am Med Inform Assoc. 2012;19(5):735-43. doi:10.1136/amiajnl-2011-000612. https://psnet.ahrq.gov/issue/high…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48191/psn-pdf
    August 28, 2019 - To catch a killer: electronic sepsis alert tools reaching a fever pitch? August 28, 2019 Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf. 2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463. https://psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools…

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