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281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47008/psn-pdf
     October 13, 2018 - Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study. October 13, 2018 Pontefract SK, Hodson J, Slee A, et al. Impact of a commercial order entry system on prescribing errors amenable to computerised decision…

282. ISMP Medication Safety Alert!® Nurse-Advise ERR. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-safety-alertr-nurse-advise-err
     January 26, 2023 - Newsletter/Journal ISMP Medication Safety Alert!® Nurse-Advise ERR. Citation Text: ISMP Medication Safety Alert!® Nurse-Advise ERR. Plymouth Meeting, PA: Institute for Safe Medication Practices. Copy Citation Save Save to your library Print Download PDF …

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41775/psn-pdf
     December 18, 2014 - Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. December 18, 2014 Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e1206-14. doi:10.1542/peds.2012-01…

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36364/psn-pdf
     February 14, 2017 - National surveillance of emergency department visits for outpatient adverse drug events. February 14, 2017 Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA. 2006;296(15):1858-66. https://psnet.ahrq.gov/issue/national-surveil…

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45509/psn-pdf
     September 28, 2016 - Computerized triggers of big data to detect delays in follow-up of chest imaging results. September 28, 2016 Murphy DR, Meyer AND, Bhise V, et al. Computerized Triggers of Big Data to Detect Delays in Follow-up of Chest Imaging Results. Chest. 2016;150(3):613-20. doi:10.1016/j.chest.2016.05.001. https://psnet.ahrq…

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45471/psn-pdf
     September 21, 2016 - Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. September 21, 2016 Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention. MMWR Morb Mortal Wkly Rep. 2016;65(33):864-869…

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37945/psn-pdf
     July 26, 2010 - A survey of hospital quality improvement activities. July 26, 2010 Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285. https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities The Instit…

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49851/psn-pdf
     January 01, 2019 - One Bronchoscopy, Two Errors January 1, 2019 Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors The Case A 67-year-old man with a history of hypertension was admitted to the intensive care unit (ICU) with hypoxic respiratory failure…

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44031/psn-pdf
     November 03, 2015 - Diagnostic concordance among pathologists interpreting breast biopsy specimens. November 3, 2015 Elmore JG, Longton GM, Carney PA, et al. Diagnostic concordance among pathologists interpreting breast biopsy specimens. JAMA. 2015;313(11):1122-1132. doi:10.1001/jama.2015.1405. https://psnet.ahrq.gov/issue/diagnostic…

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41455/psn-pdf
     June 13, 2012 - Medication errors during medical emergencies in a large, tertiary care, academic medical center. June 13, 2012 Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large, tertiary care, academic medical center. Resuscitation. 2012;83(4):482-7. doi:10.1016/j.resuscitation.2011…

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39139/psn-pdf
     June 02, 2010 - Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. June 2, 2010 Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc. https://psnet.ahrq.gov/issue/assessing-res…

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46404/psn-pdf
     December 07, 2017 - Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. December 7, 2017 Lipitz-Snyderman A, Pfister D, Classen D, et al. Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. Cancer. 2017;123(23):4728-4736. doi:10.1002/…

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42895/psn-pdf
     December 18, 2014 - National trends in patient safety for four common conditions, 2005–2011. December 18, 2014 Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005- 2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NEJMsa1300991. https://psnet.ahrq.gov/issue/national-trends-patie…

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45097/psn-pdf
     May 09, 2017 - Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. May 9, 2017 Qato DM, Wilder J, Schumm P, et al. Changes in Prescription and Over-the-Counter Medication and Dietary Supplement Use Among Older Adults in the United States, 2005 …

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44112/psn-pdf
     November 03, 2015 - Unexpected death within 72 hours of emergency department visit: were those deaths preventable? November 3, 2015 Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s13054-015-0877-x. https://psnet…

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39662/psn-pdf
     April 30, 2014 - Patient record review of the incidence, consequences, and causes of diagnostic adverse events. April 30, 2014 Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21. doi:10.1001/archinternmed.2010.…

297. Using preprinted medication order forms to improve the safety of investigational drug use. | PSNet
     psnet.ahrq.gov/issue/using-preprinted-medication-order-forms-improve-safety-investigational-drug-use
     April 24, 2024 - Commentary Using preprinted medication order forms to improve the safety of investigational drug use. Citation Text: Tamer H, Shehab N. Using preprinted medication order forms to improve the safety of investigational drug use. Am J Health Syst Pharm. 2006;63(11):1022, 1025-1026, 1028. …

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43115/psn-pdf
     December 18, 2014 - Multistate point-prevalence survey of health care- associated infections. December 18, 2014 Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801. https://psnet.ahrq.gov/issue/multistate-point…

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38805/psn-pdf
     April 04, 2011 - Disclosing medical errors to patients: it's not what you say, it's what they hear. April 4, 2011 Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med. 2009;24(9):1012-7. doi:10.1007/s11606-009-1044-3. https://psnet.ahrq.gov/issue/dis…

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40073/psn-pdf
     July 01, 2011 - Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. December 8, 2010 Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. N Engl J Med. 2010;363(23):e34. doi:10.1056/NEJMp1011413. https://psnet.ahr…