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81. How DeKalb Medical fixed drug safety problems after fatal error. | PSNet
    psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
    October 11, 2017 - leadership, modifying the electronic health record to address alert overrides , and enhancing information sharing … May 20, 2020 Patients as diagnostic collaborators: sharing visit notes to promote accuracy

82. Clinical decision support: a 25 year retrospective and a 25 year vision. | PSNet
    psnet.ahrq.gov/issue/clinical-decision-support-25-year-retrospective-and-25-year-vision
    May 20, 2019 - The authors explore how CDSS can take health care toward higher quality care through improved data sharing … May 20, 2019 Clinical data sharing improves quality measurement and patient safety.

83. Pay practices and safety organizing: evidence from hospital nursing units. | PSNet
    psnet.ahrq.gov/issue/pay-practices-and-safety-organizing-evidence-hospital-nursing-units
    December 21, 2017 - This study linked unit-level nurse pay to high reliability characteristics of information sharing and … minimum pay, higher average pay, and lower pay dispersion are positively associated with information sharing

84. We want to know: patient comfort speaking up about breakdowns in care and patient experience. | PSNet
    psnet.ahrq.gov/issue/we-want-know-patient-comfort-speaking-about-breakdowns-care-and-patient-experience
    May 20, 2020 - frequently encouraged to engage with health care providers as partners in safety by speaking up and sharing … experiencing a problem during hospitalization, and 30% of those patients did not always feel comfortable sharing

85. Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/impact-providing-patients-access-electronic-health-records-quality-and-safety-care-systematic
    July 27, 2022 - Meta-analysis found that sharing EHRs with patients is effective in reducing HbA1c levels; the included … concluded that more methodologically robust studies are necessary to quantitatively assess the impact of sharing

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35486/psn-pdf
    December 06, 2011 - The authors provide necessary context to both sides of the debate, sharing what they describe as the … recommendations for making the tort system a more effective method of fostering quality improvement and sharing

87. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet
    psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
    November 21, 2012 - RIS Download Citation Related Resources From the Same Author(s) Sharing … May 12, 2021 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … April 30, 2014 Sharing lessons learned to prevent incorrect surgery.

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49738/psn-pdf
    August 21, 2015 - web-mm/privacy-or-safety Case Objectives Understand that the HIPAA Omnibus Rule is an enabler of data sharing … tale that argues for much better education about HIPAA's provisions, which have always permitted the sharing … HIPAA's Privacy Rule has always enabled the sharing of health information in order to treat a patient … At that time, there were no civil penalties or fines for inappropriate information sharing. … Use of digital health information and data sharing are increasingly necessary for our changing health

89. Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network. | PSNet
    psnet.ahrq.gov/issue/creating-infrastructure-safety-event-reporting-and-analysis-multicenter-pediatric-emergency
    October 08, 2013 - Detailing how 22 pediatric emergency departments developed a process for sharing incident reports , … Same Author(s) Reported medication events in a paediatric emergency research network: sharing

90. Improving electronic health record usability and safety requires transparency. | PSNet
    psnet.ahrq.gov/issue/improving-electronic-health-record-usability-and-safety-requires-transparency
    September 19, 2018 - commentary spotlights how electronic health record vendors prevent health care organizations from sharing … Scribes and Patient Safety August 1, 2019 Patients as diagnostic collaborators: sharing

91. Building Capacity for Patient Safety | PSNet
    psnet.ahrq.gov/perspective/building-capacity-patient-safety
    July 31, 2023 - Learning across organizations that encourage sharing, learning, and improvement is a foundation for the … Many organizations have pathways for learning within their organizations by sharing best practices and … Federal programs, like AHRQ’s Patient Safety Organizations (PSOs), make it possible for sharing and … On an organizational level, similar fears of litigation can result in a lack of sharing and openness … We have been sharing information through publications for nearly 20 years.

92. Privacy or Safety? | PSNet
    psnet.ahrq.gov/web-mm/privacy-or-safety
    December 01, 2011 - Case Objectives Understand that the HIPAA Omnibus Rule is an enabler of data sharing, not a barrier … tale that argues for much better education about HIPAA's provisions, which have always permitted the sharing … HIPAA's Privacy Rule has always enabled the sharing of health information in order to treat a patient … At that time, there were no civil penalties or fines for inappropriate information sharing. … Use of digital health information and data sharing are increasingly necessary for our changing health

93. Who do hospital physicians and nurses go to for advice about medications? A social network analysis and examination of prescribing error rates. | PSNet
    psnet.ahrq.gov/issue/who-do-hospital-physicians-and-nurses-go-advice-about-medications-social-network-analysis-and
    May 22, 2013 - A ward with a better information-sharing network had fewer medication errors , highlighting the value … of interprofessional information-sharing as a critical component of safety culture .

94. Influencing a Culture of Learning from Diagnostic Errors at a Health System. | PSNet
    psnet.ahrq.gov/issue/influencing-culture-learning-diagnostic-errors-health-system
    April 22, 2021 - The sharing of experiences generated throughout the diagnostic process can improve safety and reliability

95. Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. | PSNet
    psnet.ahrq.gov/issue/differences-strength-expression-product-labels-compounders-and-conventional-manufacturers-may
    April 08, 2020 - September 30, 2015 FDA requires label warnings to prohibit sharing of multi-dose diabetes … October 28, 2020 FDA requires label warnings to prohibit sharing of multi-dose diabetes

96. FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. | PSNet
    psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
    February 15, 2024 - September 30, 2015 FDA requires label warnings to prohibit sharing of multi-dose diabetes … February 15, 2017 FDA requires label warnings to prohibit sharing of multi-dose diabetes

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36985/psn-pdf
    July 18, 2024 - This observance  supports the sharing of information and resources to support magnetic resonance imaging

98. Patient safety: listen to whistleblowers. | PSNet
    psnet.ahrq.gov/issue/patient-safety-listen-whistleblowers
    May 22, 2019 - Health Plan Patient Safety Initiatives July 10, 2024 Global Knowledge Sharing … September 20, 2023 Events that inspired change: the importance of sharing what happened

99. FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. | PSNet
    psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosing-errors-when-switching-between
    April 08, 2020 - September 30, 2015 FDA requires label warnings to prohibit sharing of multi-dose diabetes … July 10, 2015 FDA requires label warnings to prohibit sharing of multi-dose diabetes

100. Diagnostic excellence through the lens of patient-centeredness. | PSNet
     psnet.ahrq.gov/issue/diagnostic-excellence-through-lens-patient-centeredness
     June 24, 2020 - August 11, 2021 Patients as diagnostic collaborators: sharing visit notes to promote … April 17, 2019 Patient centred diagnosis: sharing diagnostic decisions with patients