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1001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43254/psn-pdf
      May 01, 2015 - Investigating the long-term consequences of adverse medical events among older adults. May 1, 2015 Carter MW, Zhu M, Xiang J, et al. Investigating the long-term consequences of adverse medical events among older adults. Inj Prev. 2014;20(6):408-15. doi:10.1136/injuryprev-2013-041043. https://psnet.ahrq.gov/issue/i…

1002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41523/psn-pdf
      July 18, 2012 - Long-term reduction in adverse drug events: an evidence- based improvement model. July 18, 2012 Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902. https://psnet.ahrq.gov/issue/long-term-reduction-ad…

1003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36260/psn-pdf
      May 27, 2011 - The effect of physicians' long-term use of CPOE on their test management work practices. May 27, 2011 Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test management work practices. J Am Med Inform Assoc. 2006;13(6):643-52. https://psnet.ahrq.gov/issue/effect-physic…

1004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40534/psn-pdf
      March 23, 2012 - Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. March 23, 2012 Guttmann A, Schull MJ, Vermeulen MJ, et al. Association between waiting times and short term mortality and hospital admiss…

1005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38399/psn-pdf
      February 11, 2009 - Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. February 11, 2009 Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. J…

1006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42946/psn-pdf
      January 07, 2015 - Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. January 7, 2015 Cresswell K, Bates DW, Williams R, et al. Evaluation of medium-term consequences of implementing commercial compu…

1007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49565/psn-pdf
      July 01, 2008 - In terms of role clarity, one characteristic of safe systems is that there is a clear understanding

1008. Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents. | PSNet
      psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related-adverse-outcomes
      November 06, 2015 - Study Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents. Citation Text: Daneman N, Bronskill SE, Gruneir A, et al. Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse O…

1009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47041/psn-pdf
      June 27, 2018 - Medicare takes aim at boomerang hospitalizations of nursing home patients. June 27, 2018 Rau J. Kaiser Health News. June 13, 2018. https://psnet.ahrq.gov/issue/medicare-takes-aim-boomerang-hospitalizations-nursing-home-patients Safety problems are common in nursing homes due to challenges such as poor safety cultu…

1010. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46282/psn-pdf
      October 13, 2018 - Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program. October 13, 2018 Kane RL, Huckfeldt P, Tappen R, et al. Effects of an Intervention to Reduce Hospitalizations From Nursing Homes: A Randomized Implementation Trial of the INTERACT Pr…

1011. In Conversation With… Urmimala Sarkar, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
      August 22, 2014 - In terms of patients introducing errors, this concept is still fairly new to the patient safety literature … In terms of number of steps and scales that wirelessly upload to your physician, there is a significant … Is there one size fits all here or do we need to tailor it to where patients are in terms of their understanding … Checklists are underutilized in outpatient procedures and understudied in terms of impact on infection

1012. Beyond the Hospital: the New Frontier of Patient Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
      August 01, 2014 - Checklists are underutilized in outpatient procedures and understudied in terms of impact on infection … In terms of patients introducing errors, this concept is still fairly new to the patient safety literature … In terms of number of steps and scales that wirelessly upload to your physician, there is a significant … Is there one size fits all here or do we need to tailor it to where patients are in terms of their understanding

1013. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42250/psn-pdf
      June 03, 2013 - A long-term follow-up evaluation of electronic health record prescribing safety. June 3, 2013 Abramson EL, Malhotra S, Osorio N, et al. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc. 2013;20(e1):e52-8. doi:10.1136/amiajnl-2012-001328. https://psnet.ahrq.gov/…

1014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46819/psn-pdf
      January 27, 2019 - Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. January 27, 2019 Zivin K, White JO, Chao S, et al. Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study. Pain Med. 2019;20(1):103-112. doi:10.1093/pm/pnx304. htt…

1015. Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment. | PSNet
      psnet.ahrq.gov/issue/evaluation-nationally-mandated-drug-use-reviews-improve-patient-safety-nursing-homes-natural
      July 20, 2011 - Study Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment. Citation Text: Briesacher B, Limcangco R, Simoni-Wastila L, et al. Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a…

1016. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45937/psn-pdf
      September 29, 2017 - Opioid-prescribing patterns of emergency physicians and risk of long-term use. September 29, 2017 Barnett ML, Olenski AR, Jena AB. Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long- Term Use. N Engl J Med. 2017;376(7):663-673. doi:10.1056/NEJMsa1610524. https://psnet.ahrq.gov/issue/opioid-prescr…

1017. In Conversation with…Barbara A. Blakeney, MS, RN | PSNet
      psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
      August 01, 2005 - So, even though the nurses have fewer patients, they are doing much more for those patients in terms … RW: In terms of empowering nurses, what have you been hearing from your members about the concept of

1018. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet
      psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
      March 01, 2004 - On the other hand, one would expect this indicator to do well in terms of having a low false-positive … "( 8 ) In absolute terms, however, the rate of quality problems was only 9.8% among patients who died

1019. Diagnosing Diagnostic Mistakes | PSNet
      psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
      April 30, 2014 - Some classifications consider the terms “missed diagnosis” or “delayed diagnosis” as merely adverse events … Applying these terms requires the use of judgment, and we believe that these judgments are often flawed

1020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33738/psn-pdf
      December 01, 2012 - create habits that will http://www.ahrq.gov/about/annualconf09/reiling.htm make you become smarter in terms … And second of all, do you think that regulators and accreditors are acting appropriately in terms of