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psnet.ahrq.gov/issue/implementing-electronic-health-record-default-settings-reduce-opioid-overprescribing-pilot
April 24, 2018 - Study
Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study.
Citation Text:
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-…
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psnet.ahrq.gov/issue/improving-end-rotation-transitions-care-among-icu-patients
September 23, 2020 - Journal Article
Improving end-of-rotation transitions of care among ICU patients
Citation Text:
Denson JL, Knoeckel J, Kjerengtroen S, et al. Improving end-of-rotation transitions of care among ICU patients. BMJ Qual Saf. 2019;29(3):250-259. doi:10.1136/bmjqs-2019-009867.
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psnet.ahrq.gov/issue/does-racism-impact-healthcare-quality-perspectives-black-and-hispaniclatino-patients
October 19, 2022 - Study
Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients.
Citation Text:
Findling MG, Zephyrin L, Bleich SN, et al. Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients. Healthc (Amst). 2022;10(2):100630. doi:10.…
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psnet.ahrq.gov/issue/medication-error-reporting-and-pharmacy-resident-experience-during-implementation
November 17, 2010 - Study
Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.
Citation Text:
Weant KA, Cook AM, Armitstead JA. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber …
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psnet.ahrq.gov/issue/views-children-parents-and-health-care-providers-pediatric-disclosure-medical-errors
April 08, 2020 - Study
Views of children, parents, and health-care providers on pediatric disclosure of medical errors.
Citation Text:
Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1…
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psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities
April 30, 2014 - Study
Real-time automated paging and decision support for critical laboratory abnormalities.
Citation Text:
Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs…
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psnet.ahrq.gov/issue/preventable-or-potentially-inappropriate-psychotropics-and-adverse-health-outcomes-older
November 20, 2013 - Review
Preventable or potentially inappropriate psychotropics and adverse health outcomes in older adults: systematic review and meta-analysis.
Citation Text:
Corvaisier M, Brangier A, Annweiler C, et al. Preventable or potentially inappropriate psychotropics and adverse health outcomes …
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psnet.ahrq.gov/issue/medicares-hospital-acquired-condition-reduction-program-and-community-diversity-united-states
May 13, 2020 - Study
Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation.
Citation Text:
Hamadi H, Tafili A, Apatu E, et al. Medicare' Hospital-Acquired Condition Reduction Program and Community Div…
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psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient
October 29, 2017 - Review
Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care.
Citation Text:
Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…
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psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care
December 30, 2014 - Study
Classic
Measuring errors and adverse events in health care.
Citation Text:
Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x.
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psnet.ahrq.gov/issue/african-american-covid-19-mortality-sentinel-event
November 16, 2022 - Commentary
Emerging Classic
African American COVID-19 mortality: a sentinel event.
Citation Text:
Ferdinand KC, Nasser SA. African American COVID-19 mortality: a sentinel event. J Am Coll Cardiol. 2020;75(21):2746-2748. doi:10.1016/j.jacc.2020.04.040.
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psnet.ahrq.gov/issue/effect-cognitive-load-and-task-complexity-automation-bias-electronic-prescribing
May 01, 2019 - Study
The effect of cognitive load and task complexity on automation bias in electronic prescribing.
Citation Text:
Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/…
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psnet.ahrq.gov/issue/effects-workload-work-complexity-and-repeated-alerts-alert-fatigue-clinical-decision-support
March 04, 2015 - Study
Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system.
Citation Text:
Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. B…
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psnet.ahrq.gov/issue/concept-analysis-undergraduate-nursing-students-speaking-patient-safety-patient-care
December 15, 2021 - Review
A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment.
Citation Text:
Fagan A, Parker V, Jackson D. A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment. J …
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psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
August 03, 2017 - Study
Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system.
Citation Text:
Schulz CM, Krautheim V, Hackemann A, et al. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting syste…
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psnet.ahrq.gov/issue/intensive-care-medicine-2050-preventing-harm
November 25, 2020 - Commentary
Intensive care medicine in 2050: preventing harm.
Citation Text:
Beet C, Benoit D, Bion J. Intensive care medicine in 2050: preventing harm. Intensive Care Med. 2019;45(4):505-507. doi:10.1007/s00134-018-5353-z.
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psnet.ahrq.gov/issue/should-electronic-differential-diagnosis-support-be-used-early-or-late-diagnostic-process
November 16, 2022 - Study
Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel.
Citation Text:
Sibbald M, Monteiro SD, Sherbino J, et al. Should electronic differential diagnosis support be used early or late in the diag…
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psnet.ahrq.gov/issue/comparative-review-patient-safety-initiatives-national-health-information-technology
November 03, 2015 - Review
A comparative review of patient safety initiatives for national health information technology.
Citation Text:
Magrabi F, Aarts J, Nohr C, et al. A comparative review of patient safety initiatives for national health information technology. Int J Med Inform. 2013;82(5):e139-48. d…
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psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture
August 01, 2018 - Study
Leveraging a safety event management system to improve organizational learning and safety culture.
Citation Text:
Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407…
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psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric
September 01, 2016 - Study
Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study.
Citation Text:
Stultz JS, Nahata MC. Preventability of Voluntarily Reported or Trigger Tool-Identified Medication …