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7121. Why studying human behavior is a critical component of patient safety. | PSNet
      psnet.ahrq.gov/issue/why-studying-human-behavior-critical-component-patient-safety
      January 15, 2020 - Commentary Why studying human behavior is a critical component of patient safety. Citation Text: Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004. Copy Citation F…

7122. Effect of clinical decision-support systems: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effect-clinical-decision-support-systems-systematic-review
      September 23, 2020 - Review Effect of clinical decision-support systems: a systematic review. Citation Text: Bright TJ, Wong A, Dhurjati R, et al. Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157(1):29-43. doi:10.7326/0003-4819-157-1-201207030-00450. Copy Citatio…

7123. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit. | PSNet
      psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall
      March 27, 2019 - Study Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit. Citation Text: Dykes PC, Duckworth M, Cunningham S, et al. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a Patient-Centered Fall Prevention Tool…

7124. The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/prevalence-incivility-hospitals-and-effects-incivility-patient-safety-culture-and-outcomes
      March 24, 2019 - Review The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. Citation Text: Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on patie…

7125. Improving communication with primary care physicians at the time of hospital discharge. | PSNet
      psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge
      November 16, 2022 - Study Improving communication with primary care physicians at the time of hospital discharge. Citation Text: Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. do…

7126. Implementing online medication reconciliation at a large academic medical center. | PSNet
      psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
      January 23, 2019 - Commentary Implementing online medication reconciliation at a large academic medical center. Citation Text: Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508. Copy Citatio…

7127. The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations. | PSNet
      psnet.ahrq.gov/issue/use-lives-saved-measures-nurse-staffing-and-patient-safety-research-statistical
      May 21, 2009 - Study The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations. Citation Text: Diya L, Van den Heede K, Sermeus W, et al. The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations. Nurs R…

7128. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. | PSNet
      psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency
      August 10, 2022 - Study Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Citation Text: Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …

7129. Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. | PSNet
      psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order-verification-tertiary
      January 23, 2013 - Study Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. Citation Text: Gorbach C, Blanton L, Lukawski BA, et al. Frequency of and risk factors for medication errors by pharmacists during order verification in a…

7130. Non–health care facility medication errors resulting in serious medical outcomes. | PSNet
      psnet.ahrq.gov/issue/non-health-care-facility-medication-errors-resulting-serious-medical-outcomes
      June 14, 2017 - Study Classic Non–health care facility medication errors resulting in serious medical outcomes. Citation Text: Hodges NL, Spiller HA, Casavant MJ, et al. Non-health care facility medication errors resulting in serious medical outcomes. Clin Toxicol (Phila). 2018…

7131. Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. | PSNet
      psnet.ahrq.gov/issue/review-patient-safety-incidents-submitted-critical-care-units-england-wales-uk-national
      July 16, 2008 - Study Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. Citation Text: Thomas AN, Panchagnula U, Taylor RJ. Review of patient safety incidents submitted from Critical Care Units in England & Wales to the U…

7132. A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. | PSNet
      psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy
      June 13, 2011 - Review A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. Citation Text: Giardina M, Cantone MC, Tomarchio E, et al. A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. Health Phys. 2016;111(4):317-26. doi:10.1097/HP.0000000000…

7133. Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing. | PSNet
      psnet.ahrq.gov/issue/assessment-opioid-prescribing-practices-and-after-implementation-health-system-intervention
      November 16, 2022 - Study Emerging Classic Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing. Citation Text: Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…

7134. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. | PSNet
      psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings-randomized
      April 29, 2018 - Study Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. Citation Text: Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform…

7135. Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. | PSNet
      psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
      April 24, 2019 - The Topic Hospitals Hospital Medicine Hospital Pharmacy Medication Errors/Preventable Adverse … Drug Events Technologic Approaches View More

7136. Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients. | PSNet
      psnet.ahrq.gov/issue/separating-residents-inpatient-and-outpatient-responsibilities-improving-patient-safety
      September 04, 2016 - September 4, 2016 Using a patient internet portal to prevent adverse drug events: a randomized

7137. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. | PSNet
      psnet.ahrq.gov/issue/reduction-medication-errors-hospitals-due-adoption-computerized-provider-order-entry-systems
      June 13, 2018 - However, the study did not formally assess the effect of CPOE on clinical adverse drug events.

7138. Comparing safety, performance and user perceptions of a patient-specific indication-based prescribing tool with current practice: a mixed methods randomised user testing study. | PSNet
      psnet.ahrq.gov/issue/comparing-safety-performance-and-user-perceptions-patient-specific-indication-based
      December 18, 2019 - The influence that electronic prescribing has on medication errors and preventable adverse … drug events: an interrupted time-series study.

7139. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33586/psn-pdf
      December 15, 2024 - Alert Fatigue December 15, 2024 Alert Fatigue. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/alert-fatigue PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Bac…

7140. Medication Mix-Up Leads to Patient Death | PSNet
      psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
      July 08, 2022 - Effect of the implementation of barcode technology and an electronic medication administration record on adverse … drug events.