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psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm
October 05, 2022 - Study
Operating room to intensive care unit handoffs and the risks of patient harm.
Citation Text:
McElroy LM, Collins KM, Koller FL, et al. Operating room to intensive care unit handoffs and the risks of patient harm. Surgery. 2015;158(3):588-594. doi:10.1016/j.surg.2015.03.061.
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psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced
May 25, 2013 - Study
Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval.
Citation Text:
Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2012
January 01, 2012 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions Between Care Settings - 2012
Project Name
Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings
Prin…
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psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff
April 28, 2021 - Study
So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization.
Citation Text:
Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt …
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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2012
January 01, 2012 - Enhancing Complex Care Through an Integrated Care Coordination Information System - 2012
Project Name
Enhancing Complex Care through an Integrated Care Coordination Information System
Principal Investigator
Dorr, David
Organization
Oregon Health and Science University
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psnet.ahrq.gov/issue/errors-associated-outpatient-computerized-prescribing-systems
June 28, 2010 - Study
Classic
Errors associated with outpatient computerized prescribing systems.
Citation Text:
Nanji KC, Rothschild JM, Salzberg C, et al. Errors associated with outpatient computerized prescribing systems. J Am Med Inform Assoc. 2011;18(6):767-73. doi:10.1136…
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psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology
November 23, 2012 - Study
Classification of medication incidents associated with information technology.
Citation Text:
Cheung K-C, van der Veen W, Bouvy ML, et al. Classification of medication incidents associated with information technology. J Am Med Inform Assoc. 2014;21(e1):e63-70. doi:10.1136/amiajnl-2…
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management/annual-summary/2010
January 01, 2010 - Electronic Medication Management - 2010
Project Name
Electronic Medication Management
Principal Investigator
Vawdrey, David Kent
Organization
Columbia University
Funding Mechanism
PAR: HS08-268: Small Research Grant to Improve Health Care Quality Through Health Info…
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psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
July 15, 2020 - Study
The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.
Citation Text:
Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical e…
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digital.ahrq.gov/ahrq-funded-projects/automatic-notification-system-test-results-finalized-after-discharge/annual-summary/2012
January 01, 2012 - An Automatic Notification System for Test Results Finalized After Discharge - 2012
Project Name
An Automatic Notification System for Test Results Finalized after Discharge
Principal Investigator
Dalal, Anuj K.
Organization
Brigham and Women's Hospital
Funding Mechanis…
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psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents
February 14, 2024 - Study
Using statistical text classification to identify health information technology incidents.
Citation Text:
Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10…
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psnet.ahrq.gov/issue/alternatives-opioid-education-and-prescription-drug-monitoring-program-cumulatively-decreased
April 06, 2022 - Study
Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions.
Citation Text:
Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased…
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psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error
July 01, 2016 - Study
The effect of visitation restrictions on ED error.
Citation Text:
Marks CM, Wolfe RE, Grossman SA. The effect of visitation restrictions on ED error. Intern Emerg Med. 2024;19(5):1425-1430. doi:10.1007/s11739-024-03537-3.
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psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
March 25, 2020 - Study
Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events.
Citation Text:
Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a retrospective review…
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psnet.ahrq.gov/issue/cognitive-tests-predict-real-world-errors-relationship-between-drug-name-confusion-rates
April 12, 2017 - Study
Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains.
Citation Text:
Schroeder SR, Salomon MM, Galanter W, et al. Cognitive tests predict …
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psnet.ahrq.gov/issue/design-and-impact-novel-surgery-specific-second-victim-peer-support-program
March 09, 2022 - Study
Emerging Classic
Design and impact of a novel surgery-specific second victim peer support program.
Citation Text:
El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…
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psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission
October 16, 2024 - Study
Patient-clinician diagnostic concordance upon hospital admission.
Citation Text:
Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330.
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psnet.ahrq.gov/issue/computerized-prescriber-order-entry-related-patient-safety-reports-analysis-2522-medication
December 21, 2017 - Study
Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors.
Citation Text:
Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors. J Am Med Inform A…
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psnet.ahrq.gov/issue/impact-adverse-events-outcomes-intensive-care-unit-patients
April 18, 2012 - Study
Impact of adverse events on outcomes in intensive care unit patients.
Citation Text:
Orgeas MG, Timsit JF, Soufir L, et al. Impact of adverse events on outcomes in intensive care unit patients. Crit Care Med. 2008;36(7):2041-2047. doi:10.1097/CCM.0b013e31817b879c.
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psnet.ahrq.gov/issue/assessing-experiences-racism-among-black-and-white-patients-emergency-department
December 14, 2022 - Study
Assessing experiences of racism among Black and White patients in the emergency department.
Citation Text:
Agarwal AK, Sagan C, Gonzales R, et al. Assessing experiences of racism among Black and White patients in the emergency department. J Am Coll Emerg Physicians Open. 2022;3(6):…