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psnet.ahrq.gov/issue/clinical-data-warehouse-based-process-refining-medication-orders-alerts
March 10, 2011 - Study
A clinical data warehouse-based process for refining medication orders alerts.
Citation Text:
Boussadi A, Caruba T, Zapletal E, et al. A clinical data warehouse-based process for refining medication orders alerts. J Am Med Inform Assoc. 2012;19(5):782-5. doi:10.1136/amiajnl-2012-00…
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psnet.ahrq.gov/issue/how-much-and-what-local-adaptation-acceptable-comparison-24-surgical-safety-checklists
July 27, 2022 - Study
How much and what local adaptation is acceptable? A comparison of 24 surgical safety checklists in Switzerland.
Citation Text:
Fridrich A, Imhof A, Schwappach DLB. How much and what local adaptation is acceptable? A comparison of 24 surgical safety checklists in Switzerland. J Pati…
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psnet.ahrq.gov/issue/effect-clinical-experience-error-rate-emergency-physicians
November 16, 2022 - Study
The effect of clinical experience on the error rate of emergency physicians.
Citation Text:
Berk WA, Welch RD, Levy PD, et al. The effect of clinical experience on the error rate of emergency physicians. Ann Emerg Med. 2008;52(5):497-501. doi:10.1016/j.annemergmed.2008.01.329.
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psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric
March 07, 2018 - Study
National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths.
Citation Text:
Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and error" model…
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psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
June 29, 2009 - Study
Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study.
Citation Text:
Sinopoli DJ, Needham DM, Thompson DA, et al. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. J Cr…
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psnet.ahrq.gov/issue/retrospective-review-emergency-response-activations-during-13-year-period-tertiary-care
August 26, 2020 - Study
Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.
Citation Text:
Wang GS, Erwin N, Zuk J, et al. Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospi…
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psnet.ahrq.gov/issue/communication-through-electronic-health-record-frequency-and-implications-free-text-orders
May 12, 2021 - Study
Communication through the electronic health record: frequency and implications of free text orders.
Citation Text:
Kandaswamy S, Hettinger AZ, Hoffman DJ, et al. Communication through the electronic health record: frequency and implications of free text orders. JAMIA Open. 2020;3(2…
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psnet.ahrq.gov/issue/fighting-mrsa-infections-hospital-care-how-organizational-factors-matter
July 10, 2008 - Study
Fighting MRSA infections in hospital care: how organizational factors matter.
Citation Text:
Salge TO, Vera A, Antons D, et al. Fighting MRSA Infections in Hospital Care: How Organizational Factors Matter. Health Serv Res. 2016;52(3):959-983. doi:10.1111/1475-6773.12521.
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psnet.ahrq.gov/issue/identification-common-themes-never-events-data-published-nhs-england
April 07, 2021 - Study
Identification of common themes from never events data published by NHS England.
Citation Text:
Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7.
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psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-healthcare
October 31, 2017 - Review
Saving lives: a meta-analysis of team training in healthcare.
Citation Text:
Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120.
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psnet.ahrq.gov/issue/restricted-duty-hours-surgeons-and-impact-residents-quality-life-education-and-patient-care
October 08, 2008 - Review
Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review.
Citation Text:
Pape H-C, Pfeifer R. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature…
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psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related
October 17, 2018 - Study
Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients.
Citation Text:
Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of patient safety event rep…
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psnet.ahrq.gov/issue/encouraging-employees-speak-prevent-infections-opportunities-leverage-quality-improvement-and
January 23, 2017 - Study
Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes.
Citation Text:
Robbins J, McAlearney AS. Encouraging employees to speak up to prevent infections: Opportunities to leverage quality improvement and …
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psnet.ahrq.gov/issue/information-technology-based-approaches-reducing-repeat-drug-exposure-patients-known-drug
December 21, 2022 - Commentary
Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies.
Citation Text:
Cresswell K, Sheikh A. Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. J Allergy Cli…
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psnet.ahrq.gov/issue/systematic-review-natural-language-processing-classification-tasks-field-incident-reporting
October 18, 2018 - Review
Emerging Classic
A systematic review of natural language processing for classification tasks in the field of incident reporting and adverse event analysis.
Citation Text:
Young IJB, Luz S, Lone N. A systematic review of natural language processing for cla…
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psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
March 21, 2017 - Study
Voluntary electronic reporting of medical errors and adverse events.
Citation Text:
Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):1…
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psnet.ahrq.gov/issue/state-evidence-computerized-provider-order-entry-systematic-review-and-analysis-quality
August 04, 2021 - Review
The state of the evidence for computerized provider order entry: a systematic review and analysis of the quality of the literature.
Citation Text:
Weir C, Staggers N, Phansalkar S. The state of the evidence for computerized provider order entry: a systematic review and analysis …
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psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care-systematic-scoping-review
August 29, 2018 - Review
Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review.
Citation Text:
Ensaldo-Carrasco E, Suarez-Ortegon MF, Carson-Stevens A, et al. Patient Safety Incidents and Adverse Events in Ambulatory Dental Care: A Systematic Scoping Review. J …
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psnet.ahrq.gov/issue/cross-check-qa-quality-assurance-workflow-prevent-missed-diagnoses-alerting-inadvertent
March 04, 2015 - Study
Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by alerting inadvertent discordance between the radiologist and AI in the interpretation of high acuity CT scans.
Citation Text:
Chekmeyan M, Baccei SJ, Garwood ER. Cross-Check QA: a quality assurance workflow…
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psnet.ahrq.gov/issue/closed-loop-communication-interprofessional-emergency-teams-cross-sectional-observation-study
September 24, 2016 - Study
Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel.
Citation Text:
Gjøvikli K, Valeberg BT. Closed-loop communication in interprofessional emergency teams: a cross-se…