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  1. psnet.ahrq.gov/issue/safety-and-efficiency-considerations-introduction-electronic-ordering-blood-bank
    March 25, 2015 - Study Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Citation Text: Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;1…
  2. psnet.ahrq.gov/issue/improved-patient-safety-reporting-system-increases-reports-disruptive-behavior-perioperative
    October 15, 2014 - Study An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. Citation Text: Katz MG, Rockne WY, Braga R, et al. An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. A…
  3. psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health-organization-safe
    February 02, 2022 - Study Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? Citation Text: Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the Wor…
  4. psnet.ahrq.gov/issue/implementing-warm-handoff-between-hospital-and-skilled-nursing-facility-clinicians
    March 04, 2020 - Study Implementing a warm handoff between hospital and skilled nursing facility clinicians. Citation Text: Britton MC, Hodshon B, Chaudhry SI. Implementing a Warm Handoff Between Hospital and Skilled Nursing Facility Clinicians. J Patient Saf. 2019;15(3):198-204. doi:10.1097/PTS.00000000…
  5. psnet.ahrq.gov/issue/improving-patient-safety-avoiding-unread-imaging-exams-national-va-enterprise-electronic
    March 12, 2025 - Study Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. Citation Text: Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 20…
  6. psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand-process
    May 15, 2019 - Commentary A quality improvement approach to standardization and sustainability of the hand-off process. Citation Text: Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1). doi:1…
  7. psnet.ahrq.gov/issue/stressful-intensive-care-unit-medical-crises-how-individual-responses-impact-team-performance
    May 26, 2010 - Study Stressful intensive care unit medical crises: how individual responses impact on team performance. Citation Text: Piquette D, Reeves S, LeBlanc VR. Stressful intensive care unit medical crises: How individual responses impact on team performance. Crit Care Med. 2009;37(4):1251-12…
  8. psnet.ahrq.gov/issue/relating-faults-diagnostic-reasoning-diagnostic-errors-and-patient-harm
    April 30, 2014 - Study Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Citation Text: Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6. Copy…
  9. psnet.ahrq.gov/issue/performance-evaluation-chatgpt-detecting-diagnostic-errors-and-their-contributing-factors
    September 13, 2023 - Study Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. Citation Text: Harada Y, Suzuki T, Harada T, et al. Performance evaluation of ChatGPT in detecting diagnostic errors and their cont…
  10. psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication
    June 29, 2022 - Study Changes in prognosis after the first postoperative complication. Citation Text: Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31. Copy Citation Format: Google Scholar PubMed BibT…
  11. psnet.ahrq.gov/issue/impact-proactive-rounding-rapid-response-team-patient-outcomes-academic-medical-center
    January 19, 2012 - Study Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. Citation Text: Butcher BW, Vittinghoff E, Maselli J, et al. Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. J Hosp Med…
  12. psnet.ahrq.gov/issue/cognitive-aids-management-clinical-emergencies-systematic-review
    January 12, 2022 - Review Cognitive aids in the management of clinical emergencies: a systematic review. Citation Text: Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939. Copy Cita…
  13. psnet.ahrq.gov/issue/incidence-speech-recognition-errors-emergency-department
    February 14, 2017 - Study Incidence of speech recognition errors in the emergency department. Citation Text: Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform. 2016;93:70-73. doi:10.1016/j.ijmedinf.2016.05.005. Copy Citation Format: …
  14. psnet.ahrq.gov/issue/automated-detection-harm-healthcare-information-technology-systematic-review
    April 11, 2011 - Review Automated detection of harm in healthcare with information technology: a systematic review. Citation Text: Govindan M, Van Citters AD, Nelson EC, et al. Automated detection of harm in healthcare with information technology: a systematic review. Qual Saf Health Care. 2010;19(5):e…
  15. psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach
    August 26, 2011 - Study Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Citation Text: Kopp BJ, Erstad BL, Allen ME, et al. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Crit…
  16. psnet.ahrq.gov/issue/clinical-decision-support-25-year-retrospective-and-25-year-vision
    May 20, 2019 - Review Clinical decision support: a 25 year retrospective and a 25 year vision. Citation Text: Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. Copy Citation …
  17. psnet.ahrq.gov/issue/pediatric-radiology-malpractice-claims-characteristics-and-comparison-adult-radiology-claims
    December 01, 2021 - Study Pediatric radiology malpractice claims—characteristics and comparison to adult radiology claims. Citation Text: Breen MA, Dwyer K, Yu-Moe W, et al. Pediatric radiology malpractice claims - characteristics and comparison to adult radiology claims. Pediatr Radiol. 2017;47(7):808-816.…
  18. psnet.ahrq.gov/issue/vaccination-errors-general-practice-creation-preventive-checklist-based-multimodal-analysis
    July 08, 2020 - Study Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analysis of declared errors. Citation Text: Charles R, Vallée J, Tissot C, et al. Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analys…
  19. psnet.ahrq.gov/issue/question-answering-systems-health-professionals-point-care-systematic-review
    August 04, 2021 - Review Question answering systems for health professionals at the point of care - a systematic review. Citation Text: Kell G, Roberts A, Umansky S, et al. Question answering systems for health professionals at the point of care—a systematic review. J Am Med Inform Assoc. 2024;31(4):1009-…
  20. psnet.ahrq.gov/issue/systematic-evaluation-errors-occurring-during-preparation-intravenous-medication
    October 07, 2015 - Study Systematic evaluation of errors occurring during the preparation of intravenous medication. Citation Text: Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.06174…

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