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The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. | PSNet

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July 27, 2022 - Review The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. Citation Text: Li E, Clarke J, Ashrafian H, et al. The impact of electronic health record interoperability on safety and quality of care in high-incom…

Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory. | PSNet

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January 12, 2022 - Study Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory. Citation Text: Haque H, Alrowily A, Jalal Z, et al. Direct oral anticoagulant-related medication incidents and pharmac…

'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors. | PSNet

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December 14, 2022 - Study 'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors. Citation Text: Klasen JM, Teunissen PW, Driessen EW, et al. ‘It depends’: the complexity of allowing residents to fail from the perspective of clinical supervisors. Med Teach. 2…

Nurses' perceptions of causes of medication errors and barriers to reporting. | PSNet

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March 21, 2018 - Study Nurses' perceptions of causes of medication errors and barriers to reporting. Citation Text: Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33. Copy Citation Format: …

Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. | PSNet

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June 15, 2011 - Study Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Citation Text: Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf…

A collaborative learning network approach to improvement: the CUSP learning network. | PSNet

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July 21, 2017 - Commentary A collaborative learning network approach to improvement: the CUSP learning network. Citation Text: Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159. Cop…

Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it. | PSNet

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October 28, 2020 - Commentary Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it. Citation Text: O’Brien N, Ghafur S, Durkin M. Cybersecurity in health is an urgent patient safety concern: we can learn from existing pa…

Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. | PSNet

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January 25, 2023 - Study Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. Citation Text: Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in ambulatory settings through leg…

Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout. | PSNet

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June 01, 2022 - Commentary Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout. Citation Text: Dyrbye LN, Trockel M, Frank E, et al. Development of a Research Agenda to Identify Evidence-Based Strategies to Improve Physician Wellness an…

A scoping review of distributed cognition in acute care clinical decision-making. | PSNet

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April 08, 2020 - Review A scoping review of distributed cognition in acute care clinical decision-making. Citation Text: Wilson E, Daniel M, Rao A, et al. A scoping review of distributed cognition in acute care clinical decision-making. Diagnosis (Berl). 2023;10(2):68-88. doi:10.1515/dx-2022-0095. Copy…

Establishing a global learning community for incident-reporting systems. | PSNet

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May 24, 2012 - Commentary Establishing a global learning community for incident-reporting systems. Citation Text: Pham JC, Gianci S, Battles J, et al. Establishing a global learning community for incident-reporting systems. Qual Saf Health Care. 2010;19(5):446-51. doi:10.1136/qshc.2009.037739. Copy…

Effectiveness of acute care remote triage systems: a systematic review. | PSNet

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March 14, 2022 - Review Emerging Classic Effectiveness of acute care remote triage systems: a systematic review. Citation Text: Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic review. J Gen Intern Med. 2020;35(7):2136-2145.…

Completion of recommended tests and referrals in telehealth vs in-person visits. | PSNet

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January 31, 2024 - Study Completion of recommended tests and referrals in telehealth vs in-person visits. Citation Text: Zhong A, Amat MJ, Anderson TS, et al. Completion of recommended tests and referrals in telehealth vs in-person visits. JAMA Netw Open. 2023;6(11):e2343417. doi:10.1001/jamanetworkopen.20…

Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. | PSNet

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October 12, 2022 - Study Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. Citation Text: Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare Research and Quality Common …

Unintended consequences of online consultations: a qualitative study in UK primary care. | PSNet

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November 16, 2022 - Study Unintended consequences of online consultations: a qualitative study in UK primary care. Citation Text: Turner A, Morris R, Rakhra D, et al. Unintended consequences of online consultations: a qualitative study in UK primary care. Br J Gen Pract. 2021;72(715):e128-e137. doi:10.3399/…

Role of pharmacist counseling in preventing adverse drug events after hospitalization. | PSNet

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November 16, 2022 - Study Classic Role of pharmacist counseling in preventing adverse drug events after hospitalization. Citation Text: Schnipper JL, Kirwin JL, Cotugno MC, et al. Role of pharmacist counseling in preventing adverse drug events after hospitalization. Arch Intern M…

How to incorporate quality improvement and patient safety projects in your training. | PSNet

psnet.ahrq.gov/issue/how-incorporate-quality-improvement-and-patient-safety-projects-your-training

November 21, 2021 - Commentary How to incorporate quality improvement and patient safety projects in your training. Citation Text: Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.…

Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. | PSNet

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January 19, 2016 - Study Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. Citation Text: Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicente…

Deaths among opioid users: impact of potential inappropriate prescribing practices. | PSNet

psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-practices

October 19, 2011 - Study Deaths among opioid users: impact of potential inappropriate prescribing practices. Citation Text: Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate prescribing practices. Am J Manag Care. 2019;25(4):e98-e103. Copy Citation Form…

A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. | PSNet

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December 19, 2018 - Review A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. Citation Text: Reeve E, Moriarty F, Nahas R, et al. A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potentia…

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