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  1. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. | PSNet

    psnet.ahrq.gov/issue/bridging-feedback-gap-sociotechnical-approach-informing-clinicians-patients-subsequent
    January 21, 2019 - Commentary Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. Citation Text: Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent …

  2. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. | PSNet

    psnet.ahrq.gov/issue/patient-harm-during-covid-19-pandemic-using-human-factors-lens-promote-patient-and-workforce
    September 14, 2022 - Commentary Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. Citation Text: Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient S…

  3. Work patterns and fatigue-related risk among junior doctors. | PSNet

    psnet.ahrq.gov/issue/work-patterns-and-fatigue-related-risk-among-junior-doctors
    July 29, 2020 - Study Work patterns and fatigue-related risk among junior doctors. Citation Text: Gander P, Purnell H, Garden A, et al. Work patterns and fatigue-related risk among junior doctors. Occup Environ Med. 2007;64(11):733-8. Copy Citation Format: Google Scholar PubMed BibTeX En…

  4. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. | PSNet

    psnet.ahrq.gov/issue/diagnostic-discordance-health-information-exchange-and-inter-hospital-transfer-outcomes
    May 19, 2021 - Study Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. Citation Text: Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. J Gen In…

  5. Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. | PSNet

    psnet.ahrq.gov/issue/relationship-between-medication-event-rates-and-leapfrog-computerized-physician-order-entry
    November 26, 2014 - Study Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. Citation Text: Leung AA, Keohane C, Lipsitz S, et al. Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. J …

  6. Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/use-electronic-decision-support-tool-reduce-polypharmacy-elderly-people-chronic-diseases
    August 18, 2021 - Study Emerging Classic Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. Citation Text: Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support to…

  7. Suffering in silence: a qualitative study of second victims of adverse events. | PSNet

    psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
    February 03, 2021 - Study Suffering in silence: a qualitative study of second victims of adverse events. Citation Text: Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035. Co…

  8. Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. | PSNet

    psnet.ahrq.gov/issue/medication-errors-hospital-admission-and-discharge-risk-factors-and-impact-medication
    November 10, 2021 - Study Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. Citation Text: Breuker C, Macioce V, Mura T, et al. Medication errors at hospital admission and discharge: risk factors and impact of medicatio…

  9. How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. | PSNet

    psnet.ahrq.gov/issue/how-safe-are-outpatient-electronic-health-records-evaluation-medication-related-decision
    March 17, 2021 - Study How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. Citation Text: Co Z, Classen DC, Cole JM, et al. How safe are outpatient electronic health records? An evaluation o…

  10. Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes
    October 07, 2020 - Study Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. Citation Text: Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…

  11. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. | PSNet

    psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses
    March 28, 2012 - Study Classic Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Citation Text: Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13.…

  12. Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. | PSNet

    psnet.ahrq.gov/issue/patients-experiences-and-perspectives-patient-reported-outcome-measures-clinical-care
    October 27, 2021 - Review Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. Citation Text: Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported outcome measures i…

  13. Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. | PSNet

    psnet.ahrq.gov/issue/predictors-response-rates-safety-culture-questionnaires-healthcare-systematic-review-and
    September 01, 2021 - Review Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. Citation Text: Ellis LA, Pomare C, Churruca K, et al. Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. BMJ …

  14. Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/unannounced-versus-announced-hospital-surveys-nationwide-cluster-randomized-controlled-trial
    September 20, 2023 - Study Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial. Citation Text: Ehlers LH, Simonsen KB, Jensen MB, et al. Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial. Int J Qual Health Care. 2017;29…

  15. The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. | PSNet

    psnet.ahrq.gov/issue/complexities-communication-hospital-discharge-older-patients-qualitative-study-healthcare
    December 08, 2021 - Study The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. Citation Text: Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older patients: a qualitative study of …

  16. Family involvement in managing medications of older patients across transitions of care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/family-involvement-managing-medications-older-patients-across-transitions-care-systematic
    May 26, 2021 - Review Emerging Classic Family involvement in managing medications of older patients across transitions of care: a systematic review. Citation Text: Manias E, Bucknall T, Hughes C, et al. Family involvement in managing medications of older patients across transi…

  17. Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions. | PSNet

    psnet.ahrq.gov/issue/evaluation-older-persons-medications-critical-incident-technique-study-exploring-healthcare
    July 14, 2021 - Study Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions. Citation Text: Holmqvist M, Thor J, Ros A, et al. Evaluation of older persons’ medications: a critical incident technique study exploring healt…

  18. Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method. | PSNet

    psnet.ahrq.gov/issue/development-electronic-pediatric-all-cause-harm-measurement-tool-using-modified-delphi-method
    July 03, 2016 - Study Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method. Citation Text: Stockwell DC, Bisarya H, Classen D, et al. Development of an Electronic Pediatric All-Cause Harm Measurement Tool Using a Modified Delphi Method. J Patient Saf. 201…

  19. To what extent is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations? A descriptive study. | PSNet

    psnet.ahrq.gov/issue/what-extent-world-health-organizations-medication-safety-challenge-being-addressed-english
    November 02, 2022 - Study To what extent is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations? A descriptive study. Citation Text: Garfield S, Teo V, Chan L, et al. To what extent is the World Health Organization's Medication Safety Challenge being…

  20. Appropriate use of medical interpreters in the breast imaging clinic. | PSNet

    psnet.ahrq.gov/issue/appropriate-use-medical-interpreters-breast-imaging-clinic
    October 16, 2024 - Commentary Appropriate use of medical interpreters in the breast imaging clinic. Citation Text: Feliciano-Rivera YZ, Yepes MM, Sanchez P, et al. Appropriate use of medical interpreters in the breast imaging clinic. J Breast Imaging. 2024;27(3):296-303. doi:10.1093/jbi/wbad109. Copy Cit…
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