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A decade of health information technology usability challenges and the path forward. | PSNet

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January 16, 2019 - Commentary Emerging Classic A decade of health information technology usability challenges and the path forward. Citation Text: Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the Path Forward. JAMA. 2019;321(8):…

Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. | PSNet

psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety

March 14, 2022 - Commentary Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Citation Text: Salmon PM, Hulme A, Walker GH, et al. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Ergonomics…

The coronavirus and the risks to the elderly in long-term care. | PSNet

psnet.ahrq.gov/issue/coronavirus-and-risks-elderly-long-term-care

July 15, 2020 - Commentary The coronavirus and the risks to the elderly in long-term care. Citation Text: Gardner W, States D, Bagley N. The coronavirus and the risks to the elderly in long-term care. J Aging Soc Policy. 2020;32(4-5):310-315. doi:10.1080/08959420.2020.1750543. Copy Citation Format…

Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. | PSNet

psnet.ahrq.gov/issue/developing-framework-nursing-handover-emergency-department-individualised-and-systematic

October 06, 2016 - Study Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. Citation Text: Klim S, Kelly A-M, Kerr D, et al. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. …

Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. | PSNet

psnet.ahrq.gov/issue/analysis-intervention-employability-pharmacy-related-medication-safety-reports-tertiary

November 21, 2021 - Study Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. Citation Text: Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical cen…

Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. | PSNet

psnet.ahrq.gov/issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review

May 20, 2020 - Review Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. Citation Text: Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the use of high-alert drugs: a …

Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. | PSNet

psnet.ahrq.gov/issue/positive-predictive-value-ahrq-accidental-puncture-or-laceration-patient-safety-indicator

April 03, 2017 - Slideset Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. Citation Text: Utter GH, Zrelak PA, Baron R, et al. Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. Ann Surg. 2009;250(6):1041-5.…

Fumbled handoffs: one dropped ball after another. | PSNet

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April 10, 2024 - Commentary Fumbled handoffs: one dropped ball after another. Citation Text: Gandhi TK. Fumbled handoffs: one dropped ball after another. Ann Intern Med. 2005;142(5):352-358. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. | PSNet

psnet.ahrq.gov/issue/reduction-incorrect-record-accessing-and-charting-patient-electronic-medical-records

September 29, 2017 - Study Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. Citation Text: Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative…

Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluation. | PSNet

psnet.ahrq.gov/issue/deficits-discharge-documentation-patients-transferred-rehabilitation-facilities

October 28, 2009 - Study Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluation. Citation Text: Gandara E, Moniz TT, Ungar J, et al. Deficits in discharge documentation in patients transferred to rehabilitation facilit…

Implementation and spread of a simple and effective way to improve the accuracy of medicines reconciliation on discharge: a hospital-based quality improvement project and success story. | PSNet

psnet.ahrq.gov/issue/implementation-and-spread-simple-and-effective-way-improve-accuracy-medicines-reconciliation

March 04, 2009 - Study Implementation and spread of a simple and effective way to improve the accuracy of medicines reconciliation on discharge: a hospital-based quality improvement project and success story. Citation Text: Botros S, Dunn J. Implementation and spread of a simple and effective way to impr…

Making use of mortality data to improve quality and safety in general practice: a review of current approaches. | PSNet

psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current

November 17, 2010 - Review Making use of mortality data to improve quality and safety in general practice: a review of current approaches. Citation Text: Baker R, Sullivan E, Camosso-Stefinovic J, et al. Making use of mortality data to improve quality and safety in general practice: a review of current ap…

The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? | PSNet

psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution

March 01, 2023 - Review The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Citation Text: Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Co…

Gender biases in estimation of others' pain. | PSNet

psnet.ahrq.gov/issue/gender-biases-estimation-others-pain

March 25, 2020 - Study Classic Gender biases in estimation of others' pain. Citation Text: Zhang L, Losin EAR, Ashar YK, et al. Gender biases in estimation of others' pain. J Pain. 2021;22(9):1048-1059. doi:10.1016/j.jpain.2021.03.001. Copy Citation Format: DOI Goo…

Organisational reporting and learning systems: innovating inside and outside of the box. | PSNet

psnet.ahrq.gov/issue/organisational-reporting-and-learning-systems-innovating-inside-and-outside-box

July 22, 2020 - Commentary Organisational reporting and learning systems: innovating inside and outside of the box. Citation Text: Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203. Copy…

Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-ethical-principles-regulatory-approach-bias-healthcare

April 21, 2021 - Commentary Emerging Classic Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning. Citation Text: McCradden MD, Joshi S, Anderson JA, et al. Patient safety and quality improvement: Ethical pri…

Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? | PSNet

psnet.ahrq.gov/issue/understanding-link-between-burnout-and-sub-optimal-care-why-should-healthcare-education-be

August 03, 2022 - Review Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? Citation Text: Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in emp…

How unprofessional behaviours between healthcare staff threaten patient care and safety. | PSNet

psnet.ahrq.gov/issue/how-unprofessional-behaviours-between-healthcare-staff-threaten-patient-care-and-safety

July 24, 2024 - Commentary How unprofessional behaviours between healthcare staff threaten patient care and safety. Citation Text: Aunger J, Maben J, Westbrook JI. How unprofessional behaviours between healthcare staff threaten patient care and safety. Expert Rev Pharmacoecon Outcomes Res. 2025;Epub Jan…

Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes

February 14, 2024 - Review Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. Citation Text: Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic r…

Implementation of a mock root cause analysis to provide simulated patient safety training. | PSNet

psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training

January 12, 2022 - Commentary Implementation of a mock root cause analysis to provide simulated patient safety training. Citation Text: Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-…

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