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psnet.ahrq.gov/issue/mixed-results-safety-performance-computerized-physician-order-entry
May 04, 2022 - Study
Classic
Mixed results in the safety performance of computerized physician order entry.
Citation Text:
Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician order entry. Health Aff (Millwood). 2010;29(4):65…
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psnet.ahrq.gov/issue/electronic-prescribing-subcutaneous-infusions-and-after-study-assessing-impact-upon-patient
July 06, 2022 - Study
The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency.
Citation Text:
Hindmarsh J, Holden K. The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact …
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psnet.ahrq.gov/issue/free-text-computerized-provider-order-entry-orders-used-workaround-communicating-medication
July 29, 2020 - Study
Free-text computerized provider order entry orders used as workaround for communicating medication information.
Citation Text:
Kandaswamy S, Grimes J, Hoffman D, et al. Free-text computerized provider order entry orders used as workaround for communicating medication information. J…
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psnet.ahrq.gov/issue/bedside-clinicians-perceptions-contributing-role-diagnostic-errors-acutely-ill-patient
May 26, 2021 - Study
Bedside clinicians' perceptions on the contributing role of diagnostic errors in acutely ill patient presentation: a survey of academic and community practice.
Citation Text:
Huang C, Barwise A, Soleimani J, et al. Bedside clinicians' perceptions on the contributing role of diagnos…
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psnet.ahrq.gov/issue/assessing-safety-electronic-health-records-national-longitudinal-study-medication-related
July 29, 2020 - Study
Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support.
Citation Text:
Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decisio…
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psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats
April 14, 2021 - Study
Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats.
Citation Text:
Bentley SK, Meshel A, Boehm L, et al. Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. Adv Simul (Lond). 2022;7(1):15. doi:1…
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psnet.ahrq.gov/issue/policy-based-intervention-reduction-communication-breakdowns-inpatient-surgical-care-results
January 04, 2010 - Study
A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.
Citation Text:
Arriaga AF, Elbardissi AW, Regenbogen SE, et al. A policy-based intervention for the reduction of communication…
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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…
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psnet.ahrq.gov/issue/nurse-reported-bullying-and-documented-adverse-patient-events-exploratory-study-us-hospital
November 11, 2020 - Study
Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital.
Citation Text:
Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. J Nurs Care Qual. 2020;…
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psnet.ahrq.gov/issue/unplanned-transfers-medical-intensive-care-unit-causes-and-relationship-preventable-errors
July 19, 2023 - Study
Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.
Citation Text:
Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J …
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psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education
June 02, 2021 - Study
Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.
Citation Text:
Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …
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psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
December 09, 2020 - Study
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.
Citation Text:
Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…
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psnet.ahrq.gov/issue/data-omission-physician-trainees-icu-rounds
January 23, 2017 - Study
Data omission by physician trainees on ICU rounds.
Citation Text:
Artis KA, Bordley J, Mohan V, et al. Data Omission by Physician Trainees on ICU Rounds. Crit Care Med. 2019;47(3):403-409. doi:10.1097/CCM.0000000000003557.
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digital.ahrq.gov/ahrq-funded-projects/support-united-states-health-information-knowledgebase-ushik/annual-summary/2012
January 01, 2012 - United States Health Information Knowledgebase (USHIK) - 2012
Project Name
United States Health Information Knowledgebase (USHIK)
Principal Investigator
Penoza, Chuck
Organization
Data Consulting Group
Funding Mechanism
Health IT Contracts
Contract Number
29…
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psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans
January 02, 2017 - Study
Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system.
Citation Text:
Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs…
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psnet.ahrq.gov/issue/implementation-and-facilitation-post-resuscitation-debriefing-comparative-crossover-study-two
March 23, 2022 - Study
Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.
Citation Text:
Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing: a comparative …
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psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology
November 23, 2012 - Study
Classification of medication incidents associated with information technology.
Citation Text:
Cheung K-C, van der Veen W, Bouvy ML, et al. Classification of medication incidents associated with information technology. J Am Med Inform Assoc. 2014;21(e1):e63-70. doi:10.1136/amiajnl-2…
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psnet.ahrq.gov/issue/utilising-improvement-science-methods-optimise-medication-reconciliation
July 24, 2017 - Study
Utilising improvement science methods to optimise medication reconciliation.
Citation Text:
White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845.
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psnet.ahrq.gov/issue/value-autopsies-era-high-tech-medicine-discrepant-findings-persist
October 18, 2023 - Study
The value of autopsies in the era of high-tech medicine: discrepant findings persist.
Citation Text:
Kuijpers CCHJ, Fronczek J, van de Goot FRW, et al. The value of autopsies in the era of high-tech medicine: discrepant findings persist. J Clin Pathol. 2014;67(6):512-9. doi:10.1136…
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psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
September 25, 2011 - Study
Surgical case listing accuracy: failure analysis at a high-volume academic medical center.
Citation Text:
Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…