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psnet.ahrq.gov/issue/physician-reporting-clinically-significant-events-through-computerized-patient-sign-out
January 25, 2023 - Study
Physician reporting of clinically significant events through a computerized patient sign-out system.
Citation Text:
Nabors C, Peterson SJ, Aronow WS, et al. Physician reporting of clinically significant events through a computerized patient sign-out system. J Patient Saf. 2011;7(…
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psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
November 03, 2021 - Review
Missed nursing care in emergency departments: a scoping review.
Citation Text:
Duhalde H, Bjuresäter K, Karlsson I, et al. Missed nursing care in emergency departments: a scoping review. Int Emerg Nurs. 2023;69:101296. doi:10.1016/j.ienj.2023.101296.
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psnet.ahrq.gov/issue/enhancing-surgical-safety-using-digital-multimedia-technology
October 09, 2013 - Study
Enhancing surgical safety using digital multimedia technology.
Citation Text:
Dixon JL, Mukhopadhyay D, Hunt J, et al. Enhancing surgical safety using digital multimedia technology. Am J Surg. 2016;211(6):1095-8. doi:10.1016/j.amjsurg.2015.08.023.
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psnet.ahrq.gov/issue/improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication
March 11, 2011 - Study
Classic
Improving patient safety by identifying side effects from introducing bar coding in medication administration.
Citation Text:
Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar coding in me…
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psnet.ahrq.gov/issue/physicians-attitudes-towards-copy-and-pasting-electronic-note-writing
March 04, 2015 - Study
Physicians' attitudes towards copy and pasting in electronic note writing.
Citation Text:
O'Donnell HC, Kaushal R, Barrón Y, et al. Physicians' attitudes towards copy and pasting in electronic note writing. J Gen Intern Med. 2009;24(1):63-8. doi:10.1007/s11606-008-0843-2.
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psnet.ahrq.gov/issue/procedural-timeout-compliance-improved-real-time-clinical-decision-support
October 11, 2017 - Study
Procedural timeout compliance is improved with real-time clinical decision support.
Citation Text:
Shear T, Deshur M, Avram MJ, et al. Procedural Timeout Compliance Is Improved With Real-Time Clinical Decision Support. J Patient Saf. 2018;14(3):148-152. doi:10.1097/PTS.000000000000…
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psnet.ahrq.gov/issue/icu-nurses-acceptance-electronic-health-records
December 31, 2014 - Study
ICU nurses' acceptance of electronic health records.
Citation Text:
Carayon P, Cartmill R, Blosky MA, et al. ICU nurses' acceptance of electronic health records. J Am Med Inform Assoc. 2011;18(6):812-9. doi:10.1136/amiajnl-2010-000018.
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psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-quality
February 04, 2015 - Commentary
Classic
Accidental deaths, saved lives, and improved quality.
Citation Text:
Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157.
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psnet.ahrq.gov/issue/mitigating-patient-and-consumer-safety-risks-when-using-conversational-assistants-medical
September 19, 2018 - Study
Mitigating patient and consumer safety risks when using conversational assistants for medical information: exploratory mixed methods experiment.
Citation Text:
Bickmore TW, Olafsson S, O'Leary TK. Mitigating patient and consumer safety risks when using conversational assistants for…
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psnet.ahrq.gov/issue/assessing-anticipated-consequences-computer-based-provider-order-entry-three-community
May 27, 2011 - Study
Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.
Citation Text:
Sittig DF, Ash JS, Guappone KP, et al. Assessing the anticipated consequences of Computer-based Provid…
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psnet.ahrq.gov/issue/interventions-and-measurements-highly-reliableresilient-organization-implementations
July 21, 2021 - Review
Interventions and measurements of highly reliable/resilient organization implementations: a literature review.
Citation Text:
Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon…
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psnet.ahrq.gov/issue/rapid-response-systems-and-collective-incompetence-exploratory-analysis-intraprofessional-and
June 19, 2012 - Study
Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors.
Citation Text:
Kitto S, Marshall SD, McMillan SE, et al. Rapid response systems and collective (in)competence: An exploratory analysis of int…
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psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review
February 23, 2011 - Review
Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature.
Citation Text:
Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem, working to a solution: a systematic …
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psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study
March 04, 2020 - Study
Identifying unintended consequences of quality indicators: a qualitative study.
Citation Text:
Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371.
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psnet.ahrq.gov/issue/uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
March 17, 2021 - Study
Uncertain diagnoses in a children's hospital: patient characteristics and outcomes.
Citation Text:
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
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psnet.ahrq.gov/issue/factors-related-serious-safety-events-childrens-hospital-patient-safety-collaborative
February 16, 2022 - Study
Factors related to serious safety events in a children's hospital patient safety collaborative.
Citation Text:
Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi…
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psnet.ahrq.gov/issue/diagramming-patients-views-root-causes-adverse-drug-events-ambulatory-care-online-tool
April 27, 2010 - Study
Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research.
Citation Text:
Brown M, Frost R, Ko Y, et al. Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online …
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psnet.ahrq.gov/issue/frailty-and-potentially-inappropriate-prescribing-older-people-polypharmacy-bi-directional
November 16, 2022 - Review
Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship?
Citation Text:
Randles MA. Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? Drugs Aging. 2022;39(8…
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psnet.ahrq.gov/issue/caught-middle-resident-perspective-influences-learning-environment-perpetuate-mistreatment
September 04, 2019 - Commentary
Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment.
Citation Text:
Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate Mistreatment. Ac…
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psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies
August 04, 2021 - Commentary
Surgical safety does not happen by accident: learning from perioperative near miss case studies.
Citation Text:
Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning from perioperative near miss case studies. J Perianesth Nurs. …