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  1. Limited health literacy is a barrier to medication reconciliation in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/limited-health-literacy-barrier-medication-reconciliation-ambulatory-care
    March 24, 2010 - Study Limited health literacy is a barrier to medication reconciliation in ambulatory care. Citation Text: Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6. Copy Citatio…

  2. Determinants of adverse events in hospitals—the potential role of patient safety culture. | PSNet

    psnet.ahrq.gov/issue/determinants-adverse-events-hospitals-potential-role-patient-safety-culture
    October 22, 2008 - Study Determinants of adverse events in hospitals—the potential role of patient safety culture. Citation Text: Kline TJB, Willness C, Ghali WA. Determinants of adverse events in hospitals--the potential role of patient safety culture. J Healthc Qual. 2008;30(1):11-7. Copy Citation …

  3. The sensitivity of adverse event cost estimates to diagnostic coding error. | PSNet

    psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
    March 03, 2011 - Study The sensitivity of adverse event cost estimates to diagnostic coding error. Citation Text: Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.0…

  4. Hospital costs associated with adverse events in gynecological oncology. | PSNet

    psnet.ahrq.gov/issue/hospital-costs-associated-adverse-events-gynecological-oncology
    March 09, 2022 - Study Hospital costs associated with adverse events in gynecological oncology. Citation Text: Kondalsamy-Chennakesavan S, Gordon LG, Sanday K, et al. Hospital costs associated with adverse events in gynecological oncology. Gynecol Oncol. 2011;121(1):70-5. doi:10.1016/j.ygyno.2010.11.03…

  5. Implementation of computerized prescriber order entry in four academic medical centers. | PSNet

    psnet.ahrq.gov/issue/implementation-computerized-prescriber-order-entry-four-academic-medical-centers
    May 18, 2022 - Commentary Implementation of computerized prescriber order entry in four academic medical centers. Citation Text: Cooley TW, May D, Alwan M, et al. Implementation of computerized prescriber order entry in four academic medical centers. Am J Health Syst Pharm. 2012;69(24):2166-73. doi:1…

  6. Computer physician order entry: benefits, costs, and issues. | PSNet

    psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
    May 27, 2011 - Study Computer physician order entry: benefits, costs, and issues. Citation Text: Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  7. Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports. | PSNet

    psnet.ahrq.gov/issue/validity-retrospective-review-medical-records-means-identifying-adverse-events-comparison
    October 25, 2023 - Study Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports. Citation Text: Kobayashi M, Ikeda S, Kitazawa N, et al. Validity of retrospective review of medical records as a means of identif…

  8. Distraction and interruption in anaesthetic practice. | PSNet

    psnet.ahrq.gov/issue/distraction-and-interruption-anaesthetic-practice
    May 18, 2022 - Study Distraction and interruption in anaesthetic practice. Citation Text: Campbell G, Arfanis K, Smith AF. Distraction and interruption in anaesthetic practice. Br J Anaesth. 2012;109(5):707-715. doi:10.1093/bja/aes219. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  9. Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty. | PSNet

    psnet.ahrq.gov/issue/am-i-right-when-i-am-sure-data-consistency-influences-relationship-between-diagnostic
    March 18, 2013 - Study Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty. Citation Text: Cavalcanti RB, Sibbald M. Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty. Acad Med. …

  10. Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. | PSNet

    psnet.ahrq.gov/issue/medication-errors-hiv-infected-hospitalized-patients-pharmacists-impact
    November 16, 2022 - Study Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. Citation Text: Eginger KH, Yarborough LL, Inge LDV, et al. Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. Ann Pharmacother. 2013;47(7-8):953-60. doi:10.1345/aph.1R773.…

  11. A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. | PSNet

    psnet.ahrq.gov/issue/socio-technical-systems-approach-studying-interruptions-understanding-interrupters
    October 03, 2013 - Study A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. Citation Text: Rivera J. A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. Appl Ergon. 2014;45(3):747-56. doi:10.1016/…

  12. Improving quality through effective implementation of information technology in healthcare. | PSNet

    psnet.ahrq.gov/issue/improving-quality-through-effective-implementation-information-technology-healthcare
    October 17, 2016 - Study Improving quality through effective implementation of information technology in healthcare. Citation Text: Øvretveit J, Scott T, Rundall TG, et al. Improving quality through effective implementation of information technology in healthcare. Int J Qual Health Care. 2007;19(5):259-6…

  13. The exaggerated benefits of failure. | PSNet

    psnet.ahrq.gov/issue/exaggerated-benefits-failure
    November 09, 2022 - Study The exaggerated benefits of failure. Citation Text: Eskreis-Winkler L, Woolley K, Erensoy E, et al. The exaggerated benefits of failure. J Exp Psychol Gen. 2024;153(7):1920-1937. doi:10.1037/xge0001610. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…

  14. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. | PSNet

    psnet.ahrq.gov/issue/emotional-impact-medical-error-involvement-physicians-call-leadership-and-organisational
    June 14, 2023 - Review The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. Citation Text: Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountabi…

  15. Fixed-dose combination antihypertensives and risk of medication errors. | PSNet

    psnet.ahrq.gov/issue/fixed-dose-combination-antihypertensives-and-risk-medication-errors
    September 28, 2016 - Study Fixed-dose combination antihypertensives and risk of medication errors. Citation Text: Moriarty F, Bennett K, Fahey T. Fixed-dose combination antihypertensives and risk of medication errors. Heart. 2019;105(3):204-209. doi:10.1136/heartjnl-2018-313492. Copy Citation Format: …

  16. A review of the current evidence base for significant event analysis. | PSNet

    psnet.ahrq.gov/issue/review-current-evidence-base-significant-event-analysis
    October 14, 2009 - Review A review of the current evidence base for significant event analysis. Citation Text: Bowie P, Pope L, Lough M. A review of the current evidence base for significant event analysis. J Eval Clin Pract. 2008;14(4):520-36. doi:10.1111/j.1365-2753.2007.00908.x. Copy Citation Fo…

  17. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? | PSNet

    psnet.ahrq.gov/issue/does-surgeon-fatigue-influence-outcomes-after-anterior-resection-rectal-cancer
    August 04, 2021 - Study Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Citation Text: Schieman C, MacLean AR, Buie D, et al. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Am J Surg. 2008;195(5):684-7; discussion 687-8. doi:10.101…

  18. Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. | PSNet

    psnet.ahrq.gov/issue/wristbands-aids-reduce-misidentification-ethnographically-guided-task-analysis
    November 25, 2009 - Study Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. Citation Text: Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.109…

  19. Training safer surgeons: how do patients view the role of simulation in orthopaedic training? | PSNet

    psnet.ahrq.gov/issue/training-safer-surgeons-how-do-patients-view-role-simulation-orthopaedic-training
    March 01, 2023 - Study Training safer surgeons: how do patients view the role of simulation in orthopaedic training? Citation Text: Akhtar K, Sugand K, Wijendra A, et al. Training safer surgeons: How do patients view the role of simulation in orthopaedic training? Patient Saf Surg. 2015;9:11. doi:10.1186…

  20. Patient safety in otolaryngology: a descriptive review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-otolaryngology-descriptive-review
    July 14, 2010 - Review Patient safety in otolaryngology: a descriptive review. Citation Text: Danino J, Muzaffar J, Metcalfe C, et al. Patient safety in otolaryngology: a descriptive review. Eur Arch Otorhinolaryngol. 2017;274(3):1317-1326. doi:10.1007/s00405-016-4291-z. Copy Citation Format: …
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