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psnet.ahrq.gov/issue/literature-review-training-offered-qualified-prescribers-use-electronic-prescribing-systems
December 21, 2022 - Review
A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important?
Citation Text:
Brown CL, Reygate K, Slee A, et al. A literature review of the training offered to qualified prescribers to use electronic prescribing…
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psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group
March 06, 2019 - Study
Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study.
Citation Text:
van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective:…
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psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
December 18, 2019 - Study
Emerging Classic
Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations.
Citation Text:
Härkänen M, Turunen H, Vehviläine…
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psnet.ahrq.gov/issue/regret-among-primary-care-physicians-survey-diagnostic-decisions
November 13, 2019 - Study
Regret among primary care physicians: a survey of diagnostic decisions.
Citation Text:
Müller BS, Donner-Banzhoff N, Beyer M, et al. Regret among primary care physicians: a survey of diagnostic decisions. BMC Fam Pract. 2020;21(1). doi:10.1186/s12875-020-01125-w.
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psnet.ahrq.gov/issue/unscheduled-radiologic-examination-orders-electronic-health-record-novel-resource-targeting
March 30, 2022 - Study
Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology.
Citation Text:
Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A No…
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psnet.ahrq.gov/issue/medication-related-clinical-decision-support-alert-overrides-inpatients
July 16, 2019 - Study
Medication-related clinical decision support alert overrides in inpatients.
Citation Text:
Nanji KC, Seger DL, Slight SP, et al. Medication-related clinical decision support alert overrides in inpatients. J Am Med Inform Assoc. 2018;25(5):476-481. doi:10.1093/jamia/ocx115.
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psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic
August 24, 2022 - Study
Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation.
Citation Text:
Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report system data in a large academic hos…
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psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
March 25, 2020 - Study
Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement.
Citation Text:
Politi RE, Mills PD, Zubkoff L, et al. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare…
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psnet.ahrq.gov/issue/evolving-factors-hospital-safety-systematic-review-and-meta-analysis-hospital-adverse-events
February 02, 2022 - Review
Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.
Citation Text:
Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. J Patient Saf. 2…
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psnet.ahrq.gov/issue/psychological-impact-and-recovery-after-involvement-patient-safety-incident-repeated-measures
September 19, 2016 - Study
Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis.
Citation Text:
Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis.…
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psnet.ahrq.gov/issue/entangled-complexity-ethnographic-study-organizational-adaptability-and-safe-care-transitions
August 21, 2024 - Study
Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs.
Citation Text:
Hedqvist A‐T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of organizational adaptability a…
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psnet.ahrq.gov/issue/going-covid-19-gemba-using-observation-and-high-reliability-strategies-achieve-safety-time
May 12, 2021 - Commentary
Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis.
Citation Text:
Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in…
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psnet.ahrq.gov/issue/quality-initiative-system-wide-reduction-serious-medication-events-through-targeted
April 10, 2024 - Study
A quality initiative: a system-wide reduction in serious medication events through targeted simulation training.
Citation Text:
Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. S…
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psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-international-survey
February 26, 2020 - Study
Patient safety in emergency departments: a problem for health care systems? An international survey.
Citation Text:
Petrino R, Tuunainen E, Bruzzone G, et al. Patient safety in emergency departments: a problem for health care systems? An international survey. Eur J Emerg Med. 2023;…
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psnet.ahrq.gov/issue/integrating-and-evaluating-data-quality-and-utility-smart-pump-information-detecting
September 09, 2020 - Study
Integrating and evaluating the data quality and utility of smart pump information in detecting medication administration errors: evaluation study.
Citation Text:
Ni Y, Lingren T, Huth H, et al. Integrating and evaluating the data quality and utility of smart pump information in det…
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psnet.ahrq.gov/issue/empirical-model-estimate-potential-impact-medication-safety-alerts-patient-safety-health-care
September 01, 2016 - Study
An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.
Citation Text:
Weingart SN, Simchowitz B, Padolsky H, et al. An empirical model to estimate the potential impact of medication sa…
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psnet.ahrq.gov/issue/nurses-harm-prevention-practices-during-admission-older-person-hospital-multi-method
May 11, 2022 - Study
Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study.
Citation Text:
Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person to the hospital: a multi‐method qualitat…
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psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference
July 22, 2020 - Study
Classic
A systems approach to morbidity and mortality conference.
Citation Text:
Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference. Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010.
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psnet.ahrq.gov/issue/work-nurses-provide-good-and-safe-services-children-receiving-hospital-home-qualitative
March 08, 2023 - Study
The work of nurses to provide good and safe services to children receiving hospital-at-home: a qualitative interview study from the perspectives of hospital nurses and physicians.
Citation Text:
Aasen L, Johannessen A‐K, Ruud Knutsen I, et al. The work of nurses to provide good and…
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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 …