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  1. Percentage of Orders Entered by Authorized Providers Using CPOE (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/percentage-of-orders-entered-using-cpoe-quick-reference-guide.pdf
    February 01, 2009 - Percentage of Orders Entered by Authorized Providers Using CPOE Percentage of Orders Entered by Authorized Providers Using CPOE Monitoring who uses computerized provider order entry (CPOE) allows organizations to measure CPOE use by providers versus their proxies over time and is one way to evaluate the succes…

  2. Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. | PSNet

    psnet.ahrq.gov/issue/improving-follow-abnormal-cancer-screens-using-electronic-health-records-trust-verify-test
    July 14, 2010 - Study Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. Citation Text: Singh H, Wilson L, Petersen L, et al. Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test r…

  3. Errors in cancer diagnosis: current understanding and future directions. | PSNet

    psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-directions
    November 18, 2009 - Review Errors in cancer diagnosis: current understanding and future directions. Citation Text: Singh H, Sethi S, Raber M, et al. Errors in cancer diagnosis: current understanding and future directions. J Clin Oncol. 2007;25(31):5009-18. Copy Citation Format: Google Schola…

  4. Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. | PSNet

    psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life
    August 20, 2021 - Government Resource Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. Citation Text: Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adv…

  5. Provider perspectives on partnering with parents of hospitalized children to improve safety. | PSNet

    psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
    November 30, 2016 - Study Provider perspectives on partnering with parents of hospitalized children to improve safety. Citation Text: Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. …

  6. Family-initiated dialogue about medications during family-centered rounds. | PSNet

    psnet.ahrq.gov/issue/family-initiated-dialogue-about-medications-during-family-centered-rounds
    July 09, 2018 - Study Family-initiated dialogue about medications during family-centered rounds. Citation Text: Benjamin JM, Cox E, Trapskin PJ, et al. Family-initiated dialogue about medications during family-centered rounds. Pediatrics. 2015;135(1):94-101. doi:10.1542/peds.2013-3885. Copy Citation …

  7. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. | PSNet

    psnet.ahrq.gov/issue/disruptions-surgical-flow-and-their-relationship-surgical-errors-exploratory-investigation
    August 26, 2011 - Study Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Citation Text: Wiegmann DA, Elbardissi AW, Dearani JA, et al. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;…

  8. Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/multiple-interacting-factors-influence-adherence-and-outcomes-associated-surgical-safety
    June 21, 2016 - Study Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. Citation Text: Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety…

  9. Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. | PSNet

    psnet.ahrq.gov/issue/current-state-diagnostic-safety-implications-research-practice-and-policy
    August 07, 2024 - Book/Report Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Citation Text: Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Q…

  10. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors
    August 14, 2019 - Study Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Citation Text: Gupta A, Harrod M, Quinn M, et al. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Diagnosis (Berl). 2018;5(3):151-156. doi:10.15…

  11. Intraoperative patient information handover between anesthesia providers. | PSNet

    psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
    November 24, 2021 - Study Intraoperative patient information handover between anesthesia providers. Citation Text: Choromanski D, Frederick J, McKelvey GM, et al. Intraoperative patient information handover between anesthesia providers. J Biomed Res. 2014;28(5):383-387. doi:10.7555/JBR.28.20140001. Copy C…

  12. Understanding complaints made about surgical departments in a UK district general hospital. | PSNet

    psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital
    September 23, 2020 - Study Understanding complaints made about surgical departments in a UK district general hospital. Citation Text: Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…

  13. Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era. | PSNet

    psnet.ahrq.gov/issue/horus-meets-nightingale-modern-age-how-nursing-communicates-pharmacy-hcit-era
    July 10, 2008 - Study Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era. Citation Text: Armstrong I, Cox MA. Horus meets Nightingale in the modern age: How nursing communicates with pharmacy in HCIT era. Stud Health Technol Inform. 2006;122:585-6. Copy Cit…

  14. A systematic review of team training in health care: ten questions. | PSNet

    psnet.ahrq.gov/issue/systematic-review-team-training-health-care-ten-questions
    September 11, 2016 - Review A systematic review of team training in health care: ten questions. Citation Text: Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004. Copy Cita…

  15. Anatomy of an incident disclosure: the importance of dialogue. | PSNet

    psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
    February 20, 2012 - Commentary Anatomy of an incident disclosure: the importance of dialogue. Citation Text: Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient Saf. 2012;38(10):435-42. Copy Citation Format: Google Scholar PubMed BibTeX En…

  16. "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. | PSNet

    psnet.ahrq.gov/issue/black-women-should-not-die-giving-life-lived-experiences-black-women-diagnosed-severe
    August 17, 2017 - Study "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. Citation Text: Post W, Thomas AD, Sutton KM. “Black Women Should Not Die Giving Life”: The lived experiences of Black women diagnosed with s…

  17. Abbreviation use decreases effective clinical communication and can compromise patient safety. | PSNet

    psnet.ahrq.gov/issue/abbreviation-use-decreases-effective-clinical-communication-and-can-compromise-patient-safety
    October 29, 2017 - Commentary Abbreviation use decreases effective clinical communication and can compromise patient safety. Citation Text: Parry D, Odedra A, Fagbohun M, et al. Abbreviation use decreases effective clinical communication and can compromise patient safety. Br J Oral Maxillofac Surg. 2023;61…

  18. Tenfold therapeutic dosing errors in young children reported to US poison control centers. | PSNet

    psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
    July 10, 2024 - Study Tenfold therapeutic dosing errors in young children reported to US poison control centers. Citation Text: Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10…

  19. The impact of stress on surgical performance: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/impact-stress-surgical-performance-systematic-review-literature
    February 10, 2010 - Review The impact of stress on surgical performance: a systematic review of the literature. Citation Text: Arora S, Sevdalis N, Nestel D, et al. The impact of stress on surgical performance: a systematic review of the literature. Surgery. 2010;147(3):318-30, 330.e1-6. doi:10.1016/j.sur…

  20. Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers. | PSNet

    psnet.ahrq.gov/issue/expanded-pharmacy-technician-roles-accepting-verbal-prescriptions-and-communicating
    October 05, 2011 - Commentary Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers. Citation Text: Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and communicating prescription transfers. Res Social Adm Pharm. 20…
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