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Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. | PSNet

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April 04, 2011 - Study Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. Citation Text: Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through compu…

Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. | PSNet

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October 13, 2018 - Study Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. Citation Text: Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' expla…

Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. | PSNet

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October 13, 2018 - Study Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. Citation Text: Quist AJL, Hickman T-TT, Amato MG, et al. Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. American Journal of Healt…

Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room. | PSNet

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October 07, 2013 - Study Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room. Citation Text: Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric cardiac surgery: trac…

Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? | PSNet

psnet.ahrq.gov/issue/can-targeted-educational-approach-improve-situational-awareness-paramedicine-during-911

October 05, 2022 - Study Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? Citation Text: Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? Int Emerg Nu…

Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. | PSNet

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September 28, 2010 - Study Classic Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Citation Text: Pronovost PJ, Weast B, Holzmueller CG, et al. Evaluation of the culture of safety: survey of clinicians and managers in an academ…

Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. | PSNet

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April 25, 2016 - Study Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. Citation Text: Brenner S, Detz A, Lopez A, et al. Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. B…

A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. | PSNet

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September 15, 2021 - Study A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. Citation Text: Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a computerized provider order entry system on patient safet…

Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors? | PSNet

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November 10, 2010 - Study Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors? Citation Text: Shin MH, Sullivan JL, Rosen AK, et al. Examining the validity of AHRQ's patient safety indicators (PSIs): is variation i…

Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units. | PSNet

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July 30, 2014 - Study Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units. Citation Text: Larson EL, Cimiotti JP, Haas JP, et al. Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonat…

The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. | PSNet

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December 08, 2021 - Study The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. Citation Text: Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older patients: a qualitative study of …

Parent willingness to remind health care workers to perform hand hygiene. | PSNet

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October 19, 2022 - Study Parent willingness to remind health care workers to perform hand hygiene. Citation Text: Buser GL, Fisher BT, Shea JA, et al. Parent willingness to remind health care workers to perform hand hygiene. Am J Infect Control. 2013;41(6):492-6. doi:10.1016/j.ajic.2012.08.006. Copy Cit…

Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States. | PSNet

psnet.ahrq.gov/issue/acceptability-and-feasibility-leapfrog-computerized-physician-order-entry-evaluation-tool

May 20, 2020 - Study Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States. Citation Text: Cho IS, Lee J-H, Choi S-K, et al. Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation too…

Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. | PSNet

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March 23, 2022 - Study Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. Citation Text: Vollam S, Gustafson O, Young JD, et al. Problems in care and avoidability of death after discharge from intensive care: a multi-cent…

Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. | PSNet

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July 25, 2011 - Study Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. Citation Text: Arriaga AF, Gawande AA, Raemer D, et al. Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room t…

Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and impact. | PSNet

psnet.ahrq.gov/issue/integrating-implementation-science-quality-and-patient-safety-improvement-learning

January 24, 2024 - Study Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and impact. Citation Text: Jeffs L, Bruno F, Zeng RL, et al. Integrating implementation science in a quality and patient safety improvement learning collabor…

Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. | PSNet

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March 14, 2018 - Study Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. Citation Text: Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-Peer Assessment: Demonstrati…

Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content. | PSNet

psnet.ahrq.gov/issue/team-debriefing-covid-19-pandemic-qualitative-study-hospital-wide-clinical-event-debriefing

June 08, 2022 - Study Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content. Citation Text: Welch-Horan TB, Mullan PC, Momin Z, et al. Team debriefing in the COVID-19 pandemic: a qual…

Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review. | PSNet

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February 17, 2021 - Review Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review. Citation Text: Merién AER, van de Ven J, Mol BW, et al. Multidisciplinary Team Training in a Simulation Setting for Acute Obstetric Emergencies. Obstetrics & Gynecology.…

Negligent care and malpractice claiming behavior in Utah and Colorado. | PSNet

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June 23, 2015 - Study Classic Negligent care and malpractice claiming behavior in Utah and Colorado. Citation Text: Studdert DM, Thomas EJ, Burstin HR, et al. Negligent care and malpractice claiming behavior in Utah and Colorado. Med Care. 2000;38(3):250-60. Copy Citation …

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