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psnet.ahrq.gov/issue/efficacy-educational-video-game-versus-traditional-educational-apps-improving-physician
August 04, 2021 - Study
Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial.
Citation Text:
Mohan D, Farris C, Fischhoff B, et al. Efficacy of educational video game versus traditional educational apps …
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psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity
April 22, 2020 - Study
Parents' understanding of medication at discharge and potential harm in children with medical complexity.
Citation Text:
Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and potential harm in children with medical complexity. Arch Di…
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psnet.ahrq.gov/issue/exploring-system-features-primary-care-practices-promote-better-providers-clinical-work
May 25, 2022 - Study
Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis.
Citation Text:
Liu L, Chien AT, Singer SJ. Exploring system features of primary care practices that promote better providers’ clinical …
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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/automation-i-pass-tool-improve-transitions-care
August 04, 2021 - Study
Automation of the I-PASS tool to improve transitions of care.
Citation Text:
Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174.
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - Since the patient’s prior diabetic history is not described, we do not know whether he was started on
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psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
March 11, 2011 - Commentary
Classic
Computerization can create safety hazards: a bar-coding near miss.
Citation Text:
McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6.
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psnet.ahrq.gov/issue/health-information-technology-and-its-effects-hospital-costs-outcomes-and-patient-safety
January 29, 2018 - Study
Health information technology and its effects on hospital costs, outcomes, and patient safety.
Citation Text:
Encinosa W, Bae J. Health information technology and its effects on hospital costs, outcomes, and patient safety. Inquiry. 2011;48(4):288-303.
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psnet.ahrq.gov/issue/measures-patient-safety-developing-and-emerging-countries-review-literature
April 05, 2017 - Review
Measures of patient safety in developing and emerging countries: a review of the literature.
Citation Text:
Carpenter KB, Duevel MA, Lee PW, et al. Measures of patient safety in developing and emerging countries: a review of the literature. Qual Saf Health Care. 2010;19(1):48-54…
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psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review
September 09, 2015 - Review
What causes prescribing errors in children? Scoping review.
Citation Text:
Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680.
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psnet.ahrq.gov/issue/assessing-accuracy-drug-profiles-electronic-medical-record-system-washington-state-hospital
September 20, 2011 - Study
Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital.
Citation Text:
Platte B, Akinci F, Güç Y. Assessing the accuracy of drug profiles in an electronic medical record system of a Washington state hospital. Am J Manag Care. 2…
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psnet.ahrq.gov/issue/remember-patient-you-saw-last-week-characteristics-and-frequency-patients-experiencing
March 10, 2021 - Study
Remember that patient you saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death following ED discharge.
Citation Text:
Hoang R, Sampsel K, Willmore A, et al. Remember that patient you saw last week: characteristics and frequency o…
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psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
April 24, 2019 - Study
Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study.
Citation Text:
Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process a…
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psnet.ahrq.gov/issue/increasing-naloxone-prescribing-emergency-department-through-education-and-electronic-medical
October 14, 2020 - Study
Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids.
Citation Text:
Funke M, Kaplan MC, Glover H, et al. Increasing naloxone prescribing in the emergency department through education and electronic medical record wor…
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psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
October 16, 2013 - Book/Report
National Action Plan for Adverse Drug Event Prevention.
Citation Text:
National Action Plan for Adverse Drug Event Prevention. Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health and Human Services; September 2014.
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psnet.ahrq.gov/issue/addressing-safety-concerns-about-u-500-insulin-hospital-setting
March 15, 2017 - Commentary
Addressing safety concerns about U-500 insulin in a hospital setting.
Citation Text:
Samaan KH, Dahlke M, Stover J. Addressing safety concerns about U-500 insulin in a hospital setting. Am J Health Syst Pharm. 2011;68(1):63-8. doi:10.2146/ajhp100224.
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psnet.ahrq.gov/issue/analysis-medication-prescribing-errors-critically-ill-children
March 28, 2012 - Study
Analysis of medication prescribing errors in critically ill children.
Citation Text:
Glanzmann C, Frey B, Meier CR, et al. Analysis of medication prescribing errors in critically ill children. Eur J Pediatr. 2015;174(10):1347-1355. doi:10.1007/s00431-015-2542-4.
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psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability
September 20, 2011 - Study
Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events.
Citation Text:
Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…
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psnet.ahrq.gov/issue/analysis-errors-enacted-surgical-trainees-during-skills-training-courses
August 20, 2018 - Study
Analysis of errors enacted by surgical trainees during skills training courses.
Citation Text:
Tang B, Hanna GB, Cuschieri A. Analysis of errors enacted by surgical trainees during skills training courses. Surgery. 2005;138(1):14-20.
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psnet.ahrq.gov/issue/design-endoscopic-retrograde-cholangiopancreatography-ercp-duodenoscopes-may-impede-effective
March 11, 2015 - Government Resource
Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning.
Citation Text:
Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. FDA Safety Communication. Silver Sp…