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An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. | PSNet

psnet.ahrq.gov/issue/unintended-consequence-electronic-prescriptions-prevalence-and-impact-internal-discrepancies

May 04, 2011 - Study An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. Citation Text: Palchuk MB, Fang EA, Cygielnik JM, et al. An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. J Am Med Inform…

Communication disparities between nursing home team members. | PSNet

psnet.ahrq.gov/issue/communication-disparities-between-nursing-home-team-members

May 25, 2022 - Study Communication disparities between nursing home team members. Citation Text: Farrell TW, Butler JM, Towsley GL, et al. Communication disparities between nursing home team members. Int J Environ Res Public Health. 2022;19(10):5975. doi:10.3390/ijerph19105975. Copy Citation Form…

Developing and aligning a safety event taxonomy for inpatient psychiatry. | PSNet

psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry

September 14, 2022 - Study Developing and aligning a safety event taxonomy for inpatient psychiatry. Citation Text: Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935. Copy …

Consumer mobile apps for potential drug–drug interaction check: systematic review and content analysis using the Mobile App Rating Scale (MARS). | PSNet

psnet.ahrq.gov/issue/consumer-mobile-apps-potential-drug-drug-interaction-check-systematic-review-and-content

March 04, 2020 - Review Emerging Classic Consumer mobile apps for potential drug–drug interaction check: systematic review and content analysis using the Mobile App Rating Scale (MARS). Citation Text: Kim BY, Sharafoddini A, Tran N, et al. Consumer Mobile Apps for Potential Drug…

A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. | PSNet

psnet.ahrq.gov/issue/standardized-handoff-simulation-promotes-recovery-auditory-distractions-resident-physicians

March 09, 2016 - Study A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. Citation Text: Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From Auditory Distractions in Resident Physicians. Simul Healthc. 2018;1…

Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. | PSNet

psnet.ahrq.gov/issue/efforts-improve-patient-safety-result-13-million-fewer-patient-harms-interim-update-2013

January 07, 2015 - Book/Report Classic Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. Citation Text: Efforts To Improve …

Effect of nonpayment for preventable infections in U.S. hospitals. | PSNet

psnet.ahrq.gov/issue/effect-nonpayment-preventable-infections-us-hospitals

July 03, 2016 - Study Classic Effect of nonpayment for preventable infections in U.S. hospitals. Citation Text: Lee GM, Kleinman K, Soumerai SB, et al. Effect of nonpayment for preventable infections in U.S. hospitals. N Engl J Med. 2012;367(15):1428-37. doi:10.1056/NEJMsa120…

Errors in adult trauma resuscitation: a systematic review. | PSNet

psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review

December 01, 2021 - Review Errors in adult trauma resuscitation: a systematic review. Citation Text: Nikouline A, Quirion A, Jung JJ, et al. Errors in adult trauma resuscitation: a systematic review. CJEM. 2021;23:537–546. doi:10.1007/s43678-021-00118-7. Copy Citation Format: DOI Google Schola…

Classification of patient-safety incidents in primary care. | PSNet

psnet.ahrq.gov/issue/classification-patient-safety-incidents-primary-care

October 12, 2016 - Review Emerging Classic Classification of patient-safety incidents in primary care. Citation Text: Cooper J, Williams H, Hibbert P, et al. Classification of patient-safety incidents in primary care. Bull World Health Organ. 2018;96(7):498-505. doi:10.2471/BLT.17…

The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care

August 12, 2015 - Study The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. Citation Text: Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric In…

Shift change handovers and subsequent interruptions: potential impacts on quality of care. | PSNet

psnet.ahrq.gov/issue/shift-change-handovers-and-subsequent-interruptions-potential-impacts-quality-care

February 04, 2009 - Study Shift change handovers and subsequent interruptions: potential impacts on quality of care. Citation Text: Estryn-Behar MR, Milanini-Magny G, Chaumon E, et al. Shift change handovers and subsequent interruptions: potential impacts on quality of care. J Patient Saf. 2014;10(1):29-44.…

Seniors managing multiple medications: using mixed methods to view the home care safety lens. | PSNet

psnet.ahrq.gov/issue/seniors-managing-multiple-medications-using-mixed-methods-view-home-care-safety-lens

June 23, 2021 - Study Seniors managing multiple medications: using mixed methods to view the home care safety lens. Citation Text: Lang A, Macdonald M, Marck P, et al. Seniors managing multiple medications: using mixed methods to view the home care safety lens. BMC Health Serv Res. 2015;15:548. doi:10.1…

Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. | PSNet

psnet.ahrq.gov/issue/minor-flow-disruptions-traffic-related-factors-and-their-effect-major-flow-disruptions

August 19, 2020 - Study Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. Citation Text: Joseph A, Khoshkenar A, Taaffe KM, et al. Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating roo…

Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/attending-physician-remote-access-electronic-health-record-and-implications-resident

September 22, 2010 - Study Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. Citation Text: Martin SK, Tulla K, Meltzer DO, et al. Attending Physician Remote Access of the Electronic Health Record and Implications for Resident …

Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. | PSNet

psnet.ahrq.gov/issue/unfinished-nursing-care-missed-care-and-implicitly-rationed-care-state-science-review

May 08, 2024 - Review Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. Citation Text: Jones TL, Hamilton P, Murry N. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. Int J Nurs Stud. 2015;52(6):1121-1137. do…

The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet

psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation

October 20, 2021 - Commentary The perfect storm: exam of a medical error and factors contributing to its possible escalation. Citation Text: Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…

Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. | PSNet

psnet.ahrq.gov/issue/assessment-patient-medication-adherence-medical-record-accuracy-and-medication-blood

April 15, 2019 - Study Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. Citation Text: Sutherland JJ, Morrison RD, McNaughton CD, et al. Assessment of Patient Medication Adherence, Medical Record Ac…

Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. | PSNet

psnet.ahrq.gov/issue/designing-human-centered-ai-prevent-medication-dispensing-errors-focus-group-study

August 31, 2022 - Study Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. Citation Text: Zheng Y, Rowell B, Chen Q, et al. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. JMIR Form Res. 2023;7:e…

Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. | PSNet

psnet.ahrq.gov/issue/evaluation-drug-utilization-and-prescribing-errors-infants-primary-care-prescription-based

March 16, 2022 - Study Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. Citation Text: Khaja KAJA, Ansari TMA, Damanhori AHH, et al. Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. Healt…

Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management. | PSNet

psnet.ahrq.gov/issue/evaluation-electronic-health-record-implementation-pharmacist-interventions-related-oral

January 25, 2023 - Study Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management. Citation Text: Finn A, Bondarenka C, Edwards K, et al. Evaluation of electronic health record implementation on pharmacist interventions related to oral chemot…

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