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psnet.ahrq.gov/node/45577/psn-pdf
February 08, 2017 - EHR-related medication errors in two ICUs.
February 8, 2017
Carayon P, Du S, Brown RL, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag.
2017;36(3):6-15. doi:10.1002/jhrm.21259.
https://psnet.ahrq.gov/issue/ehr-related-medication-errors-two-icus
Despite the demonstrated success of technology …
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psnet.ahrq.gov/node/842766/psn-pdf
January 18, 2023 - Effect of prescriber notifications of patient’s fatal
overdose on opioid prescribing at 4 to 12 months: a
randomized clinical trial.
January 18, 2023
Doctor JN, Stewart E, Lev R, et al. Effect of prescriber notifications of patient’s fatal overdose on opioid
prescribing at 4 to 12 months: a randomized clinical tri…
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psnet.ahrq.gov/node/845304/psn-pdf
March 01, 2023 - For children admitted to hospital, what interventions
improve medication safety on ward rounds?
March 1, 2023
King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication
safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588.
doi:10.1136/archdis…
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psnet.ahrq.gov/node/73443/psn-pdf
June 30, 2021 - Impact of technological and departmental changes on
incident rates in radiation oncology over a seventeen-year
period.
June 30, 2021
Le Cornu E, Murray S, Brown EJ, et al. Impact of technological and departmental changes on incident rates
in radiation oncology over a seventeen?year period. J Med Radiat Sci. 2021;6…
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psnet.ahrq.gov/node/74700/psn-pdf
January 26, 2022 - Differential diagnosis checklists reduce diagnostic error
differentially: a randomised experiment.
January 26, 2022
Kämmer JE, Schauber SK, Hautz SC, et al. Differential diagnosis checklists reduce diagnostic error
differentially: a randomised experiment. Med Educ. 2021;55(10):1172-1182. doi:10.1111/medu.14596.
ht…
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psnet.ahrq.gov/node/72798/psn-pdf
March 03, 2021 - Perceptual gaps between clinicians and technologists on
health information technology-related errors in hospitals:
observational study.
March 3, 2021
Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health
information technology-related errors in hospitals: observationa…
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psnet.ahrq.gov/node/46202/psn-pdf
January 01, 2021 - Assessment of automating safety surveillance from
electronic health records: analysis for the quality and
safety review system.
September 20, 2017
Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic
Health Records: Analysis for the Quality and Safety Review System. J Pa…
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psnet.ahrq.gov/node/47016/psn-pdf
June 25, 2018 - U.S. Food and Drug Administration Precertification pilot
program for digital health software: weighing the benefits
and risks.
June 25, 2018
Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for Digital Health
Software: Weighing the Benefits and Risks. Ann Intern Med. 2018;168…
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psnet.ahrq.gov/node/41814/psn-pdf
March 04, 2015 - Autopsy as a quality control measure for radiology, and
vice versa.
March 4, 2015
Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice
versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386.
https://psnet.ahrq.gov/issue/autopsy-quality-control-mea…
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psnet.ahrq.gov/node/836831/psn-pdf
March 30, 2022 - A qualitative analysis of the impact of electronic health
records (EHR) on healthcare quality and safety: clinicians'
lived experiences.
March 30, 2022
Upadhyay S, Hu H-fen. . A Qualitative analysis of the impact of electronic health records (EHR) on
healthcare quality and safety: clinicians' lived experiences. He…
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psnet.ahrq.gov/node/45529/psn-pdf
October 11, 2017 - Increasing compliance with the World Health Organization
surgical safety checklist—a regional health system's
experience.
October 11, 2017
Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical
Safety Checklist-A regional health system's experience. Am J Surg. 20…
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psnet.ahrq.gov/node/837345/psn-pdf
June 08, 2022 - A checklist to address implicit bias in healthcare settings
during the COVID-19 pandemic: The PLACE Strategy.
June 8, 2022
Galiatsatos P, O'Conor KJ, Wilson C, et al. A checklist to address implicit bias in healthcare settings during
the COVID-19 pandemic: The PLACE Strategy. Health Secur. 2022;20(3):261-263.
doi:…
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - that, although EMRs carry a tidal wave of expectations, to date they have left only small puddles in doctors
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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - you want a routine MRI, your
patient is going to be up all night some night that week, and I think doctors
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psnet.ahrq.gov/node/40254/psn-pdf
September 19, 2016 - Medical error: the second victim.
September 19, 2016
Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ.
2000;320(7237):726-727.
https://psnet.ahrq.gov/issue/medical-error-second-victim
This editorial coined the term "second victim" to describe clinicians who commit error…
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psnet.ahrq.gov/node/45417/psn-pdf
July 01, 2017 - A literature review of the training offered to qualified
prescribers to use electronic prescribing systems: why is
it so important?
July 1, 2017
Brown CL, Reygate K, Slee A, et al. A literature review of the training offered to qualified prescribers to use
electronic prescribing systems: why is it so important? In…
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psnet.ahrq.gov/node/45240/psn-pdf
June 15, 2016 - Is technology the best medicine? Three practice
theoretical perspectives on medication administration
technologies in nursing.
June 15, 2016
Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical
perspectives on medication administration technologies in nursing. Nurs Inq. 2…
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psnet.ahrq.gov/node/860719/psn-pdf
January 17, 2024 - Diagnostic accuracy of a large language model in
pediatric case studies.
January 17, 2024
Barile J, Margolis A, Cason G, et al. Diagnostic accuracy of a large language model in pediatric case
studies. JAMA Pediatr. 2024;178(3):313-315. doi:10.1001/jamapediatrics.2023.5750.
https://psnet.ahrq.gov/issue/diagnostic-a…
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psnet.ahrq.gov/node/47886/psn-pdf
April 24, 2019 - Clinical impact of intraoperative electronic health record
downtime on surgical patients.
April 24, 2019
Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record
downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933. doi:10.1093/jamia/ocz029.
https:…
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psnet.ahrq.gov/node/73190/psn-pdf
April 28, 2021 - Gender biases in estimation of others' pain.
April 28, 2021
Zhang L, Losin EAR, Ashar YK, et al. Gender biases in estimation of others' pain. J Pain. 2021;22(9):1048-
1059. doi:10.1016/j.jpain.2021.03.001.
https://psnet.ahrq.gov/issue/gender-biases-estimation-others-pain
Unconscious assumptions and implicit biases…