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  1. Improving medication safety in primary care using electronic health records. | PSNet

    psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-health-records
    April 23, 2008 - Study Improving medication safety in primary care using electronic health records. Citation Text: Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J Patient Saf. 2010;6(4):238-43. Copy Citation Format: Google Scholar PubM…

  2. Effect of communication errors during calls to an antimicrobial stewardship program. | PSNet

    psnet.ahrq.gov/issue/effect-communication-errors-during-calls-antimicrobial-stewardship-program
    June 22, 2022 - Study Effect of communication errors during calls to an antimicrobial stewardship program. Citation Text: Linkin DR, Fishman NO, Landis R, et al. Effect of communication errors during calls to an antimicrobial stewardship program. Infect Control Hosp Epidemiol. 2007;28(12):1374-1381. …

  3. Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. | PSNet

    psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed
    September 01, 2021 - Study Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. Citation Text: Schulz CM, Burden A, Posner KL, et al. Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims Anal…

  4. A survey of factors affecting clinician acceptance of clinical decision support. | PSNet

    psnet.ahrq.gov/issue/survey-factors-affecting-clinician-acceptance-clinical-decision-support
    July 10, 2008 - Study A survey of factors affecting clinician acceptance of clinical decision support. Citation Text: Sittig DF, Krall MA, Dykstra RH, et al. A survey of factors affecting clinician acceptance of clinical decision support. BMC Med Inform Decis Mak. 2006;6(1). doi:10.1186/1472-6947-6-6.…

  5. Patient report on information given, consultation time and safety in primary care. | PSNet

    psnet.ahrq.gov/issue/patient-report-information-given-consultation-time-and-safety-primary-care
    October 11, 2017 - Study Patient report on information given, consultation time and safety in primary care. Citation Text: Mira JJ, Nebot C, Lorenzo S, et al. Patient report on information given, consultation time and safety in primary care. Qual Saf Health Care. 2010;19(5):e33. doi:10.1136/qshc.2009.037…

  6. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study
    April 15, 2009 - Study Mix of methods is needed to identify adverse events in general practice: a prospective observational study. Citation Text: Wetzels R, Wolters R, van Weel C, et al. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. BMC Fam P…

  7. Potentially unintended discontinuation of long-term medication use after elective surgical procedures. | PSNet

    psnet.ahrq.gov/issue/potentially-unintended-discontinuation-long-term-medication-use-after-elective-surgical
    October 16, 2012 - Study Potentially unintended discontinuation of long-term medication use after elective surgical procedures. Citation Text: Bell CM, Bajcar J, Bierman AS, et al. Potentially unintended discontinuation of long-term medication use after elective surgical procedures. Arch Intern Med. 2006…

  8. Patient safety informatics: meeting the challenges of emerging digital health. | PSNet

    psnet.ahrq.gov/issue/patient-safety-informatics-meeting-challenges-emerging-digital-health
    June 08, 2022 - Commentary Patient safety informatics: meeting the challenges of emerging digital health. Citation Text: McInerney C, Benn J, Dowding D, et al. Patient safety informatics: meeting the challenges of emerging digital health. Stud Health Technol Inform. 2022;290:364-368. doi:10.3233/shti220…

  9. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
    March 12, 2025 - Study Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. Citation Text: Thomas AN, McGrath BA. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK Na…

  10. Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. | PSNet

    psnet.ahrq.gov/issue/radiologist-initiated-double-reading-abdominal-ct-retrospective-analysis-clinical-importance
    September 01, 2016 - Study Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. Citation Text: Lauritzen PM, Andersen JG, Stokke MV, et al. Radiologist-initiated double reading of abdominal CT: retrospective analysis of the c…

  11. Applying HFMEA to prevent chemotherapy errors. | PSNet

    psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
    September 27, 2017 - Study Applying HFMEA to prevent chemotherapy errors. Citation Text: Cheng C-H, Chou C-J, Wang P-C, et al. Applying HFMEA to prevent chemotherapy errors. J Med Syst. 2012;36(3):1543-51. doi:10.1007/s10916-010-9616-7. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  12. Structural racism and the COVID-19 experience in the United States. | PSNet

    psnet.ahrq.gov/issue/structural-racism-and-covid-19-experience-united-states
    June 08, 2022 - Commentary Structural racism and the COVID-19 experience in the United States. Citation Text: Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031. Copy Citation F…

  13. Building a safety net. | PSNet

    psnet.ahrq.gov/issue/building-safety-net
    December 21, 2009 - Newspaper/Magazine Article Building a safety net. Citation Text: Rogoski RR. Building a safety net. By leveraging huge amounts of data and applying it to a wide array of projects and purposes, hospitals stay focused on patient safety and make headway. Health management technology. 2006…

  14. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. | PSNet

    psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era-80-hour-resident
    March 17, 2021 - Study Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. Citation Text: Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident work…

  15. From HRO to HERO: making health equity a core system capability. | PSNet

    psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-system-capability
    September 30, 2020 - Commentary From HRO to HERO: making health equity a core system capability. Citation Text: Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020. Copy Citation Format: …

  16. 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. | PSNet

    psnet.ahrq.gov/issue/sorry-i-meant-patients-left-side-impact-distraction-left-right-discrimination
    July 10, 2024 - Study 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. Citation Text: McKinley J, Dempster M, Gormley GJ. 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. Med Educ. 2015;49(4):427-35. doi:10.1111/me…

  17. Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration. | PSNet

    psnet.ahrq.gov/issue/implementation-standardized-postanesthesia-care-handoff-increases-information-transfer
    February 03, 2011 - Study Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration. Citation Text: Caruso TJ, Marquez JL, Wu DS, et al. Implementation of a standardized postanesthesia care handoff increases information transfer without i…

  18. Opportunities for diagnostic improvement among pediatric hospital readmissions. | PSNet

    psnet.ahrq.gov/issue/opportunities-diagnostic-improvement-among-pediatric-hospital-readmissions
    August 30, 2023 - Study Opportunities for diagnostic improvement among pediatric hospital readmissions. Citation Text: Congdon M, Rauch B, Carroll B, et al. Opportunities for diagnostic improvement among pediatric hospital readmissions. Hosp Pediatr. 2023;13(7):563-571. doi:10.1542/hpeds.2023-007157. Co…

  19. The need for closed-loop systems for management of abnormal test results. | PSNet

    psnet.ahrq.gov/issue/need-closed-loop-systems-management-abnormal-test-results
    May 20, 2019 - Study The need for closed-loop systems for management of abnormal test results. Citation Text: Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425. Copy Citation …

  20. Point-of-care cognitive support technology in emergency departments: a scoping review of technology acceptance by clinicians. | PSNet

    psnet.ahrq.gov/issue/point-care-cognitive-support-technology-emergency-departments-scoping-review-technology
    August 03, 2022 - Review Point-of-care cognitive support technology in emergency departments: a scoping review of technology acceptance by clinicians. Citation Text: Jun S, Plint AC, Campbell SM, et al. Point-of-care Cognitive Support Technology in Emergency Departments: A Scoping Review of Technology Acc…
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