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psnet.ahrq.gov/node/38365/psn-pdf
July 24, 2009 - Electronic results management in pediatric ambulatory
care: qualitative assessment.
July 24, 2009
Ferris T, Johnson SA, Co JPT, et al. Electronic results management in pediatric ambulatory care:
qualitative assessment. Pediatrics. 2009;123 Suppl 2:S85-91. doi:10.1542/peds.2008-1755G.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/41390/psn-pdf
January 31, 2013 - A systematic review of patient tracking systems for use
in the pediatric emergency department.
January 31, 2013
Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric
emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jemermed.2012.02.017.
https://psnet.a…
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psnet.ahrq.gov/node/39680/psn-pdf
July 14, 2010 - Safety of using a computerized rounding and sign-out
system to reduce resident duty hours.
July 14, 2010
Van Eaton EG, McDonough K, Lober WB, et al. Safety of Using a Computerized Rounding and Sign-Out
System to Reduce Resident Duty Hours. Academic Medicine. 2010;85(7).
doi:10.1097/acm.0b013e3181e0116f.
https://p…
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psnet.ahrq.gov/node/45832/psn-pdf
April 05, 2017 - Best Practices in Patient Safety: 2nd Global Ministerial
Summit on Patient Safety.
April 5, 2017
Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017.
https://psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety
This report summarizes a wide…
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psnet.ahrq.gov/node/45987/psn-pdf
April 26, 2017 - Using simulation to prepare nursing staff for the move to
a new building.
April 26, 2017
Knippa S, Senecal P-A. Using Simulation to Prepare Nursing Staff for the Move to a New Building. J
Nurses Prof Dev. 2017;33(2):E1-E5. doi:10.1097/NND.0000000000000329.
https://psnet.ahrq.gov/issue/using-simulation-prepare-nurs…
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psnet.ahrq.gov/node/34731/psn-pdf
July 08, 2016 - Crossing the Quality Chasm: A New Health System for the
21st Century.
July 8, 2016
Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: National
Academies Press; 2001. ISBN: 9780309072809.
https://psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
Following…
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psnet.ahrq.gov/node/863216/psn-pdf
February 28, 2024 - Association between sleep health and rates of self-
reported medical errors in intern physicians: an ancillary
analysis of the Intern Health Study.
February 28, 2024
Hassinger AB, Velez C, Wang J, et al. Association between sleep health and rates of self-reported medical
errors in intern physicians: an ancillary a…
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psnet.ahrq.gov/node/867233/psn-pdf
December 04, 2024 - Evaluation of a natural language processing approach to
identify diagnostic errors and analysis of safety learning
system case review data: retrospective cohort study.
December 4, 2024
Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identify
diagnostic errors and analys…
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psnet.ahrq.gov/node/867013/psn-pdf
October 23, 2024 - Reducing automated dispensing cabinet overrides in the
peri-anesthesia care unit: a quality improvement project.
October 23, 2024
Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-
anesthesia care unit: a quality improvement project. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.257_slideshow.ppt
December 01, 2011 - Spotlight Case July 2008
Spotlight Case
Order Interrupted by Text: Multitasking Mishap
*
*
Source and Credits
This presentation is based on the December 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: John Halamka, MD, MS, Chief Informa…
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psnet.ahrq.gov/node/47730/psn-pdf
January 23, 2019 - Assessment of a simulated case-based measurement of
physician diagnostic performance.
January 23, 2019
Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of
Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006.
doi:10.1001/jamanetworkopen.2018.7006.
https://psn…
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psnet.ahrq.gov/node/40654/psn-pdf
January 01, 2012 - The computerized rounding report: implementation of a
model system to support transitions of care.
December 15, 2011
Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model
system to support transitions of care. J Surg Res. 2012;172(1):11-7. doi:10.1016/j.jss.2011.04.015.
…
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psnet.ahrq.gov/node/39356/psn-pdf
April 08, 2011 - Team training in the neonatal resuscitation program for
interns: teamwork and quality of resuscitations.
April 8, 2011
Thomas EJ, Williams AL, Reichman EF, et al. Team training in the neonatal resuscitation program for
interns: teamwork and quality of resuscitations. Pediatrics. 2010;125(3):539-546. doi:10.1542/ped…
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psnet.ahrq.gov/node/38735/psn-pdf
June 24, 2009 - Reflection and analysis of how pharmacy students learn
to communicate about medication errors.
June 24, 2009
Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about
medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/10410230902889399.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/45082/psn-pdf
April 27, 2016 - Surgeons must tell patients of double-booked surgeries,
new guidelines say.
April 27, 2016
Abelson J, Staltzman J. Boston Globe. April 13, 2016.
https://psnet.ahrq.gov/issue/surgeons-must-tell-patients-double-booked-surgeries-new-guidelines-say
Although scheduling overlapping surgeries may improve operating room e…
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psnet.ahrq.gov/node/44654/psn-pdf
November 11, 2015 - Reduction in chemotherapy order errors with
computerised physician order entry and clinical decision
support systems.
November 11, 2015
Reduction in chemotherapy order errors with computerised physician order entry and clinical decision
support systems. HIM J. 2015;44.
https://psnet.ahrq.gov/issue/reduction-chemo…
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psnet.ahrq.gov/node/47009/psn-pdf
December 21, 2018 - Perceptions of rounding checklists in the intensive care
unit: a qualitative study.
December 21, 2018
Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a
qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/60658/psn-pdf
July 08, 2020 - Impact of providing patients access to electronic health
records on quality and safety of care: a systematic review
and meta-analysis.
July 8, 2020
Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic health records on
quality and safety of care: a systematic review and meta-anal…
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psnet.ahrq.gov/node/73244/psn-pdf
May 12, 2021 - Ethical considerations and patient safety concerns for
cancelling non-urgent surgeries during the COVID-19
pandemic: a review.
May 12, 2021
Brown NJ, Wilson B, Szabadi S, et al. Ethical considerations and patient safety concerns for cancelling
non-urgent surgeries during the COVID-19 pandemic: a review. Patient Sa…
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psnet.ahrq.gov/node/60556/psn-pdf
June 03, 2020 - The impact of technology on prescribing errors in
pediatric intensive care: a before and after study.
June 3, 2020
Howlett MM, Butler E, Lavelle KM, et al. The impact of technology on prescribing errors in pediatric
intensive care: a before and after study. Appl Clin Inform. 2020;11(02). doi:10.1055/s-0040-1709508.…