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  1. psnet.ahrq.gov/issue/improving-communication-and-response-clinical-deterioration-increase-patient-safety-intensive
    December 09, 2020 - Study Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. Citation Text: Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase patient safety in the intensive care uni…
  2. psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning
    December 15, 2021 - Study Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Citation Text: Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…
  3. psnet.ahrq.gov/issue/detecting-patient-deterioration-using-artificial-intelligence-rapid-response-system
    October 21, 2020 - Study Emerging Classic Detecting patient deterioration using artificial intelligence in a rapid response system. Citation Text: Cho K-J, Kwon O, Kwon J-myoung, et al. Detecting patient deterioration using artificial intelligence in a rapid response system. Crit …
  4. psnet.ahrq.gov/issue/family-centered-rounds-checklist-family-engagement-and-patient-safety-randomized-trial
    December 22, 2018 - Study A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. Citation Text: Cox E, Jacobsohn GC, Rajamanickam VP, et al. A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial. Pediatrics. 2017;139(5). doi:10.…
  5. psnet.ahrq.gov/issue/deprescribing-community-dwelling-older-adults-systematic-review-and-meta-analysis
    May 05, 2021 - Review Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. Citation Text: Bloomfield HE, Greer N, Linsky AM, et al. Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. J Gen Intern Med. 2020;35(11):3323-3332. doi…
  6. digital.ahrq.gov/medical-condition/coronary-artery-disease-cad
    January 01, 2024 - Coronary Artery Disease (CAD) Rural EMS STEMI patients - why the delay to PCI? Citation Stopyra JP, Snavely AC, Ashburn NP, Supples MW, Brown WM, Miller CD, Mahler SA. Rural EMS STEMI patients - why the delay to PCI? Prehosp Emerg Care. 2024 Jan 18:1-8. doi: 10.1080/10903127.2…
  7. psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps
    June 22, 2022 - Study Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. Citation Text: Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;3…
  8. psnet.ahrq.gov/issue/impact-interoperability-smart-infusion-pumps-and-electronic-medical-record-critical-care
    August 25, 2021 - Study Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. Citation Text: Joseph R, Lee SW, Anderson SV, et al. Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. Am J Health-System Pharm.…
  9. psnet.ahrq.gov/issue/patient-safety-threats-information-management-using-health-information-technology-ambulatory
    April 01, 2020 - Study Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. Citation Text: Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using health information tech…
  10. psnet.ahrq.gov/issue/posttraumatic-growth-and-second-victim-distress-resulting-medical-mishaps-among-physicians
    January 12, 2022 - Study Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. Citation Text: Pado K, Fraus K, Mulhem E, et al. Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. J Clin Psychol Me…
  11. psnet.ahrq.gov/issue/improving-accuracy-handoff-implementing-electronic-health-record-generated-tool-improvement
    January 01, 2022 - Study Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit. Citation Text: Koo JK, Moyer L, Castello MA, et al. Improving accuracy of handoff by implementing an electronic health recor…
  12. psnet.ahrq.gov/issue/unlocking-potential-free-text-electronic-health-records-large-language-models-llm-enhancing
    October 01, 2014 - Commentary Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. Citation Text: Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records w…
  13. psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
    October 19, 2022 - Study Improving emergency medicine clinician awareness of prehospital-administered medications. Citation Text: Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-administered medications. Prehosp Emerg Care. 2024;28(3):506-512. doi:10.1080/1…
  14. psnet.ahrq.gov/issue/hospital-staff-reports-coworker-positive-and-unprofessional-behaviours-across-eight-hospitals
    May 01, 2024 - Study Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom? Citation Text: Urwin R, Pavithra A, Mcmullan RD, et al. Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: w…
  15. psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
    April 04, 2011 - Study Classic Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? Citation Text: Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical record: do any safet…
  16. psnet.ahrq.gov/issue/development-and-piloting-ambulatory-electronic-health-record-evaluation-tool-lessons-learned
    July 29, 2020 - Study The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned. Citation Text: Co Z, Holmgren AJ, Classen DC, et al. The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned. Appl Clin Inform.…
  17. psnet.ahrq.gov/issue/rising-drug-allergy-alert-overrides-electronic-health-records-observational-retrospective
    July 06, 2022 - Study Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience. Citation Text: Topaz M, Seger DL, Slight SP, et al. Rising drug allergy alert overrides in electronic health records: an observational retrospective stu…
  18. psnet.ahrq.gov/issue/cranky-comments-detecting-clinical-decision-support-malfunctions-through-free-text-override
    April 29, 2018 - Study Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. Citation Text: Aaron S, McEvoy DS, Ray S, et al. Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. J Am Med Inform Assoc. 2019;2…
  19. psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory
    August 03, 2022 - Study Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center Citation Text: Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory p…
  20. psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events
    October 21, 2020 - Study Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Citation Text: Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…