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  1. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. | PSNet

    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…

  2. Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. | PSNet

    psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic
    August 24, 2022 - Study Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. Citation Text: Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report system data in a large academic hos…

  3. Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? | PSNet

    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…

  4. Dexter PR et al. 1998 "Effectiveness of computer-generated reminders for increasing discussions about advance directives and completion of advance directive forms - a randomized, controlled trial." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/dexter-pr-et-al-1998
    January 01, 1998 - Dexter PR et al. 1998 "Effectiveness of computer-generated reminders for increasing discussions about advance directives and completion of advance directive forms - a randomized, controlled trial." Reference Dexter PR, Wolinsky FD, Gramelspacher GP, et al. Effectiveness of computer-generated reminders…

  5. Improving emergency medicine clinician awareness of prehospital-administered medications. | PSNet

    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…

  6. Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom? | PSNet

    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…

  7. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. | PSNet

    psnet.ahrq.gov/issue/exploring-new-avenues-assess-sharp-end-patient-safety-analysis-nationally-aggregated-peer
    December 21, 2014 - Study Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. Citation Text: Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer revi…

  8. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. | PSNet

    psnet.ahrq.gov/issue/diagnostic-discordance-health-information-exchange-and-inter-hospital-transfer-outcomes
    May 19, 2021 - Study Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. Citation Text: Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. J Gen In…

  9. A machine learning-based clinical decision support system to identify prescriptions with a high risk of medication error. | PSNet

    psnet.ahrq.gov/issue/machine-learning-based-clinical-decision-support-system-identify-prescriptions-high-risk
    May 20, 2020 - Study Emerging Classic A machine learning-based clinical decision support system to identify prescriptions with a high risk of medication error. Citation Text: Corny J, Rajkumar A, Martin O, et al. A machine learning–based clinical decision support system to ide…

  10. Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). | PSNet

    psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care-uk-wide-audit
    August 03, 2022 - Study Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). Citation Text: Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary c…

  11. Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | PSNet

    psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
    December 09, 2020 - Study Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. Citation Text: Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33758/psn-pdf
    December 01, 2013 - previous sociotechnical approaches to understanding and improving follow-up of abnormal test results in EHRs

  13. CDS Connect Pilot Report: Preventive Health CDS Interventions (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/1061/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
    September 01, 2019 - b.well’s Platform Data on the b.well platform comes from a variety of sources, including one or more EHRs … RxNorm, the standard terminology used for clinical drugs, is commonly used in EHRs, pharmacy information … while introducing challenges: b.well receives end-user data from multiple sources, including claims, EHRs

  14. CDS Connect Pilot Report: Preventive Health CDS Interventions (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/1061/2019%20CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
    January 01, 2019 - b.well’s Platform Data on the b.well platform comes from a variety of sources, including one or more EHRs … RxNorm, the standard terminology used for clinical drugs, is commonly used in EHRs, pharmacy information … while introducing challenges: b.well receives end-user data from multiple sources, including claims, EHRs

  15. CDS Connect Pilot Report: Preventive Health CDS Interventions (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/1056/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
    September 01, 2019 - b.well’s Platform Data on the b.well platform comes from a variety of sources, including one or more EHRs … RxNorm, the standard terminology used for clinical drugs, is commonly used in EHRs, pharmacy information … while introducing challenges: b.well receives end-user data from multiple sources, including claims, EHRs

  16. CDS Connect Pilot Report: Preventive Health CDS Interventions (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/1066/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
    September 01, 2019 - b.well’s Platform Data on the b.well platform comes from a variety of sources, including one or more EHRs … RxNorm, the standard terminology used for clinical drugs, is commonly used in EHRs, pharmacy information … while introducing challenges: b.well receives end-user data from multiple sources, including claims, EHRs

  17. CDS Connect Pilot Report: Preventive Health CDS Interventions (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/1071/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
    September 01, 2019 - b.well’s Platform Data on the b.well platform comes from a variety of sources, including one or more EHRs … RxNorm, the standard terminology used for clinical drugs, is commonly used in EHRs, pharmacy information … while introducing challenges: b.well receives end-user data from multiple sources, including claims, EHRs

  18. CDS Connect Pilot Report: Preventive Health CDS Interventions (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/71/CDS%20Connect_Year%203%20Pilot%20Report_Final.pdf
    September 01, 2019 - b.well’s Platform Data on the b.well platform comes from a variety of sources, including one or more EHRs … RxNorm, the standard terminology used for clinical drugs, is commonly used in EHRs, pharmacy information … while introducing challenges: b.well receives end-user data from multiple sources, including claims, EHRs

  19. Final Report -- State and Regional Demonstration in Health Information Technology: Rhode Island (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-ri-final-report.pdf
    December 01, 2015 - providers depending on their use of health information technology such as electronic health records (EHRs … approaches 1,500; Federal American Recovery and Reinvestment Act (ARRA) incentives bolster interest in EHRs … solution; RIQI initiates planning for Limited EHR Aggregation Project to bolster data exchange with EHRs … aggregator(s) as part of the HIE system that gathers data from a myriad of individual sites operating EHRs

  20. Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging (pdf file)

    www.ahrq.gov/sites/default/files/2025-05/nielsen2-report.pdf
    January 01, 2025 - and the difficulty of capturing complete scan information  from different electronic health records (EHRs …  the need for an electronic data work center for the registry that may compile data from different EHRs … Currently, the CEDR Registry is now working with a variety of EHRs in hospitals of varying sizes.  … direct urologists when ordering CT scans and were eager to learn more about integration into their own EHRs
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