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psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
June 14, 2023 - Study
Analysis of critical incident reports using natural language processing.
Citation Text:
Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health Technol Inform. 2024;313:1-6. doi:10.3233/shti240002.
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psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands
June 16, 2021 - Commentary
Patient safety and the problem of many hands.
Citation Text:
Dixon-Woods M, Pronovost P. Patient safety and the problem of many hands. BMJ Qual Saf. 2016;25(7):485-488. doi:10.1136/bmjqs-2016-005232.
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psnet.ahrq.gov/issue/encouraging-patients-speak-about-problems-cancer-care
March 11, 2013 - Study
Encouraging patients to speak up about problems in cancer care.
Citation Text:
Mazor KM, Kamineni A, Roblin DW, et al. Encouraging patients to speak up about problems in cancer care. J Patient Saf. 2021;17(8):e1278-e1284. doi:10.1097/pts.0000000000000510.
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psnet.ahrq.gov/issue/espen-guideline-hospital-nutrition
February 17, 2015 - Organizational Policy/Guidelines
ESPEN guideline on hospital nutrition.
Citation Text:
Thibault R, Abbasoglu O, Ioannou E, et al. ESPEN guideline on hospital nutrition. Clin Nutr. 2021;40(12):5684-5709. doi:10.1016/j.clnu.2021.09.039.
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DOI Google Schola…
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psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
November 29, 2023 - Book/Report
Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia.
Citation Text:
Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …
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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - Despite advances in electronic health record (EHR) capabilities, EHR interoperability to allow sharing … to assist with information exchange (i.e., templates, electronic health information exchange, shared electronic … health records); what, if any, communication guidelines exist (i.e., timeliness of communication prior
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psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - A Fumbled Handoff to Inpatient Rehab
September 1, 2015
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
The Case
An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - nurses face special challenges related to being unfamiliar with the facility and other things, like the electronic … health record, medication storage, supplies, or the code cart. … However, care settings with high agency nurse use tend to have lower ratings for work environment. 8 Electronic … health records are another work environment factor that may mitigate patient safety risks. … It is possible that standardizing parts of the electronic health record across systems could reduce access
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psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
March 30, 2016 - safety standards contributing to this error, there are further considerations related to the use of the electronic … health record (EHR) for chemotherapy ordering.
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psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
April 24, 2024 - However, care settings with high agency nurse use tend to have lower ratings for work environment. 8 Electronic … health records are another work environment factor that may mitigate patient safety risks. … It is possible that standardizing parts of the electronic health record across systems could reduce access … nurses face special challenges related to being unfamiliar with the facility and other things, like the electronic … health record, medication storage, supplies, or the code cart.
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psnet.ahrq.gov/curated-article-libraries
March 14, 2025 - Coding and Radiofrequency ID Tagging
(2)
Clinical Information Systems
(3)
Electronic … Health Records
(2)
Computerized Adverse Event Detection
(3)
Computerized
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psnet.ahrq.gov/issue/program-provide-clinicians-feedback-their-diagnostic-performance-learning-health-system
October 12, 2022 - Study
A program to provide clinicians with feedback on their diagnostic performance in a learning health system.
Citation Text:
Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J …
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psnet.ahrq.gov/issue/factors-affect-opioid-quality-improvement-initiatives-primary-care-insights-ten-health
November 03, 2021 - Study
Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems.
Citation Text:
Childs E, Tano CA, Mikosz CA, et al. Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. Jt Comm J …
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psnet.ahrq.gov/node/33636/psn-pdf
July 01, 2006 - As
organizations move toward electronic medical records and computerized provider order entry, the safety
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psnet.ahrq.gov/issue/patient-safety-and-sense-security-when-telemonitoring-chronic-conditions-home-views-patients
August 21, 2024 - Study
Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study.
Citation Text:
Ekstedt M, Nordheim ES, Hellström A, et al. Patient safety and sense of security when telemonitoring chronic…
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - The electronic medical record has given patients at least the possibility
of ubiquitous access to their
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psnet.ahrq.gov/web-mm/returning-home-safely
December 22, 2018 - One essential tool is an electronic health record (EHR) template that (i) embeds transition planning … are more likely to be reliable providers of high-quality transitional care when they are armed with electronic … health record tools and other organizational supports.
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psnet.ahrq.gov/issue/medication-errors-pediatric-liquid-acetaminophen-after-standardization-concentration-and
May 19, 2021 - Study
Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements.
Citation Text:
Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After Standardization of Concentration and Packagi…
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psnet.ahrq.gov/issue/overcoming-barriers-implementation-pharmacy-bar-code-scanning-system-medication-dispensing
October 25, 2010 - Commentary
Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study.
Citation Text:
Nanji KC, Cina J, Patel N, et al. Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensi…
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psnet.ahrq.gov/issue/nurses-clinical-reasoning-practices-support-safe-medication-administration-integrative-review
October 19, 2022 - Review
Nurses' clinical reasoning practices that support safe medication administration: an integrative review of the literature.
Citation Text:
Rohde E, Domm E. Nurses' clinical reasoning practices that support safe medication administration: An integrative review of the literature. J C…