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psnet.ahrq.gov/node/39236/psn-pdf
May 25, 2010 - Do emergency physicians attribute drug-related
emergency department visits to medication-related
problems?
May 25, 2010
Hohl CM, Zed PJ, Brubacher JR, et al. Do emergency physicians attribute drug-related emergency
department visits to medication-related problems? Ann Emerg Med. 2010;55(6):493-502.e4.
doi:10.1016…
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psnet.ahrq.gov/node/866817/psn-pdf
January 01, 2025 - Longitudinal study of the manifestations and mechanisms
of technology-related prescribing errors in pediatrics.
September 25, 2024
Raban MZ, Fitzpatrick E, Merchant A, et al. Longitudinal study of the manifestations and mechanisms of
technology-related prescribing errors in pediatrics. J Am Med Inform Assoc. 2025;3…
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psnet.ahrq.gov/node/60326/psn-pdf
May 13, 2020 - Preventing diagnostic errors in ambulatory care: an
electronic notification tool for incomplete radiology tests.
May 13, 2020
Weingart SN, Yaghi O, Barnhart L, et al. Preventing diagnostic errors in ambulatory care: an electronic
notification tool for incomplete radiology tests. Appl Clin Inform. 2020;11(02). doi:1…
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psnet.ahrq.gov/node/35050/psn-pdf
May 27, 2011 - High rates of adverse drug events in a highly
computerized hospital.
May 27, 2011
Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized
hospital. Arch Intern Med. 2005;165(10):1111-6.
https://psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospita…
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psnet.ahrq.gov/node/837761/psn-pdf
August 03, 2022 - The effectiveness of improving healthcare teams' human
factor skills using simulation-based training: a systematic
review.
August 3, 2022
Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’
human factor skills using simulation-based training: a systematic review. Adv …
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psnet.ahrq.gov/node/45701/psn-pdf
December 21, 2016 - Clinical decision support for drug related events: moving
towards better prevention.
December 21, 2016
Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards
better prevention. World J Crit Care Med. 2016;5(4):204-211.
https://psnet.ahrq.gov/issue/clinical-deci…
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psnet.ahrq.gov/node/74725/psn-pdf
February 02, 2022 - A retrospective audit of postoperative days alive and out
of hospital, including before and after implementation of
the WHO surgical safety checklist.
February 2, 2022
Moore MR, Mitchell SJ, Weller JM, et al. A retrospective audit of postoperative days alive and out of
hospital, including before and after implemen…
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psnet.ahrq.gov/node/50836/psn-pdf
January 29, 2020 - Developing a cancer-specific trigger tool to identify
treatment-related adverse events using administrative
data.
January 29, 2020
Weingart SN, Nelson J, Koethe B, et al. Developing a cancer?specific trigger tool to identify treatment?
related adverse events using administrative data. Cancer Med. 2020;9(4):1462-14…
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psnet.ahrq.gov/node/841151/psn-pdf
December 07, 2022 - Discontinuation of outpatient medications: implications
for electronic messaging to pharmacies using CancelRx.
December 7, 2022
Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic
messaging to pharmacies using CancelRx. J Am Med Inform Assoc. 2022;29(12):2101-21…
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psnet.ahrq.gov/node/47481/psn-pdf
January 23, 2019 - Implementation of a second victim program in the
neonatal intensive care unit: an interim analysis of
employee satisfaction.
January 23, 2019
Merandi J, Winning AM, Liao NN, et al. Implementation of a second victim program in the neonatal
intensive care unit: An interim analysis of employee satisfaction. J Patient…
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psnet.ahrq.gov/node/866559/psn-pdf
August 21, 2024 - Exploring the impact of pharmacist-supported medication
reviews in dementia care: experiences of general
practitioners and nurses.
August 21, 2024
Carlqvist C, Ekstedt M, Lehnbom EC. Exploring the impact of pharmacist-supported medication reviews in
dementia care: experiences of general practitioners and nurses. B…
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psnet.ahrq.gov/node/854991/psn-pdf
November 01, 2023 - Assessing biases in medical decisions via clinician and
AI chatbot responses to patient vignettes.
November 1, 2023
Kim J, Cai ZR, Chen ML, et al. Assessing biases in medical decisions via clinician and AI chatbot
responses to patient vignettes. JAMA Netw Open. 2023;6(10):e2338050.
doi:10.1001/jamanetworkopen.2023…
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psnet.ahrq.gov/node/47849/psn-pdf
August 14, 2019 - The effect of external inspections on safety in acute
hospitals in the National Health Service in England: a
controlled interrupted time-series analysis.
August 14, 2019
Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the
National Health Service in England: A…
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psnet.ahrq.gov/node/47022/psn-pdf
July 19, 2018 - Thoughtless design of the electronic health record drives
overuse, but purposeful design can nudge improved
patient care.
July 19, 2018
Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purposeful
design can nudge improved patient care. BMJ Qual Saf. 2018;27(8):583-586. d…
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psnet.ahrq.gov/node/841148/psn-pdf
December 07, 2022 - How does workplace violence-reporting culture affect
workplace violence, nurse burnout, and patient safety?
December 7, 2022
Kim S, Lynn MR, Baernholdt MB, et al. How does workplace violence-reporting culture affect Workplace
violence, nurse burnout, and patient safety? J Nurs Care Qual. 2022;38(1):11-18.
doi:10.1…
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psnet.ahrq.gov/node/37091/psn-pdf
March 02, 2016 - The tension between needing to improve care and
knowing how to do it.
March 2, 2016
Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how
to do it. N Engl J Med. 2007;357(6):608-13.
https://psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it
…
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psnet.ahrq.gov/node/41054/psn-pdf
January 27, 2012 - The impact of nontechnical skills on technical
performance in surgery: a systematic review.
January 27, 2012
Hull L, Arora S, Aggarwal R, et al. The impact of nontechnical skills on technical performance in surgery: a
systematic review. J Am Coll Surg. 2012;214(2):214-230. doi:10.1016/j.jamcollsurg.2011.10.016.
ht…
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psnet.ahrq.gov/node/40921/psn-pdf
November 16, 2011 - Adverse Events in Hospitals: Medicare's Responses to
Alleged Serious Events.
November 16, 2011
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; October 2011. Report No. OEI-01-08-00590.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-response…
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psnet.ahrq.gov/node/36455/psn-pdf
December 22, 2010 - Changing the work environment in ICUs to achieve
patient-focused care: the time has come.
December 22, 2010
McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time
has come. Chest. 2006;130(5):1571-8.
https://psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-…
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psnet.ahrq.gov/node/60017/psn-pdf
March 04, 2020 - Changes in cancer detection and false-positive recall in
mammography using artificial intelligence: a
retrospective, multireader study.
March 4, 2020
Kim H-E, Kim HH, Han B-K, et al. Changes in cancer detection and false-positive recall in mammography
using artificial intelligence: a retrospective, multireader stu…