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  1. Medication discrepancies in integrated electronic health records. | PSNet

    psnet.ahrq.gov/issue/medication-discrepancies-integrated-electronic-health-records
    July 21, 2021 - Study Medication discrepancies in integrated electronic health records. Citation Text: Linsky A, Simon SR. Medication discrepancies in integrated electronic health records. BMJ Qual Saf. 2013;22(2):103-9. doi:10.1136/bmjqs-2012-001301. Copy Citation Format: DOI Google Sch…

  2. LOINC Maintenance (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/FL25LOINCMaintenance.pdf
    September 22, 2010 - LOINC Maintenance LOINC® Maintenance Checklist of Database changes / When to Re-Evaluate LOINC® mapping Share this checklist with the site staff holding security privileges to make LIS database changes. This particular staff doesn’t necessarily need to know how to map to LOINC®, but is now informed to route t…

  3. Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. | PSNet

    psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-hospitals-and-operating-room-personnel
    February 10, 2015 - Study Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Citation Text: Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thoma…

  4. Pediatric rapid response teams in the academic medical center. | PSNet

    psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-medical-center
    November 21, 2016 - Study Pediatric rapid response teams in the academic medical center. Citation Text: Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center. Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010. Copy Citation Format: …

  5. Potential medication dosing errors in outpatient pediatrics. | PSNet

    psnet.ahrq.gov/issue/potential-medication-dosing-errors-outpatient-pediatrics
    July 29, 2020 - Study Potential medication dosing errors in outpatient pediatrics. Citation Text: McPhillips HA, Stille CJ, Smith DH, et al. Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  6. Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. | PSNet

    psnet.ahrq.gov/issue/investigating-prevalence-and-causes-prescribing-errors-general-practice-practice-study
    May 24, 2015 - Book/Report Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. Citation Text: Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. Avery T, Barber N, Ghaleb M, et al. London, UK: Gener…

  7. Risk factors of missed colorectal lesions after colonoscopy. | PSNet

    psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-after-colonoscopy
    March 25, 2020 - Study Risk factors of missed colorectal lesions after colonoscopy. Citation Text: Lee J, Park SW, Kim YS, et al. Risk factors of missed colorectal lesions after colonoscopy. Medicine (Baltimore). 2017;96(27):e7468. doi:10.1097/MD.0000000000007468. Copy Citation Format: DOI …

  8. Tablet-splitting: a common yet not so innocent practice. | PSNet

    psnet.ahrq.gov/issue/tablet-splitting-common-yet-not-so-innocent-practice
    August 31, 2022 - Study Tablet-splitting: a common yet not so innocent practice. Citation Text: Verrue C, Mehuys E, Boussery K, et al. Tablet-splitting: a common yet not so innocent practice. J Adv Nurs. 2011;67(1):26-32. doi:10.1111/j.1365-2648.2010.05477.x. Copy Citation Format: DOI Goog…

  9. Possible net harms of breast cancer screening: updated modelling of Forrest report. | PSNet

    psnet.ahrq.gov/issue/possible-net-harms-breast-cancer-screening-updated-modelling-forrest-report
    November 17, 2021 - Study Possible net harms of breast cancer screening: updated modelling of Forrest report. Citation Text: Raftery J, Chorozoglou M. Possible net harms of breast cancer screening: updated modelling of Forrest report. BMJ. 2011;343(dec08 2):d7627. doi:10.1136/bmj.d7627. Copy Citation …

  10. Decreasing errors in pediatric continuous intravenous infusions. | PSNet

    psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
    January 06, 2017 - Study Decreasing errors in pediatric continuous intravenous infusions. Citation Text: Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30. Copy Citation Format: Google Scholar PubMed …

  11. Delayed or missed diagnosis of cervical spine injuries. | PSNet

    psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
    May 05, 2010 - Study Delayed or missed diagnosis of cervical spine injuries. Citation Text: Platzer P, Hauswirth N, Jaindl M, et al. Delayed or Missed Diagnosis of Cervical Spine Injuries. The Journal of Trauma: Injury, Infection, and Critical Care. 2006;61(1). doi:10.1097/01.ta.0000196673.58429.2a. …

  12. Academic detailing to improve laboratory testing among outpatient medication users. | PSNet

    psnet.ahrq.gov/issue/academic-detailing-improve-laboratory-testing-among-outpatient-medication-users
    September 24, 2010 - Study Academic detailing to improve laboratory testing among outpatient medication users. Citation Text: Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient medication users. Med Care. 2007;45(10):966-72. Copy Citation Format: …

  13. New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues in radiation oncology. | PSNet

    psnet.ahrq.gov/issue/new-technologies-radiation-therapy-ensuring-patient-safety-radiation-safety-and-regulatory
    November 01, 2023 - Study New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues in radiation oncology. Citation Text: Amols HI. New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues in radiation oncology. Hea…

  14. RecruitmentFlyer_FAQs_VA (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-flyer-va.pdf
    June 02, 2025 - RecruitmentFlyer_FAQs_VA Frequently Asked Questions 1. Why should my practice participate in the Heart of Virginia Healthcare (HVH) initiative? Your practice will receive personalized coaching on optimizing your practice model and culture; helping you improve cardiovascular care for your patients. Improving func…

  15. Technology, governance and patient safety: systems issues in technology and patient safety. | PSNet

    psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety
    September 14, 2016 - Review Technology, governance and patient safety: systems issues in technology and patient safety. Citation Text: Balka E, Doyle-Waters M, Lecznarowicz D, et al. Technology, governance and patient safety: systems issues in technology and patient safety. Int J Med Inform. 2007;76 Suppl …

  16. Is health care getting safer? | PSNet

    psnet.ahrq.gov/issue/health-care-getting-safer
    December 14, 2016 - Commentary Is health care getting safer? Citation Text: Vincent CA, Aylin PP, Franklin BD, et al. Is health care getting safer? BMJ. 2008;337:a2426. doi:10.1136/bmj.a2426. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  17. Safe and equitable pediatric clinical use of AI. | PSNet

    psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai
    February 26, 2025 - Commentary Safe and equitable pediatric clinical use of AI. Citation Text: Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr. 2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897. Copy Citation Format: DOI Google Scholar …

  18. Beyond crisis resource management: new frontiers in human factors training for acute care medicine. | PSNet

    psnet.ahrq.gov/issue/beyond-crisis-resource-management-new-frontiers-human-factors-training-acute-care-medicine
    September 01, 2021 - Review Beyond crisis resource management: new frontiers in human factors training for acute care medicine. Citation Text: Petrosoniak A, Hicks CM. Beyond crisis resource management: new frontiers in human factors training for acute care medicine. Curr Opin Anaesthesiol. 2013;26(6):699-…

  19. Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? | PSNet

    psnet.ahrq.gov/issue/full-disclosure-adverse-events-patients-and-families-icu-wouldnt-you-want-know
    May 26, 2021 - Commentary Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? Citation Text: Doucette E, Fazio S, LaSalle V, et al. Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? Dynamics. 2010;21(3):16-9. …

  20. Oversedation of a patient with obstructive sleep apnea prior to imaging. | PSNet

    psnet.ahrq.gov/issue/oversedation-patient-obstructive-sleep-apnea-prior-imaging
    September 02, 2020 - Commentary Oversedation of a patient with obstructive sleep apnea prior to imaging. Citation Text: Blay E, Barnard C, Bilimoria KY. Oversedation of a Patient With Obstructive Sleep Apnea Prior to Imaging. JAMA. 2018;319(5):495-496. doi:10.1001/jama.2017.22004. Copy Citation Format:…
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