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psnet.ahrq.gov/issue/enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record
March 04, 2011 - Commentary
Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.
Citation Text:
Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electro…
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psnet.ahrq.gov/issue/indication-specific-opioid-prescribing-us-patients-medicaid-or-private-insurance-2017
August 02, 2017 - Study
Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017
Citation Text:
Mikosz CA, Zhang K, Haegerich TM, et al. Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017. JAMA Netw Open. 2020;3(5). doi:10…
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psnet.ahrq.gov/issue/house-overnight-physician-staffing-cross-sectional-survey-canadian-adult-and-pediatric
December 04, 2015 - Study
In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units.
Citation Text:
Parshuram CS, Kirpalani H, Mehta S, et al. In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intens…
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psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-pediatric-indicators-quality-metric-surgery-children
May 01, 2015 - Study
Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes?
Citation Text:
Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as a quality metric …
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psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
August 24, 2022 - Review
U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned.
Citation Text:
Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…
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psnet.ahrq.gov/issue/are-surgeons-and-anesthesiologists-lying-each-other-or-gaming-system-national-random-sample
June 29, 2022 - Study
Are surgeons and anesthesiologists lying to each other or gaming the system? A national random sample survey about "truth-telling practices" in the perioperative setting in the United States.
Citation Text:
Nurok M, Lee Y-Y, Ma Y, et al. Are surgeons and anesthesiologists lying to …
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psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool-cpert
May 25, 2016 - Study
Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU.
Citation Text:
Bates KE, Shea JA, Bird GL, et al. Development and Preliminary Testing of the…
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psnet.ahrq.gov/issue/undertaking-risk-and-relational-work-manage-vulnerability-acute-medical-patients-involvement
September 29, 2021 - Study
Undertaking risk and relational work to manage vulnerability: acute medical patients' involvement in patient safety in the NHS.
Citation Text:
Sutton E, Martin G, Eborall H, et al. Undertaking risk and relational work to manage vulnerability: acute medical patients’ involvement in …
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psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse
July 08, 2008 - Study
Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events.
Citation Text:
Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and…
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psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
November 29, 2023 - Study
Emerging Classic
Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial.
Citation Text:
Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …
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psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
July 29, 2020 - Commentary
Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening.
Citation Text:
Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifyin…
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psnet.ahrq.gov/issue/investigating-impact-intensive-care-unit-interruptions-patient-safety-events-and-electronic
October 18, 2023 - Study
Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study.
Citation Text:
Khairat S, Whitt S, Craven CK, et al. Investigating the Impact of Intensive Care Unit Interruptions on Patient Safety Eve…
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psnet.ahrq.gov/issue/impact-original-methodological-tool-identification-corrective-and-preventive-actions-after
March 15, 2017 - Study
Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial.
Citation Text:
Vacher A, El Mhamdi S, dʼHollander A, et al. Impact o…
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psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health
October 05, 2022 - Review
Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review.
Citation Text:
Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical E…
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psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
May 18, 2022 - Study
The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.
Citation Text:
Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication ad…
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psnet.ahrq.gov/issue/organizational-culture-team-climate-and-diabetes-care-small-office-based-practices
April 01, 2010 - Study
Organizational culture, team climate and diabetes care in small office-based practices.
Citation Text:
Bosch M, Dijkstra R, Wensing M, et al. Organizational culture, team climate and diabetes care in small office-based practices. BMC Health Serv Res. 2008;8:180. doi:10.1186/1472-…
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - Study
Analysis of adverse events associated with adult moderate procedural sedation outside the operating room.
Citation Text:
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…
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psnet.ahrq.gov/issue/physician-evaluation-after-medical-errors-does-having-computer-decision-aid-help-or-hurt
May 19, 2021 - Study
Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight?
Citation Text:
Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Med Decis Making. 2006;26(1):48-56…
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psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs
October 17, 2018 - Study
Making patient safety event data actionable: understanding patient safety analyst needs.
Citation Text:
Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.10…
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psnet.ahrq.gov/issue/medication-reconciliation-during-hospitalization-and-hospital-home-interface-observational
June 16, 2021 - Study
Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study.
Citation Text:
Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital-home interface: an observational retrosp…