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3881. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. | PSNet
      psnet.ahrq.gov/issue/cost-effectiveness-electronic-medication-ordering-and-administration-system-reducing-adverse
      June 01, 2012 - Study Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. Citation Text: Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …

3882. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. | PSNet
      psnet.ahrq.gov/issue/work-arounds-and-artifacts-during-transition-computer-physician-order-entry-what-they-are-and
      January 12, 2022 - Study Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. Citation Text: Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. J Nurs Care Qual. 2…

3883. Implementation of standardized dosing units for I.V. medications. | PSNet
      psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
      May 11, 2014 - Study Implementation of standardized dosing units for I.V. medications. Citation Text: Jung B, Couldry R, Wilkinson S, et al. Implementation of standardized dosing units for i.v. medications. Am J Health Syst Pharm. 2014;71(24):2153-8. doi:10.2146/ajhp140046. Copy Citation Format: …

3884. An analysis of near misses identified by anesthesia providers in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit
      August 17, 2017 - Study An analysis of near misses identified by anesthesia providers in the intensive care unit. Citation Text: Lipshutz AKM, Caldwell JE, Robinowitz DL, et al. An analysis of near misses identified by anesthesia providers in the intensive care unit. BMC Anesthesiol. 2015;15:93. doi:10.11…

3885. Deploying Six Sigma in a health care system as a work in progress. | PSNet
      psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-work-progress
      March 04, 2011 - Study Deploying Six Sigma in a health care system as a work in progress. Citation Text: Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13. Copy Citation Format: Goo…

3886. Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. | PSNet
      psnet.ahrq.gov/issue/hospital-inpatient-nutrition-service-errors-and-patient-safety-interventions-scoping-review
      January 01, 2000 - Review Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. Citation Text: Austria D, McConnell C, Pope C. Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. J Patient Saf. 2024;20(4):272-278. doi:10.…

3887. EHR safety: the way forward to safe and effective systems. | PSNet
      psnet.ahrq.gov/issue/ehr-safety-way-forward-safe-and-effective-systems
      December 12, 2012 - Commentary EHR safety: the way forward to safe and effective systems. Citation Text: Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618. Copy Citation Format: …

3888. Case study research: the view from complexity science. | PSNet
      psnet.ahrq.gov/issue/case-study-research-view-complexity-science
      January 03, 2017 - Commentary Case study research: the view from complexity science. Citation Text: Anderson RA, Crabtree B, Steele DJ, et al. Case study research: the view from complexity science. Qual Health Res. 2005;15(5):669-85. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

3889. Perioperative patient safety recommendations: systematic review of clinical practice guidelines. | PSNet
      psnet.ahrq.gov/issue/perioperative-patient-safety-recommendations-systematic-review-clinical-practice-guidelines
      January 08, 2025 - Study Perioperative patient safety recommendations: systematic review of clinical practice guidelines. Citation Text: Martínez-Nicolas I, Arnal-Velasco D, Romero-García E, et al. Perioperative patient safety recommendations: systematic review of clinical practice guidelines. BJS Open. 20…

3890. Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting. | PSNet
      psnet.ahrq.gov/issue/collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative
      November 16, 2022 - Study Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting. Citation Text: Makowsky MJ, Schindel TJ, Rosenthal M, et al. Collaboration between pharmacists, physicians and nurse pract…

3891. AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. | PSNet
      psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-reduce-emergency-department-boarding-and
      November 12, 2008 - Press Release/Announcement AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Citation Text: AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Agency for Healt…

3892. Controlled substance drug diversion by healthcare workers as a threat to patient safety. | PSNet
      psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
      April 05, 2023 - Special or Theme Issue Controlled substance drug diversion by healthcare workers as a threat to patient safety. Citation Text: Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…

3893. Variations by state in physician disciplinary actions by US medical licensure boards. | PSNet
      psnet.ahrq.gov/issue/variations-state-physician-disciplinary-actions-us-medical-licensure-boards
      March 12, 2025 - Study Variations by state in physician disciplinary actions by US medical licensure boards. Citation Text: Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974. Copy Ci…

3894. Healthcare staff wellbeing, burnout, and patient safety: a systematic review. | PSNet
      psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
      November 13, 2024 - Review Healthcare staff wellbeing, burnout, and patient safety: a systematic review. Citation Text: Hall LH, Johnson J, Watt I, et al. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016;11(7):e0159015. doi:10.1371/journal.pone.0159015. Copy Cit…

3895. Improving medication management through the redesign of the hospital code cart medication drawer. | PSNet
      psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
      October 31, 2018 - Study Improving medication management through the redesign of the hospital code cart medication drawer. Citation Text: Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Facto…

3896. Poor resident–attending intraoperative communication may compromise patient safety. | PSNet
      psnet.ahrq.gov/issue/poor-resident-attending-intraoperative-communication-may-compromise-patient-safety
      September 23, 2020 - Study Poor resident–attending intraoperative communication may compromise patient safety. Citation Text: Belyansky I, Martin TR, Prabhu AS, et al. Poor resident-attending intraoperative communication may compromise patient safety. J Surg Res. 2011;171(2):386-94. doi:10.1016/j.jss.2011.…

3897. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. | PSNet
      psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-trainees-obstetrics-and-gynecology-usa
      February 15, 2023 - Study Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Citation Text: Ghaith S, Campbell RL, Pollock JR, et al. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Healthcare (Basel). 2022;10(7):1328. doi:10.339…

3898. Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. | PSNet
      psnet.ahrq.gov/issue/hidden-flaws-behind-expert-level-accuracy-multimodal-gpt-4-vision-medicine
      March 24, 2019 - Study Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. Citation Text: Jin Q, Chen F, Zhou Y, et al. Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. NPJ Dig Med. 2024;7(1):190. doi:10.1038/s41746-024-01185-7. Copy Citati…

3899. Crandall, Donald | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/crandall-donald
      January 01, 2023 - Crandall, Donald Redesigning care processes using an electronic health record: a system's experience. Citation Brokel JM, Harrison MI. Redesigning care processes using an electronic health record: a system's experience. Jt Comm J Qual Patient Saf 2009 Feb;35(2):82-92. PMID: 19…

3900. Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. | PSNet
      psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth
      September 01, 2016 - Study Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. Citation Text: Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operat…