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41. Medication errors related to computerized order entry for children. | PSNet
    psnet.ahrq.gov/issue/medication-errors-related-computerized-order-entry-children
    May 26, 2011 - 1000 patient-days, similar to a prior study ; only 19% of these were deemed to be related to design features … more ADEs, other research supports this study's conclusion that careful attention to CPOE design features

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865412/psn-pdf
    March 27, 2024 - Describe atypical features of primary psychotic illness that raise suspicion of SLE. … schizophrenia, other psychotic disorders, and other “primary” psychiatric illnesses with psychotic features … An important concept in the diagnosis of psychotic illness is “atypical features”, referring to psychotic … Psychotic presentations with atypical features, shown in Table 1, lead to greater suspicion of a systemic … Presentations with atypical features should lead to a more thorough diagnostic work-up, potentially

43. A systematic integrative review of specialized nurses' role to establish a culture of patient safety: a modelling perspective. | PSNet
    psnet.ahrq.gov/issue/systematic-integrative-review-specialized-nurses-role-establish-culture-patient-safety
    July 10, 2024 - Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features … August 10, 2022 Exploring system features of primary care practices that promote better

44. Workaround | PSNet
    psnet.ahrq.gov/taxonomy/term/3504
    June 24, 2025 - When frontline personnel adopt consistent patterns of work or ways of bypassing safety features of medical

45. Effect of point-of-care computer reminders on physician behaviour: a systematic review. | PSNet
    psnet.ahrq.gov/issue/effect-point-care-computer-reminders-physician-behaviour-systematic-review
    September 02, 2009 - reasons for this are unclear, probably reflecting a combination of specific system and reminder design features … , and perhaps cultural or contextual features of the institutions.

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33601/psn-pdf
    December 15, 2024 - Safety Risk Potential Consequences Functional Suitability The degree to which software features are … to introduce new bugs through EHR maintenance and updating processes Problematic content import features … Copy-and-paste and other content import features can propagate incorrect, outdated, or improperly … medication or allergy information), high information load, and buttons that look alike but have different features

47. Home | PSNet
    psnet.ahrq.gov/
    March 25, 2025 - Advanced Search Search Tips AHRQ’s Patient Safety Network (PSNet) features … WebM&M Case Studies & Spotlight Cases WebM&M (Morbidity & Mortality Rounds on the Web) features

48. Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. | PSNet
    psnet.ahrq.gov/issue/emergency-diagnosis-cancer-and-previous-general-practice-consultations-insights-linked
    February 17, 2021 - intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features … Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features

49. Rethinking diagnostic delay in cancer: how difficult is the diagnosis? | PSNet
    psnet.ahrq.gov/issue/rethinking-diagnostic-delay-cancer-how-difficult-diagnosis
    August 19, 2020 - Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features … intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features

50. Junior doctors' views on reporting concerns about patient safety: a qualitative study. | PSNet
    psnet.ahrq.gov/issue/junior-doctors-views-reporting-concerns-about-patient-safety-qualitative-study
    June 16, 2021 - October 11, 2023 Seven features of safety in maternity units: a framework based on multisite … October 20, 2021 Seven features of safety in maternity units: a framework based on multisite

51. Hospital at night: an organizational design that provides safer care at night. | PSNet
    psnet.ahrq.gov/issue/hospital-night-organizational-design-provides-safer-care-night
    November 16, 2022 - intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features … Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features

52. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study. | PSNet
    psnet.ahrq.gov/issue/team-dynamics-clinical-work-satisfaction-and-patient-care-coordination-between-primary-care
    May 18, 2022 - Download Citation Related Resources From the Same Author(s) Exploring system features … August 24, 2022 Exploring system features of primary care practices that promote better

53. Spotlight Case Hindsight Is 2020 Slides Final Revised 05.03.2024 (pdf file)
    psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
    January 01, 2024 - while later findings that contradict earlier information are ignored or downplayed. 33 Atypical Features … of the Case 34 Atypical Features of Case (1) • The focal neurologic deficits seen in this patient … from true strokes – (1) the FABS score – (2) the Telestroke mimic score (TM-score) 35 Atypical Features … ³ 3 has a 90% sensitivity and 91% specificity for identifying a “stroke mimic.”2 36 Atypical Features … Telemedicine for healthcare: capabilities, features, barriers, and applications.

54. Impacts of operational failures on primary care physicians' work: a critical interpretive synthesis of the literature. | PSNet
    psnet.ahrq.gov/issue/impacts-operational-failures-primary-care-physicians-work-critical-interpretive-synthesis
    May 22, 2024 - June 16, 2021 Seven features of safety in maternity units: a framework based on multisite … September 26, 2016 Impact of individual and team features of patient safety climate:

55. Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. | PSNet
    psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review
    August 10, 2022 - Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features … intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features

56. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. | PSNet
    psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
    October 21, 2020 - Download Citation Related Resources From the Same Author(s) Seven features … January 20, 2021 Seven features of safety in maternity units: a framework based on multisite

57. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/867658
    January 26, 2022 - Opioid Dose Stacking Hollie Porras, PharmD, BCPS, and Cathy Lammers, MD | January 26, 2022 This WebM&M features … Opioid Dose Stacking Hollie Porras, PharmD, BCPS, and Cathy Lammers, MD | January 26, 2022 This WebM&M features

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43088/psn-pdf
    February 25, 2019 - To raise awareness of this issue, this occasional newsletter features articles for a multidisciplinary

59. Diagnostic errors and reflective practice in medicine. | PSNet
    psnet.ahrq.gov/issue/diagnostic-errors-and-reflective-practice-medicine
    March 12, 2014 - July 3, 2014 Exploring the role of salient distracting clinical features in the emergence … A study of the role of salient distracting clinical features.

60. Seeking high reliability in primary care: leadership, tools, and organization. | PSNet
    psnet.ahrq.gov/issue/seeking-high-reliability-primary-care-leadership-tools-and-organization
    October 13, 2018 - July 6, 2022 Exploring system features of primary care practices that promote better … November 9, 2015 Impact of individual and team features of patient safety climate: a