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psnet.ahrq.gov/issue/clinical-data-sharing-improves-quality-measurement-and-patient-safety
April 21, 2021 - Study
Clinical data sharing improves quality measurement and patient safety.
Citation Text:
D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039.
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psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct
August 17, 2022 - Study
The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants.
Citation Text:
Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…
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psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication
March 17, 2021 - Study
The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support.
Citation Text:
Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…
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psnet.ahrq.gov/issue/what-works-medication-reconciliation-treatment-and-site-analysis-marquis2-study
May 19, 2021 - Study
What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study.
Citation Text:
Schnipper JL, Reyes Nieva H, Yoon CS, et al. What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023;32(8):4…
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psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data
June 12, 2019 - Commentary
Classic
Potential biases in machine learning algorithms using electronic health record data.
Citation Text:
Gianfrancesco MA, Tamang S, Yazdany J, et al. Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data. JAMA Intern …
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psnet.ahrq.gov/issue/caring-our-own-deploying-systemwide-second-victim-rapid-response-team
September 19, 2016 - Study
Classic
Caring for our own: deploying a systemwide second victim rapid response team.
Citation Text:
Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-2…
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psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
February 12, 2020 - Commentary
Shaping systems for better behavioral choices: lessons learned from a fatal medication error.
Citation Text:
Smetzer JL, Baker C, Byrne FD, et al. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Jt Comm J Qual Patient Saf. 2010;36(…
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psnet.ahrq.gov/issue/fatigue-among-clinicians-and-safety-patients
November 15, 2018 - Study
Classic
Fatigue among clinicians and the safety of patients.
Citation Text:
Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. New Engl J Med. 2002;347(16):1249-1255.
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psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-portal-medication-discrepancies-randomized
April 27, 2022 - Study
The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study.
Citation Text:
Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. The effect of medication reconciliation via a patient portal on medication discrepancies: …
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psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england
August 18, 2021 - Study
Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'.
Citation Text:
Lalani M, Morgan S, Basu A, et al. Understanding the factors influencing implementation of a new national patient safety pol…
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psnet.ahrq.gov/issue/influence-covid-19-visitation-restrictions-patient-experience-and-safety-outcomes-critical
July 14, 2021 - Study
The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates.
Citation Text:
Silvera GA, Wolf JA, Stanowski A, et al. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes…
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psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017
March 18, 2020 - Study
Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017.
Citation Text:
Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116…
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psnet.ahrq.gov/issue/implementation-surgical-safety-checklist-south-carolina-hospitals-associated-improvement
June 02, 2015 - Study
Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety.
Citation Text:
Molina G, Jiang W, Edmondson L, et al. Implementation of the Surgical Safety Checklist in South Carolina Hospitals Is Associa…
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psnet.ahrq.gov/issue/interplay-between-teamwork-clinicians-emotional-exhaustion-and-clinician-rated-patient-safety
April 01, 2015 - Study
Classic
The interplay between teamwork, clinicians' emotional exhaustion, and clinician-rated patient safety: a longitudinal study.
Citation Text:
Welp A, Meier LL, Manser T. The interplay between teamwork, clinicians' emotional exhaustion, and clinician-r…
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psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures
February 02, 2011 - Study
Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.
Citation Text:
Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487.
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psnet.ahrq.gov/issue/preventing-catheter-associated-bloodstream-infections-survey-policies-insertion-and-care
June 14, 2023 - Study
Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program.
Citation Text:
Warren DK, Yokoe D, Climo MW, et al. Preventing catheter-associated bloodstream infect…
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psnet.ahrq.gov/issue/gender-based-differences-surgical-residents-perceptions-patient-safety-continuity-care-and
February 14, 2017 - Study
Gender-based differences in surgical residents' perceptions of patient safety, continuity of care, and well-being: an analysis from the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial.
Citation Text:
Ban KA, Chung JW, Matulewicz RS, et al. Gender-Based Dif…
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psnet.ahrq.gov/issue/evaluation-electronic-health-record-structured-discharge-summary-provide-real-time-adverse
December 29, 2014 - Study
Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery.
Citation Text:
Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real ti…
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psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety
September 15, 2021 - Study
A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety.
Citation Text:
Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a computerized provider order entry system on patient safet…
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psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review
May 27, 2011 - Review
Factors contributing to Registered Nurse medication administration error: a narrative review.
Citation Text:
Parry AM, Barriball L, While AE. Factors contributing to registered nurse medication administration error: a narrative review. Int J Nurs Stud. 2015;52(1):403-20. doi:10.10…