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psnet.ahrq.gov/node/43169/psn-pdf
May 07, 2014 - Copy, paste, and cloned notes in electronic health
records: prevalence, benefits, risks, and best practice
recommendations.
May 7, 2014
Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks,
and best practice recommendations. Chest. 2014;145(3):632-8. doi:10.1378…
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psnet.ahrq.gov/node/74264/psn-pdf
January 19, 2022 - Characteristics of critical incident reporting systems in
primary care: an international survey.
January 19, 2022
Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care:
an international survey. J Patient Saf. 2022;18(1):e85-e91. doi:10.1097/pts.000000000000070…
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psnet.ahrq.gov/node/46372/psn-pdf
September 13, 2017 - Impact of a successful speaking up program on health-
care worker hand hygiene behavior.
September 13, 2017
Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK.
https://psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-
behavior
Improving hand hygiene in health care f…
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psnet.ahrq.gov/node/865677/psn-pdf
April 24, 2024 - The impact of adding a 2-way video monitoring system on
falls and costs for high-risk inpatients.
April 24, 2024
Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and
costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. doi:10.1097/pts.0000000000001197.
…
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psnet.ahrq.gov/node/44884/psn-pdf
February 17, 2016 - Changes in default alarm settings and standard in-service
are insufficient to improve alarm fatigue in an intensive
care unit: a pilot project.
February 17, 2016
Sowan AK, Gomez TM, Tarriela AF, et al. Changes in Default Alarm Settings and Standard In-Service are
Insufficient to Improve Alarm Fatigue in an Intensi…
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psnet.ahrq.gov/node/42909/psn-pdf
December 12, 2014 - Does applying technology throughout the medication use
process improve patient safety with antineoplastics?
December 12, 2014
Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process
improve patient safety with antineoplastics? J Oncol Pharm Pract. 2014;20(6):445-60.
do…
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psnet.ahrq.gov/node/838917/psn-pdf
October 26, 2022 - The e-Autopsy/e-Biopsy: a systematic chart review to
increase safety and diagnostic accuracy.
October 26, 2022
Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase
safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-436. doi:10.1515/dx-2022-0083.
https:/…
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psnet.ahrq.gov/node/41245/psn-pdf
March 29, 2012 - The occurrence of wrong-site surgery self-reported by
candidates for certification by the American Board of
Orthopaedic Surgery.
March 29, 2012
James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates
for certification by the American Board of Orthopaedic Surgery. J …
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psnet.ahrq.gov/node/42918/psn-pdf
February 05, 2014 - Ascension Health's demonstration of full disclosure
protocol for unexpected events during labor and delivery
shows promise.
February 5, 2014
Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for
unexpected events during labor and delivery shows promise. Health Aff (M…
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psnet.ahrq.gov/node/72794/psn-pdf
March 03, 2021 - Intraoperative sentinel events in the era of surgical safety
checklists: results of a national survey.
March 3, 2021
Cramer JD, Balakrishnan K, Roy S, et al. Intraoperative sentinel events in the era of surgical safety
checklists: results of a national survey. OTO Open. 2020;4(4):2473974X2097573.
doi:10.1177/24739…
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psnet.ahrq.gov/node/836831/psn-pdf
March 30, 2022 - A qualitative analysis of the impact of electronic health
records (EHR) on healthcare quality and safety: clinicians'
lived experiences.
March 30, 2022
Upadhyay S, Hu H-fen. . A Qualitative analysis of the impact of electronic health records (EHR) on
healthcare quality and safety: clinicians' lived experiences. He…
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psnet.ahrq.gov/node/45760/psn-pdf
February 08, 2017 - Safe practices for copy and paste in the EHR. Systematic
review, recommendations, and novel model for health IT
collaboration.
February 8, 2017
Tsou AY, Lehmann CU, Michel J, et al. Safe Practices for Copy and Paste in the EHR. Systematic Review,
Recommendations, and Novel Model for Health IT Collaboration. Appl C…
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psnet.ahrq.gov/node/38697/psn-pdf
June 10, 2009 - A report card system using error profile analysis and
concurrent morbidity and mortality review: surgical
outcome analysis, part II.
June 10, 2009
Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent
morbidity and mortality review: surgical outcome analysis, part…
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psnet.ahrq.gov/node/38144/psn-pdf
October 15, 2008 - Do faculty and resident physicians discuss their medical
errors?
October 15, 2008
Kaldjian LC, Forman-Hoffman VL, Jones EW, et al. Do faculty and resident physicians discuss their
medical errors? J Med Ethics. 2008;34(10):717-22. doi:10.1136/jme.2007.023713.
https://psnet.ahrq.gov/issue/do-faculty-and-resident-phy…
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psnet.ahrq.gov/node/859343/psn-pdf
December 20, 2023 - Reducing retained foreign objects in the operating room:
a quality improvement initiative.
December 20, 2023
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a
quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847.
https…
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psnet.ahrq.gov/node/34829/psn-pdf
April 06, 2011 - Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests.
April 6, 2011
Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4.
https://psnet.ahrq.gov/issue/use-medical-emerg…
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psnet.ahrq.gov/node/60869/psn-pdf
September 02, 2020 - A systematic review of trauma crew resource
management training: what can the United States and the
United Kingdom learn from each other?
September 2, 2020
Ashcroft J, Wilkinson A, Khan M. A systematic review of trauma crew resource management training: what
can the United States and the United Kingdom learn from …
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psnet.ahrq.gov/node/35540/psn-pdf
August 05, 2009 - Lost in translation: challenges and opportunities in
physician-to-physician communication during patient
handoffs.
August 5, 2009
Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-
physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9.
…
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psnet.ahrq.gov/node/45365/psn-pdf
August 03, 2016 - Workarounds and test results follow-up in electronic
health record–based primary care.
August 3, 2016
Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health
Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015-10-RA-0135.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/860722/psn-pdf
January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest
- Are they useful for improvements?
January 17, 2024
Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements?
Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525.
https://psnet.ahrq.gov/issue/ten-y…