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psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results
June 13, 2011 - Study
Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis.
Citation Text:
Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban …
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psnet.ahrq.gov/issue/clinical-information-technologies-and-inpatient-outcomes-multiple-hospital-study
October 14, 2009 - Study
Clinical information technologies and inpatient outcomes: a multiple hospital study.
Citation Text:
Amarasingham R, Plantinga L, Diener-West M, et al. Clinical information technologies and inpatient outcomes: a multiple hospital study. Arch Intern Med. 2009;169(2):108-14. doi:10.10…
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psnet.ahrq.gov/issue/evaluation-effectiveness-surgical-checklist-medicare-patients
January 13, 2016 - Study
Evaluation of the effectiveness of a surgical checklist in Medicare patients.
Citation Text:
Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277.
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psnet.ahrq.gov/issue/effects-computer-based-clinical-decision-support-systems-physician-performance-and-patient
November 16, 2022 - Study
Classic
Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review.
Citation Text:
Hunt DL, Haynes RB, Hanna SE, et al. Effects of Computer-Based Clinical Decision Support Systems on Phy…
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psnet.ahrq.gov/issue/improving-appropriate-use-peripherally-inserted-central-catheters-through-statewide
April 14, 2021 - Study
Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis.
Citation Text:
Heath M, Bernstein SJ, Paje D, et al. Improving appropriate use of peripherally inserted central catheters throu…
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psnet.ahrq.gov/issue/patient-safety-culture-health-information-technology-implementation-and-medical-office
December 15, 2010 - Study
Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error.
Citation Text:
Campione JR, Mardon RE, McDonald KM. Patient Safety Culture, Health Information Technology Implementation, and Medical Office Proble…
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psnet.ahrq.gov/issue/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia
September 26, 2012 - Study
Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.
Citation Text:
Merry A, Webster CS, Hannam J, et al. Multimodal system designed to reduce errors in recording and administration of drugs…
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psnet.ahrq.gov/issue/changes-end-user-satisfaction-computerized-provider-order-entry-over-time-among-nurses-and
March 15, 2017 - Study
Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units.
Citation Text:
Hoonakker P, Carayon P, Brown RL, et al. Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurs…
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psnet.ahrq.gov/issue/surgical-training-duty-hour-restrictions-and-implications-meeting-accreditation-council
July 03, 2014 - Study
Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.
Citation Text:
Antiel RM, Van Arendonk K, Reed DA, et al. Surgical training…
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psnet.ahrq.gov/issue/making-inpatient-medication-reconciliation-patient-centered-clinically-relevant-and
January 14, 2009 - Commentary
Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.
Citation Text:
Greenwald JL, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation pati…
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psnet.ahrq.gov/issue/implementation-comprehensive-unit-based-safety-program-reduce-surgical-site-infections
December 20, 2023 - Study
Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery.
Citation Text:
Dieplinger B, Egger M, Jezek C, et al. Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean deli…
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psnet.ahrq.gov/issue/self-reported-uptake-recommendations-after-dissemination-medication-incident-alerts
January 07, 2015 - Study
Self-reported uptake of recommendations after dissemination of medication incident alerts.
Citation Text:
Cheung K-C, Wensing M, Bouvy ML, et al. Self-reported uptake of recommendations after dissemination of medication incident alerts. BMJ Qual Saf. 2012;21(12):1009-18. doi:10.1…
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psnet.ahrq.gov/issue/scaling-diagnostic-pause-icu-ward-transition-exploration-barriers-and-facilitators
July 19, 2019 - Study
Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool.
Citation Text:
Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploratio…
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psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study
March 15, 2017 - Study
Classic
Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.
Citation Text:
Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety us…
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psnet.ahrq.gov/issue/impact-automated-alerts-discharge-opioid-overprescribing-after-general-surgery
September 29, 2017 - Study
Impact of automated alerts on discharge opioid overprescribing after general surgery.
Citation Text:
Rizk E, Kaur N, Duong PY, et al. Impact of automated alerts on discharge opioid overprescribing after general surgery. Am J Health Syst Pharm. 2024;81(24):1288-1296. doi:10.1093/ajh…
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psnet.ahrq.gov/issue/informatics-tools-deprescribing-and-medication-optimization-older-adults-development-and
February 05, 2020 - Study
Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization.
Citation Text:
Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication opt…
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psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative
September 24, 2017 - Study
Classic
Mortality trends after a voluntary checklist-based surgical safety collaborative.
Citation Text:
Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-9…
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psnet.ahrq.gov/issue/innovative-patient-safety-curriculum-using-ipad-game-passed-improved-patient-safety-concepts
November 16, 2022 - Study
Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students.
Citation Text:
Kow AWC, Ang BLS, Chong CS, et al. Innovative Patient Safety Curriculum Using iPAD Game (PASSED) Improved Patient Safety Concepts in Unde…
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psnet.ahrq.gov/issue/intervention-decrease-narcotic-related-adverse-drug-events-childrens-hospitals
April 11, 2011 - Study
An intervention to decrease narcotic-related adverse drug events in children's hospitals.
Citation Text:
Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1…
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digital.ahrq.gov/program-overview/directors-corner
June 01, 2025 - Director's Corner
The Digital Healthcare Research (DHR) Program has a long history of advancing healthcare quality through digital technologies. We do this by supporting cutting-edge research , such as artificial intelligence ( AI ) and clinical decisions support ( CDS ), in the conte…