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psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis
October 21, 2020 - Study
Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis.
Citation Text:
Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/b…
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psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective
April 06, 2022 - Study
Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study.
Citation Text:
Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observa…
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psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient
October 29, 2017 - Review
Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care.
Citation Text:
Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…
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psnet.ahrq.gov/issue/reducing-drug-prescription-errors-and-adverse-drug-events-application-probabilistic-machine
March 12, 2025 - Study
Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting.
Citation Text:
Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by…
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psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve-handoff
September 14, 2011 - Study
Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities.
Citation Text:
Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel way t…
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psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
January 16, 2008 - Study
Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.
Citation Text:
Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…
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psnet.ahrq.gov/issue/frequency-inappropriate-nonformulary-medication-alert-overrides-inpatient-setting
July 02, 2019 - Study
The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting.
Citation Text:
Her QL, Amato MG, Seger DL, et al. The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. J Am Med Inform Assoc. 2016;23(5):924-…
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psnet.ahrq.gov/issue/effects-workload-work-complexity-and-repeated-alerts-alert-fatigue-clinical-decision-support
March 04, 2015 - Study
Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system.
Citation Text:
Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. B…
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psnet.ahrq.gov/issue/should-electronic-differential-diagnosis-support-be-used-early-or-late-diagnostic-process
November 16, 2022 - Study
Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel.
Citation Text:
Sibbald M, Monteiro SD, Sherbino J, et al. Should electronic differential diagnosis support be used early or late in the diag…
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psnet.ahrq.gov/issue/analysis-prescribers-notes-electronic-prescriptions-ambulatory-practice
July 23, 2018 - Study
Analysis of prescribers' notes in electronic prescriptions in ambulatory practice.
Citation Text:
Dhavle AA, Yang Y, Rupp MT, et al. Analysis of Prescribers' Notes in Electronic Prescriptions in Ambulatory Practice. JAMA Intern Med. 2016;176(4):463-70. doi:10.1001/jamainternmed.201…
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psnet.ahrq.gov/issue/psychological-safety-during-test-new-work-processes-emergency-department
September 08, 2021 - Study
Psychological safety during the test of new work processes in an emergency department.
Citation Text:
Dieckmann P, Tulloch S, Dalgaard AE, et al. Psychological safety during the test of new work processes in an emergency department. BMC Health Serv Res. 2022;22(1):307. doi:10.1186/…
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psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety
July 15, 2020 - Review
20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety.
Citation Text:
St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient …
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psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
March 03, 2011 - Study
Fatal flaws in clinical decision making.
Citation Text:
Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955.
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psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside
March 01, 2011 - Study
Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium.
Citation Text:
Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatr…
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psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
June 01, 1989 - Study
Classic
Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes.
Citation Text:
Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Advers…
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psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligence-clinical-care
December 21, 2022 - Commentary
Patient safety and artificial intelligence in clinical care.
Citation Text:
Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514.
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psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event
July 24, 2024 - Study
Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database.
Citation Text:
Kepner S, Jones RM. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest eve…
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psnet.ahrq.gov/issue/sociotechnical-framework-safety-related-electronic-health-record-research-reporting-safer
February 16, 2022 - Commentary
Emerging Classic
A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework.
Citation Text:
Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record resear…
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psnet.ahrq.gov/issue/interventions-increase-patient-safety-long-term-care-facilities-umbrella-review
September 01, 2021 - Review
Interventions to increase patient safety in long-term care facilities-umbrella review.
Citation Text:
Świtalski J, Wnuk K, Tatara T, et al. Interventions to increase patient safety in long-term care facilities-umbrella review. Int J Environ Res Public Health. 2022;19(22):15354. do…
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psnet.ahrq.gov/issue/opioid-abuse-and-poisoning-trends-inpatient-and-emergency-department-discharges
June 03, 2020 - Study
Opioid abuse and poisoning: trends in inpatient and emergency department discharges.
Citation Text:
Tedesco D, Asch SM, Curtin C, et al. Opioid Abuse And Poisoning: Trends In Inpatient And Emergency Department Discharges. Health Aff (Millwood). 2017;36(10):1748-1753. doi:10.1377/hl…