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psnet.ahrq.gov/issue/minding-gaps-assessing-communication-outcomes-electronic-preconsultation-exchange
November 30, 2016 - Study
Minding the gaps: assessing communication outcomes of electronic preconsultation exchange.
Citation Text:
Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54.
…
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psnet.ahrq.gov/issue/challenges-electronic-health-records-and-diabetes-electronic-prescribing-implications-safety
September 23, 2020 - Review
The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations.
Citation Text:
Ratanawongsa N, Chan LLS, Fouts MM, et al. The Challenges of Electronic Health Records and Diabetes Electronic Prescribing: Imp…
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psnet.ahrq.gov/issue/systematic-review-types-and-causes-prescribing-errors-generated-using-computerized-provider
July 02, 2019 - Review
A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care.
Citation Text:
Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing err…
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psnet.ahrq.gov/issue/clinical-decision-support-systems-could-be-modified-reduce-alert-fatigue-while-still
December 21, 2022 - Commentary
Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation.
Citation Text:
Kesselheim AS, Cresswell K, Phansalkar S, et al. Clinical decision support systems could be modified to reduce 'alert fatigue' while stil…
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psnet.ahrq.gov/issue/speaking-about-traditional-and-professionalism-related-patient-safety-threats-national-survey
November 20, 2015 - Study
Classic
Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents.
Citation Text:
Martinez W, Lehmann LS, Thomas EJ, et al. Speaking up about traditional and professionalism-related patient…
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psnet.ahrq.gov/issue/toward-zero-harm-mackenzie-healths-journey-toward-becoming-high-reliability-organization-and
September 14, 2022 - Study
Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm.
Citation Text:
Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and e…
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psnet.ahrq.gov/innovation/implementation-medication-reconciliation-risk-stratification-tool-integrated-within
April 12, 2023 - EMERGING INNOVATIONS
Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.
Citation Text:
Chu ES, El-Kareh R, Biondo A, et al. Implementation of a medication reconciliation risk stratif…
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psnet.ahrq.gov/issue/sustained-user-engagement-health-information-technology-long-road-implementation-system
December 21, 2022 - Study
Sustained user engagement in health information technology: the long road from implementation to system optimization of computerized physician order entry and clinical decision support systems for prescribing in hospitals in England.
Citation Text:
Cresswell K, Lee L, Mozaffar H, e…
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psnet.ahrq.gov/issue/safety-risks-associated-lack-integration-and-interfacing-hospital-health-information
December 21, 2022 - Study
Safety risks associated with the lack of integration and interfacing of hospital health information technologies: a qualitative study of hospital electronic prescribing systems in England.
Citation Text:
Cresswell K, Mozaffar H, Lee L, et al. Safety risks associated with the lack o…
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psnet.ahrq.gov/innovation/generalizability-medication-administration-discrepancy-detection-system-quantitative
November 04, 2020 - EMERGING INNOVATIONS
The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis
Citation Text:
Kirkendall E, Huth H, Rauenbuehler B, et al. The generalizability of a medication administration discrepancy detection system: quantitative compar…
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psnet.ahrq.gov/node/43684/psn-pdf
November 26, 2014 - Rapid response systems.
November 26, 2014
Hillman KM, Chen J, Jones D. Rapid response systems. Med J Aust. 2014;201(9):519-21.
https://psnet.ahrq.gov/issue/rapid-response-systems
Rapid response systems have been widely accepted as a method to improve outcomes of hospitalized
patients demonstrating signs of rapid d…
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psnet.ahrq.gov/node/48106/psn-pdf
July 24, 2019 - Teamwork Toolkit.
July 24, 2019
Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019.
https://psnet.ahrq.gov/issue/teamwork-toolkit
Improving teamwork and communication is a continued focus in the hospital setting. This toolkit is designed
to help organizations create a culture that embeds teamwork…
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psnet.ahrq.gov/node/39023/psn-pdf
November 19, 2018 - Pediatric Readiness in the Emergency Department.
November 19, 2018
Remick K, Gausche-Hill M, Joseph MM, et al. Pediatric Readiness in the Emergency Department.
Pediatrics. 2018;142(5):e20182459. doi:10.1542/peds.2018-2459.
https://psnet.ahrq.gov/issue/pediatric-readiness-emergency-department
This revised set of gu…
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psnet.ahrq.gov/node/43601/psn-pdf
December 09, 2015 - Special Focus Issue: Patient Safety.
December 9, 2015
Wagner VD, ed. AORN J. 2014;100:351-456.
https://psnet.ahrq.gov/issue/special-focus-issue-patient-safety
Articles in this special issue explore strategies to establish a culture of safety in health care settings,
including coaching to improve team briefing and …
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psnet.ahrq.gov/node/867695/psn-pdf
March 05, 2025 - The Future of Patient and Family Engagement in Quality
and Patient Safety.
March 5, 2025
The Future of Patient and Family Engagement in Quality and Patient Safety. Front Health Serv. 2024.
https://psnet.ahrq.gov/issue/future-patient-and-family-engagement-quality-and-patient-safety
Patient and family engagement in …
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psnet.ahrq.gov/node/844060/psn-pdf
June 01, 2016 - Developing a measure of value in health care.
June 1, 2016
Ken Lee KH, Matthew Austin J, Pronovost PJ. Developing a measure of value in health care. Value Health.
2015;19(4):323-325. doi:10.1016/j.jval.2014.12.009.
https://psnet.ahrq.gov/issue/developing-measure-value-health-care
Value-based healthcare is emerging…
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psnet.ahrq.gov/node/862607/psn-pdf
February 14, 2024 - Assessing diagnostic performance.
February 14, 2024
Cosby K, Yang D, Fineberg HV. Assessing diagnostic performance. NEJM Evid.
2024;3(2):EVIDra2300232. doi:10.1056/evidra2300232.
https://psnet.ahrq.gov/issue/assessing-diagnostic-performance
Assessing diagnostic performance to reduce diagnostic errors requires a sh…
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psnet.ahrq.gov/node/48144/psn-pdf
August 07, 2019 - Moving towards a Safety II approach.
August 7, 2019
Woodward S. Moving towards a safety II approach. J Patient Saf Risk Manag. 2019;24(3):96-99.
doi:10.1177/2516043519855264.
https://psnet.ahrq.gov/issue/moving-towards-safety-ii-approach
Efforts to improve patient safety have evolved beyond investigating what went…
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psnet.ahrq.gov/node/41818/psn-pdf
July 02, 2014 - Perspective: a business school view of medical
interprofessional rounds: transforming rounding groups
into rounding teams.
July 2, 2014
Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional
rounds: transforming rounding groups into rounding teams. Acad Med. 2012;87(1…
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psnet.ahrq.gov/node/60677/psn-pdf
July 08, 2020 - Optimizing patient safety through system strategies and
patient engagement.
July 8, 2020
Rooprai P, Mistry N. Patient Saf Qual Healthc. June 23, 2020.
https://psnet.ahrq.gov/issue/optimizing-patient-safety-through-system-strategies-and-patient-engagement
Health systems are complex environments that require integra…