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psnet.ahrq.gov/issue/emergency-physician-perceptions-electronic-health-record-usability-and-safety
August 24, 2022 - Study
Emergency physician perceptions of electronic health record usability and safety.
Citation Text:
Pruitt ZM, Howe JL, Hettinger AZ, et al. Emergency physician perceptions of electronic health record usability and safety. J Patient Saf. 2021;17(8):e983-e987. doi:10.1097/pts.000000000…
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psnet.ahrq.gov/issue/implementation-health-information-technology-safety-classification-system-veterans-health
August 04, 2021 - Study
Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office.
Citation Text:
Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system in the…
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psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature
April 01, 2010 - Review
Safety and risk management interventions in hospitals: a systematic review of the literature.
Citation Text:
Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):…
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psnet.ahrq.gov/issue/do-healthcare-professionals-work-around-safety-standards-and-should-we-be-worried-scoping
December 21, 2016 - Review
Do healthcare professionals work around safety standards, and should we be worried? A scoping review.
Citation Text:
Clark D, Lawton R, Baxter R, et al. Do healthcare professionals work around safety standards, and should we be worried? A scoping review. BMJ Qual Saf. 2024;Epub Se…
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psnet.ahrq.gov/issue/patient-perceptions-deterioration-and-patient-and-family-activated-escalation-systems
June 26, 2024 - Study
Patient perceptions of deterioration and patient and family activated escalation systems—a qualitative study.
Citation Text:
Guinane J, Hutchinson AM, Bucknall T. Patient perceptions of deterioration and patient and family activated escalation systems-A qualitative study. J Clin Nu…
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psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent
March 25, 2021 - Study
An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences.
Citation Text:
Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitativ…
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psnet.ahrq.gov/issue/i-am-administering-medication-please-do-not-interrupt-me-red-tabards-preventing-interruptions
May 12, 2021 - Study
"I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients.
Citation Text:
Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red Tabards Preventing Interruptions a…
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psnet.ahrq.gov/issue/factors-associated-potentially-harmful-medication-prescribing-nursing-homes-scoping-review
September 27, 2016 - Review
Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review.
Citation Text:
Lipori JP, Tu E, Shireman TI, et al. Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. J Am Med Dir Assoc. 202…
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psnet.ahrq.gov/issue/ask-me-explain-campaign-90-day-intervention-promote-patient-and-family-involvement-care
November 16, 2022 - Study
The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department.
Citation Text:
Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote Patient and Family In…
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psnet.ahrq.gov/issue/review-reported-adverse-events-occurring-among-homeless-veteran-population-veterans-health
March 25, 2020 - Study
Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration.
Citation Text:
Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans H…
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psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-involving-opioid-overdoses-veterans-health-administration
November 17, 2021 - Study
Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration.
Citation Text:
Norris B, Soncrant C, Mills PD, et al. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Jt Comm J Qual Patie…
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psnet.ahrq.gov/issue/education-initiatives-cognitive-debiasing-improve-diagnostic-accuracy-student-providers
October 21, 2020 - Review
Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review.
Citation Text:
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scopin…
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psnet.ahrq.gov/issue/wisdom-through-adversity-learning-and-growing-wake-error
October 08, 2016 - Study
Wisdom through adversity: learning and growing in the wake of an error.
Citation Text:
Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006.
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psnet.ahrq.gov/issue/impact-percentage-overlapping-surgery-patient-outcomes-retrospective-cohort-study-87000
February 22, 2019 - Review
Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases.
Citation Text:
Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 8…
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psnet.ahrq.gov/issue/hospital-based-transfusion-error-tracking-2005-2010-identifying-key-errors-threatening
March 09, 2022 - Study
Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety.
Citation Text:
Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening …
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-time-crises-italian-experience-coping-covid19
December 09, 2020 - Commentary
Human factors and ergonomics at time of crises: the Italian experience coping with COVID19.
Citation Text:
Albolino S, Dagliana G, Tanzini M, et al. Human factors and ergonomics at time of crises: the Italian experience coping with COVID-19. Int J Qual Health Care. 2021;33(1)…
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psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case-study
April 03, 2024 - Commentary
Technology-related safety event analysis in community clinical informatics: a case study.
Citation Text:
Recsky C, Stowe M, Rush KL, et al. Technology-related safety event analysis in community clinical informatics: a case study. Stud Health Technol Inform. 2024;315:452-457. d…
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psnet.ahrq.gov/issue/minimization-occurrence-retained-surgical-items-using-machine-learning-and-deep-learning
July 06, 2012 - Review
Minimization of occurrence of retained surgical items using machine learning and deep learning techniques: a review.
Citation Text:
Abo-Zahhad M, El-Malek AHA, Sayed MS, et al. Minimization of occurrence of retained surgical items using machine learning and deep learning technique…
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psnet.ahrq.gov/issue/evaluating-medication-process-context-cpoe-use-significance-working-around-system
February 23, 2009 - Study
Evaluating the medication process in the context of CPOE use: the significance of working around the system.
Citation Text:
Niazkhani Z, Pirnejad H, van der Sijs H, et al. Evaluating the medication process in the context of CPOE use: the significance of working around the system.…
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psnet.ahrq.gov/issue/updating-eindhoven-clarifying-features-patient-safety-near-miss
March 13, 2024 - Study
Updating Eindhoven: clarifying the features of a patient safety near miss.
Citation Text:
Woodier N, Burnett C, Sampson P, et al. Updating Eindhoven: clarifying the features of a patient safety near miss. J Patient Saf Risk Manag. 2024;29(4):195-201. doi:10.1177/25160435241247096. …