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psnet.ahrq.gov/node/49703/psn-pdf
March 01, 2014 - After-Visit Confusion
March 1, 2014
Ventres W. After-Visit Confusion. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/after-visit-confusion
The Case
An otherwise healthy 18-year-old woman presented to an urgent care clinic with new bumps and white
spots near her tongue. The patient's mother accompanied her …
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psnet.ahrq.gov/node/49688/psn-pdf
August 21, 2013 - Discharge Instructions in the PACU: Who Remembers?
August 21, 2013
Engel KG. Discharge Instructions in the PACU: Who Remembers? PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
The Case
A 42-year-old woman was diagnosed with a torn anterior cruciate ligament (ACL) in …
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psnet.ahrq.gov/node/33651/psn-pdf
June 01, 2007 - In Conversation with...Diane Rydrych, MA
June 1, 2007
In Conversation with..Diane Rydrych, MA. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
Editor's Note: Diane Rydrych, MA, is Assistant Director of the Division of Health Policy at the Minnesota
Department of Health,…
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psnet.ahrq.gov/issue/patients-experience-patient-safety-information-and-participation-care-during-hospital-stay
April 05, 2023 - Study
Patients' experience of patient safety information and participation in care during a hospital stay.
Citation Text:
Tubic B, Finizia C, Zainal Kamil A, et al. Patients' experience of patient safety information and participation in care during a hospital stay. Nurs Open. 2023;10(3):…
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psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk-management
May 25, 2016 - Government Resource
Promoting Patient Safety Through Effective Health Information Technology Risk Management.
Citation Text:
Promoting Patient Safety Through Effective Health Information Technology Risk Management. Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND…
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psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions
March 20, 2024 - Study
Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions.
Citation Text:
Lester CA, Flynn AJ, Marshall VD, et al. Comparing the variability of ingredient, strength, and dose form information fro…
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psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
December 21, 2017 - Study
Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports.
Citation Text:
Magrabi F, Liaw ST, Arachi D, et al. Identifying patient safety problems associated with information technology in general practice: an an…
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psnet.ahrq.gov/node/41541/psn-pdf
September 26, 2012 - Failures in communication and information transfer
across the surgical care pathway: interview study.
September 26, 2012
Nagpal K, Arora S, Vats A, et al. Failures in communication and information transfer across the surgical
care pathway: interview study. BMJ Qual Saf. 2012;21(10):843-9.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/45507/psn-pdf
November 02, 2016 - Information handoff and outcomes of critically ill patients
transferred between hospitals.
November 2, 2016
Usher MG, Fanning C, Wu D, et al. Information handoff and outcomes of critically ill patients transferred
between hospitals. J Crit Care. 2016;36:240-245. doi:10.1016/j.jcrc.2016.08.006.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/43485/psn-pdf
December 15, 2014 - Implementation of an emergency department sign-out
checklist improves transfer of information at shift change.
December 15, 2014
Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist
improves transfer of information at shift change. J Emerg Med. 2014;47(5):580-5.
doi:10…
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psnet.ahrq.gov/node/42709/psn-pdf
November 06, 2013 - Toward increased patient safety? Electronic
communication of medication information between
nurses in home health care and general practitioners.
November 6, 2013
Lyngstad M, Melby L, Grimsmo A, et al. Toward Increased Patient Safety? Electronic Communication of
Medication Information Between Nurses in Home Health…
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psnet.ahrq.gov/node/38774/psn-pdf
July 08, 2009 - Evaluation of causes and frequency of medication errors
during information technology downtime.
July 8, 2009
Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication
errors during information technology downtime. Am J Health Syst Pharm. 2009;66(12):1119-24.
doi:10.2146/a…
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psnet.ahrq.gov/issue/health-information-technology-vehicle-not-destination-conversation-david-j-brailer
March 19, 2019 - Commentary
Health information technology is a vehicle, not a destination: a conversation with David J. Brailer.
Citation Text:
Brailer DJ. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Interview by Arnold Milstein. Health Aff (Mill…
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psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health-information-systems
January 07, 2015 - Review
Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries.
Citation Text:
Ludwick DA, Doucette J. Adopting electronic medical records in primary care: lessons learned from health information …
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psnet.ahrq.gov/issue/patient-safety-and-adverse-events
July 20, 2022 - Special or Theme Issue
Patient Safety and Adverse Events.
Citation Text:
Patient Safety and Adverse Events. Adlassnig KP, Blobel B, Mantas J, Masic I, eds. Stud Health Technol Inform. 2009;150:497-566. In: Medical Informatics in a United and Healthy Europe. Washington, DC: IOS Press. ISB…
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psnet.ahrq.gov/issue/evaluation-information-transfer-through-continuum-surgical-care-feasibility-study
December 21, 2014 - Study
An evaluation of information transfer through the continuum of surgical care: a feasibility study.
Citation Text:
Nagpal K, Vats A, Ahmed K, et al. An evaluation of information transfer through the continuum of surgical care: a feasibility study. Ann Surg. 2010;252(2):402-7. doi:1…
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psnet.ahrq.gov/issue/implementing-computerized-physician-order-management-community-hospital
November 16, 2022 - Commentary
Implementing computerized physician order management at a community hospital.
Citation Text:
Kraus S, Barber TR, Briggs B, et al. Implementing computerized physician order management at a community hospital. Jt Comm J Qual Patient Saf. 2008;34(2):74-84.
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psnet.ahrq.gov/issue/patient-safety-institute-demonstration-project-model-implementing-local-health-information
May 15, 2013 - Commentary
The Patient Safety Institute demonstration project: a model for implementing a local health information infrastructure.
Citation Text:
Classen D, Kanhouwa M, Will D, et al. The patient safety institute demonstration project: a model for implementing a local health informatio…
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psnet.ahrq.gov/issue/business-intelligence-dashboards-patient-safety-and-quality-narrative-literature-review
February 09, 2022 - Review
Business Intelligence dashboards for patient safety and quality: a narrative literature review.
Citation Text:
Davy A, Borycki EM. Business Intelligence dashboards for patient safety and quality: a narrative literature review. Stud Health Technol Inform. 2022;290:438-441. doi:10.3…
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psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
June 15, 2022 - Review
A safety maturity model for technology-induced errors.
Citation Text:
Borycki EM, Kushniruk AW. A safety maturity model for technology-induced errors. Stud Health Technol Inform. 2022;289:447-451. doi:10.3233/shti210954.
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