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psnet.ahrq.gov/node/39748/psn-pdf
August 11, 2010 - Information transfer and communication in surgery: a
systematic review.
August 11, 2010
Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review.
Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2.
https://psnet.ahrq.gov/issue/information-transfer-and-comm…
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psnet.ahrq.gov/node/38675/psn-pdf
February 15, 2011 - Prescription errors and outcomes related to inconsistent
information transmitted through computerized order
entry: a prospective study.
February 15, 2011
Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information
transmitted through computerized order entry: a prospecti…
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psnet.ahrq.gov/node/60321/psn-pdf
May 13, 2020 - Safely practicing in a new environment: a qualitative
study to inform physician onboarding practices.
May 13, 2020
Lagoo J, Berry WR, Henrich N, et al. Safely practicing in a new environment: a qualitative study to inform
physician onboarding practices. Jt Comm J Qual Patient Saf. 2020;46(6):314-320.
doi:10.1016/j…
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psnet.ahrq.gov/node/35891/psn-pdf
May 03, 2006 - Costs and Benefits of Health Information Technology.
May 3, 2006
Shekelle PG, Morton SC, Keeler EB. Rockville, MD: Agency for Healthcare Research and Quality; April
2006. AHRQ Publication No. 06-E006.
https://psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology
The authors reviewed the literature …
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psnet.ahrq.gov/issue/biomedical-complexity-and-error
August 21, 2019 - Special or Theme Issue
Biomedical Complexity and Error.
Citation Text:
Biomedical Complexity and Error. Patel VL, Kahol K, Buchman T, eds. J Biomed Inform. 2011;44:385-506.
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psnet.ahrq.gov/node/38787/psn-pdf
May 07, 2018 - Misidentification of alphanumeric symbols in both
handwritten and computer-generated information.
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. July 2, 2009;14:1-2.
https://psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols-both-handwritten-and-computer-
generated-information
This article…
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psnet.ahrq.gov/node/36416/psn-pdf
December 22, 2010 - A medical error leads to tragedy: how do we inform the
patient?
December 22, 2010
Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care.
2006;23(5):417-21.
https://psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
This roundtable discussion p…
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psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
December 18, 2013 - Book/Report
Health IT Patient Safety Action and Surveillance Plan.
Citation Text:
Health IT Patient Safety Action and Surveillance Plan. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013.
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psnet.ahrq.gov/issue/medication-related-clinical-decision-support-computerized-provider-order-entry-systems-review
March 11, 2011 - Review
Medication-related clinical decision support in computerized provider order entry systems: a review.
Citation Text:
Kuperman GJ, Bobb A, Payne TH, et al. Medication-related clinical decision support in computerized provider order entry systems: a review. J Am Med Inform Assoc. 2…
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psnet.ahrq.gov/issue/medical-librarians-supporting-information-systems-project-lifecycles-toward-improved-patient
March 27, 2024 - Commentary
Medical librarians supporting information systems project lifecycles toward improved patient safety.
Citation Text:
Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles toward improved patient safety. Medical librarians …
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psnet.ahrq.gov/issue/public-comment-period-extended-strategies-improve-patient-safety-draft-report-congress-public
June 16, 2021 - Press Release/Announcement
Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine.
Citation Text:
Public comment period extended for strategies to improve patient safety: Draft Re…
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psnet.ahrq.gov/issue/meaningful-use-and-certification-health-information-technology-what-about-safety
September 07, 2022 - Commentary
Meaningful use and certification of health information technology: what about safety?
Citation Text:
Hoffman S, Podgurski A. Meaningful use and certification of health information technology: what about safety? J Law Med Ethics. 2011;39(suppl 1):77-80. doi:10.1111/j.1748-720…
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psnet.ahrq.gov/issue/it-vulnerabilities-highlighted-errors-malfunctions-veterans-medical-centers
January 31, 2024 - Commentary
IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers.
Citation Text:
Kuehn BM. IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA. 2009;301(9):919. doi:10.1001/jama.2009.239.
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psnet.ahrq.gov/issue/informatics-confronts-drug-drug-interactions
February 18, 2011 - Review
Informatics confronts drug–drug interactions.
Citation Text:
Percha B, Altman RB. Informatics confronts drug-drug interactions. Trends Pharmacol Sci. 2013;34(3):178-84. doi:10.1016/j.tips.2013.01.006.
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DOI Google Scholar PubMed BibTeX EndNote X…
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psnet.ahrq.gov/node/35373/psn-pdf
July 20, 2009 - Medical groups' adoption of electronic health records and
information systems.
July 20, 2009
Gans DN, Kralewski J, Hammons T, et al. Medical Groups’ Adoption Of Electronic Health Records And
Information Systems. Health Aff. 2005;24(5):1323-1333. doi:10.1377/hlthaff.24.5.1323.
https://psnet.ahrq.gov/issue/medical-g…
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psnet.ahrq.gov/node/41912/psn-pdf
December 12, 2012 - Speaking up and sharing information improves trainee
neonatal resuscitations.
December 12, 2012
Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal
resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f.
https://psnet.ahrq.gov/issue/speaking-an…
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psnet.ahrq.gov/node/40424/psn-pdf
May 04, 2011 - Evaluation of postoperative handover using a tool to
assess information transfer and teamwork.
May 4, 2011
Nagpal K, Abboudi M, Fischler L, et al. Ann Surg. 2011;253:831-837.
https://psnet.ahrq.gov/issue/evaluation-postoperative-handover-using-tool-assess-information-transfer-and-
teamwork
Handoffs of patients af…
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psnet.ahrq.gov/node/33790/psn-pdf
August 01, 2015 - New Insights on Safety and Health IT
August 1, 2015
Hettinger ZA, Ratwani RM, Fairbanks RJ. New Insights on Safety and Health IT. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
Perspective
Despite the widespread adoption of electronic health records (EHRs) over the las…
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psnet.ahrq.gov/node/43308/psn-pdf
May 01, 2015 - An analysis of electronic health record–related patient
safety concerns.
May 1, 2015
Meeks DW, Smith MW, Taylor L, et al. An analysis of electronic health record-related patient safety
concerns. J Am Med Inform Assoc. 2014;21(6):1053-9. doi:10.1136/amiajnl-2013-002578.
https://psnet.ahrq.gov/issue/analysis-electro…
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psnet.ahrq.gov/node/38549/psn-pdf
March 04, 2015 - Information for healthcare professionals: risk of
transmission of blood-borne pathogens from shared use
of insulin pens.
March 4, 2015
FDA Alert. Silver Spring, MD; US Food and Drug Administration: March 19, 2009.
https://psnet.ahrq.gov/issue/information-healthcare-professionals-risk-transmission-blood-borne-
pat…