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psnet.ahrq.gov/issue/fda-101-how-use-consumer-complaint-system-and-medwatch
February 15, 2024 - Fact Sheet/FAQs
FDA 101: How to Use the Consumer Complaint System and MedWatch.
Citation Text:
FDA 101: How to Use the Consumer Complaint System and MedWatch. FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 27, 2009.
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psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
February 24, 2016 - Newspaper/Magazine Article
Is an indication-based prescribing system in our future?
Citation Text:
Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5.
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psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
September 07, 2022 - Commentary
Is the future of medical diagnosis in computer algorithms?
Citation Text:
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-e16. doi:10.1016/s2589-7500(19)30011-1.
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psnet.ahrq.gov/issue/health-information-technology-engaging-patients-diagnostic-decision-making-emergency
April 22, 2020 - Book/Report
Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments.
Citation Text:
Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. Mangus CW, Singh H, Mahajan P. Rockville, MD:…
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psnet.ahrq.gov/issue/ai-ecosystem-ensuring-generative-ai-safe-and-effective
January 16, 2019 - Commentary
AI as an ecosystem — ensuring generative AI is safe and effective.
Citation Text:
Coiera E, Fraile-Navarro D. AI as an ecosystem — ensuring generative AI is safe and effective. NEJM AI. 2024;1(9):AIp2400611. doi:10.1056/aip2400611.
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psnet.ahrq.gov/issue/patient-safety-investigation-report-services-university-hospital-galway-uhg-and-reflected
June 14, 2017 - Book/Report
Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar.
Citation Text:
Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the ca…
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psnet.ahrq.gov/issue/clinical-cognition-and-biomedical-informatics-issues-patient-safety
September 04, 2024 - Commentary
Clinical cognition and biomedical informatics: issues of patient safety.
Citation Text:
Patel VL, Currie L. Clinical cognition and biomedical informatics: Issues of patient safety. Int J Med Inform. 2005;74(11-12). doi:10.1016/j.ijmedinf.2005.07.009.
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psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
October 19, 2022 - Commentary
Medication bar coding: to scan or not to scan?
Citation Text:
Galvin L, McBeth S, Hasdorff C, et al. Medication bar coding: to scan or not to scan? Comput Inform Nurs. 2007;25(2):86-92.
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psnet.ahrq.gov/issue/potential-inaccuracy-electronically-transmitted-medication-history-information-used
December 15, 2021 - Press Release/Announcement
Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation.
Citation Text:
Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation. Nati…
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psnet.ahrq.gov/node/46525/psn-pdf
October 25, 2017 - Progress in interoperability: measuring US hospitals'
engagement in sharing patient data.
October 25, 2017
Holmgren J, Patel V, Adler-Milstein J. Progress in interoperability: measuring US hospitals' engagement in
sharing patient data. Health Aff (Millwood). 2017;36(10):1820-1827. doi:10.1377/hlthaff.2017.0546.
ht…
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psnet.ahrq.gov/node/866645/psn-pdf
September 04, 2024 - Technology-related safety event analysis in community
clinical informatics: a case study.
September 4, 2024
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. doi:10.3233/shti240189.
https://psne…
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psnet.ahrq.gov/node/72604/psn-pdf
December 23, 2020 - Organizational characteristics and perceptions of clinical
event notification services in healthcare settings: a study
of health information exchange.
December 23, 2020
Wiley KK, Hilts KE, Ancker JS, et al. Organizational characteristics and perceptions of clinical event
notification services in healthcare setting…
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - SPOTLIGHT CASE
Order Interrupted by Text: Multitasking Mishap
Citation Text:
Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - Anchoring Bias With Critical Implications
June 1, 2015
Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
Case Objectives
Appreciate that diagnostic errors are common in primary and ambulatory care.
Define premature clo…
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - Becoming a Patient Safety Organization
Rory Jaffe, MD, MBA | July 1, 2011
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. Rockville (MD): Agency for Healthcare …
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Algorithm-Based Decision Support System Guides
Trauma Staff During Initial Treatment, Leading to Fewer
Medical Errors
Originally published on March 3, 2021
Last updated on March 16, 2021
https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-
initial-treatment
Summar…
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psnet.ahrq.gov/node/40186/psn-pdf
April 21, 2011 - The impact of eHealth on the quality and safety of health
care: a systematic overview.
April 21, 2011
Black AD, Car J, Pagliari C, et al. The impact of eHealth on the quality and safety of health care: a
systematic overview. PLoS Med. 2011;8(1):e1000387. doi:10.1371/journal.pmed.1000387.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - Annual Perspective
Updates in the Role of Health IT in Patient Safety
February 21, 2020
View more articles from the same authors.
Citation Text:
Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. Rockville …
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psnet.ahrq.gov/node/44459/psn-pdf
October 06, 2016 - Examining the Relationship Between Health IT and
Ambulatory Care Workflow Redesign.
October 6, 2016
Zheng K, Ciemins EL, Lanham HJ, et al. Rockville, MD: Agency for Healthcare Research and Quality; July
2015. AHRQ Publication No. 15-0058-EF.
https://psnet.ahrq.gov/issue/examining-relationship-between-health-it-and…
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psnet.ahrq.gov/node/38347/psn-pdf
May 24, 2015 - Using Telehealth to Improve Quality and Safety: Findings
from the AHRQ Portfolio.
May 24, 2015
Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD:
Agency for Healthcare Research and Quality; December 2008. AHRQ Publication No. 09-0012-EF.
https://psnet.ahrq.gov/issue/usin…