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psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
October 12, 2022 - Review
The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety.
Citation Text:
Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patien…
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psnet.ahrq.gov/issue/electronic-health-record-usability-contributions-patient-safety-and-clinician-burnout-path
December 21, 2022 - Commentary
Electronic health record usability contributions to patient safety and clinician burnout: a path forward.
Citation Text:
Schwappach DLB, Ratwani RM. Electronic health record usability contributions to patient safety and clinician burnout: a path forward. J Patient Saf. 2023;19…
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psnet.ahrq.gov/issue/multi-professional-patterns-and-methods-communication-during-patient-handoffs
January 30, 2019 - Study
Multi-professional patterns and methods of communication during patient handoffs.
Citation Text:
Benham-Hutchins MM, Effken JA. Multi-professional patterns and methods of communication during patient handoffs. Int J Med Inform. 2010;79(4):252-67. doi:10.1016/j.ijmedinf.2009.12.00…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-medications-and-clinical-decision-support-can-improve
May 29, 2019 - Study
Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance.
Citation Text:
Galanter W, Hier DB, Jao C, et al. Computerized physician order entry of medications and clinical decision support can improve problem…
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psnet.ahrq.gov/issue/improving-electronic-health-record-usability-and-safety-requires-transparency
September 19, 2018 - Commentary
Improving electronic health record usability and safety requires transparency.
Citation Text:
Ratwani RM, Hodgkins M, Bates DW. Improving Electronic Health Record Usability and Safety Requires Transparency. JAMA. 2018;320(24):2533-2534. doi:10.1001/jama.2018.14079.
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psnet.ahrq.gov/issue/incidence-speech-recognition-errors-emergency-department
February 14, 2017 - Study
Incidence of speech recognition errors in the emergency department.
Citation Text:
Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform. 2016;93:70-73. doi:10.1016/j.ijmedinf.2016.05.005.
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psnet.ahrq.gov/issue/technology-induced-error-and-usability-relationship-between-usability-problems-and
June 15, 2022 - Study
Technology induced error and usability: the relationship between usability problems and prescription errors when using a handheld application.
Citation Text:
Kushniruk AW, Triola MM, Borycki EM, et al. Technology induced error and usability: The relationship between usability pro…
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psnet.ahrq.gov/issue/systematic-review-performance-characteristics-clinical-event-monitor-signals-used-detect
March 28, 2012 - Review
A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting.
Citation Text:
Handler S, Altman RL, Perera S, et al. A systematic review of the performance characteristics of clinical event mon…
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psnet.ahrq.gov/issue/role-artificial-intelligence-patient-safety-outcomes-systematic-literature-review
September 20, 2011 - Review
Role of artificial intelligence in patient safety outcomes: systematic literature review.
Citation Text:
Choudhury A, Asan O. Role of artificial intelligence in patient safety outcomes: systematic literature review. JMIR Med Inform. 2020;8(7):e18599. doi:10.2196/18599.
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psnet.ahrq.gov/issue/measuring-and-improving-patient-safety-through-health-information-technology-health-it-safety
December 06, 2023 - Commentary
Measuring and improving patient safety through health information technology: the Health IT Safety Framework.
Citation Text:
Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Qual Saf. 2016;25(…
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psnet.ahrq.gov/issue/ehr-safety-way-forward-safe-and-effective-systems
December 12, 2012 - Commentary
EHR safety: the way forward to safe and effective systems.
Citation Text:
Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618.
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psnet.ahrq.gov/issue/hardwiring-patient-blood-management-harnessing-information-technology-optimize-transfusion
September 20, 2012 - Review
Hardwiring patient blood management: harnessing information technology to optimize transfusion practice.
Citation Text:
Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;2…
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psnet.ahrq.gov/issue/examining-copy-and-paste-function-use-electronic-health-records
October 21, 2015 - Book/Report
Examining the Copy and Paste Function in the Use of Electronic Health Records.
Citation Text:
Examining the Copy and Paste Function in the Use of Electronic Health Records. Lowry SZ, Ramaiah M, Prettyman SS, et al. Gaithersburg, MD: National Institute of Standards and Technol…
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - In Conversation With… Vineet Arora, MD, MAPP
September 1, 2015
In Conversation With… Vineet Arora, MD, MAPP. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
Editor's note: Vineet Arora, MD, MAPP, is Director of GME Clinical Learning Environment Innovation,
Associate Pr…
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psnet.ahrq.gov/node/47468/psn-pdf
October 24, 2018 - Procuring Interoperability: Achieving High-Quality,
Connected, and Person-Centered Care.
October 24, 2018
Pronovost P, Johns MME, Palmer S, et al, eds. Washington, DC: National Academy of Medicine; 2018.
ISBN: 9781947103122.
https://psnet.ahrq.gov/issue/procuring-interoperability-achieving-high-quality-connected-a…
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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - Refused Medication Error
Citation Text:
Foley M. Refused Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/49444/psn-pdf
May 01, 2004 - Do Me a Favor
May 1, 2004
Williamson A. Do Me a Favor. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/do-me-favor
The Case
A 26-year-old gravida 4 para 1 woman reported that her last menstrual period was 5 weeks prior, and she
had a positive home pregnancy test. With a history of one ectopic pregnancy, one…
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare-delivery-special-issue-health-information-technology
June 02, 2010 - Special or Theme Issue
Human Factors and Ergonomics in Healthcare Delivery: A Special Issue on Health Information Technology and Medication Administration Safety.
Citation Text:
Human Factors and Ergonomics in Healthcare Delivery: A Special Issue on Health Information Technology and Med…
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psnet.ahrq.gov/issue/digital-health-and-patient-safety-technology-not-magic-wand
July 22, 2020 - Special or Theme Issue
Emerging Classic
Digital Health and Patient Safety.
Citation Text:
Digital Health and Patient Safety. Health Informatics J. 2020;26:181-189;576-591;683-718;1017-1042;2295-2299;3123-3162.
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psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers
January 13, 2021 - Fact Sheet/FAQs
Questions and Answers on FDA's Adverse Event Reporting System (FAERS).
Citation Text:
Questions and Answers on FDA's Adverse Event Reporting System (FAERS). Center for Drug Evaluation and Research, US Food and Drug Administration. June 4, 2018.
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