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psnet.ahrq.gov/issue/effects-workload-work-complexity-and-repeated-alerts-alert-fatigue-clinical-decision-support
March 04, 2015 - Study
Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system.
Citation Text:
Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. B…
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psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric
September 01, 2016 - Study
Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study.
Citation Text:
Stultz JS, Nahata MC. Preventability of Voluntarily Reported or Trigger Tool-Identified Medication …
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psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety
January 23, 2019 - Study
Safety huddles to proactively identify and address electronic health record safety.
Citation Text:
Menon S, Singh H, Giardina TD, et al. Safety huddles to proactively identify and address electronic health record safety. J Am Med Inform Assoc. 2017;24(2):261-267. doi:10.1093/jamia/…
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psnet.ahrq.gov/issue/appropriateness-commercially-available-and-partially-customized-medication-dosing-alerts
July 16, 2015 - Study
Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients.
Citation Text:
Stultz JS, Nahata MC. Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. J Am Med …
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psnet.ahrq.gov/issue/validation-electronic-trigger-measure-missed-diagnosis-stroke-emergency-departments
May 18, 2022 - Study
Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments.
Citation Text:
Vaghani V, Wei L, Mushtaq U, et al. Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments. J Am Med Inform Assoc. 2021;28(…
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psnet.ahrq.gov/issue/how-improve-delivery-medication-alerts-within-computerized-physician-order-entry-systems
October 30, 2013 - Study
How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study.
Citation Text:
Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within computerized physician order entry systems:…
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psnet.ahrq.gov/issue/two-year-longitudinal-assessment-physicians-perceptions-after-replacement-longstanding
December 31, 2014 - Study
Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist?
Citation Text:
Hanauer DA, Branford GL, Greenberg G, et al. Two-year longitudinal assessment of physician…
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psnet.ahrq.gov/issue/unintended-adverse-consequences-introducing-electronic-health-records-residential-aged-care
March 24, 2019 - Study
Unintended adverse consequences of introducing electronic health records in residential aged care homes.
Citation Text:
Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records in residential aged care homes. Int J Med Inform. 2013;82…
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psnet.ahrq.gov/issue/high-nursing-staff-turnover-nursing-homes-offers-important-quality-information
September 16, 2020 - Study
Classic
High nursing staff turnover in nursing homes offers important quality information.
Citation Text:
Gandhi A, Yu H, Grabowski DC. High nursing staff turnover in nursing homes offers important quality information. Health Aff (Millwood). 2021;40(3):384…
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psnet.ahrq.gov/issue/dynamic-pocket-card-implementing-isbar-shift-handover-communication
July 10, 2024 - Study
Dynamic pocket card for implementing ISBAR in shift handover communication.
Citation Text:
Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831.
…
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psnet.ahrq.gov/issue/electronic-checklist-improves-transfer-and-retention-critical-information-intraoperative
July 21, 2021 - Study
An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care.
Citation Text:
Agarwala A, Firth PG, Albrecht MA, et al. An electronic checklist improves transfer and retention of critical information at intraoperative handoff of c…
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psnet.ahrq.gov/issue/it-cares-interactive-tool-case-crossover-analyses-electronic-medical-records-patient-safety
October 30, 2013 - Study
IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety.
Citation Text:
Caron A, Chazard E, Muller J, et al. IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. J Am Med Infor…
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psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and
September 23, 2020 - Commentary
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.
Citation Text:
Morris AH, Stagg B, Lanspa M, et al. Enabling a learning healthcare system with automated computer protocols that produce replicab…
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psnet.ahrq.gov/issue/trust-and-medical-ai-challenges-we-face-and-expertise-needed-overcome-them
July 22, 2020 - Commentary
Emerging Classic
Trust and medical AI: the challenges we face and the expertise needed to overcome them.
Citation Text:
Quinn TP, Senadeera M, Jacobs S, et al. Trust and medical AI: the challenges we face and the expertise needed to overcome them. J A…
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psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems
March 14, 2022 - Review
Emerging Classic
Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review.
Citation Text:
Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in elect…
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psnet.ahrq.gov/issue/development-preliminary-patient-safety-classification-system-generative-ai
December 21, 2022 - Study
Development of a preliminary patient safety classification system for generative AI.
Citation Text:
Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017…
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psnet.ahrq.gov/node/33999/psn-pdf
March 07, 2005 - Center for Consumer Health Care Information Patient
Safety Center.
March 7, 2005
https://psnet.ahrq.gov/issue/center-consumer-health-care-information-patient-safety-center
The Center's efforts for patient safety are highlighted, including New York's Patient Occurrence Reporting
and Tracking System, Clinical Guidel…
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - Delayed Clozapine Prescription in an Elderly Man With
Dementia
July 2, 2019
Tsourounis C, Ghomeshi KK. Delayed Clozapine Prescription in an Elderly Man With Dementia. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
The Case
An 86-year-old man with neurode…
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psnet.ahrq.gov/node/40766/psn-pdf
September 14, 2011 - Medicines reconciliation using a shared electronic health
care record.
September 14, 2011
Moore P, Armitage G, Wright J, et al. Medicines reconciliation using a shared electronic health care record.
J Patient Saf. 2011;7(3):148-154. doi:10.1097/PTS.0b013e31822c5bf9.
https://psnet.ahrq.gov/issue/medicines-reconcili…
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psnet.ahrq.gov/node/33717/psn-pdf
September 01, 2011 - Incident Reporting: More Attention to the Safety Action
Feedback Loop, Please
September 1, 2011
Nuckols TK. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please. PSNet
[internet]. 2011.
https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
…