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psnet.ahrq.gov/node/852752/psn-pdf
August 23, 2023 - Differential perceptions of what constitutes a medical
error associated with electronic medical records.
August 23, 2023
Koppel R, Kuziemsky C, Elkin PL, et al. Differential perceptions of what constitutes a medical error
associated with electronic medical records. Stud Health Technol Inform. 2023;304:21-25.
doi:1…
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psnet.ahrq.gov/node/44799/psn-pdf
July 11, 2017 - Unintended Consequences: New Problems and New
Solutions.
July 11, 2017
Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271.
https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
Unexpected effects associated with implementation and use of health information technolo…
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psnet.ahrq.gov/node/43098/psn-pdf
August 25, 2015 - Who do hospital physicians and nurses go to for advice
about medications? A social network analysis and
examination of prescribing error rates.
August 25, 2015
Creswick N, Westbrook JI. Who Do Hospital Physicians and Nurses Go to for Advice About Medications? A
Social Network Analysis and Examination of Prescribin…
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psnet.ahrq.gov/node/72775/psn-pdf
February 24, 2021 - Improving medication appropriateness in nursing homes
via structured interprofessional medication-review
supported by health information technology: a non-
randomized controlled study.
February 24, 2021
Dellinger JK, Pitzer S, Schaffler-Schaden D, et al. Improving medication appropriateness in nursing homes
via s…
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psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
December 21, 2017 - High-Risk Medications, High-Risk Transfers
Citation Text:
Staggers N. High-Risk Medications, High-Risk Transfers. 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/49817/psn-pdf
January 01, 2018 - Slow Down: Right Drug, Wrong Formulation
January 1, 2018
Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
The Case
A 65-year-old man presented to his primary care clinic for follow-up after a recent hospitaliz…
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psnet.ahrq.gov/node/33709/psn-pdf
July 01, 2011 - What Have We Learned About Safe Inpatient Handovers?
March 1, 2011
Kripalani S. What Have We Learned About Safe Inpatient Handovers? PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
Perspective
The care of hospitalized patients is marked by numerous tra…
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psnet.ahrq.gov/node/33886/psn-pdf
August 01, 2019 - Medical Scribes and Patient Safety
August 1, 2019
Woodcock D, Bergstrom R. Medical Scribes and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
Perspective
Scribes have supported physicians for thousands of years.(1) However, little is known about how to…
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psnet.ahrq.gov/node/39602/psn-pdf
August 09, 2013 - Postoperative handover: problems, pitfalls, and
prevention of error.
August 9, 2013
Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error.
Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656.
https://psnet.ahrq.gov/issue/postoperative-handover-problems-p…
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psnet.ahrq.gov/node/73443/psn-pdf
June 30, 2021 - Impact of technological and departmental changes on
incident rates in radiation oncology over a seventeen-year
period.
June 30, 2021
Le Cornu E, Murray S, Brown EJ, et al. Impact of technological and departmental changes on incident rates
in radiation oncology over a seventeen?year period. J Med Radiat Sci. 2021;6…
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psnet.ahrq.gov/node/44713/psn-pdf
January 20, 2016 - Are surgeons and anesthesiologists lying to each other or
gaming the system? A national random sample survey
about "truth-telling practices" in the perioperative setting
in the United States.
January 20, 2016
Nurok M, Lee Y-Y, Ma Y, et al. Are surgeons and anesthesiologists lying to each other or gaming the
syste…
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psnet.ahrq.gov/node/45493/psn-pdf
December 07, 2016 - The rising frequency of IT blackouts indicates the
increasing relevance of IT emergency concepts to ensure
patient safety.
December 7, 2016
Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of
IT Emergency Concepts to Ensure Patient Safety. Yearb Med Inform. 2016…
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psnet.ahrq.gov/node/867036/psn-pdf
January 01, 2025 - Artificial intelligence-powered chatbots in search
engines: a cross-sectional study on the quality and risks
of drug information for patients.
October 30, 2024
Andrikyan W, Sametinger SM, Kosfeld F, et al. Artificial intelligence-powered chatbots in search engines: a
cross-sectional study on the quality and risks …
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psnet.ahrq.gov/node/35451/psn-pdf
January 05, 2017 - Closing the loop: follow-up and feedback in a patient
safety program.
January 5, 2017
Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety
program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21.
https://psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-pati…
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psnet.ahrq.gov/node/47910/psn-pdf
August 21, 2019 - Cognitive Informatics: Reengineering Clinical Workflow
for Safer and More Efficient Care.
August 21, 2019
Zheng K, Westbrook J, Kannampallil TG, Patel VL, eds. Springer International Publishing; 2019. ISBN:
9783030169152.
https://psnet.ahrq.gov/issue/cognitive-informatics-reengineering-clinical-workflow-safer-and-…
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psnet.ahrq.gov/node/843079/psn-pdf
January 25, 2023 - Electronic health record use issues and diagnostic error:
a scoping review and framework.
January 25, 2023
Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping
review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/pts.0000000000001081.
https://psn…
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psnet.ahrq.gov/node/836821/psn-pdf
March 30, 2022 - Biasing influence of 'mental shortcuts' on diagnostic
decision-making: radiologists can overlook breast cancer
in mamograms when prior diagnostic information is
available.
March 30, 2022
Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-making:
radiologists can overlook …
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psnet.ahrq.gov/issue/scanner-beep-only-means-barcode-has-been-scanned
June 10, 2018 - Newspaper/Magazine Article
Scanner beep only means the barcode has been scanned.
Citation Text:
Scanner beep only means the barcode has been scanned. ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.
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psnet.ahrq.gov/issue/health-it-hazard-manager
August 01, 2012 - Government Resource
Health IT Hazard Manager.
Citation Text:
Health IT Hazard Manager. Rockville, MD: Agency for Healthcare Research and Quality. AHRQ Publication No. 12-0058-EF May 2012.
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psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology
January 11, 2017 - Newspaper/Magazine Article
Medication errors involving overrides of healthcare technology.
Citation Text:
Medication errors involving overrides of healthcare technology. Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148.
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