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Safety considerations for challenges when using smart infusion pumps. | PSNet

psnet.ahrq.gov/issue/safety-considerations-challenges-when-using-smart-infusion-pumps

October 26, 2022 - Newspaper/Magazine Article Safety considerations for challenges when using smart infusion pumps. Citation Text: Safety considerations for challenges when using smart infusion pumps. ISMP Medication Safety Alert! Acute care edition. October 20, 2022;20(21):1-5. Copy Citation …

Latent bias and the implementation of artificial intelligence in medicine. | PSNet

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August 18, 2021 - Commentary Emerging Classic Latent bias and the implementation of artificial intelligence in medicine. Citation Text: Decamp M, Lindvall C. Latent bias and the implementation of artificial intelligence in medicine. J Am Med Inform Assoc. 2020;27(12):2020-2023. d…

Predictive combinations of monitor alarms preceding in-hospital code blue events. | PSNet

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March 18, 2020 - Study Predictive combinations of monitor alarms preceding in-hospital code blue events. Citation Text: Hu X, Sapo M, Nenov V, et al. Predictive combinations of monitor alarms preceding in-hospital code blue events. J Biomed Inform. 2012;45(5):913-21. doi:10.1016/j.jbi.2012.03.001. Copy…

A unified model of patient safety (or "Who froze my cheese?"). | PSNet

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August 23, 2023 - Commentary A unified model of patient safety (or "Who froze my cheese?"). Citation Text: Coiera E, Collins S, Kuziemsky C. A unified model of patient safety (or "Who froze my cheese?"). BMJ. 2013;347:f7273. doi:10.1136/bmj.f7273. Copy Citation Format: DOI Google Scholar …

Creating an oversight infrastructure for electronic health record–related patient safety hazards. | PSNet

psnet.ahrq.gov/issue/creating-oversight-infrastructure-electronic-health-record-related-patient-safety-hazards

May 22, 2015 - Commentary Creating an oversight infrastructure for electronic health record–related patient safety hazards. Citation Text: Singh H, Classen D, Sittig DF. Creating an oversight infrastructure for electronic health record-related patient safety hazards. J Patient Saf. 2011;7(4):169-74. …

Randomized trial to improve prescribing safety during pregnancy. | PSNet

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October 06, 2011 - Study Randomized trial to improve prescribing safety during pregnancy. Citation Text: Raebel MA, Carroll NM, Kelleher JA, et al. Randomized trial to improve prescribing safety during pregnancy. J Am Med Inform Assoc. 2007;14(4):440-450. Copy Citation Format: Google Schola…

Information needs in operating room teams: what is right, what is wrong, and what is needed? | PSNet

psnet.ahrq.gov/issue/information-needs-operating-room-teams-what-right-what-wrong-and-what-needed

August 18, 2017 - Study Information needs in operating room teams: what is right, what is wrong, and what is needed? Citation Text: Forrest D, Healey A, Shirafkan H, et al. Information needs in operating room teams: what is right, what is wrong, and what is needed? Surg Endosc. 2011;25(6):1913-20. doi:1…

Processes for effective communication in primary care. | PSNet

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December 21, 2018 - Commentary Processes for effective communication in primary care. Citation Text: Weiner SJ, Barnet B, Cheng TL, et al. Processes for effective communication in primary care. Ann Intern Med. 2005;142(8):709-714. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

Patient safety: latex allergy. | PSNet

psnet.ahrq.gov/issue/patient-safety-latex-allergy

October 07, 2013 - Commentary Patient safety: latex allergy. Citation Text: Reines D, Seifert PC. Patient safety: latex allergy. Surg Clin North Am. 2005;85(6):1329-40, xiv. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

FDA advises health care professionals and patients about insulin pen packaging and dispensing. | PSNet

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June 22, 2011 - Press Release/Announcement FDA advises health care professionals and patients about insulin pen packaging and dispensing. Citation Text: FDA advises health care professionals and patients about insulin pen packaging and dispensing. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. | PSNet

psnet.ahrq.gov/issue/using-ora-explore-relationship-nursing-unit-communication-patient-safety-and-quality-outcomes

December 11, 2008 - Study Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. Citation Text: Effken JA, Carley KM, Gephart SM, et al. Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. Int J Me…

Description of inpatient medication management using cognitive work analysis. | PSNet

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October 19, 2022 - Study Description of inpatient medication management using cognitive work analysis. Citation Text: Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181b…

From heroism to safe design: leveraging technology. | PSNet

psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology

August 17, 2017 - Commentary From heroism to safe design: leveraging technology. Citation Text: Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127. Copy Citation Format: DOI Google S…

FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. | PSNet

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April 08, 2020 - Government Resource FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. Citation Text: FDA Drug Safety Communication: FDA cautions about dosing errors when switchi…

Implementing a commercial rule base as a medication order safety net. | PSNet

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January 03, 2017 - Study Implementing a commercial rule base as a medication order safety net. Citation Text: Reichley RM, Seaton TL, Resetar E, et al. Implementing a commercial rule base as a medication order safety net. J Am Med Inform Assoc. 2005;12(4):383-9. Copy Citation Format: Google…

Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice. | PSNet

psnet.ahrq.gov/issue/design-and-implementation-point-care-computerized-system-drug-therapy-stockholm-metropolitan

October 21, 2010 - Commentary Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice. Citation Text: SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care…

Impact of electronic prescribing in a hospital setting: a process-focused evaluation. | PSNet

psnet.ahrq.gov/issue/impact-electronic-prescribing-hospital-setting-process-focused-evaluation

April 29, 2020 - Study Impact of electronic prescribing in a hospital setting: a process-focused evaluation. Citation Text: Cunningham TR, Geller S, Clarke SW. Impact of electronic prescribing in a hospital setting: a process-focused evaluation. Int J Med Inform. 2008;77(8):546-54. Copy Citation …

Orienting frames and private routines: the role of cultural process in critical care safety. | PSNet

psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety

December 31, 2014 - Study Orienting frames and private routines: the role of cultural process in critical care safety. Citation Text: Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35. Copy Cit…

Implementation, CPOE, and medication errors. | PSNet

psnet.ahrq.gov/issue/implementation-cpoe-and-medication-errors

July 18, 2012 - Commentary Implementation, CPOE, and medication errors. Citation Text: Bradley V. Implementation, CPOE, and medication errors. Comput Inform Nurs. 2005;23(3):113-114, 138. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering. | PSNet

psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-discontinuation-opioid-pain-medicines-and-requires-label

March 12, 2010 - Government Resource FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering. Citation Text: FDA identifies harm reported from sudden discontinuation of opioid pain medicines and …

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