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psnet.ahrq.gov/node/35086/psn-pdf
October 10, 2016 - MedWatch: The FDA Safety Information and Adverse
Event Reporting Program.
October 10, 2016
US Food and Drug Administration
https://psnet.ahrq.gov/issue/medwatch
MedWatch serves both health care professionals and consumers of health care products. The site shares
safety information about medications and medical pr…
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psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - Delay in Treatment: Failure to Contact Patient Leads to
Significant Complications
February 1, 2013
Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet
[internet]. 2013.
https://psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complicat…
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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart
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June 12, 2020
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psnet.ahrq.gov/node/33720/psn-pdf
November 01, 2011 - In Conversation With… Eduardo Salas, PhD
November 1, 2011
In Conversation With… Eduardo Salas, PhD . PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
Editor's note: Eduardo Salas, PhD, is a University Trustee Chair and Pegasus Professor of Psychology at
the University of Ce…
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - Medication Reconciliation With a Twist (or Dare We Say, a
Patch?)
May 1, 2014
Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
Case Objectives
Appreciate that medication discrepanc…
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psnet.ahrq.gov/node/37142/psn-pdf
August 29, 2007 - Patient Safety in Canada: An Update.
August 29, 2007
Ottawa, ON: Canadian Institute for Health Information; August 14, 2007.
https://psnet.ahrq.gov/issue/patient-safety-canada-update
Using survey data as well as information on patient safety indicators, this report provides an update on the
frequency of certain ty…
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psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
January 21, 2019 - Study
Learning from lawsuits: using malpractice claims data to develop care transitions planning tools.
Citation Text:
Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57.…
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psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and
February 12, 2020 - Study
The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety.
Citation Text:
Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusi…
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psnet.ahrq.gov/issue/impact-health-information-technology-detection-potential-adverse-drug-events-ordering-stage
June 25, 2008 - Study
Impact of health information technology on detection of potential adverse drug events at the ordering stage.
Citation Text:
Roberts LL, Ward MM, Brokel JM, et al. Impact of health information technology on detection of potential adverse drug events at the ordering stage. Am J Hea…
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psnet.ahrq.gov/issue/impact-digitally-acquired-peer-diagnostic-input-diagnostic-confidence-outpatient-cases
June 15, 2022 - Study
Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial.
Citation Text:
Khoong EC, Fontil V, Rivadeneira NA, et al. Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases:…
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psnet.ahrq.gov/issue/effect-provider-characteristics-responses-medication-related-decision-support-alerts
July 16, 2019 - Study
The effect of provider characteristics on the responses to medication-related decision support alerts.
Citation Text:
Cho IS, Slight SP, Nanji KC, et al. The effect of provider characteristics on the responses to medication-related decision support alerts. Int J Med Inform. 2015;84…
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psnet.ahrq.gov/issue/impact-automated-email-notification-system-results-tests-pending-discharge-cluster-randomized
December 31, 2014 - Study
Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial.
Citation Text:
Dalal A, Roy CL, Poon EG, et al. Impact of an automated email notification system for results of tests pending at discharge: a cluster-r…
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psnet.ahrq.gov/issue/development-tool-within-electronic-medical-record-facilitate-medication-reconciliation-after
June 09, 2011 - Study
Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge.
Citation Text:
Schnipper JL, Liang CL, Hamann C, et al. Development of a tool within the electronic medical record to facilitate medication reconciliation …
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psnet.ahrq.gov/issue/measuring-patient-safety-real-time-essential-method-effectively-improving-safety-care
February 15, 2011 - Commentary
Measuring patient safety in real time: an essential method for effectively improving the safety of care.
Citation Text:
Classen DC, Griffin FA, Berwick DM. Measuring Patient Safety in Real Time: An Essential Method for Effectively Improving the Safety of Care. Ann Intern Med. …
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psnet.ahrq.gov/issue/clinical-data-warehouse-based-process-refining-medication-orders-alerts
March 10, 2011 - Study
A clinical data warehouse-based process for refining medication orders alerts.
Citation Text:
Boussadi A, Caruba T, Zapletal E, et al. A clinical data warehouse-based process for refining medication orders alerts. J Am Med Inform Assoc. 2012;19(5):782-5. doi:10.1136/amiajnl-2012-00…
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psnet.ahrq.gov/issue/differences-reasons-alert-overrides-contraindicated-co-prescriptions-admitting-department
January 23, 2017 - Study
Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department.
Citation Text:
Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co-prescriptions by Admitting Department. Healthc Inform Res. 2014;20…
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psnet.ahrq.gov/issue/communication-through-electronic-health-record-frequency-and-implications-free-text-orders
May 12, 2021 - Study
Communication through the electronic health record: frequency and implications of free text orders.
Citation Text:
Kandaswamy S, Hettinger AZ, Hoffman DJ, et al. Communication through the electronic health record: frequency and implications of free text orders. JAMIA Open. 2020;3(2…
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psnet.ahrq.gov/issue/socio-technical-issues-and-challenges-implementing-safe-patient-handovers-insights
July 19, 2023 - Study
Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies.
Citation Text:
Balka E, Tolar M, Coates S, et al. Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case st…
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psnet.ahrq.gov/issue/preventing-diagnostic-errors-ambulatory-care-electronic-notification-tool-incomplete
April 22, 2013 - Study
Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests.
Citation Text:
Weingart SN, Yaghi O, Barnhart L, et al. Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. …
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psnet.ahrq.gov/issue/readiness-report-medical-treatment-errors-effects-safety-procedures-safety-information-and
July 11, 2007 - Study
Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety.
Citation Text:
Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety procedures, safety information, and prior…