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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-nurse-physician-collaboration-medication
February 23, 2009 - Study
Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process.
Citation Text:
Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on nurse-physician collaboration in the medi…
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psnet.ahrq.gov/issue/cpoe-iran-viable-prospect-physicians-opinions-using-cpoe-iranian-teaching-hospital
June 30, 2011 - Study
CPOE in Iran—a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital.
Citation Text:
Kazemi A, Ellenius J, Tofighi S, et al. CPOE in Iran--a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital. Int J Med Inform. 2009;7…
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psnet.ahrq.gov/issue/using-emr-enabled-computerized-decision-support-systems-reduce-prescribing-potentially
August 04, 2021 - Review
Emerging Classic
Using EMR-enabled computerized decision support systems to reduce prescribing of potentially inappropriate medications: a narrative review.
Citation Text:
Scott IA, Pillans PI, Barras M, et al. Using EMR-enabled computerized decision supp…
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psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers
November 03, 2015 - Review
A systematic review of failures in handoff communication during intrahospital transfers.
Citation Text:
Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284.
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psnet.ahrq.gov/issue/unintended-consequence-electronic-prescriptions-prevalence-and-impact-internal-discrepancies
May 04, 2011 - Study
An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies.
Citation Text:
Palchuk MB, Fang EA, Cygielnik JM, et al. An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. J Am Med Inform…
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psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-team-handoffs
September 15, 2011 - Study
The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care.
Citation Text:
Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency c…
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psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies
May 11, 2016 - Study
Quality of handoffs in community pharmacies.
Citation Text:
Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf. 2021;17(6):405-411. doi:10.1097/PTS.0000000000000382.
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DOI Google Scholar PubMed BibTeX En…
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psnet.ahrq.gov/issue/toward-responsible-future-recommendations-ai-enabled-clinical-decision-support
April 03, 2024 - Commentary
Toward a responsible future: recommendations for AI-enabled clinical decision support.
Citation Text:
Labkoff S, Oladimeji B, Kannry J, et al. Toward a responsible future: recommendations for AI-enabled clinical decision support. J Am Med Inform Assoc. 2024;31(11):2730-2739. d…
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psnet.ahrq.gov/issue/patients-perceptions-using-technology-self-reporting-cancer-medication-safety-events-home
June 05, 2024 - Study
Patients' perceptions of using technology for self-reporting cancer medication safety events from home.
Citation Text:
Gahn K, Hwang M, Cho Y, et al. Patients' perceptions of using technology for self-reporting cancer medication safety events from home. Stud Health Technol Inform. …
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psnet.ahrq.gov/issue/adherence-drug-drug-interaction-alerts-high-risk-patients-trial-context-enhanced-alerting
February 21, 2018 - Study
Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced alerting.
Citation Text:
Duke JD, Li X, Dexter P. Adherence to drug-drug interaction alerts in high-risk patients: a trial of context-enhanced alerting. J Am Med Inform Assoc. 2013;20(3):49…
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - In Conversation With…Kaveh G. Shojania, MD
September 1, 2011
Also Read an Essay
Citation Text:
In Conversation With…Kaveh G. Shojania, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - Incident Reporting: More Attention to the Safety Action Feedback Loop, Please
Teryl K. Nuckols, MD, MSHS | September 1, 2011
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Nuckols TK. Incident Reporting: More Attention to the …
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psnet.ahrq.gov/node/35987/psn-pdf
June 07, 2006 - RHIOs aim to transform quality of care and patient safety.
June 7, 2006
van der Grinten P.
https://psnet.ahrq.gov/issue/rhios-aim-transform-quality-care-and-patient-safety
This article reports on how regional health information organizations (RHIOs) increase access to patient
information and benefit patient safety…
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - SPOTLIGHT CASE
Delay in Treatment: Failure to Contact Patient Leads to Significant Complications
Citation Text:
Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departmen…
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psnet.ahrq.gov/node/60168/psn-pdf
March 25, 2020 - Right Electrocardiogram, Wrong Patient
March 25, 2020
Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
The Cases
Multiple electrocardiograms (EKGs) were incorrectly documented at a large urban tertiary care hosp…
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psnet.ahrq.gov/node/49463/psn-pdf
October 14, 2004 - Moved Too Soon
October 1, 2004
Lindenauer PK. Moved Too Soon. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/moved-too-soon
The Case
A 67-year-old man was admitted to a general hospital ward after undergoing a laminectomy. Two hours
after arriving, while the patient was still groggy from anesthesia, a nurs…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case February 2006
Lost in Transition
Source and Credits
This presentation is based on the February 2006 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Christopher Beach, MD; Northwe…
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psnet.ahrq.gov/issue/network-patient-safety-databases
December 24, 2008 - Database/Directory
Network of Patient Safety Databases.
Citation Text:
Network of Patient Safety Databases. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/empowered-patient-coalition
October 26, 2022 - Multi-use Website
Empowered Patient Coalition.
Citation Text:
Empowered Patient Coalition. Email: info@EmpoweredPatientCoalition.org.
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psnet.ahrq.gov/issue/data-docs
March 02, 2016 - Newspaper/Magazine Article
Data docs.
Citation Text:
Data docs. Wherry R.
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November 4, 2015
Wherry R.
…