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psnet.ahrq.gov/node/37373/psn-pdf
July 15, 2010 - eHealth for Safety: Impact of ICT on Patient Safety and
Risk Management.
July 15, 2010
European Commission Information Society and Media. October 2007
https://psnet.ahrq.gov/issue/ehealth-safety-impact-ict-patient-safety-and-risk-management
This European report foresees the impact that new communication technologi…
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psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - Care Managers Use Software-Aided Medication Review
Protocol for Frail, Community-Dwelling Seniors, Leading
to More Appropriate Medication Use
March 31, 2021
https://psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-
community-dwelling
Summary
Care management staff (such …
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psnet.ahrq.gov/node/49484/psn-pdf
June 01, 2005 - Two Pills, Same Drug
June 1, 2005
Horsky J, Patel VL. Two Pills, Same Drug. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/two-pills-same-drug
The Case
A 34-year-old woman with AIDS developed a fever and hypotension due to suspected pneumonia. Her past
medical history included several AIDS-related complica…
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psnet.ahrq.gov/node/49472/psn-pdf
March 01, 2005 - Preventable Rash
March 1, 2005
McLean C. Preventable Rash. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/preventable-rash
The Case
A 35-year-old man with HIV was being followed in an outpatient internal medicine clinic. At a routine visit,
screening laboratories were checked. The clinic never contacted th…
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psnet.ahrq.gov/node/39449/psn-pdf
April 14, 2010 - Human Factors Engineering for Healthcare Applications.
April 14, 2010
Beuscart-Zéphir MC, Aarts J, Elkin P, eds. Intern J Med Inform. 2010;79:223-303, e1-e88.
https://psnet.ahrq.gov/issue/human-factors-engineering-healthcare-applications
This special issue contains articles on human factors engineering and i…
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psnet.ahrq.gov/node/41505/psn-pdf
May 07, 2014 - Health IT Hazard Manager.
May 7, 2014
Rockville, MD: Agency for Healthcare Research and Quality. AHRQ Publication No. 12-0058-EF May 2012.
https://psnet.ahrq.gov/issue/health-it-hazard-manager
This Web site provides information associated with a software tool to identify and prevent hazards from
health information…
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psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - Playing Well with Others: "Translocational Research" in Patient Safety
Robert M. Wachter, MD | September 1, 2005
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Wachter R. Playing Well with Others: "Translocational Research" in…
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psnet.ahrq.gov/node/36989/psn-pdf
June 18, 2013 - Medication Management: Detailed Use Case.
June 18, 2013
Washington, DC: Office of the National Coordinator for Health Information Technology, US Department of
Health and Human Services; 2007.
https://psnet.ahrq.gov/issue/medication-management-detailed-use-case
This report provides two example scenarios—inpatient m…
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psnet.ahrq.gov/issue/high-priority-drug-drug-interactions-use-electronic-health-records
September 01, 2016 - Study
High-priority drug–drug interactions for use in electronic health records.
Citation Text:
Phansalkar S, Desai AA, Bell D, et al. High-priority drug-drug interactions for use in electronic health records. J Am Med Inform Assoc. 2012;19(5):735-43. doi:10.1136/amiajnl-2011-000612.
C…
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psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory
August 03, 2022 - Study
Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center
Citation Text:
Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory p…
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psnet.ahrq.gov/issue/overriding-drug-drug-interaction-alerts-clinical-decision-support-systems-scoping-review
April 06, 2022 - Review
Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review.
Citation Text:
Villa Zapata L, Subbian V, Boyce RD, et al. Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. Stud Health Technol Inform. 20…
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psnet.ahrq.gov/issue/cranky-comments-detecting-clinical-decision-support-malfunctions-through-free-text-override
April 29, 2018 - Study
Cranky comments: detecting clinical decision support malfunctions through free-text override reasons.
Citation Text:
Aaron S, McEvoy DS, Ray S, et al. Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. J Am Med Inform Assoc. 2019;2…
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psnet.ahrq.gov/issue/diagnostic-discordance-health-information-exchange-and-inter-hospital-transfer-outcomes
May 19, 2021 - Study
Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study.
Citation Text:
Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. J Gen In…
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psnet.ahrq.gov/issue/patient-groups-clinicians-and-healthcare-professionals-agree-all-test-results-need-be-seen
September 27, 2023 - Study
Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up.
Citation Text:
Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all test results need to be seen, underst…
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psnet.ahrq.gov/issue/analysis-errors-dictated-clinical-documents-assisted-speech-recognition-software-and
July 06, 2022 - Study
Emerging Classic
Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists.
Citation Text:
Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted…
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psnet.ahrq.gov/issue/improving-allergy-documentation-retrospective-electronic-health-record-system-wide-patient
June 15, 2022 - Study
Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative.
Citation Text:
Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patie…
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psnet.ahrq.gov/issue/comparison-accuracy-physical-examination-findings-initial-progress-notes-between-paper-charts
May 11, 2022 - Study
Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record.
Citation Text:
Yadav S, Kazanji N, C. NK, et al. Comparison of accuracy of physical examination findings in initial progress note…
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psnet.ahrq.gov/issue/stakeholder-perspectives-handovers-between-hospital-staff-and-general-practitioners
October 03, 2012 - Study
Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens.
Citation Text:
Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and general practitioners: an e…
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psnet.ahrq.gov/issue/do-patient-engagement-it-functionalities-influence-patient-safety-outcomes-study-us-hospitals
October 21, 2020 - Study
Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals.
Citation Text:
Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. J Public Health Manag…
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psnet.ahrq.gov/issue/prevalence-dose-errors-among-paediatric-patients-hospital-wards-and-without-health
November 02, 2018 - Review
The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis.
Citation Text:
Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in Hospi…