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Two steps forward and one step back for patient safety? | PSNet

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June 10, 2018 - Newspaper/Magazine Article Two steps forward and one step back for patient safety? Citation Text: Two steps forward and one step back for patient safety? ISMP Medication Safety Alert! Acute Care Edition. June 30, 2005;10. Copy Citation Save Save to your…

Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care. | PSNet

psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-opioid-management-primary-care

September 29, 2017 - Multi-use Website Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care. Citation Text: Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care. MacColl Center for Health Care Innovation at the Kaiser Permanente of Was…

Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems. | PSNet

psnet.ahrq.gov/issue/hospitals-can-take-key-steps-improve-safe-use-digital-systems

April 01, 2020 - Book/Report Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems. Citation Text: Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems. Philadelphia, PA: Pew Charitable Trusts; July 21, 2020. Copy Citation Save Save to your library …

Forgive and Remember: Managing Medical Failure. 2nd ed. | PSNet

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March 27, 2005 - Book/Report Classic Forgive and Remember: Managing Medical Failure. 2nd ed. Citation Text: Forgive and Remember: Managing Medical Failure. 2nd ed. Bosk CL.Chicago, IL: University of Chicago Press; 2003. ISBN: 9780226066783. Copy Citation Save …

ISMP Survey on High-Alert Medications in Acute Care Settings. | PSNet

psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings

January 26, 2023 - Measurement Tool/Indicator ISMP Survey on High-Alert Medications in Acute Care Settings. Citation Text: ISMP Survey on High-Alert Medications in Acute Care Settings. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023. Copy Citation Save Save to yo…

Making Hospitals Safe for People With Diabetes. | PSNet

psnet.ahrq.gov/issue/making-hospitals-safe-people-diabetes

November 14, 2018 - Book/Report Making Hospitals Safe for People With Diabetes. Citation Text: Making Hospitals Safe for People With Diabetes. Watts E, Rayman G. Diabetes UK. London, UK; 2018. Copy Citation Save Save to your library Print Download PDF Share Face…

Clinician collaboration to improve clinical decision support: the Clickbusters initiative. | PSNet

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October 21, 2020 - EMERGING INNOVATIONS Clinician collaboration to improve clinical decision support: the Clickbusters initiative. Citation Text: Clinician collaboration to improve clinical decision support: the Clickbusters initiative. Mc Coy AB, Russo EM, Johnson KB, et al. Clinician collaboration to improve clini…

Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic review. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event-diagnosis-or

October 18, 2023 - Review Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic review. Citation Text: Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction models for in-hospital adverse drug ev…

Electronic health record usability issues and potential contribution to patient harm. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient-harm

July 07, 2021 - Study Classic Electronic health record usability issues and potential contribution to patient harm. Citation Text: Howe JL, Adams KT, Hettinger Z, et al. Electronic Health Record Usability Issues and Potential Contribution to Patient Harm. JAMA. 2018;319(12):127…

Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial

December 21, 2017 - Study Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. Citation Text: Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305…

Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. | PSNet

psnet.ahrq.gov/issue/remote-video-auditing-real-time-feedback-academic-surgical-suite-improves-safety-and

August 04, 2021 - Study Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. Citation Text: Overdyk FJ, Dowling O, Newman S, et al. Remote video auditing with real-time feedback in an academic surgical suite improve…

Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. | PSNet

psnet.ahrq.gov/issue/using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration

January 21, 2019 - Commentary Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. Citation Text: Arbaje AI, Greyson S, Keita Fakeye M, et al. Using stakeholder i…

Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. | PSNet

psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd-10-cm

September 23, 2020 - Study Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. Citation Text: Boyd AD, Yang YM, Li J, et al. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. J Am Med Inform Assoc. 2015;22(1):19-28. doi:10.1136/amiaj…

How intervention studies measure the effectiveness of medication safety-related clinical decision support systems in primary and long-term care: a systematic review. | PSNet

psnet.ahrq.gov/issue/how-intervention-studies-measure-effectiveness-medication-safety-related-clinical-decision

December 14, 2022 - Review How intervention studies measure the effectiveness of medication safety-related clinical decision support systems in primary and long-term care: a systematic review. Citation Text: Lampe D, Grosser J, Grothe D, et al. How intervention studies measure the effectiveness of medicatio…

Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-and-efficiency-medication-reconciliation-through-development-and

May 20, 2020 - Study Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project. Citation Text: Tamblyn R, Winslade N, Lee TC, et…

From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. | PSNet

psnet.ahrq.gov/issue/physician-intent-pharmacy-label-prevalence-and-description-discrepancies-cross-sectional

July 22, 2020 - Study From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. Citation Text: Cochran GL, Klepser DG, Morien M, et al. From physician intent to the pharmacy label: prevalence and description o…

Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). | PSNet

psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider

September 01, 2016 - Study Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). Citation Text: Galanter W, Falck S, Burns M, et al. Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). …

Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. | PSNet

psnet.ahrq.gov/issue/renal-medication-related-clinical-decision-support-cds-alerts-and-overrides-inpatient-setting

May 20, 2020 - Study Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. Citation Text: Shah SN, Amato MG, Garlo KG, et al. Renal medic…

Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. | PSNet

psnet.ahrq.gov/issue/minding-gaps-assessing-communication-outcomes-electronic-preconsultation-exchange

November 30, 2016 - Study Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. Citation Text: Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54. …

Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. | PSNet

psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order

December 21, 2022 - Study Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. Citation Text: Cresswell K, Bates DW, Williams R, et al. Evaluation of medium-term consequences o…

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