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psnet.ahrq.gov/node/42488/psn-pdf
August 14, 2013 - Lessons learned from implementation of computerized
provider order entry in 5 community hospitals: a
qualitative study.
August 14, 2013
Simon SR, Keohane CA, Amato MG, et al. Lessons learned from implementation of computerized provider
order entry in 5 community hospitals: a qualitative study. BMC Med Inform Decis…
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psnet.ahrq.gov/node/41400/psn-pdf
January 01, 2013 - Conducting an efficient proactive risk assessment prior to
CPOE implementation in an intensive care unit.
December 12, 2012
Hundt AS, Adams JA, Schmid A, et al. Conducting an efficient proactive risk assessment prior to CPOE
implementation in an intensive care unit. Int J Med Inform. 2013;82(1):25-38.
doi:10.1016/…
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psnet.ahrq.gov/node/72662/psn-pdf
January 20, 2021 - Interventions to engage patients and families in patient
safety: a systematic review.
January 20, 2021
Lee M, Lee N-J, Seo H-J, et al. Interventions to Engage Patients and Families in Patient Safety: A
Systematic Review. West J Nurs Res. 2021;43(10):972-983. doi:10.1177/0193945920980770.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/42623/psn-pdf
October 02, 2013 - Unintended adverse consequences of introducing
electronic health records in residential aged care homes.
October 2, 2013
Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records
in residential aged care homes. Int J Med Inform. 2013;82(9):772-88. doi:10.1016/j.ijmedinf.…
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psnet.ahrq.gov/node/37340/psn-pdf
November 14, 2007 - Care transitions in the outpatient surgery preoperative
process: facilitators and obstacles to information flow
and their consequences.
November 14, 2007
Schultz K, Carayon P, Hundt AS, et al. Care transitions in the outpatient surgery preoperative process:
facilitators and obstacles to information flow and their …
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psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
December 01, 2007 - In Conversation with...Eric Coleman, MD, MPH
December 1, 2007
Also Read an Essay
Citation Text:
In Conversation with..Eric Coleman, MD, MPH. PSNet [internet]. 2007.In Conversation with...Eric Coleman, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthca…
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psnet.ahrq.gov/perspective/care-transitions
December 01, 2007 - Care Transitions
Sunil Kripalani, MD, MSc | December 1, 2007
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Kripalani S. Care Transitions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depart…
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psnet.ahrq.gov/node/43645/psn-pdf
November 12, 2014 - Health IT and Clinical Decision Support Systems.
November 12, 2014
Ohno-Machado L, ed. J Am Med Inform Assoc. 2014;21:e180-e375.
https://psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems
A universal agreement on how to calculate the return on investment for health information technology (IT)
and…
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psnet.ahrq.gov/node/73481/psn-pdf
July 07, 2021 - Leadership To Improve Diagnosis: A Call to Action.
July 7, 2021
Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality;
June 2021. AHRQ Publication No. 20(21)-0040-5-EF.
https://psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action
The mindset on diagnostic error…
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psnet.ahrq.gov/node/43134/psn-pdf
September 04, 2015 - Evaluating the accuracy of electronic pediatric drug
dosing rules.
September 4, 2015
Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am
Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793.
https://psnet.ahrq.gov/issue/evaluating-accuracy-elec…
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psnet.ahrq.gov/node/45908/psn-pdf
April 05, 2017 - Towards a framework for managing risk associated with
technology-induced error.
April 5, 2017
Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced
Error. Stud Health Technol Inform. 2017;234:42-48.
https://psnet.ahrq.gov/issue/towards-framework-managing-risk-associated…
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psnet.ahrq.gov/node/838029/psn-pdf
September 07, 2022 - Emergency preparedness: be ready for unanticipated
electronic health record (EHR) downtime.
September 7, 2022
ISMP Medication Safety Alert! Acute care edition! August 25, 2022:27(17)1-6.
https://psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-
downtime
Unanticipated…
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psnet.ahrq.gov/node/40566/psn-pdf
June 29, 2011 - Comparison of computerized surveillance and manual
chart review for adverse events.
June 29, 2011
Tinoco A, Evans S, Staes CJ, et al. Comparison of computerized surveillance and manual chart review for
adverse events. J Am Med Inform Assoc. 2011;18(4):491-7. doi:10.1136/amiajnl-2011-000187.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/38306/psn-pdf
January 07, 2009 - Impact of barcode medication administration technology
on how nurses spend their time providing patient care.
January 7, 2009
Poon EG, Keohane CA, Bane A, et al. Impact of Barcode Medication Administration Technology on How
Nurses Spend Their Time Providing Patient Care. JONA: The Journal of Nursing Administration.…
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psnet.ahrq.gov/node/34868/psn-pdf
February 03, 2011 - Role of computerized physician order entry systems in
facilitating medication errors.
February 3, 2011
Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating
medication errors. JAMA. 2005;293(10):1197-203.
https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
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psnet.ahrq.gov/node/41482/psn-pdf
June 27, 2012 - Bayesian cohort and cross-sectional analyses of the
PINCER trial: a pharmacist-led intervention to reduce
medication errors in primary care.
June 27, 2012
Hemming K, Chilton PJ, Lilford RJ, et al. Bayesian cohort and cross-sectional analyses of the PINCER trial:
a pharmacist-led intervention to reduce medication e…
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psnet.ahrq.gov/node/43881/psn-pdf
February 11, 2015 - Cognitive Systems Engineering in Health Care.
February 11, 2015
Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960.
https://psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
This publication provides information about the role of cognition in medical error. Th…
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psnet.ahrq.gov/node/73417/psn-pdf
June 23, 2021 - Classification of failures in the perception of
conversational agents (CAs) and their implications on
patient safety.
June 23, 2021
Aftab H, Shah SHH, Habli I. Classification of failures in the perception of conversational agents (CAs) and
their implications on patient safety. Stud Health Technol Inform. 2021;281:…
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psnet.ahrq.gov/node/854259/psn-pdf
January 01, 2024 - The power of written word: reflection reduces errors of
omission.
October 4, 2023
Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission.
Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630.
https://psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-…
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psnet.ahrq.gov/node/74065/psn-pdf
November 10, 2021 - AHRQ announces interest in research on digital
healthcare safety.
November 10, 2021
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021
Publication No. NOT-HS-22-004.
https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety
Digital in…