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psnet.ahrq.gov/node/73571/psn-pdf
August 04, 2021 - "My whole room went into chaos because of that thing in
the corner": unintended consequences of a central fetal
monitoring system.
August 4, 2021
Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the
corner”: unintended consequences of a central fetal monitoring system…
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psnet.ahrq.gov/node/61045/psn-pdf
October 21, 2020 - Association of electronic health record use above
meaningful use thresholds with hospital quality and
safety outcomes.
October 21, 2020
Murphy ZR, Wang J, Boland MV. Association of electronic health record use above meaningful use
thresholds with hospital quality and safety outcomes. JAMA Netw Open. 2020;3(9):e201…
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psnet.ahrq.gov/node/44519/psn-pdf
December 02, 2015 - Drug-related-problem outcomes and program satisfaction
from a comprehensive brown bag medication review.
December 2, 2015
O'Connell MB, Chang F, Tocco A, et al. Drug-Related-Problem Outcomes and Program Satisfaction from a
Comprehensive Brown Bag Medication Review. J Am Geriatr Soc. 2015;63(9):1900-1905.
doi:10.11…
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psnet.ahrq.gov/node/46765/psn-pdf
April 04, 2018 - Advancing perinatal patient safety through application of
safety science principles using health IT.
April 4, 2018
Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of
safety science principles using health IT. BMC Med Inform Decis Mak. 2017;17(1):176.
doi:10.1186/s12…
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psnet.ahrq.gov/node/43893/psn-pdf
March 04, 2015 - Impact of incorporating pharmacy claims data into
electronic medication reconciliation.
March 4, 2015
Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic
medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.2146/ajhp140082.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/50570/psn-pdf
October 23, 2019 - Does simulation training for acute care nurses improve
patient safety outcomes: a systematic review to inform
evidence-based practice.
October 23, 2019
Lewis KA, Ricks TN, Rowin A, et al. Does Simulation Training for Acute Care Nurses Improve Patient
Safety Outcomes: A Systematic Review to Inform Evidence-Based Pr…
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psnet.ahrq.gov/node/43678/psn-pdf
April 22, 2015 - 'Connecting the dots': leveraging visual analytics to make
sense of patient safety event reports.
April 22, 2015
Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety
event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:10.1136/amiajnl-2014-002963.
https://ps…
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psnet.ahrq.gov/node/47807/psn-pdf
March 13, 2019 - Unintended patient safety risks due to wireless smart
infusion pump library update delays.
March 13, 2019
Hsu K-Y, DeLaurentis P, Bitan Y, et al. Unintended Patient Safety Risks Due to Wireless Smart Infusion
Pump Library Update Delays. J Patient Saf. 2019;15(1):e8-e14. doi:10.1097/PTS.0000000000000562.
https://ps…
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psnet.ahrq.gov/node/38566/psn-pdf
April 15, 2009 - Contributions by the Agency for Healthcare Research and
Quality and Grantees.
April 15, 2009
Health Serv Res. 2009 Apr;44(2 Pt 2):623-776.
https://psnet.ahrq.gov/issue/contributions-agency-healthcare-research-and-quality-and-grantees
This special series of articles highlights the progress and current state of pati…
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psnet.ahrq.gov/node/46237/psn-pdf
June 21, 2017 - Identifying and analyzing diagnostic paths: a new
approach for studying diagnostic practices.
June 21, 2017
Rao G, Epner P, Bauer V, et al. Identifying and analyzing diagnostic paths: a new approach for studying
diagnostic practices. Diagnosis (Berl). 2017;4(2):67-72. doi:10.1515/dx-2016-0049.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/45193/psn-pdf
October 03, 2017 - Choice, transparency, coordination, and quality among
direct-to-consumer telemedicine websites and apps
treating skin disease.
October 3, 2017
Resneck JS, Abrouk M, Steuer M, et al. Choice, Transparency, Coordination, and Quality Among Direct-to-
Consumer Telemedicine Websites and Apps Treating Skin Disease. JAMA …
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psnet.ahrq.gov/node/864853/psn-pdf
March 20, 2024 - Question answering systems for health professionals at
the point of care - a systematic review.
March 20, 2024
Kell G, Roberts A, Umansky S, et al. Question answering systems for health professionals at the point of
care—a systematic review. J Am Med Inform Assoc. 2024;31(4):1009-1024. doi:10.1093/jamia/ocae015.
h…
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psnet.ahrq.gov/issue/improving-acceptance-computerized-prescribing-alerts-ambulatory-care
July 10, 2008 - Study
Improving acceptance of computerized prescribing alerts in ambulatory care.
Citation Text:
Shah N, Seger AC, Seger DL, et al. Improving acceptance of computerized prescribing alerts in ambulatory care. J Am Med Inform Assoc. 2006;13(1):5-11.
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psnet.ahrq.gov/issue/safety-considerations-container-labels-and-carton-labeling-design-minimize-medication-errors
January 13, 2021 - Regulation
Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry.
Citation Text:
Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. Rockville,…
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psnet.ahrq.gov/issue/multitasking-during-patient-handover-recovery-room
October 05, 2011 - Study
Multitasking during patient handover in the recovery room.
Citation Text:
van Rensen ELJ, Groen EST, Numan SC, et al. Multitasking during patient handover in the recovery room. Anesth Analg. 2012;115(5):1183-7. doi:10.1213/ANE.0b013e31826996a2.
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psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
September 27, 2017 - Commentary
An innovative mobile approach for patient safety services: the case of a Taiwan health care provider.
Citation Text:
Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of a Taiwan health care provider. Technovation. 2007;2…
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psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety
September 14, 2016 - Review
Technology, governance and patient safety: systems issues in technology and patient safety.
Citation Text:
Balka E, Doyle-Waters M, Lecznarowicz D, et al. Technology, governance and patient safety: systems issues in technology and patient safety. Int J Med Inform. 2007;76 Suppl …
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psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
March 11, 2011 - Commentary
Classic
Computerization can create safety hazards: a bar-coding near miss.
Citation Text:
McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6.
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psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
June 13, 2011 - Commentary
Human factors engineering in healthcare systems: the problem of human error and accident management.
Citation Text:
Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17.…
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psnet.ahrq.gov/issue/medical-malpractice-liability-age-electronic-health-records
April 05, 2013 - Commentary
Medical malpractice liability in the age of electronic health records.
Citation Text:
Mangalmurti SS, Murtagh L, Mello MM. Medical malpractice liability in the age of electronic health records. N Engl J Med. 2010;363(21):2060-7. doi:10.1056/NEJMhle1005210.
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