AHRQ Search | Home Page

ASPEN survey of parenteral nutrition access issues: how the system fails the patients. | PSNet

psnet.ahrq.gov/issue/aspen-survey-parenteral-nutrition-access-issues-how-system-fails-patients

October 02, 2013 - Study ASPEN survey of parenteral nutrition access issues: how the system fails the patients. Citation Text: Mirtallo JM, Allen P, Book WM, et al. ASPEN survey of parenteral nutrition access issues: how the system fails the patient. Nutr Clin Pract. 2024;39(5):1164-1181. doi:10.1002/ncp.1…

Residents' numeric inputting error in computerized physician order entry prescription. | PSNet

psnet.ahrq.gov/issue/residents-numeric-inputting-error-computerized-physician-order-entry-prescription

March 24, 2019 - Study Residents' numeric inputting error in computerized physician order entry prescription. Citation Text: Wu X, Wu C, Zhang K, et al. Residents' numeric inputting error in computerized physician order entry prescription. Int J Med Inform. 2016;88:25-33. doi:10.1016/j.ijmedinf.2016.01.0…

Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. | PSNet

psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures

July 07, 2010 - Study Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. Citation Text: Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of info…

Medicines management support to older people: understanding the context of systems failure. | PSNet

psnet.ahrq.gov/issue/medicines-management-support-older-people-understanding-context-systems-failure

October 04, 2023 - Study Medicines management support to older people: understanding the context of systems failure. Citation Text: Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-00…

Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. | PSNet

psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process

May 29, 2019 - Study Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Citation Text: Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care…

Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial | PSNet

psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-intervention-adverse-drug-events-cluster

April 29, 2018 - Study Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial Citation Text: Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomi…

Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. | PSNet

psnet.ahrq.gov/issue/use-expedited-review-tool-screen-prior-diagnostic-error-emergency-department-patients

December 16, 2020 - Study Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. Citation Text: Hudspeth J, El-Kareh R, Schiff G. Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. Appl Clin Inform. 2015;06(0…

Using a learning system approach to improve safety for prone-position ventilation patients. | PSNet

psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients

January 10, 2024 - Study Using a learning system approach to improve safety for prone-position ventilation patients. Citation Text: Thomas AL, Graham KL, Davila S, et al. Using a learning system approach to improve safety for prone-position ventilation patients. J Patient Saf. 2023;19(3):180-184. doi:10.10…

The application of the Global Trigger Tool: a systematic review. | PSNet

psnet.ahrq.gov/issue/application-global-trigger-tool-systematic-review

December 06, 2023 - Review The application of the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. Copy Citation For…

Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review. | PSNet

psnet.ahrq.gov/issue/computerised-provider-order-entry-combined-clinical-decision-support-systems-improve

March 20, 2013 - Review Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review. Citation Text: Ranji SR, Rennke S, Wachter R. Computerised provider order entry combined with clinical decision support systems to improve medication…

Ambulatory prescribing errors among community-based providers in two states. | PSNet

psnet.ahrq.gov/issue/ambulatory-prescribing-errors-among-community-based-providers-two-states

July 10, 2008 - Study Ambulatory prescribing errors among community-based providers in two states. Citation Text: Abramson EL, Bates DW, Jenter CA, et al. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012;19(4):644-8. doi:10.1136/amiajnl-2011-000345…

Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. | PSNet

psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two

February 16, 2022 - Study Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Citation Text: Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…

Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, survey and interview data. | PSNet

psnet.ahrq.gov/issue/exploring-psychological-safety-healthcare-teams-inform-development-interventions-combining

March 18, 2020 - Study Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, survey and interview data. Citation Text: O’Donovan R, McAuliffe E. Exploring psychological safety in healthcare teams to inform the development of interventions:…

Application of a digital quality measure for cancer diagnosis in Epic Cosmos. | PSNet

psnet.ahrq.gov/issue/application-digital-quality-measure-cancer-diagnosis-epic-cosmos

November 13, 2024 - Study Application of a digital quality measure for cancer diagnosis in Epic Cosmos. Citation Text: Zimolzak AJ, Khan SP, Singh H, et al. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. J Am Med Inform Assoc. 2025;32(1):227-229. doi:10.1093/jamia/ocae253. C…

Biased language in simulated handoffs and clinician recall and attitudes. | PSNet

psnet.ahrq.gov/issue/biased-language-simulated-handoffs-and-clinician-recall-and-attitudes

June 29, 2022 - Study Biased language in simulated handoffs and clinician recall and attitudes. Citation Text: Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. …

Association of clinician diagnostic performance with machine learning–based decision support systems: a systematic review. | PSNet

psnet.ahrq.gov/issue/association-clinician-diagnostic-performance-machine-learning-based-decision-support-systems

June 22, 2022 - Review Emerging Classic Association of clinician diagnostic performance with machine learning–based decision support systems: a systematic review. Citation Text: Vasey B, Ursprung S, Beddoe B, et al. Association of clinician diagnostic performance with machine l…

Medical large language models are vulnerable to data-poisoning attacks. | PSNet

psnet.ahrq.gov/issue/medical-large-language-models-are-vulnerable-data-poisoning-attacks

November 16, 2022 - Study Medical large language models are vulnerable to data-poisoning attacks. Citation Text: Alber DA, Yang Z, Alyakin A, et al. Medical large language models are vulnerable to data-poisoning attacks. Nat Med. 2025;31(2):618-626. doi:10.1038/s41591-024-03445-1. Copy Citation Format…

Evidence of respiratory infection transmission within physician offices could inform outpatient infection control. | PSNet

psnet.ahrq.gov/issue/evidence-respiratory-infection-transmission-within-physician-offices-could-inform-outpatient

June 30, 2021 - Study Evidence of respiratory infection transmission within physician offices could inform outpatient infection control. Citation Text: Neprash HT, Sheridan B, Jena AB, et al. Evidence of respiratory infection transmission within physician offices could inform outpatient infection contro…

A prescription for enhancing electronic prescribing safety. | PSNet

psnet.ahrq.gov/issue/prescription-enhancing-electronic-prescribing-safety

August 04, 2021 - Commentary A prescription for enhancing electronic prescribing safety. Citation Text: Schiff G, Mirica MM, Dhavle AA, et al. A Prescription For Enhancing Electronic Prescribing Safety. Health Aff (Millwood). 2018;37(11):1877-1883. doi:10.1377/hlthaff.2018.0725. Copy Citation Format…

Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. | PSNet

psnet.ahrq.gov/issue/patient-reported-receipt-medication-instructions-warfarin-associated-reduced-risk-serious

February 03, 2011 - Study Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. Citation Text: Metlay JP, Hennessy S, Localio R, et al. Patient reported receipt of medication instructions for warfarin is associated with reduced risk of…

Search AHRQ

Results