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  1. psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
    April 09, 2014 - SPOTLIGHT CASE The Hazards of Distraction: Ticking All the EHR Boxes Citation Text: Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation …
  2. psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
    July 23, 2024 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 23, 2020 …
  3. psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
    August 01, 2006 - Tacit Handover, Overt Mishap Citation Text: Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
  4. Spotlight Nstemi (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-07/spotlight_nstemi.pdf
    January 01, 2020 - Spotlight The NSTEMI Curbside Consultation Source and Credits • This presentation is based on the July 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Amparo C. Villablanca, MD and Gordon Wong, MD MBA o AHRQ WebM&M Editors …
  5. psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
    September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? Ashish K. Jha, MD, MPH | September 1, 2006  Also Read a Conversation View more articles from the same authors. Citation Text: Jha AK. What Can the Rest of the Heal…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46587/psn-pdf
    January 23, 2019 - Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. January 23, 2019 van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication administration errors in bar-code-assisted medication administration…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44266/psn-pdf
    May 19, 2019 - Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. May 19, 2019 Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Patient Saf. 2019;15(2):154-160. doi:10…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47136/psn-pdf
    July 02, 2019 - Adherence to recommended electronic health record safety practices across eight health care organizations. July 2, 2019 Sittig DF, Salimi M, Aiyagari R, et al. Adherence to recommended electronic health record safety practices across eight health care organizations. J Am Med Inform Assoc. 2018;25(7):913-918. doi:1…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38076/psn-pdf
    February 15, 2011 - Consequences of inadequate sign-out for patient care. February 15, 2011 Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755. https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care W…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42653/psn-pdf
    January 07, 2015 - Exploring the sociotechnical intersection of patient safety and electronic health record implementation. January 7, 2015 Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record implementation. J Am Med Inform Assoc. 2014;21(e1):e28-e34. doi:10.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45395/psn-pdf
    August 10, 2016 - Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. August 10, 2016 Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. BMJ. 2016;354:i3835. doi:10.1136/bmj.i3835.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46203/psn-pdf
    June 14, 2017 - Prescription errors related to the use of computerized provider order-entry system for pediatric patients. June 14, 2017 Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Int J Med Inform. 2017;103:15-19. doi:10.1016/j…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38411/psn-pdf
    December 16, 2014 - A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. December 16, 2014 Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-87. https://psnet.ahrq.gov/issue/reengine…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41789/psn-pdf
    September 01, 2016 - Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. September 1, 2016 Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. J Am Med Infor…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42342/psn-pdf
    December 31, 2014 - The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. December 31, 2014 Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors asso…
  16. psnet.ahrq.gov/issue/self-reported-medical-medication-and-laboratory-error-eight-countries-risk-factors
    September 19, 2012 - Study Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Citation Text: Scobie A. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Int J Qual Health Care. 2…
  17. psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and-sign-out-system
    July 14, 2010 - Study Classic A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. Citation Text: Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating…
  18. psnet.ahrq.gov/issue/use-novel-electronic-health-record-centered-interprofessional-icu-rounding-simulation
    March 04, 2019 - Study Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. Citation Text: Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Un…
  19. psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
    October 31, 2011 - Study The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. Citation Text: Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…
  20. psnet.ahrq.gov/issue/optimizing-patient-safety-clinical-trials-improving-transitions-care
    October 16, 2024 - Study Optimizing patient safety in clinical trials by improving transitions of care. Citation Text: Nair SC, Satish KP, Al Maini M, et al. Optimizing patient safety in clinical trials by improving transitions of care. Jt Comm J Qual Patient Saf. 2020;46(4). doi:10.1016/j.jcjq.2020.01.001…

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