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Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? | PSNet

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July 07, 2021 - Commentary Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? Citation Text: Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for te…

Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center. | PSNet

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January 23, 2020 - Study Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center. Citation Text: Crothers G, Edwards DA, Ehrenfeld JM, et al. Evaluating the Impact of Auto-Calculation Settings on Opioid Prescribing at an Academic Medical Center. Jt Comm J Qual…

Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. | PSNet

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April 26, 2023 - Study Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Citation Text: Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf.…

Activation of a medical emergency team using an electronic medical recording–based screening system. | PSNet

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September 06, 2017 - Study Activation of a medical emergency team using an electronic medical recording–based screening system. Citation Text: Huh JW, Lim C-M, Koh Y, et al. Activation of a medical emergency team using an electronic medical recording-based screening system*. Crit Care Med. 2014;42(4):801-8. …

Human factors and ergonomics as a patient safety practice. | PSNet

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March 25, 2015 - Review Human factors and ergonomics as a patient safety practice. Citation Text: Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf. 2014;23(3):196-205. doi:10.1136/bmjqs-2013-001812. Copy Citation Format: DOI Google Schol…

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital. | PSNet

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October 16, 2012 - Study Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital. Citation Text: Abdel-Qader DH, Harper L, Cantrill JA, et al. Pharmacists' interventions in prescribing erro…

Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. | PSNet

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August 12, 2014 - Review Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Citation Text: Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;15…

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. | PSNet

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July 01, 2020 - Review Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Citation Text: Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005…

We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. | PSNet

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September 18, 2019 - Study We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. Citation Text: Schwartzberg D, Ivanovic S, Patel S, et al. We thought we would be perfect: medication errors before and after the initiation of Computerized Phys…

Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. | PSNet

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October 23, 2024 - Study Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. Citation Text: Rattray NA, Sico JJ, Cox LAM, et al. Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hos…

Effect of admission medication reconciliation on adverse drug events from admission medication changes. | PSNet

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April 12, 2019 - Study Effect of admission medication reconciliation on adverse drug events from admission medication changes. Citation Text: Boockvar K, Blum S, Kugler A, et al. Effect of admission medication reconciliation on adverse drug events from admission medication changes. Arch Intern Med. 201…

Evaluating patient identification practices during intrahospital transfers: a human factors approach. | PSNet

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August 18, 2021 - Study Evaluating patient identification practices during intrahospital transfers: a human factors approach. Citation Text: Suclupe S, Kitchin J, Sivalingam R, et al. Evaluating patient identification practices during intrahospital transfers: a human factors approach. J Patient Saf. 2023;…

Challenges in patient safety improvement research in the era of electronic health records. | PSNet

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November 11, 2020 - Commentary Challenges in patient safety improvement research in the era of electronic health records. Citation Text: Russo E, Sittig DF, Murphy DR, et al. Challenges in patient safety improvement research in the era of electronic health records. Healthc (Amst). 2016;4(4):285-290. doi:10.…

Better medical office safety culture is not associated with better scores on quality measures. | PSNet

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April 12, 2011 - Study Better medical office safety culture is not associated with better scores on quality measures. Citation Text: Hagopian B, Singer ME, Curry-Smith AC, et al. Better medical office safety culture is not associated with better scores on quality measures. J Patient Saf. 2012;8(1):15-2…

Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. | PSNet

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March 10, 2021 - Study Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. Citation Text: Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Sa…

Nonrandomized intervention study of naloxone coprescription for primary care patients receiving long-term opioid therapy for pain. | PSNet

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July 15, 2020 - Study Nonrandomized intervention study of naloxone coprescription for primary care patients receiving long-term opioid therapy for pain. Citation Text: Coffin PO, Behar E, Rowe C, et al. Nonrandomized Intervention Study of Naloxone Coprescription for Primary Care Patients Receiving Long-…

Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. | PSNet

psnet.ahrq.gov/issue/identifying-understanding-and-overcoming-barriers-medication-error-reporting-hospitals-focus

March 13, 2015 - Study Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. Citation Text: Hartnell N, MacKinnon NJ, Sketris I, et al. Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus gr…

Interhospital transfer patients discharged by academic hospitalists and general internists: characteristics and outcomes. | PSNet

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August 01, 2018 - Study Interhospital transfer patients discharged by academic hospitalists and general internists: characteristics and outcomes. Citation Text: Sokol-Hessner L, White AA, Davis KF, et al. Interhospital transfer patients discharged by academic hospitalists and general internists: Character…

Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. | PSNet

psnet.ahrq.gov/issue/avoiding-handover-fumbles-controlled-trial-structured-handover-tool-versus-traditional

January 19, 2022 - Study Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. Citation Text: Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. BMJ…

Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. | PSNet

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March 20, 2024 - Study Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. Citation Text: Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box …

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