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psnet.ahrq.gov/issue/using-enhanced-oral-chemotherapy-computerized-provider-order-entry-system-reduce-prescribing
October 20, 2014 - Study
Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.
Citation Text:
Collins CM, Elsaid KA. Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve …
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psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children
August 03, 2022 - Study
The trigger tool as a method to measure harmful medication errors in children.
Citation Text:
Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177.…
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psnet.ahrq.gov/issue/factors-influencing-family-member-perspectives-safety-intensive-care-unit-systematic-review
July 21, 2021 - Review
Factors influencing family member perspectives on safety in the intensive care unit: a systematic review.
Citation Text:
Coombs MA, Statton S, Endacott CV, et al. Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. Int J Qual H…
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psnet.ahrq.gov/issue/relationship-between-physician-practice-characteristics-and-physician-adoption-electronic
November 13, 2013 - Study
The relationship between physician practice characteristics and physician adoption of electronic health records.
Citation Text:
Bramble JD, Galt KA, Siracuse M, et al. The relationship between physician practice characteristics and physician adoption of electronic health records.…
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psnet.ahrq.gov/issue/bias-eye-beholder-vignette-study-assess-recognition-cognitive-biases-clinical-case-workups
September 26, 2016 - Study
Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups.
Citation Text:
Zwaan L, Monteiro SD, Sherbino J, et al. Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinica…
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psnet.ahrq.gov/issue/principles-automation-patient-safety-intensive-care-learning-aviation
April 20, 2022 - Commentary
Principles of automation for patient safety in intensive care: learning from aviation.
Citation Text:
Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jc…
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psnet.ahrq.gov/issue/evaluation-wound-photography-remote-postoperative-assessment-surgical-site-infections
July 03, 2014 - Study
Evaluation of wound photography for remote postoperative assessment of surgical site infections.
Citation Text:
Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124. do…
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psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-emergency-medicine-residency
August 04, 2021 - Commentary
Increasing patient safety event reporting in an emergency medicine residency.
Citation Text:
Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716.
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psnet.ahrq.gov/issue/safety-criterion-quality-critical-nursing-situation-index-paediatric-critical-care
March 01, 2011 - Study
Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study.
Citation Text:
de Neef M, Bos AP, Tol D. Safety as a criterion for quality: the critical nursing situation index in paediatric critical care, an observatio…
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psnet.ahrq.gov/issue/impact-interactions-between-drugs-and-laboratory-test-results-diagnostic-test-interpretation
March 06, 2019 - Review
Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review.
Citation Text:
van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Impact of interactions between drugs and laboratory test results on diagnostic test …
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psnet.ahrq.gov/issue/development-and-validation-taxonomy-adverse-handover-events-hospital-settings
March 05, 2014 - Study
Development and validation of a taxonomy of adverse handover events in hospital settings.
Citation Text:
Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1).…
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psnet.ahrq.gov/issue/performance-international-classification-diseases-9th-revision-clinical-modification-codes
May 07, 2008 - Study
Performance of International Classification of Diseases, 9th Revision, Clinical Modification codes as an adverse drug event surveillance system.
Citation Text:
Hougland P, Xu W, Pickard S, et al. Performance of International Classification Of Diseases, 9th Revision, Clinical Modi…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors
August 15, 2013 - Study
Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions.
Citation Text:
Armada ER, Villamañán E, López-de-Sá E, et al. Computerized physician order entry in the cardiac intensive care unit: effects on prescriptio…
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psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents
August 25, 2021 - Commentary
Classic
Human error and the problem of causality in analysis of accidents.
Citation Text:
Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B Biol Sci. 1990;327(1241):449-462.
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psnet.ahrq.gov/issue/frequency-and-clinical-importance-pages-sent-wrong-physician
October 31, 2011 - Study
Frequency and clinical importance of pages sent to the wrong physician.
Citation Text:
Wong BM, Quan S, Cheung M, et al. Frequency and clinical importance of pages sent to the wrong physician. Arch Intern Med. 2009;169(11):1072-3. doi:10.1001/archinternmed.2009.117.
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psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event
July 03, 2016 - Study
Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting.
Citation Text:
Rubin DS, Pesyna C, Jakubczyk S, et al. Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event Repo…
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psnet.ahrq.gov/issue/epidemiology-malpractice-claims-primary-care-systematic-review
June 13, 2011 - Review
The epidemiology of malpractice claims in primary care: a systematic review.
Citation Text:
Wallace E, Lowry J, Smith SM, et al. The epidemiology of malpractice claims in primary care: a systematic review. BMJ Open. 2013;3(7). doi:10.1136/bmjopen-2013-002929.
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psnet.ahrq.gov/issue/communication-vital-signs-emergency-department-handoff-opportunities-improvement
May 16, 2012 - Study
Communication of vital signs at emergency department handoff: opportunities for improvement.
Citation Text:
Venkatesh AK, Curley D, Chang Y, et al. Communication of Vital Signs at Emergency Department Handoff: Opportunities for Improvement. Ann Emerg Med. 2015;66(2):125-30. doi:10.…
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psnet.ahrq.gov/issue/quantitative-analysis-content-ems-handoff-critically-ill-and-injured-patients-emergency
August 04, 2021 - Study
Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department.
Citation Text:
Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergen…
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psnet.ahrq.gov/issue/healthcare-inspection-evaluation-veterans-health-administrations-national-consult-delay
September 10, 2014 - Book/Report
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.
Citation Text:
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.…