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psnet.ahrq.gov/web-mm/situational-unawareness
August 01, 2009 - Situational (Un)Awareness
Citation Text:
Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
July 03, 2013 - Press Release/Announcement
Common formats for patient safety data collection and event reporting.
Citation Text:
Common formats for patient safety data collection and event reporting. Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214…
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psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-effectiveness-and-safety-patient-safety-practices
December 24, 2008 - Press Release/Announcement
Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria.
Citation Text:
Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Crit…
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psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
May 25, 2016 - Book/Report
Guide to Reducing Unintended Consequences of Electronic Health Records.
Citation Text:
Guide to Reducing Unintended Consequences of Electronic Health Records. Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare Research and …
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psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study
April 19, 2017 - Government Resource
Quality and Safety Between Ward and Board: a Biography of Artefacts Study.
Citation Text:
Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals…
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psnet.ahrq.gov/issue/health-it-and-patient-safety-building-safer-systems-better-care
June 16, 2011 - Book/Report
Classic
Health IT and Patient Safety: Building Safer Systems for Better Care.
Citation Text:
Health IT and Patient Safety: Building Safer Systems for Better Care. Committee on Patient Safety and Health Information Technology, Board on Health Care Ser…
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - Is the Admission Drug Dose Too Low?
Citation Text:
Kaushal R, Abramson EL. Is the Admission Drug Dose Too Low?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - SPOTLIGHT CASE
Bad Writing, Wrong Medication
Citation Text:
Devine B. Bad Writing, Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - Becoming a Patient Safety Organization
July 1, 2011
Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/becoming-patient-safety-organization
Perspective
While I was the first employee of the California Hospital Patient Safety Organization (CHPSO), its story
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psnet.ahrq.gov/issue/maximizing-ability-health-it-and-ai-improve-patient-safety
May 22, 2015 - Commentary
Maximizing the ability of health IT and AI to improve patient safety.
Citation Text:
Singh H, Sittig DF, Classen DC. Maximizing the ability of health IT and AI to improve patient safety. JAMA Intern Med. 2025;185(1):10-12. doi:10.1001/jamainternmed.2024.4343.
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psnet.ahrq.gov/issue/impact-non-interruptive-medication-laboratory-monitoring-alerts-ambulatory-care
March 10, 2011 - Study
Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.
Citation Text:
Lo HG, Matheny ME, Seger DL, et al. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. J Am Med Inform Assoc. 2009;16(1):66-71. doi:10.1197/jami…
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psnet.ahrq.gov/issue/standard-practices-computerized-clinical-decision-support-community-hospitals-national-survey
April 29, 2018 - Study
Standard practices for computerized clinical decision support in community hospitals: a national survey.
Citation Text:
Ash JS, McCormack JL, Sittig DF, et al. Standard practices for computerized clinical decision support in community hospitals: a national survey. J Am Med Inform A…
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psnet.ahrq.gov/issue/building-safety-net
December 21, 2009 - Newspaper/Magazine Article
Building a safety net.
Citation Text:
Rogoski RR. Building a safety net. By leveraging huge amounts of data and applying it to a wide array of projects and purposes, hospitals stay focused on patient safety and make headway. Health management technology. 2006…
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psnet.ahrq.gov/issue/patient-perceptions-receiving-test-results-online-portals-mixed-methods-study
July 01, 2017 - Study
Patient perceptions of receiving test results via online portals: a mixed-methods study.
Citation Text:
Giardina TD, Baldwin J, Nystrom DT, et al. Patient perceptions of receiving test results via online portals: a mixed-methods study. J Am Med Inform Assoc. 2018;25(4):440-446. doi…
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psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-provider-order-entry-5-community-hospitals
December 31, 2014 - Study
Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study.
Citation Text:
Simon SR, Keohane CA, Amato MG, et al. Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a quali…
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psnet.ahrq.gov/issue/machine-learning-medication-prescription-systematic-review
October 16, 2013 - Study
Machine learning in medication prescription: a systematic review.
Citation Text:
Iancu A, Leb I, Prokosch H-U, et al. Machine learning in medication prescription: a systematic review. Int J Med Inform. 2023;180:105241. doi:10.1016/j.ijmedinf.2023.105241.
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psnet.ahrq.gov/Information/Disclaimer
External Link Disclaimer Notice
This graphic notice means that you are leaving AHRQ Patient Safety Network.
External links provide additional information that is consistent with the intended purpose of a Federal site.
The Department of Health and Human Services (HHS) cannot attest to the accuracy of informat…
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psnet.ahrq.gov/issue/development-and-evaluation-integrated-electronic-prescribing-and-drug-management-system
March 10, 2011 - Study
The development and evaluation of an integrated electronic prescribing and drug management system for primary care.
Citation Text:
Tamblyn R, Huang A, Kawasumi Y, et al. The development and evaluation of an integrated electronic prescribing and drug management system for primary …
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psnet.ahrq.gov/issue/natural-language-processing-and-its-implications-future-medication-safety-narrative-review
December 21, 2014 - Review
Emerging Classic
Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges.
Citation Text:
Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implic…
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psnet.ahrq.gov/issue/evolving-role-medical-scribe-variation-and-implications-organizational-effectiveness-and
October 24, 2018 - Study
The evolving role of medical scribe: variation and implications for organizational effectiveness and safety.
Citation Text:
Woodcock D, Pranaat R, McGrath K, et al. The Evolving Role of Medical Scribe: Variation and Implications for Organizational Effectiveness and Safety. Stud Hea…