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psnet.ahrq.gov/node/35130/psn-pdf
March 11, 2011 - A trial of automated decision support alerts for
contraindicated medications using computerized
physician order entry.
March 11, 2011
Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated
medications using computerized physician order entry. J Am Med Inform Assoc…
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psnet.ahrq.gov/node/46632/psn-pdf
May 11, 2019 - Higher accuracy of complex medication reconciliation
through improved design of electronic tools.
May 11, 2019
Horsky J, Drucker EA, Ramelson HZ. Higher accuracy of complex medication reconciliation through
improved design of electronic tools. J Am Med Inform Assoc. 2018;25(5):465-475.
doi:10.1093/jamia/ocx127.
h…
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psnet.ahrq.gov/node/44765/psn-pdf
November 23, 2016 - Communication relating to family members' involvement
and understandings about patients' medication
management in hospital.
November 23, 2016
Manias E. Communication relating to family members' involvement and understandings about patients'
medication management in hospital. Health Expect. 2015;18(5):850-66. doi:1…
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psnet.ahrq.gov/node/74212/psn-pdf
January 01, 2022 - Using failure mode and effects analysis to increase
patient safety in cancer chemotherapy.
December 22, 2021
Weber L, Schulze I, Jaehde U. Using Failure Mode and Effects Analysis to increase patient safety in
cancer chemotherapy. Res Social Adm Pharm. 2022;18(8):3386-3393.
doi:10.1016/j.sapharm.2021.11.009.
https…
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psnet.ahrq.gov/node/36470/psn-pdf
September 27, 2010 - Prioritizing patient safety interventions in small and rural
hospitals.
September 27, 2010
Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural
hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702.
https://psnet.ahrq.gov/issue/prioritizing-patient-safety-interv…
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psnet.ahrq.gov/node/40099/psn-pdf
December 22, 2010 - Medication reconciliation during internal hospital transfer
and impact of computerized prescriber order entry.
December 22, 2010
Lee JY, Leblanc K, Fernandes O, et al. Medication reconciliation during internal hospital transfer and
impact of computerized prescriber order entry. Ann Pharmacother. 2010;44(12):1887-95…
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psnet.ahrq.gov/node/34890/psn-pdf
February 17, 2011 - Electronic alerts to prevent venous thromboembolism
among hospitalized patients.
February 17, 2011
Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized
patients. N Engl J Med. 2005;352(10):969-77.
https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thro…
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psnet.ahrq.gov/node/47419/psn-pdf
January 22, 2019 - Implementing safety hotlines: Stamford Health's
experience and future opportunities.
January 22, 2019
Cardiello R, Johnston S, Kiely S. Implementing safety hotlines: Stamford Health's experience and future
opportunities. J Healthc Risk Manag. 2019;38(3):24-31. doi:10.1002/jhrm.21347.
https://psnet.ahrq.gov/issue/i…
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psnet.ahrq.gov/node/72800/psn-pdf
March 03, 2021 - Reaching the summit of discharge summaries: a quality
improvement project.
March 3, 2021
Richmond RT, McFadzean IJ, Vallabhaneni P. Reaching the summit of discharge summaries: a quality
improvement project. BMJ Open Qual. 2021;10(1):e001142. doi:10.1136/bmjoq-2020-001142.
https://psnet.ahrq.gov/issue/reaching-summ…
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psnet.ahrq.gov/node/48160/psn-pdf
January 01, 2020 - Engaging the patient and family in the surgical safety
process utilizing SafeStart.
August 28, 2019
Elger BM, Esparaz JR, Nierstedt RT, et al. Engaging the patient and family in the surgical safety process
utilizing. J Pediatr Surg. 2020;55(4). doi:10.1016/j.jpedsurg.2019.06.012.
https://psnet.ahrq.gov/issue/engag…
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psnet.ahrq.gov/node/44897/psn-pdf
March 15, 2016 - The effect of a checklist on the quality of patient handover
from the operating room to the intensive care unit: a
randomized controlled trial.
March 15, 2016
Salzwedel C, Mai V, Punke MA, et al. The effect of a checklist on the quality of patient handover from the
operating room to the intensive care unit: A rand…
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psnet.ahrq.gov/node/45693/psn-pdf
February 22, 2017 - Meta-analyses of the effects of standardized handoff
protocols on patient, provider, and organizational
outcomes.
February 22, 2017
Keebler JR, Lazzara EH, Patzer BS, et al. Meta-Analyses of the Effects of Standardized Handoff Protocols
on Patient, Provider, and Organizational Outcomes. Hum Factors. 2016;58(8):118…
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psnet.ahrq.gov/node/39485/psn-pdf
November 23, 2016 - A human factors and survey methodology-based design
of a web-based adverse event reporting system for
families.
November 23, 2016
Daniels JP, King AD, Cochrane D, et al. A human factors and survey methodology-based design of a web-
based adverse event reporting system for families. Int J Med Inform. 2010;79(5):339…
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psnet.ahrq.gov/node/43172/psn-pdf
May 14, 2014 - Clinical clerkship students' perceptions of (un)safe
transitions for every patient.
May 14, 2014
Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for
Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153.
https://psnet.ahrq.gov/issue/clini…
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psnet.ahrq.gov/node/43843/psn-pdf
February 11, 2015 - Impact of a clinical decision support system for high-alert
medications on the prevention of prescription errors.
February 11, 2015
Lee JH, Han H, Ock M, et al. Impact of a clinical decision support system for high-alert medications on the
prevention of prescription errors. Int J Med Inform. 2014;83(12). doi:10.101…
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psnet.ahrq.gov/node/38065/psn-pdf
September 17, 2008 - The use of a CPOE log for the analysis of physicians'
behavior when responding to drug-duplication reminders.
September 17, 2008
Long A-J, Chang P, Li Y-C, et al. The use of a CPOE log for the analysis of physicians’ behavior when
responding to drug-duplication reminders. Int J Med Inform. 2008;77(8). doi:10.1016/j…
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psnet.ahrq.gov/node/73112/psn-pdf
April 07, 2021 - Smartphone distraction during nursing care: systematic
literature review.
April 7, 2021
Fiorinelli M, Di Mario S, Surace A, et al. Smartphone distraction during nursing care: systematic literature
review. Appl Nurs Res. 2021;58:151405. doi:10.1016/j.apnr.2021.151405.
https://psnet.ahrq.gov/issue/smartphone-distrac…
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psnet.ahrq.gov/node/849615/psn-pdf
May 31, 2023 - Clinical Investigation Booking Systems Failures: Written
Communications in Community Languages.
May 31, 2023
Farnborough, UK: Healthcare Safety Investigation Branch; April 2023.
https://psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications-
community-languages
Gaps in patient…
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psnet.ahrq.gov/node/39331/psn-pdf
March 03, 2010 - Meta-analysis: effect of interactive communication
between collaborating primary care physicians and
specialists.
March 3, 2010
Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: effect of interactive communication between
collaborating primary care physicians and specialists. Ann Intern Med. 2010;152(4):247-58.…
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psnet.ahrq.gov/node/48155/psn-pdf
August 07, 2019 - How to prevent or reduce prescribing errors: an evidence
brief for policy authors.
August 7, 2019
de Araújo BC, de Melo RC, de Bortoli MC, et al. How to prevent or reduce prescribing errors: an evidence
brief for policy authors. Front Pharmacol. 2019;10:439. doi:10.3389/fphar.2019.00439.
https://psnet.ahrq.gov/iss…