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psnet.ahrq.gov/node/46099/psn-pdf
May 31, 2017 - A quality improvement approach to standardization and
sustainability of the hand-off process.
May 31, 2017
Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and
Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1).
doi:10.1136/bmjquality.u222156.w8291.
https:…
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psnet.ahrq.gov/node/45448/psn-pdf
January 23, 2017 - Accuracy of laboratory data communication on ICU daily
rounds using an electronic health record.
January 23, 2017
Artis KA, Dyer E, Mohan V, et al. Accuracy of Laboratory Data Communication on ICU Daily Rounds Using
an Electronic Health Record. Crit Care Med. 2017;45(2):179-186. doi:10.1097/CCM.0000000000002060.
h…
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psnet.ahrq.gov/node/74078/psn-pdf
November 17, 2021 - Safety learning among young newly employed workers in
three sectors: a challenge to the assumed order of things.
November 17, 2021
Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three
sectors: a challenge to the assumed order of things. Safety Sci. 2021;143:105417.
…
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psnet.ahrq.gov/node/838913/psn-pdf
October 26, 2022 - Communication during interhospital transfers of
emergency general surgery patients: a qualitative study
of challenges and opportunities.
October 26, 2022
Alagoz E, Saucke M, Arroyo N, et al. Communication during interhospital transfers of emergency general
surgery patients: a qualitative study of challenges and op…
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psnet.ahrq.gov/node/44921/psn-pdf
March 02, 2016 - Effective Board Governance of Safe Care: A (Theoretically
Underpinned) Cross-sectioned Examination of the
Breadth and Depth of Relationships through National
Quantitative Surveys and In-depth Qualitative Case
Studies.
March 2, 2016
Mannion R, Freeman T, Millar R, Davies H. Health and Social Care Delivery Research…
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psnet.ahrq.gov/node/47093/psn-pdf
July 02, 2019 - Effects of computerized decision support system
implementations on patient outcomes in inpatient care: a
systematic review.
July 2, 2019
Varghese J, Kleine M, Gessner SI, et al. Effects of computerized decision support system implementations
on patient outcomes in inpatient care: a systematic review. J Am Med Info…
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psnet.ahrq.gov/node/74235/psn-pdf
January 12, 2022 - Where trust flourishes: perceptions of clinicians who
trust their organizations and are trusted by their patients.
January 12, 2022
Linzer M, Neprash HT, Brown RL, et al. Where trust flourishes: perceptions of clinicians who trust their
organizations and are trusted by their patients. Ann Fam Med. 2021;19(6):521-52…
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psnet.ahrq.gov/node/45698/psn-pdf
January 11, 2017 - Design and testing of the safety agenda mobile app for
managing health care managers' patient safety
responsibilities.
January 11, 2017
Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing
Health Care Managers' Patient Safety Responsibilities. JMIR MHealth UHealt…
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psnet.ahrq.gov/node/41868/psn-pdf
January 07, 2015 - Changes in end-user satisfaction with computerized
provider order entry over time among nurses and
providers in intensive care units.
January 7, 2015
Hoonakker P, Carayon P, Brown RL, et al. Changes in end-user satisfaction with Computerized Provider
Order Entry over time among nurses and providers in intensive ca…
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psnet.ahrq.gov/node/44950/psn-pdf
March 02, 2016 - Providers contextualise care more often when they
discover patient context by asking: meta-analysis of three
primary data sets.
March 2, 2016
Schwartz A, Weiner SJ, Binns-Calvey A, et al. Providers contextualise care more often when they discover
patient context by asking: meta-analysis of three primary data sets.…
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psnet.ahrq.gov/node/46579/psn-pdf
April 11, 2018 - Electronic medicine can send you test results quickly. But
what if they're scary?
April 11, 2018
Boodman SG. Washington Post. March 26, 2018.
https://psnet.ahrq.gov/issue/electronic-medicine-can-send-you-test-results-quickly-what-if-theyre-scary
Although providing patients with access to physician notes and test r…
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psnet.ahrq.gov/node/47982/psn-pdf
July 31, 2019 - Walking the plank: an experimental paradigm to
investigate safety voice.
July 31, 2019
Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety
Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668.
https://psnet.ahrq.gov/issue/walking-plank-experimental-paradig…
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psnet.ahrq.gov/node/45974/psn-pdf
May 03, 2017 - Effects of workload, work complexity, and repeated alerts
on alert fatigue in a clinical decision support system.
May 3, 2017
Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert
fatigue in a clinical decision support system. BMC Med Inform Decis Mak. 2017;17(1):3…
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psnet.ahrq.gov/node/847725/psn-pdf
April 19, 2023 - A scoping review of the hidden curriculum in pharmacy
education.
April 19, 2023
Park SK, Chen AMH, Daugherty KK, et al. A scoping review of the hidden curriculum in pharmacy
education. Am J Pharm Educ. 2023;87(3):ajpe8999. doi:10.5688/ajpe8999.
https://psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy…
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psnet.ahrq.gov/node/39120/psn-pdf
March 04, 2011 - Time-dependent drug–drug interaction alerts in care
provider order entry: software may inhibit medication
error reductions.
March 4, 2011
van der Sijs H, Lammers L, van den Tweel A, et al. Time-dependent drug-drug interaction alerts in care
provider order entry: software may inhibit medication error reductions. J …
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psnet.ahrq.gov/node/865666/psn-pdf
April 24, 2024 - Why do nurses miss nursing care? A qualitative meta-
synthesis.
April 24, 2024
Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta?synthesis. Jpn J Nurs
Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578.
https://psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthe…
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psnet.ahrq.gov/node/837334/psn-pdf
June 08, 2022 - Safety gaps in medical team communication: closing the
loop on quality improvement efforts in the cardiac
catheterization lab.
June 8, 2022
Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on
quality improvement efforts in the cardiac catheterization lab. Catheter …
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psnet.ahrq.gov/node/837675/psn-pdf
July 13, 2022 - Dashboard design to identify and balance competing risk
of multiple hospital-acquired conditions.
July 13, 2022
Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of
multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):621-631. doi:10.1055/s-0042-1749598.
…
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psnet.ahrq.gov/node/44681/psn-pdf
April 13, 2016 - Triggers, bundles, protocols, and checklists—what every
maternal care provider needs to know.
April 13, 2016
Arora KS, Shields LE, Grobman WA, et al. Triggers, bundles, protocols, and checklists--what every
maternal care provider needs to know. Am J Obstet Gynecol. 2016;214(4):444-451.
doi:10.1016/j.ajog.2015.10.0…
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psnet.ahrq.gov/node/838145/psn-pdf
September 21, 2022 - Charlie Bourg was on the lookout for veterans harmed by
a new VA computer system. He didn’t expect to be one of
them.
September 21, 2022
Donovan-Smith O. Spokesman-Review. September 11, 2022.
https://psnet.ahrq.gov/issue/charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he-
didnt-expect-be-one…