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psnet.ahrq.gov/node/36738/psn-pdf
August 02, 2011 - Barriers and motivators for making error reports from
family medicine offices: a report from the American
Academy of Family Physicians National Research
Network (AAFP NRN).
August 2, 2011
Elder NC, Graham D, Brandt E, et al. Barriers and motivators for making error reports from family medicine
offices: a report f…
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psnet.ahrq.gov/node/865812/psn-pdf
May 08, 2024 - The use of artificial intelligence to optimize medication
alerts generated by clinical decision support systems: a
scoping review.
May 8, 2024
Graafsma J, Murphy RM, van de Garde EMW, et al. The use of artificial intelligence to optimize medication
alerts generated by clinical decision support systems: a scoping r…
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psnet.ahrq.gov/node/41700/psn-pdf
December 31, 2014 - High-priority drug–drug interactions for use in electronic
health records.
December 31, 2014
Phansalkar S, Desai AA, Bell D, et al. High-priority drug-drug interactions for use in electronic health
records. J Am Med Inform Assoc. 2012;19(5):735-43. doi:10.1136/amiajnl-2011-000612.
https://psnet.ahrq.gov/issue/high…
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psnet.ahrq.gov/node/44179/psn-pdf
November 20, 2015 - Routine failures in the process for blood testing and the
communication of results to patients in primary care in
the UK: a qualitative exploration of patient and provider
perspectives.
November 20, 2015
Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for blood testing and the communication…
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psnet.ahrq.gov/node/60556/psn-pdf
June 03, 2020 - The impact of technology on prescribing errors in
pediatric intensive care: a before and after study.
June 3, 2020
Howlett MM, Butler E, Lavelle KM, et al. The impact of technology on prescribing errors in pediatric
intensive care: a before and after study. Appl Clin Inform. 2020;11(02). doi:10.1055/s-0040-1709508.…
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psnet.ahrq.gov/node/47343/psn-pdf
April 16, 2019 - Using medicolegal data to support safe medical care: a
contributing factor coding framework.
April 16, 2019
McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A
contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-18. doi:10.1002/jhrm.21348.
https://ps…
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psnet.ahrq.gov/node/35872/psn-pdf
September 07, 2011 - Improving ambulatory prescribing safety with a handheld
decision support system: a randomized controlled trial.
September 7, 2011
Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision
support system: a randomized controlled trial. J Am Med Inform Assoc. 2006;13(2):17…
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psnet.ahrq.gov/node/866909/psn-pdf
October 09, 2024 - General practitioners' risk literacy and real-world
prescribing of potentially hazardous drugs: a cross-
sectional study.
October 9, 2024
Wegwarth O, Hoffmann TC, Goldacre B, et al. General practitioners’ risk literacy and real-world prescribing
of potentially hazardous drugs: a cross-sectional study. BMJ Qual Saf…
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psnet.ahrq.gov/node/50778/psn-pdf
January 08, 2020 - A mixed methods study examining teamwork shared
mental models of interprofessional teams during hospital
discharge.
January 8, 2020
Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models
of interprofessional teams during hospital discharge. BMJ Qual Saf. 2020;29(6):499-5…
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psnet.ahrq.gov/node/34849/psn-pdf
May 14, 2012 - The end of the beginning: patient safety five years after
'To Err Is Human.'
May 14, 2012
Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff.
2004;23(Suppl1). doi:10.1377/hlthaff.w4.534.
https://psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-…
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psnet.ahrq.gov/node/37346/psn-pdf
March 28, 2012 - Medication administration discrepancies persist despite
electronic ordering.
March 28, 2012
FitzHenry F, Peterson JF, Arrieta M, et al. Medication Administration Discrepancies Persist Despite
Electronic Ordering. J Am Med Inform Assoc. 2007;14(6):756-764. doi:10.1197/jamia.m2359.
https://psnet.ahrq.gov/issue/medic…
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psnet.ahrq.gov/node/865806/psn-pdf
May 08, 2024 - Entangled in complexity: an ethnographic study of
organizational adaptability and safe care transitions for
patients with complex care needs.
May 8, 2024
Hedqvist A?T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of
organizational adaptability and safe care transitions for patient…
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psnet.ahrq.gov/node/851200/psn-pdf
July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and
Facility Leaders' Response at the Charlie Norwood VA
Medical Center in Augusta, Georgia.
July 5, 2023
Washington DC: Department of Veterans Affairs, Office of Inspector General; May 10, 2023.
Report no. 22-01116-110.
https://psnet.ahrq.gov/issue/defi…
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psnet.ahrq.gov/node/46001/psn-pdf
July 19, 2017 - Identifying hospitalized patients at risk for harm: a
comparison of nurse perceptions vs. electronic risk
assessment tool scores.
July 19, 2017
Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for
Harm: A Comparison of Nurse Perceptions vs. Electronic Risk Assess…
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psnet.ahrq.gov/node/60055/psn-pdf
March 18, 2020 - A smartphone app designed to empower patients to
contribute toward safer surgical care: community-based
evaluation using a participatory approach.
March 18, 2020
Russ S, Latif Z, Hazell AL, et al. A Smartphone App Designed to Empower Patients to Contribute Toward
Safer Surgical Care: Community-Based Evaluation Usi…
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psnet.ahrq.gov/node/47886/psn-pdf
April 24, 2019 - Clinical impact of intraoperative electronic health record
downtime on surgical patients.
April 24, 2019
Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record
downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933. doi:10.1093/jamia/ocz029.
https:…
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psnet.ahrq.gov/node/38010/psn-pdf
August 27, 2008 - Detection of adverse events in surgical patients using the
Trigger Tool approach.
August 27, 2008
Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach.
Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080.
https://psnet.ahrq.gov/issue/detection-…
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psnet.ahrq.gov/node/46678/psn-pdf
January 03, 2018 - Measuring patient safety in real time: an essential method
for effectively improving the safety of care.
January 3, 2018
Classen DC, Griffin FA, Berwick DM. Measuring Patient Safety in Real Time: An Essential Method for
Effectively Improving the Safety of Care. Ann Intern Med. 2017;167(12). doi:10.7326/m17-2202.
h…
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psnet.ahrq.gov/node/47403/psn-pdf
November 07, 2018 - Defining minimum necessary anticoagulation-related
communication at discharge: Consensus of the Care
Transitions Task Force of the New York State
Anticoagulation Coalition.
November 7, 2018
Triller D, Myrka A, Gassler J, et al. Defining Minimum Necessary Anticoagulation-Related Communication
at Discharge: Consens…
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psnet.ahrq.gov/node/36457/psn-pdf
May 27, 2011 - Controversies surrounding use of order sets for clinical
decision support in computerized provider order entry.
May 27, 2011
Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision
support in computerized provider order entry. J Am Med Inform Assoc. 2007;14(1):41-7.…