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Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system. | PSNet

psnet.ahrq.gov/issue/implementation-integrated-computerized-prescriber-order-entry-system-chemotherapy-multisite

August 30, 2023 - Commentary Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system. Citation Text: Chung C, Patel S, Lee R, et al. Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a …

Relationship between call light use and response time and inpatient falls in acute care settings. | PSNet

psnet.ahrq.gov/issue/relationship-between-call-light-use-and-response-time-and-inpatient-falls-acute-care-settings

March 13, 2008 - Study Relationship between call light use and response time and inpatient falls in acute care settings. Citation Text: Tzeng H-M, Yin C-Y. Relationship between call light use and response time and inpatient falls in acute care settings. J Clin Nurs. 2009;18(23):3333-41. doi:10.1111/j.1…

Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/incidence-and-severity-prescribing-errors-parenteral-nutrition-pediatric-inpatients-neonatal

June 23, 2021 - Study Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit. Citation Text: Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in Parenteral Nutrition for …

Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. | PSNet

psnet.ahrq.gov/issue/effects-online-personal-health-record-medication-accuracy-and-safety-cluster-randomized-trial

March 04, 2015 - Study Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. Citation Text: Schnipper JL, Gandhi TK, Wald JS, et al. Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. J Am Med Inf…

Ticket to ride: reducing handoff risk during hospital patient transport. | PSNet

psnet.ahrq.gov/issue/ticket-ride-reducing-handoff-risk-during-hospital-patient-transport

May 30, 2018 - Commentary Ticket to ride: reducing handoff risk during hospital patient transport. Citation Text: Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.982…

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii. | PSNet

psnet.ahrq.gov/issue/maintaining-and-sustaining-cusp-stop-bsi-model-hawaii

March 21, 2012 - Study Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii. Citation Text: Lin D, Weeks K, Holzmueller CG, et al. Maintaining and Sustaining the On the CUSP: Stop BSI Model in Hawaii. Jt Comm J Qual Patient Saf. 2016;39(2):51-60, AP3. doi:10.1016/s1553-7250(13)39008-4. …

A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. | PSNet

psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and

May 01, 2019 - Review A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. Citation Text: Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;…

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. | PSNet

psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk

November 20, 2015 - Study 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. Citation Text: Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for bloo…

Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students. | PSNet

psnet.ahrq.gov/issue/driven-distraction-prospective-controlled-study-simulated-ward-round-experience-improve

March 14, 2022 - Study Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students. Citation Text: Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward round expe…

A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. | PSNet

psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and-sign-out-system

July 14, 2010 - Study Classic A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. Citation Text: Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating…

Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. | PSNet

psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results

June 13, 2011 - Study Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. Citation Text: Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban …

Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and

October 19, 2022 - Study Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. Citation Text: Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to …

Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital

June 22, 2017 - Study Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. Citation Text: Gur-Arieh S, Mendlovic S, Rozenblum R, et al. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergen…

Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. | PSNet

psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm

January 15, 2020 - Study Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. Citation Text: Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in…

Understanding and responding when things go wrong: key principles for primary care educators. | PSNet

psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators

January 23, 2017 - Study Understanding and responding when things go wrong: key principles for primary care educators. Citation Text: McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080…

Potential consequences of patient complications for surgeon well-being: a systematic review. | PSNet

psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review

May 23, 2018 - Review Potential consequences of patient complications for surgeon well-being: a systematic review. Citation Text: Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamas…

Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. | PSNet

psnet.ahrq.gov/issue/two-sides-safety-coin-how-patient-engagement-and-safety-climate-jointly-affect-error

March 11, 2020 - Study Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. Citation Text: Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in…

Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic

January 31, 2024 - Study Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. Citation Text: Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal h…

From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system. | PSNet

psnet.ahrq.gov/issue/board-bedside-how-application-financial-structures-safety-and-quality-can-drive

January 29, 2015 - Study From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system. Citation Text: Austin M, Demski R, Callender T, et al. From Board to Bedside: How the Application of Financial Structures to Safety and Q…

The impact of medication reconciliation and review in patients using oral chemotherapy. | PSNet

psnet.ahrq.gov/issue/impact-medication-reconciliation-and-review-patients-using-oral-chemotherapy

November 17, 2021 - Study The impact of medication reconciliation and review in patients using oral chemotherapy. Citation Text: Darcis E, Germeys J, Stragier M, et al. The impact of medication reconciliation and review in patients using oral chemotherapy. J Oncol Pharm Pract. 2023;29(2):270-275. doi:10.117…

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