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psnet.ahrq.gov/issue/beating-weekend-trend-increased-mortality-older-adult-traumatic-brain-injury-tbi-patients
December 21, 2014 - Slideset
Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends.
Citation Text:
Schneider EB, Hirani SA, Hambridge HL, et al. Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) pat…
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psnet.ahrq.gov/issue/development-and-pilot-evaluation-electronic-health-record-usability-and-safety-self
December 21, 2022 - Study
Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.
Citation Text:
Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;…
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psnet.ahrq.gov/issue/comorbid-conditions-delay-diagnosis-colorectal-cancer-cohort-study-using-electronic-primary
January 13, 2021 - Study
Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records.
Citation Text:
Mounce LTA, Price S, Valderas JM, et al. Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records. Br…
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psnet.ahrq.gov/issue/resilience-vs-vulnerability-psychological-safety-and-reporting-near-misses-varying-proximity
December 16, 2020 - Study
Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology.
Citation Text:
Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying p…
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psnet.ahrq.gov/issue/appropriate-use-medical-interpreters-breast-imaging-clinic
October 16, 2024 - Commentary
Appropriate use of medical interpreters in the breast imaging clinic.
Citation Text:
Feliciano-Rivera YZ, Yepes MM, Sanchez P, et al. Appropriate use of medical interpreters in the breast imaging clinic. J Breast Imaging. 2024;27(3):296-303. doi:10.1093/jbi/wbad109.
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psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events
October 21, 2020 - Study
Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events.
Citation Text:
Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…
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psnet.ahrq.gov/issue/evolving-factors-hospital-safety-systematic-review-and-meta-analysis-hospital-adverse-events
February 02, 2022 - Review
Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.
Citation Text:
Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. J Patient Saf. 2…
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psnet.ahrq.gov/issue/evaluation-patient-centered-fall-prevention-tool-kit-reduce-falls-and-injuries-nonrandomized
February 01, 2023 - Study
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.
Citation Text:
Dykes PC, Burns Z, Adelman JS, et al. Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized con…
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digital.ahrq.gov/ahrq-funded-projects/technology-optimizing-population-care-resource-limited-environment/annual-summary/2012
January 01, 2012 - Technology for Optimizing Population Care in a Resource-Limited Environment - 2012
Project Name
Technology for Optimizing Population Care in a Resource-Limited Environment
Principal Investigator
Atlas, Steven J.
Organization
Massachusetts General Hospital
Funding Mech…
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psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
January 18, 2013 - Study
Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.
Citation Text:
Staggers N, Clark L, Blaz JW, et al. Why patient summaries in electronic…
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psnet.ahrq.gov/issue/outcomes-associated-nationwide-introduction-rapid-response-systems-netherlands
January 18, 2013 - Study
Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands.
Citation Text:
Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands. Crit Care …
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psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned
January 08, 2020 - Study
Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation.
Citation Text:
Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency departme…
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psnet.ahrq.gov/issue/adverse-events-intensive-care-and-continuing-care-units-during-bed-bath-procedures
March 05, 2025 - Study
Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study.
Citation Text:
Decormeille G, Maurer-Maouchi V, Mercier G, et al. Adverse events in intensive care and continuing care u…
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psnet.ahrq.gov/issue/how-scale-quality-and-safety-program-home-care-accreditation
July 27, 2022 - Study
How to scale up quality and safety program with the home care accreditation.
Citation Text:
Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698.
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psnet.ahrq.gov/issue/using-failure-mode-effect-and-criticality-analysis-improve-safety-cancer-treatment
October 21, 2020 - Study
Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process.
Citation Text:
Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment…
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psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospital
August 04, 2021 - Study
Classic
High rates of adverse drug events in a highly computerized hospital.
Citation Text:
Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized hospital. Arch Intern Med. 2005;165(10):1111-6.
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psnet.ahrq.gov/issue/changes-end-user-satisfaction-computerized-provider-order-entry-over-time-among-nurses-and
March 15, 2017 - Study
Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units.
Citation Text:
Hoonakker P, Carayon P, Brown RL, et al. Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurs…
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psnet.ahrq.gov/issue/mixed-methods-evaluation-real-time-safety-reporting-hospitalized-patients-and-their-care
August 03, 2022 - Study
Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application.
Citation Text:
Collins SA, Couture B, Smith A, et al. Mixed-Methods Evaluation of Real-Time Safety Reporting by Hospitalized Patients and Their Care …
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psnet.ahrq.gov/issue/medication-safety-two-intensive-care-units-community-teaching-hospital-after-electronic
October 31, 2014 - Study
Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: sociotechnical and human factors engineering considerations.
Citation Text:
Carayon P, Wetterneck TB, Cartmill R, et al. Medication Safety in Two Intensive …
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psnet.ahrq.gov/issue/association-between-electronic-medical-record-implementation-default-opioid-prescription
April 27, 2022 - Study
Association between electronic medical record implementation of default opioid prescription quantities and prescribing behavior in two emergency departments.
Citation Text:
Delgado K, Shofer FS, Patel MS, et al. Association between Electronic Medical Record Implementation of Defaul…