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Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability. | PSNet

psnet.ahrq.gov/issue/transcription-errors-blood-glucose-values-and-insulin-errors-intensive-care-unit-secondary

December 02, 2020 - Study Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability. Citation Text: Sowan AK, Vera A, Malshe A, et al. Transcription Errors of Blood Glucose Values and Insuli…

We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. | PSNet

psnet.ahrq.gov/issue/we-thought-we-would-be-perfect-medication-errors-and-after-initiation-computerized-physician

September 18, 2019 - Study We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. Citation Text: Schwartzberg D, Ivanovic S, Patel S, et al. We thought we would be perfect: medication errors before and after the initiation of Computerized Phys…

Role of computerized physician order entry systems in facilitating medication errors. | PSNet

psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors

February 18, 2011 - Study Classic Role of computerized physician order entry systems in facilitating medication errors. Citation Text: Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):119…

A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse-events-surgical

January 28, 2009 - Study A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. A morbidity and mortality conference-based classification system for adverse events: surgical outcome ana…

How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study. | PSNet

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October 30, 2013 - Study How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study. Citation Text: Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within computerized physician order entry systems:…

Human factors and ergonomics as a patient safety practice. | PSNet

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March 25, 2015 - Review Human factors and ergonomics as a patient safety practice. Citation Text: Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf. 2014;23(3):196-205. doi:10.1136/bmjqs-2013-001812. Copy Citation Format: DOI Google Schol…

Improved medication management with introduction of a perioperative and prescribing pharmacist service. | PSNet

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August 05, 2020 - Study Improved medication management with introduction of a perioperative and prescribing pharmacist service. Citation Text: Nguyen AD, Lam A, Banakh I, et al. Improved medication management with introduction of a perioperative and prescribing pharmacist service. J Pharm Pract. 2020;33(3…

Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. | PSNet

psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure

March 09, 2022 - Study Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. Citation Text: Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…

Communication and birth experiences among Black birthing people who experienced preterm birth. | PSNet

psnet.ahrq.gov/issue/communication-and-birth-experiences-among-black-birthing-people-who-experienced-preterm-birth

September 23, 2020 - Study Communication and birth experiences among Black birthing people who experienced preterm birth. Citation Text: Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:…

Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/technology-enhanced-simulation-health-professions-education-systematic-review-and-meta

October 19, 2022 - Review Classic Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. Citation Text: Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a systematic review and me…

Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice. | PSNet

psnet.ahrq.gov/issue/does-simulation-training-acute-care-nurses-improve-patient-safety-outcomes-systematic-review

January 12, 2022 - Review Emerging Classic Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice. Citation Text: Lewis KA, Ricks TN, Rowin A, et al. Does Simulation Training for Acute Care Nurses Impr…

Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. | PSNet

psnet.ahrq.gov/issue/elimination-central-venous-catheter-related-bloodstream-infections-intensive-care-unit

January 11, 2017 - Study Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. Citation Text: Longmate AG, Ellis KS, Boyle L, et al. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. BMJ Qual Saf. 2011;20(2):1…

Confidential clinician-reported surveillance of adverse events among medical inpatients. | PSNet

psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical-inpatients

June 29, 2011 - Study Classic Confidential clinician-reported surveillance of adverse events among medical inpatients. Citation Text: Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2…

Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. | PSNet

psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors

October 03, 2011 - Study Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Citation Text: Szeinbach S, Seoane-Vazquez E, Parekh A, et al. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Int J Qual Health Care. 2007;19(4):203-9.…

Pharmacist linkage in care transitions: from academic medical center to community. | PSNet

psnet.ahrq.gov/issue/pharmacist-linkage-care-transitions-academic-medical-center-community

November 16, 2022 - Study Pharmacist linkage in care transitions: from academic medical center to community. Citation Text: Bloodworth LS, Malinowski SS, Lirette ST, et al. Pharmacist linkage in care transitions: from academic medical center to community. J Am Pharm Assoc . 2019;59(6):896-904. doi:10.1016/j…

Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. | PSNet

psnet.ahrq.gov/issue/effect-central-call-center-employee-perceptions-safety-culture-within-community-pharmacies

June 15, 2022 - Study Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. Citation Text: Bowden A, Mullin S, Tak C, et al. Effect of a central call center on employee perceptions of safety culture within community pharmacies…

Building a learning organization. | PSNet

psnet.ahrq.gov/issue/building-learning-organization

June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

Learning Health Systems | PSNet

psnet.ahrq.gov/issue/learning-health-systems

December 24, 2008 - Multi-use Website Learning Health Systems Citation Text: Learning Health Systems Agency for Health Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

Shifting the learning curve. | PSNet

psnet.ahrq.gov/issue/shifting-learning-curve

March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Learning from Investigations. | PSNet

psnet.ahrq.gov/issue/learning-investigations

July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…

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