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  1. psnet.ahrq.gov/issue/artificial-intelligence-identifying-prevention-medication-incidents-causing-serious-or
    March 11, 2020 - Study Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views. Citation Text: Härkänen M, Haatainen K, Vehviläinen-Julkunen K, et al. Artificial intelligence for identifying the preventio…
  2. psnet.ahrq.gov/issue/patients-and-relatives-auditors-safe-practices-oncology-and-hematology-day-hospitals
    April 22, 2020 - Study Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. Citation Text: Rodrigo Rincón I, Irigoyen Aristorena I, Tirapu León B, et al. Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. BMC Health Ser…
  3. psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
    September 01, 2012 - Study Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). Citation Text: West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care p…
  4. psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract
    July 22, 2020 - Study Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. Citation Text: Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-critical care setting and retract–reorder error…
  5. psnet.ahrq.gov/issue/blinded-prospective-study-error-detection-during-physician-chart-rounds-radiation-oncology
    November 16, 2022 - Study A blinded, prospective study of error detection during physician chart rounds in radiation oncology. Citation Text: Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart rounds in radiation oncology. Pract Radiat Oncol. 2020;…
  6. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/pluye-p-et
    January 01, 2023 - Pluye P et al. 2004 "How information retrieval technology may impact on physician practice: an organizational case study in family medicine." Reference Pluye P, Grad RM. How information retrieval technology may impact on physician practice: an organizational case study in family medicine. J Eval Clin …
  7. 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…
  8. psnet.ahrq.gov/issue/implications-electronic-health-record-downtime-analysis-patient-safety-event-reports
    February 14, 2024 - Study Classic Implications of electronic health record downtime: an analysis of patient safety event reports. Citation Text: Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Me…
  9. psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education
    June 02, 2021 - Study Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. Citation Text: Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …
  10. psnet.ahrq.gov/issue/diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured
    September 07, 2022 - Review Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. Citation Text: Fuller G, Pandor A, Essat M, et al. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patient…
  11. psnet.ahrq.gov/issue/reasons-computerised-provider-order-entry-cpoe-based-inpatient-medication-ordering-errors
    June 27, 2018 - Study Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders. Citation Text: Abraham J, Kannampallil TG, Jarman A, et al. Reasons for computerised provider order entry (CPOE)-based inpatient medication orde…
  12. psnet.ahrq.gov/issue/making-electronic-prescribing-alerts-more-effective-scenario-based-experimental-study-junior
    November 16, 2022 - Study Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. Citation Text: Scott GPT, Shah P, Wyatt JC, et al. Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. J Am Med Inform Ass…
  13. psnet.ahrq.gov/issue/clinicians-assessments-electronic-medication-safety-alerts-ambulatory-care
    September 02, 2009 - Study Clinicians' assessments of electronic medication safety alerts in ambulatory care. Citation Text: Weingart SN, Simchowitz B, Shiman L, et al. Clinicians' assessments of electronic medication safety alerts in ambulatory care. Arch Intern Med. 2009;169(17):1627-1632. doi:10.1001/arch…
  14. psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
    January 04, 2012 - Study A comparison of hospital adverse events identified by three widely used detection methods. Citation Text: Naessens JM, Campbell CR, Huddleston JM, et al. A comparison of hospital adverse events identified by three widely used detection methods. Int J Qual Health Care. 2009;21(4):…
  15. psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts
    February 25, 2015 - Study Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. Citation Text: Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Proje…
  16. psnet.ahrq.gov/issue/interactive-questioning-critical-care-during-handovers-transcript-analysis-communication
    August 11, 2021 - Study Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. Citation Text: Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a tra…
  17. psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational
    March 10, 2021 - Commentary Enhancing safety culture through improved incident reporting: a case study in translational research. Citation Text: Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. Health Aff (Millwoo…
  18. psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events
    November 23, 2016 - Review Time to listen: a review of methods to solicit patient reports of adverse events. Citation Text: King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.0301…
  19. psnet.ahrq.gov/issue/risk-controls-identified-action-plans-following-serious-incident-investigations-secondary
    April 22, 2017 - Study Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. Citation Text: Peerally MF, Carr S, Waring J, et al. Risk controls identified in action plans following serious incident investigations in secondary care: a qu…
  20. psnet.ahrq.gov/issue/description-role-pharmacist-independent-double-checks-during-cognitive-order-verification
    March 10, 2021 - Study Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. Citation Text: Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive …