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  1. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. | PSNet

    psnet.ahrq.gov/issue/how-many-too-many-using-cognitive-load-theory-determine-maximum-safe-number-inpatient
    October 19, 2022 - Study How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. Citation Text: Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient…

  2. Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. | PSNet

    psnet.ahrq.gov/issue/transitions-care-consensus-policy-statement-american-college-physicians-society-general
    July 27, 2022 - Commentary Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. Citation Text: Snow V,…

  3. Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | PSNet

    psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
    December 09, 2020 - Study Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. Citation Text: Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…

  4. Association between potentially inappropriate medications prescription and health-related quality of life among US older adults. | PSNet

    psnet.ahrq.gov/issue/association-between-potentially-inappropriate-medications-prescription-and-health-related
    June 08, 2010 - Study Association between potentially inappropriate medications prescription and health-related quality of life among US older adults. Citation Text: Clark CM, Guan J, Patel AR, et al. Association between potentially inappropriate medications prescription and health‐related quality of li…

  5. Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? | PSNet

    psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
    January 26, 2022 - Study Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? Citation Text: Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525. C…

  6. The problem with…using stories as a source of evidence and learning. | PSNet

    psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning
    June 19, 2018 - Commentary The problem with…using stories as a source of evidence and learning. Citation Text: Iedema R. The problem with … using stories as a source of evidence and learning. BMJ Qual Saf. 2022;31(3):234-237. doi:10.1136/bmjqs-2021-014221. Copy Citation Format: DOI Google …

  7. The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment. | PSNet

    psnet.ahrq.gov/issue/influence-personality-psychological-safety-presence-stress-and-chosen-professional-roles
    September 22, 2021 - Study The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment. Citation Text: Grailey K, Lound A, Murray E, et al. The influence of personality on psychological safety, the presence of stress and chosen prof…

  8. Central venous catheter guidewire retention: lessons from England's never event database. | PSNet

    psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
    September 15, 2021 - Study Central venous catheter guidewire retention: lessons from England's never event database. Citation Text: Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…

  9. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. | PSNet

    psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital
    April 26, 2023 - Study Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Citation Text: Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf.…

  10. Inter-hospital transfer is an independent risk factor for hospital-associated infection. | PSNet

    psnet.ahrq.gov/issue/inter-hospital-transfer-independent-risk-factor-hospital-associated-infection
    August 26, 2011 - Study Inter-hospital transfer is an independent risk factor for hospital-associated infection. Citation Text: Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital-associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:…

  11. Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions-using-safety
    June 15, 2022 - Study Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. Citation Text: Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of allergic reactions using safety…

  12. Information transfer at hospital discharge: a systematic review. | PSNet

    psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review
    February 21, 2015 - Review Classic Information transfer at hospital discharge: a systematic review. Citation Text: Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.000000000000…

  13. The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. | PSNet

    psnet.ahrq.gov/issue/diagnostic-and-triage-accuracy-digital-and-online-symptom-checker-tools-systematic-review
    May 05, 2021 - Review The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. Citation Text: Wallace W, Chan C, Chidambaram S, et al. The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. NPJ Digit Med. 2022;5(1…

  14. Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval. | PSNet

    psnet.ahrq.gov/issue/diagnostic-accuracy-physician-staffed-emergency-medical-teams-retrospective-observational
    December 22, 2021 - Study Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval. Citation Text: Schewe J-C, Kappler J, Dovermann K, et al. Diagnostic accuracy of physician-staffed emergency …

  15. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes
    February 14, 2024 - Review Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. Citation Text: Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic r…

  16. AHRQ-Funded Research at the 2018 AMIA Annual Symposium | Digital Healthcare Research

    digital.ahrq.gov/2018-year-review/research-dissemination/conference-proceedings/ahrq-funded-research-2018-amia-annual-symposium
    January 01, 2018 - AHRQ-Funded Research at the 2018 AMIA Annual Symposium Investigator Name AHRQ Research Profile AMIA Title Type Abraham, Joanna An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems Clinician Perspectives on Duplicate Medication Ordering…

  17. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial
    December 21, 2014 - Study Classic 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. Citation Text: Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled t…

  18. Large language model influence on diagnostic reasoning: a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/large-language-model-influence-diagnostic-reasoning-randomized-clinical-trial
    November 03, 2021 - Study Large language model influence on diagnostic reasoning: a randomized clinical trial. Citation Text: Goh E, Gallo R, Hom J, et al. Large language model influence on diagnostic reasoning: a randomized clinical trial. JAMA Netw Open. 2024;7(10):e2440969. doi:10.1001/jamanetworkopen.20…

  19. The role of personal health information management in promoting patient safety in the home: a qualitative analysis | PSNet

    psnet.ahrq.gov/issue/role-personal-health-information-management-promoting-patient-safety-home-qualitative
    June 15, 2022 - Study The role of personal health information management in promoting patient safety in the home: a qualitative analysis Citation Text: Demiris G, Lin S-Y, Turner AM. The role of personal health information management in promoting patient safety in the home: a qualitative analysis. Stud …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35282/psn-pdf
    May 27, 2011 - Comprehensive analysis of a medication dosing error related to CPOE. May 27, 2011 Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740. https://psnet.ahrq.gov/issue/comprehensive-analysis-medication-d…
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