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  1. Electronic health record use and the quality of ambulatory care in the United States. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-use-and-quality-ambulatory-care-united-states
    May 31, 2023 - Study Electronic health record use and the quality of ambulatory care in the United States. Citation Text: Linder JA, Ma J, Bates DW, et al. Electronic health record use and the quality of ambulatory care in the United States. Arch Intern Med. 2007;167(13):1400-5. Copy Citation F…

  2. Electronic medical record availability and primary care depression treatment. | PSNet

    psnet.ahrq.gov/issue/electronic-medical-record-availability-and-primary-care-depression-treatment
    November 16, 2022 - Study Electronic medical record availability and primary care depression treatment. Citation Text: Harman JS, Rost KM, Harle CA, et al. Electronic medical record availability and primary care depression treatment. J Gen Intern Med. 2012;27(8):962-7. doi:10.1007/s11606-012-2001-0. Copy …

  3. Nurses' workarounds in acute healthcare settings: a scoping review. | PSNet

    psnet.ahrq.gov/issue/nurses-workarounds-acute-healthcare-settings-scoping-review
    December 08, 2021 - Review Nurses' workarounds in acute healthcare settings: a scoping review. Citation Text: Debono DS, Greenfield D, Travaglia J, et al. Nurses' workarounds in acute healthcare settings: a scoping review. BMC Health Serv Res. 2013;13:175. doi:10.1186/1472-6963-13-175. Copy Citation …

  4. Safely implementing health information and converging technologies. | PSNet

    psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
    May 14, 2018 - Sentinel Event Alerts Safely implementing health information and converging technologies. Citation Text: Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  5. Work-arounds observed by fourth-year nursing students. | PSNet

    psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
    July 30, 2014 - Study Work-arounds observed by fourth-year nursing students. Citation Text: Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707. Copy Citation Format: DOI Google Scholar Pu…

  6. Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. | PSNet

    psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
    November 16, 2022 - Commentary Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. Citation Text: Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Com…

  7. AHRQ Health Information Technology Research: 2018 Year in Review. | PSNet

    psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
    May 07, 2014 - Government Resource AHRQ Health Information Technology Research: 2018 Year in Review. Citation Text: AHRQ Health Information Technology Research: 2018 Year in Review. AHRQ Health Information Technology Research: 2018 Year in Review. (Prepared by John Snow, Inc. Under Contract No. HHSN316…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45595/psn-pdf
    April 19, 2017 - triggers-and-trigger-tools https://psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42361/psn-pdf
    September 19, 2013 - engaging-patient-observer-promote-hand-hygiene-compliance-ambulatory-care https://psnet.ahrq.gov/issue/medication-errors-home-multisite-study-children-cancer

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47079/psn-pdf
    July 02, 2019 - decision support systems are widely utilized to improve patient safety by alerting providers to potential medication … errors and other safety concerns.

  11. A National Web Conference on Health IT and Safety | Digital Healthcare Research

    digital.ahrq.gov/events/national-web-conference-health-it-and-safety
    January 01, 2023 - results of an AHRQ-funded study on the impact of bedside barcode/electronic medication administration on medication … errors, workflow, and nursing satisfaction.

  12. ISMP Medication Safety Alert!® Nurse-Advise ERR. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-safety-alertr-nurse-advise-err
    January 26, 2023 - Newsletter/Journal ISMP Medication Safety Alert!® Nurse-Advise ERR. Citation Text: ISMP Medication Safety Alert!® Nurse-Advise ERR. Plymouth Meeting, PA: Institute for Safe Medication Practices. Copy Citation Save Save to your library Print Download PDF …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842919/psn-pdf
    February 01, 2023 - pharmacy technicians focus on performing medication reconciliation on patients with the highest risk of medication … errors. … medication reconciliation in the ED for high-risk patients on insulin to improve communication, avoid medication … errors, and increase provider awareness.

  14. Adoption of electronic prescribing in community-based practices (pdf file)

    digital.ahrq.gov/sites/default/files/docs/AHRQ_Webinar_Aug_2009_Med_Mgmt.pdf
    January 01, 2009 - coordination of care • Better decision support • Clinician workflow improvement • Prevention of medication … errors Benefits Unique to EPCS In addition, there are potential benefits unique to EPCS: • Reductions

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73389/psn-pdf
    June 16, 2021 - Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings. June 16, 2021 Murphy A, Griffiths P, Duffield C, et al. Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings. J Adv Nurs. 2021;77(8):3379-3388…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861281/psn-pdf
    January 24, 2024 - E-prescribing and medication safety in community settings: a rapid scoping review. January 24, 2024 Cassidy CE, Boulos L, McConnell E, et al. E-prescribing and medication safety in community settings: a rapid scoping review. Explor Res Clin Soc Pharm. 2023;12:100365. doi:10.1016/j.rcsop.2023.100365. https://psnet.…

  17. M | Agency for Healthcare Research and Quality

    www.ahrq.gov/topics/m.html
    June 12, 2025 - Topics Browse A - Z M Maternal Health Medicaid Medical Errors Medical Expenditure Panel Survey (MEPS) Medical Liability Medicamentos Medicare Medication Medication: Safety Men's Health Methicillin-Resistant Staphylococcus aureus (MRSA) Mortality

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43293/psn-pdf
    June 25, 2014 - Health-care providers want patients to read medical records, spot errors. June 25, 2014 Landro L. Wall Street Journal. June 9, 2014. https://psnet.ahrq.gov/issue/health-care-providers-want-patients-read-medical-records-spot-errors As they become more prevalent, electronic medical records (EMRs) are being used to i…

  19. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
    September 01, 2011 - Aspden P, Wolcott J, Bootman JL, Cronewett LR, eds for the Committee on Identifying and Preventing Medication … Errors, Institute of Medicine. … Preventing Medication Errors: Quality Chasm Series. … use)to assure appropriate management May also generate alerts when safety systems have failed (e.g., medication … error) In this case, such a report might have alerted staff about an increased pressure ulcer risk

  20. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)

    www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
    January 01, 2025 - Although much of the patient safety spotlight has focused on medication errors, two recent studies of … malpractice claims reveal that diagnosis errors far outnumber medication errors as a cause of claims … Bates has promulgated a useful model for depicting the relationships between medication errors and outcomes … Assessing the quality of published case reports of look-alike and sound-alike medication errors. … An evaluation of the quality of the USP/ISMP Medication Error Reporting Program.
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