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  1. psnet.ahrq.gov/issue/workarounds-use-healthcare-case-study-electronic-medication-administration-system
    June 29, 2011 - Study Workarounds in the use of IS in healthcare: a case study of an electronic medication administration system. Citation Text: Yang Z, Ng B-Y, Kankanhalli A, et al. Workarounds in the use of IS in healthcare: A case study of an electronic medication administration system. Internation…
  2. psnet.ahrq.gov/issue/interruptions-and-geographic-challenges-nurses-cognitive-workload
    March 20, 2019 - Study Interruptions and geographic challenges to nurses' cognitive workload. Citation Text: Redding DA, Robinson S. Interruptions and geographic challenges to nurses' cognitive workload. J Nurs Care Qual. 2009;24(3):194-200; quiz 201-202. doi:10.1097/01.NCQ.0000356907.95076.31. Copy Ci…
  3. psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
    November 16, 2016 - Commentary Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Citation Text: Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc N…
  4. psnet.ahrq.gov/issue/predictors-prescription-errors-involving-anticancer-chemotherapy-agents
    February 01, 2012 - Study Predictors of prescription errors involving anticancer chemotherapy agents. Citation Text: Ranchon F, Moch C, You B, et al. Predictors of prescription errors involving anticancer chemotherapy agents. Eur J Cancer. 2012;48(8):1192-9. doi:10.1016/j.ejca.2011.12.031. Copy Citation…
  5. psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful
    January 06, 2018 - Commentary Classic Computerized physician order entry: helpful or harmful? Citation Text: Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3. Copy Citation Format: Google Scholar …
  6. psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors
    December 12, 2012 - Study Nurses' behaviors and visual scanning patterns may reduce patient identification errors. Citation Text: Marquard J, Henneman PL, He Z, et al. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. J Exp Psychol Appl. 2011;17(3):247-56. doi:10.1037/…
  7. psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop-medication-safety
    February 14, 2024 - Study Building safer systems by ecological design: using restoration science to develop a medication safety intervention. Citation Text: Marck PB, Kwan JA, Preville B, et al. Building safer systems by ecological design: using restoration science to develop a medication safety intervent…
  8. psnet.ahrq.gov/issue/impact-technology-safe-medicines-use-and-pharmacy-practice-us
    September 30, 2020 - Review The impact of technology on safe medicines use and pharmacy practice in the US. Citation Text: Schneider PJ. The Impact of Technology on Safe Medicines Use and Pharmacy Practice in the US. Front Pharmacol. 2018;9:1361. doi:10.3389/fphar.2018.01361. Copy Citation Format: …
  9. psnet.ahrq.gov/issue/errors-associated-oxytocin-use-multi-organization-analysis-ismp-and-ismp-canada
    February 23, 2022 - Newspaper/Magazine Article Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. Citation Text: Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. ISMP Medication Safety Alert! Acute care edition. Februar…
  10. psnet.ahrq.gov/issue/accountability-sought-patients-following-adverse-events-medical-care-new-zealand-experience
    June 25, 2010 - Study Accountability sought by patients following adverse events from medical care: the New Zealand experience. Citation Text: Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ. 2006;175…
  11. psnet.ahrq.gov/issue/use-public-health-law-framework-improve-medication-safety-anesthesia-providers
    December 22, 2018 - Commentary Use of a public health law framework to improve medication safety by anesthesia providers. Citation Text: Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/25160435188…
  12. psnet.ahrq.gov/issue/it-matters-what-i-think-not-what-you-say-scientific-evidence-medical-error-disclosure
    September 29, 2017 - Study "It matters what I think, not what you say": scientific evidence for a medical error disclosure competence (MEDC) model. Citation Text: Hannawa AF, Frankel RM. "It Matters What I Think, Not What You Say": Scientific Evidence for a Medical Error Disclosure Competence (MEDC) Model. J…
  13. psnet.ahrq.gov/issue/impact-adverse-events-prescribing-warfarin-patients-atrial-fibrillation-matched-pair-analysis
    August 15, 2018 - Study Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. Citation Text: Choudhry NK, Anderson G, Laupacis A, et al. Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. B…
  14. psnet.ahrq.gov/issue/better-home-how-we-fail-children-complex-medical-conditions
    December 14, 2022 - Commentary Better off at home--how we fail children with complex medical conditions. Citation Text: Newcomer CA. Better off at home--how we fail children with complex medical conditions. N Engl J Med. 2023;388(3):198-200. doi:10.1056/nejmp2213657. Copy Citation Format: DOI …
  15. psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
    August 28, 2019 - Study Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Citation Text: Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198. Copy …
  16. psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
    June 07, 2017 - Commentary Development of a standardized, citywide process for managing smart-pump drug libraries. Citation Text: Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…
  17. psnet.ahrq.gov/issue/culture-safety-ems-systems-0
    February 18, 2011 - Organizational Policy/Guidelines A culture of safety in EMS systems. Citation Text: A culture of safety in EMS systems. American College of Emergency Physicians, National Association of Emergency Medical Services.  Ann Emerg Med. 2021;78(3):e37-e57.  Copy Citation …
  18. psnet.ahrq.gov/issue/adolescent-use-insulin-and-patient-controlled-analgesia-pump-technology-10-year-food-and-drug
    February 13, 2008 - Study Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administration retrospective study of adverse events. Citation Text: Cope JU, Morrison AE, Samuels-Reid J. Adolescent use of insulin and patient-controlled analgesia pump technolog…
  19. psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
    June 29, 2022 - Study Decision-making processes used by nurses during intravenous drug preparation and administration. Citation Text: Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…
  20. psnet.ahrq.gov/issue/medical-librarians-supporting-information-systems-project-lifecycles-toward-improved-patient
    March 27, 2024 - Commentary Medical librarians supporting information systems project lifecycles toward improved patient safety. Citation Text: Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles toward improved patient safety. Medical librarians …

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