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psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
January 23, 2019 - Commentary
Implementing online medication reconciliation at a large academic medical center.
Citation Text:
Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508.
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psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
September 15, 2021 - Commentary
Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature.
Citation Text:
Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of t…
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psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
November 21, 2018 - Study
SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study.
Citation Text:
De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…
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psnet.ahrq.gov/issue/how-do-hospitalized-patients-feel-about-resident-work-hours-fatigue-and-discontinuity-care
July 02, 2008 - Study
How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care?
Citation Text:
Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(…
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psnet.ahrq.gov/issue/patients-managing-medications-and-reading-their-visit-notes-survey-opennotes-participants
July 01, 2020 - Study
Patients managing medications and reading their visit notes: a survey of OpenNotes participants.
Citation Text:
DesRoches CM, Bell SK, Dong Z, et al. Patients Managing Medications and Reading Their Visit Notes: A Survey of OpenNotes Participants. Ann Intern Med. 2019;171(1):69-71. …
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psnet.ahrq.gov/issue/engaging-patients-use-real-time-electronic-clinical-data-improve-safety-and-reliability-their
March 16, 2022 - Study
Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care.
Citation Text:
Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to improve the safety and reliabilit…
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psnet.ahrq.gov/issue/impact-patient-safety-bundle-and-team-based-training-obstetric-hypertensive-emergencies
July 21, 2021 - Study
Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies.
Citation Text:
Grogan L, Peterson E, Flatley M, et al. Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies. Am J Perinatol. 2025;42(4):452-461. d…
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psnet.ahrq.gov/issue/defects-value-associated-hospital-acquired-conditions-how-improving-quality-could-save-us
October 30, 2024 - Study
Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion.
Citation Text:
Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 b…
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psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge
April 24, 2018 - Study
The effect of a clinical decision support for pending laboratory results at emergency department discharge.
Citation Text:
Driver BE, Scharber SK, Fagerstrom ET, et al. The Effect of a Clinical Decision Support for Pending Laboratory Results at Emergency Department Discharge. J Eme…
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psnet.ahrq.gov/issue/interpreting-and-coding-causal-relationships-quality-and-safety-using-icd-11
November 15, 2017 - Commentary
Interpreting and coding causal relationships for quality and safety using ICD-11.
Citation Text:
Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12…
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psnet.ahrq.gov/issue/comparing-measures-patient-safety-inpatient-care-provided-veterans-within-and-outside-va
March 04, 2011 - Study
Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York.
Citation Text:
Weeks WB, West AN, Rosen AK, et al. Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA sys…
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psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning
February 02, 2022 - Commentary
Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning.
Citation Text:
Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097…
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psnet.ahrq.gov/issue/how-incorporate-quality-improvement-and-patient-safety-projects-your-training
November 21, 2021 - Commentary
How to incorporate quality improvement and patient safety projects in your training.
Citation Text:
Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.…
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psnet.ahrq.gov/issue/rural-emergency-medical-services-clinicians-perceptions-and-preferences-receiving-clinical
June 02, 2021 - Study
Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment.
Citation Text:
Schneider K, Williams M, Mohr NM, et al. Rural emergency medical services clinicians' perceptions and preferences i…
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psnet.ahrq.gov/issue/role-medical-emergency-team-end-life-care-multicenter-prospective-observational-study
July 13, 2010 - Study
The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study.
Citation Text:
Jones D, Bagshaw SM, Barrett J, et al. The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. Crit Car…
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psnet.ahrq.gov/issue/patients-diagnostic-collaborators-sharing-visit-notes-promote-accuracy-and-safety
April 15, 2020 - Commentary
Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety.
Citation Text:
Blease CR, Bell SK. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Diagnosis (Berl). 2019;6(3):213-221. doi:10.1515/dx-2018-0106.…
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psnet.ahrq.gov/issue/application-human-factors-improve-usability-clinical-decision-support-diagnostic-decision
May 11, 2022 - Study
Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study.
Citation Text:
Carayon P, Hoonakker P, Hundt AS, et al. Application of human factors to improve usability of clinical decision support f…
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psnet.ahrq.gov/issue/automatable-algorithms-identify-nonmedical-opioid-use-using-electronic-data-systematic-review
July 27, 2016 - Review
Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review.
Citation Text:
Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. J Am Med Inform Assoc.…
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psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
December 31, 2014 - Review
Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review.
Citation Text:
Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry s…
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psnet.ahrq.gov/issue/prospective-study-suicide-screening-tools-and-their-association-near-term-adverse-events-ed
October 07, 2020 - Study
A prospective study of suicide screening tools and their association with near-term adverse events in the ED.
Citation Text:
Chang BP, Tan TM. Suicide screening tools and their association with near-term adverse events in the ED. Am J Emerg Med. 2015;33(11):1680-1683. doi:10.1016/j…