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  1. Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. | PSNet

    psnet.ahrq.gov/issue/are-adverse-events-related-completeness-clinical-records-results-retrospective-records-review
    July 01, 2009 - Study Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. Citation Text: Scarpis E, Cautero P, Tullio A, et al. Are adverse events related to the completeness of clinical records? Results from a re…

  2. Patients' perceptions of safety in emergency medical services: an interview study. | PSNet

    psnet.ahrq.gov/issue/patients-perceptions-safety-emergency-medical-services-interview-study
    July 29, 2020 - Study Patients' perceptions of safety in emergency medical services: an interview study. Citation Text: Venesoja A, Castrén M, Tella S, et al. Patients’ perceptions of safety in emergency medical services: an interview study. BMJ Open. 2020;10(10):e037488. doi:10.1136/bmjopen-2020-037488…

  3. Effect of barcode technology on medication preparation safety: a quasi-experimental study. | PSNet

    psnet.ahrq.gov/issue/effect-barcode-technology-medication-preparation-safety-quasi-experimental-study
    December 01, 2021 - Study Effect of barcode technology on medication preparation safety: a quasi-experimental study. Citation Text: Küng K, Aeschbacher K, Rütsche A, et al. Effect of barcode technology on medication preparation safety: a quasi-experimental study. Int J Qual Health Care. 2021;33(1). doi:10.1…

  4. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-medication-errors-prehospital-paramedic-environment-mixed-method
    August 25, 2021 - Review Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. Citation Text: Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. …

  5. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse
    July 08, 2008 - Study Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. Citation Text: Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and…

  6. Surgery is in itself a risk factor for the patient. | PSNet

    psnet.ahrq.gov/issue/surgery-itself-risk-factor-patient
    November 18, 2020 - Study Surgery is in itself a risk factor for the patient. Citation Text: Aranaz-Ostáriz V, Gea-Velázquez De Castro MT, López-Rodríguez-Arias F, et al. Surgery is in itself a risk factor for the patient. Int J Environ Res Public Health. 2022;19(8):4761. doi:10.3390/ijerph19084761. Copy …

  7. The impact of COVID-19 workflow changes on radiation oncology incident reporting. | PSNet

    psnet.ahrq.gov/issue/impact-covid-19-workflow-changes-radiation-oncology-incident-reporting
    June 30, 2021 - Study The impact of COVID-19 workflow changes on radiation oncology incident reporting. Citation Text: Volpini ME, Lekx‐Toniolo K, Mahon R, et al. The impact of COVID‐19 workflow changes on radiation oncology incident reporting. J Appl Clin Med Phys. 2022;23(11):e13742. doi:10.1002/acm2.…

  8. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. | PSNet

    psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017
    March 18, 2020 - Study Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Citation Text: Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116…

  9. Performance of vascular exposure and fasciotomy among surgical residents before and after training compared with experts. | PSNet

    psnet.ahrq.gov/issue/performance-vascular-exposure-and-fasciotomy-among-surgical-residents-and-after-training
    November 20, 2019 - Study Performance of vascular exposure and fasciotomy among surgical residents before and after training compared with experts. Citation Text: Mackenzie CF, Garofalo E, Puche A, et al. Performance of Vascular Exposure and Fasciotomy Among Surgical Residents Before and After Training Comp…

  10. Effect of Computerized Physician Order Entry with Clinical Decision Support on Adverse Drug Events in the Long-term Care Setting (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006Gurwitz_051711comp.pdf
    January 01, 2005 - Effect of Computerized Physician Order Entry with Clinical Decision Support on Adverse Drug Events in the Long-term Care Setting Effect of Computerized Physician Order Entry with Clinical Decision Support on Adverse Drug Events in the Long-term Care Setting Jerry H. Gurwitz, M.D. Chief, Division of Geriatric Med…

  11. Track 1: Patient Safety and Health IT Across Settings and Populations | Digital Healthcare Research

    digital.ahrq.gov/track-1-patient-safety-and-health-it-across-settings-and-populations
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

  12. Organizational Barriers and Enablers to Using Electronic Health Records - ERICCA Project (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006FreebairnSmith_051311comp.pdf
    June 16, 2021 - Organizational Barriers and Enablers to Using Electronic Health Records - ERICCA Project Organizational Barriers and Enablers to Using Electronic Health Records ERICCA Project Yale University Laura Freebairn-Smith, MPPM P.I.: Richard Shiffman, MD, MCIS 2 Presentation Overview – Background – Focus of research…

  13. A review of medication errors and the second victim in pediatric pharmacy. | PSNet

    psnet.ahrq.gov/issue/review-medication-errors-and-second-victim-pediatric-pharmacy
    January 27, 2019 - Review A review of medication errors and the second victim in pediatric pharmacy. Citation Text: Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. …

  14. Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? | PSNet

    psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
    July 01, 2016 - Study Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? Citation Text: Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they wo…

  15. A call for the application of patient safety culture in medical humanitarian action: a literature review. | PSNet

    psnet.ahrq.gov/issue/call-application-patient-safety-culture-medical-humanitarian-action-literature-review
    February 10, 2021 - Review A call for the application of patient safety culture in medical humanitarian action: a literature review. Citation Text: Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient S…

  16. Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research. | PSNet

    psnet.ahrq.gov/issue/integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis
    October 19, 2022 - Review Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research. Citation Text: Miller A, Moon B, Anders S, et al. Integrating computerized clinical decision support systems into clinical work: A meta-synthesis of qualitative…

  17. The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/first-us-study-nurses-evidence-based-practice-competencies-indicates-major-deficits-threaten
    July 14, 2021 - Study Classic The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. Citation Text: Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nu…

  18. Contextual errors and failures in individualizing patient care: a multicenter study. | PSNet

    psnet.ahrq.gov/issue/contextual-errors-and-failures-individualizing-patient-care-multicenter-study
    October 29, 2012 - Study Classic Contextual errors and failures in individualizing patient care: a multicenter study. Citation Text: Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010…

  19. Weekend hospitalization and additional risk of death: an analysis of inpatient data. | PSNet

    psnet.ahrq.gov/issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data
    September 23, 2015 - Study Weekend hospitalization and additional risk of death: an analysis of inpatient data. Citation Text: Freemantle N, Richardson M, Wood J, et al. Weekend hospitalization and additional risk of death: An analysis of inpatient data. J R Soc Med. 2012;105(2). doi:10.1258/jrsm.2012.1200…

  20. How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care. | PSNet

    psnet.ahrq.gov/issue/how-safe-do-dying-people-feel-home-patients-perception-safety-while-receiving-specialist
    June 23, 2021 - Study How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care. Citation Text: Pedrosa Carrasco AJ, Bezmenov A, Sibelius U, et al. How safe do dying people feel at home? Patients' perception of safety while receiving speci…
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