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psnet.ahrq.gov/issue/two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-associated-events
January 15, 2014 - Study
Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events.
Citation Text:
Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):120…
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psnet.ahrq.gov/issue/early-diagnosis-cancer-systems-approach-support-clinicians-primary-care
December 14, 2022 - Commentary
Early diagnosis of cancer: systems approach to support clinicians in primary care.
Citation Text:
Black GB, Lyratzopoulos G, Vincent CA, et al. Early diagnosis of cancer: systems approach to support clinicians in primary care. BMJ. 2023;380:e071225. doi:10.1136/bmj-2022-071225…
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psnet.ahrq.gov/issue/evaluation-medication-incidents-long-term-care-facility-using-electronic-medication
May 18, 2022 - Study
Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology.
Citation Text:
Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility using electronic me…
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psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
March 24, 2019 - Study
When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record.
Citation Text:
Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…
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psnet.ahrq.gov/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united
December 02, 2020 - Study
Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms.
Citation Text:
Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United …
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psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care
September 07, 2011 - Review
Review of computerized physician handoff tools for improving the quality of patient care.
Citation Text:
Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988.
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psnet.ahrq.gov/issue/unintended-effects-computerized-physician-order-entry-nearly-hard-stop-alert-prevent-drug
February 18, 2011 - Study
Classic
Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial.
Citation Text:
Strom BL, Schinnar R, Aberra F, et al. Unintended effects of a computerized physician ord…
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psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems
April 24, 2018 - Study
Classic
U.S. adoption of computerized physician order entry systems.
Citation Text:
Cutler DM, Feldman NE, Horwitz JR. U.S. adoption of computerized physician order entry systems. Health Aff (Millwood). 2005;24(6):1654-63.
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psnet.ahrq.gov/issue/allocation-physician-time-ambulatory-practice-time-and-motion-study-four-specialties
August 26, 2020 - Study
Classic
Allocation of physician time in ambulatory practice: a time and motion study in four specialties.
Citation Text:
Sinsky CA, Colligan L, Li L, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Ann …
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psnet.ahrq.gov/issue/knowledge-retention-after-simulated-crisis-importance-independent-practice-and-simulated
September 13, 2017 - Study
Knowledge retention after simulated crisis: importance of independent practice and simulated mortality.
Citation Text:
Burnett G, Goldberg A, DeMaria S, et al. Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. Br J Anaesth. 2019…
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psnet.ahrq.gov/issue/restructuring-general-surgery-residency-program-epicenter-coronavirus-disease-2019-pandemic
September 02, 2020 - Commentary
Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City.
Citation Text:
Juprasert JM, Gray KD, Moore MD, et al. Restructuring of a general surgery residency program in an epicenter of the coronav…
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psnet.ahrq.gov/issue/role-bias-clinical-decision-making-people-serious-mental-illness-and-medical-co-morbidities
November 10, 2021 - Review
The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review.
Citation Text:
Crapanzano KA, Deweese S, Pham D, et al. The role of bias in clinical decision-making of people with serious mental illness and medical c…
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psnet.ahrq.gov/issue/association-differences-treatment-intensification-missed-visits-and-scheduled-follow-interval
May 18, 2022 - Study
Association of differences in treatment intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood pressure control.
Citation Text:
Fontil V, Pacca L, Bellows BK, et al. Association of differences in treatment intensification, missed…
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psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory
August 03, 2022 - Study
Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center
Citation Text:
Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory p…
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psnet.ahrq.gov/issue/triad-ix-can-patient-testimonial-safely-help-ensure-prehospital-appropriate-critical-versus
April 03, 2017 - Study
TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care?
Citation Text:
Mirarchi FL, Cammarata C, Cooney TE, et al. TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life car…
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psnet.ahrq.gov/issue/errors-palliative-care-kinds-causes-and-consequences-pilot-survey-experiences-and-attitudes
December 04, 2016 - Study
Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals.
Citation Text:
Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences a…
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - common drugs that are diluted for each surgical case are local anesthetics, sedatives, antibiotics, opioids
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Health
October 6, 2021
Assessment of potentially inappropriate prescribing of opioid … analgesics requiring prior opioid tolerance.
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psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
September 01, 2004 - An electronic intervention to improve safety for pain patients co-prescribed chronic opioids
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psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - surgery procedures of the lower extremities, epidural catheters infuse analgesics
such as lidocaine or opioids