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psnet.ahrq.gov/issue/why-and-how-approach-user-experience-safety-critical-domains-example-health-care
May 05, 2021 - Commentary
Why and how to approach user experience in safety-critical domains: the example of health care.
Citation Text:
Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832.…
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psnet.ahrq.gov/issue/assessing-safety-new-clinical-decision-support-system-national-helpline
February 08, 2023 - Study
Assessing the safety of a new clinical decision support system for a national helpline.
Citation Text:
Luckraj N, Strazzari R, Coiera E, et al. Assessing the safety of a new clinical decision support system for a national helpline. Stud Health Technol Inform. 2024;310:514-518. doi:…
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psnet.ahrq.gov/issue/economic-value-pharmacist-led-medication-reconciliation-reducing-medication-errors-after
March 04, 2009 - Study
Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge.
Citation Text:
Najafzadeh M, Schnipper JL, Shrank WH, et al. Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital …
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psnet.ahrq.gov/issue/factors-affecting-attitudes-and-barriers-medical-emergency-team-among-nurses-and-medical
March 27, 2024 - Study
Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors: a multi-centre survey.
Citation Text:
Radeschi G, Urso F, Campagna S, et al. Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors:…
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psnet.ahrq.gov/issue/efficiency-and-safety-speech-recognition-documentation-electronic-health-record
February 14, 2024 - Study
Efficiency and safety of speech recognition for documentation in the electronic health record.
Citation Text:
Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the electronic health record. J Am Med Inform Assoc. 2017;24(6):1127-1133. …
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psnet.ahrq.gov/issue/effect-cognitive-load-and-task-complexity-automation-bias-electronic-prescribing
May 01, 2019 - Study
The effect of cognitive load and task complexity on automation bias in electronic prescribing.
Citation Text:
Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/…
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psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national
March 04, 2011 - Review
The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop.
Citation Text:
Chou R, Turner JA, Devine EB, et al. The effectiveness and risks of long-term opioid therapy for chroni…
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2016-user-comparative-database-report
November 30, 2016 - Book/Report
Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report.
Citation Text:
Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. Famolaro T, Yount ND, Burns W, Flashner E, Liu H, Sorra J. Rockville, MD: Agency for Healthcare …
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psnet.ahrq.gov/issue/diagnostic-errors-emergency-department-systematic-review
October 27, 2021 - Book/Report
Diagnostic Errors in the Emergency Department: A Systematic Review.
Citation Text:
Diagnostic Errors in the Emergency Department: A Systematic Review. Newman-Toker DE, Peterson SM, Badihian S, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2022.&nb…
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psnet.ahrq.gov/issue/explanation-and-elaboration-squire-standards-quality-improvement-reporting-excellence
November 18, 2016 - Commentary
Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature.
Citation Text:
Goodman D, Ogrinc G, Davies L, et al. Explanation and elaboration of the S…
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psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers
March 29, 2023 - Study
Anesthesia-related closed claims in free-standing ambulatory surgery centers.
Citation Text:
Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700.
C…
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psnet.ahrq.gov/issue/final-report-prioritization-patient-safety-practices-new-rapid-review-or-rapid-response
December 21, 2022 - Book/Report
Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series.
Citation Text:
Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer …
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psnet.ahrq.gov/issue/development-preliminary-patient-safety-classification-system-generative-ai
December 21, 2022 - Study
Development of a preliminary patient safety classification system for generative AI.
Citation Text:
Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017…
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psnet.ahrq.gov/issue/multicomponent-pharmacist-intervention-did-not-reduce-clinically-important-medication-errors
March 17, 2021 - Study
Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants.
Citation Text:
Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically important m…
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psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks
February 16, 2022 - Study
Information flow during pediatric trauma care transitions: things falling through the cracks.
Citation Text:
Hoonakker PLT, Wooldridge AR, Hose B-Z, et al. Information flow during pediatric trauma care transitions: things falling through the cracks. Intern Emerg Med. 2019;14(5):797…
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psnet.ahrq.gov/issue/sociotechnical-framework-safety-related-electronic-health-record-research-reporting-safer
February 16, 2022 - Commentary
Emerging Classic
A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework.
Citation Text:
Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record resear…
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psnet.ahrq.gov/issue/potential-artificial-intelligence-improve-patient-safety-scoping-review
March 09, 2022 - Review
Classic
The potential of artificial intelligence to improve patient safety: a scoping review.
Citation Text:
Bates DW, Levine DM, Syrowatka A, et al. The potential of artificial intelligence to improve patient safety: a scoping review. NPJ Digit Med. 2021…
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psnet.ahrq.gov/issue/individual-characteristics-promote-or-prevent-psychological-safety-and-error-reporting
September 14, 2022 - Review
Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review.
Citation Text:
Wawersik DM, Boutin ER, Gore T, et al. Individual characteristics that promote or prevent psychological safety and error reporting in heal…
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psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery
November 28, 2018 - Study
Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery.
Citation Text:
Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-3…
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2014-user-comparative-database-report
May 11, 2016 - Book/Report
Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report.
Citation Text:
Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report. Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; …