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psnet.ahrq.gov/issue/computerized-physician-order-entry-critical-care-environment-review-current-literature
September 19, 2012 - Review
Computerized physician order entry in the critical care environment: a review of current literature.
Citation Text:
Maslove DM, Rizk NW, Lowe HJ. Computerized Physician Order Entry in the Critical Care Environment: A Review of Current Literature. J Intensive Care Med. 2011;26(3)…
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psnet.ahrq.gov/issue/deficits-discharge-documentation-patients-transferred-rehabilitation-facilities
October 28, 2009 - Study
Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluation.
Citation Text:
Gandara E, Moniz TT, Ungar J, et al. Deficits in discharge documentation in patients transferred to rehabilitation facilit…
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psnet.ahrq.gov/issue/reduction-incorrect-record-accessing-and-charting-patient-electronic-medical-records
September 29, 2017 - Study
Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment.
Citation Text:
Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative…
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psnet.ahrq.gov/issue/spoons-systematically-bias-dosing-liquid-medicine
November 03, 2015 - Study
Spoons systematically bias dosing of liquid medicine.
Citation Text:
Wansink B, van Ittersum K. Spoons systematically bias dosing of liquid medicine. Ann Intern Med. 2010;152(1):66-7. doi:10.7326/0003-4819-152-1-201001050-00024.
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psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions
December 04, 2016 - Study
Hospital progress in reducing error: the impact of external interventions.
Citation Text:
Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top. 2008;86(1):9-19. doi:10.3200/HTPS.86.1.9-20.
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psnet.ahrq.gov/issue/medical-emergency-team-system-two-hospital-comparison
January 15, 2009 - Study
The medical emergency team system: a two hospital comparison.
Citation Text:
Young L, Donald M, Parr M, et al. The Medical Emergency Team system: a two hospital comparison. Resuscitation. 2008;77(2):180-8. doi:10.1016/j.resuscitation.2007.11.016.
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psnet.ahrq.gov/issue/ehr-safety-way-forward-safe-and-effective-systems
December 12, 2012 - Commentary
EHR safety: the way forward to safe and effective systems.
Citation Text:
Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618.
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psnet.ahrq.gov/issue/how-should-medication-errors-be-defined-development-and-test-definition
June 27, 2011 - Study
How should medication errors be defined? Development and test of a definition.
Citation Text:
Lisby M, Nielsen LP, Brock B, et al. How should medication errors be defined? Development and test of a definition. Scand J Public Health. 2012;40(2):203-10. doi:10.1177/1403494811435489.…
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psnet.ahrq.gov/issue/impact-diagnostic-management-team-patient-time-diagnosis-and-percent-accurate-and-clinically
October 19, 2022 - Study
Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses.
Citation Text:
Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinica…
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psnet.ahrq.gov/issue/patient-safety-indicators-judging-hospital-performance-still-not-ready-prime-time
December 22, 2021 - Study
Patient safety indicators for judging hospital performance: still not ready for prime time.
Citation Text:
Kubasiak JC, Francescatti AB, Behal R, et al. Patient Safety Indicators for Judging Hospital Performance. Am J Med Qual. 2017;32(2):129-133. doi:10.1177/1062860615618782.
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psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system
September 28, 2010 - Study
Classic
A classification system for incidents and accidents in the health-care system.
Citation Text:
Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211.
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psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
September 02, 2020 - Study
Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice?
Citation Text:
Kelcikova S, Mazuchova L, Bielena L, et al. Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice? J Clin Nurs. 2019;28(11-12):226…
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psnet.ahrq.gov/issue/leveraging-computerized-sign-out-increase-error-reporting-and-addressing-patient-safety
October 19, 2022 - Study
Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education.
Citation Text:
Foster PN, Sidhu R, Gadhia DA, et al. Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate me…
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psnet.ahrq.gov/issue/error-disclosure-and-family-members-reactions-does-type-error-really-matter
March 08, 2023 - Study
Error disclosure and family members' reactions: does the type of error really matter?
Citation Text:
Leone D, Lamiani G, Vegni E, et al. Error disclosure and family members' reactions: does the type of error really matter? Patient Educ Couns. 2015;98(4):446-52. doi:10.1016/j.pec.20…
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psnet.ahrq.gov/issue/impact-senior-clinical-review-patient-disposition-emergency-department
August 28, 2024 - Study
Impact of senior clinical review on patient disposition from the emergency department.
Citation Text:
White AL, Armstrong PAR, Thakore S. Impact of senior clinical review on patient disposition from the emergency department. Emerg Med J. 2010;27(4):262-5, 296. doi:10.1136/emj.200…
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psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
May 27, 2011 - Study
Classic
An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection.
Citation Text:
Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…
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psnet.ahrq.gov/issue/case-control-analysis-financial-cost-medication-errors-hospitalized-patients
January 15, 2025 - Study
Case-control analysis of the financial cost of medication errors in hospitalized patients.
Citation Text:
Pinilla J, Murillo C, Carrasco G, et al. Case-control analysis of the financial cost of medication errors in hospitalized patients. Eur J Health Econ. 2006;7(1):66-71.
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psnet.ahrq.gov/issue/reducing-error-anticoagulant-dosing-multidisciplinary-team-rounding-point-care
November 16, 2016 - Study
Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care.
Citation Text:
Sharma M, Krishnamurthy M, Snyder R, et al. Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. Clin Pract. 2017;7(2). doi:10.4081/cp…
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psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
September 01, 2018 - Study
Designing highly reliable adverse-event detection systems to predict subsequent claims.
Citation Text:
Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm…
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psnet.ahrq.gov/issue/healthcare-utilizing-deliberate-discussion-linking-events-huddle-systematic-review
November 16, 2022 - Review
Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): a systematic review.
Citation Text:
Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188.
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