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psnet.ahrq.gov/issue/medicines-reconciliation-emergency-department-important-prescribing-discrepancies-between
April 21, 2021 - Study
Medicines reconciliation in the emergency department: important prescribing discrepancies between the shared medication record and patients' actual use of medication.
Citation Text:
Andersen TS, Gemmer MN, Sejberg HRC, et al. Medicines reconciliation in the emergency department: im…
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psnet.ahrq.gov/issue/implementing-computerized-provider-order-entry-existing-clinical-information-system
October 19, 2022 - Study
Implementing computerized provider order entry with an existing clinical information system.
Citation Text:
Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-…
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psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports
September 23, 2020 - Study
Accuracy of a proprietary large language model in labeling obstetric incident reports.
Citation Text:
Johnson J, Brown C, Lee GM, et al. Accuracy of a proprietary large language model in labeling obstetric incident reports. Jt Comm J Qual Patient Saf. 2024;50(12):877-881. doi:10.10…
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psnet.ahrq.gov/issue/error-disclosure-neonatal-intensive-care-multicentre-prospective-observational-study
November 29, 2023 - Study
Error disclosure in neonatal intensive care: a multicentre, prospective, observational study.
Citation Text:
Passini L, Le Bouedec S, Dassieu G, et al. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. BMJ Qual Saf. 2023;32(10):589-599. d…
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psnet.ahrq.gov/issue/trigger-alerts-associated-laboratory-abnormalities-identifying-potentially-preventable
August 30, 2017 - Study
Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward.
Citation Text:
Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on ident…
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psnet.ahrq.gov/issue/adverse-event-and-complication-tracking-anaesthesiology-dependence-self-reporting-despite
March 17, 2021 - Commentary
Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records.
Citation Text:
Tewfik G, Naftalovich R, Kaushal N, et al. Adverse event and complication tracking in anaesthesiology: dependence on sel…
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psnet.ahrq.gov/issue/multifaceted-interventions-improve-adherence-surgical-checklist
November 07, 2012 - Study
Multifaceted interventions improve adherence to the surgical checklist.
Citation Text:
Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist. Surgery. 2014;156(2):336-344. doi:10.1016/j.surg.2014.03.032.
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psnet.ahrq.gov/issue/improving-health-care-quality-and-patient-safety-through-peer-peer-assessment-demonstration
March 14, 2018 - Study
Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers.
Citation Text:
Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-Peer Assessment: Demonstrati…
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psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri
November 11, 2015 - Commentary
The Sepsis Early Recognition and Response Initiative (SERRI).
Citation Text:
Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt Comm J Qual Patient Saf. 2016;42(3):122-138.
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psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge
August 24, 2015 - Study
Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders.
Citation Text:
Colombini N, Abbes M, Cherpin A, et al. Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. Int J Med Info…
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psnet.ahrq.gov/issue/encouraging-resident-adverse-event-reporting-qualitative-study-suggestions-front-lines
July 19, 2023 - Study
Encouraging resident adverse event reporting: a qualitative study of suggestions from the front lines.
Citation Text:
Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3…
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psnet.ahrq.gov/issue/emergency-diagnosis-cancer-and-previous-general-practice-consultations-insights-linked
February 17, 2021 - Study
Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data.
Citation Text:
Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey…
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psnet.ahrq.gov/issue/evaluation-natural-language-processing-approach-identify-diagnostic-errors-and-analysis
October 30, 2024 - Study
Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study.
Citation Text:
Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identi…
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psnet.ahrq.gov/issue/clinical-and-safety-impact-inpatient-pharmacist-directed-anticoagulation-service
September 23, 2020 - Study
Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.
Citation Text:
Schillig J, Kaatz S, Hudson M, et al. Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. J Hosp Med. 2011;6(6):322-8. doi:10.1002/jhm.910.
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psnet.ahrq.gov/issue/analysis-iatrogenic-and-hospital-medication-errors-reported-united-states-poison-centers
November 28, 2018 - Study
Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study.
Citation Text:
Leonard JB, McFadden C, Feemster AA, et al. Analysis of iatrogenic and in-hospital medication errors reported to United States pois…
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psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors
August 20, 2018 - Study
ED overcrowding is associated with an increased frequency of medication errors.
Citation Text:
Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. …
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psnet.ahrq.gov/issue/delayed-access-care-and-late-presentations-children-during-covid-19-pandemic-snapshot-survey
March 01, 2023 - Study
Delayed access to care and late presentations in children during the COVID-19 pandemic: a snapshot survey of 4075 paediatricians in the UK and Ireland.
Citation Text:
Lynn RM, Avis JL, Lenton S, et al. Delayed access to care and late presentations in children during the COVID-19 pa…
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psnet.ahrq.gov/issue/increased-appropriateness-customized-alert-acknowledgement-reasons-overridden-medication
January 07, 2015 - Study
Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system.
Citation Text:
Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert acknowledgement reasons for …
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psnet.ahrq.gov/issue/patient-safety-resident-well-being-and-continuity-care-different-resident-duty-schedules
July 23, 2010 - Study
Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial.
Citation Text:
Parshuram CS, Amaral ACKB, Ferguson ND, et al. Patient safety, resident well-being and continuity of care with different …
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psnet.ahrq.gov/issue/developing-and-evaluating-success-family-activated-medical-emergency-team-quality-improvement
December 02, 2014 - Study
Developing and evaluating the success of a family activated medical emergency team: a quality improvement report.
Citation Text:
Brady PW, Zix J, Brilli RJ, et al. Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. BMJ …