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  1. Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill. | PSNet

    psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
    May 01, 2004 - Study Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill. Citation Text: Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovat…

  2. Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. | PSNet

    psnet.ahrq.gov/issue/impact-initial-hospital-diagnosis-mortality-acute-myocardial-infarction-national-cohort-study
    April 19, 2017 - Study Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. Citation Text: Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: A national cohort study. Eur…

  3. Trends in survival after in-hospital cardiac arrest during nights and weekends. | PSNet

    psnet.ahrq.gov/issue/trends-survival-after-hospital-cardiac-arrest-during-nights-and-weekends
    February 17, 2011 - Study Emerging Classic Trends in survival after in-hospital cardiac arrest during nights and weekends. Citation Text: Ofoma UR, Basnet S, Berger A, et al. Trends in Survival After In-Hospital Cardiac Arrest During Nights and Weekends. J Am Coll Cardiol. 2018;71(…

  4. Pharmacists’ perceptions of error reporting systems. | PSNet

    psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-systems
    November 09, 2016 - Study Pharmacists’ perceptions of error reporting systems. Citation Text: Hartt CM, Weigand H, MacDonald AJ, et al. Pharmacists’ perceptions of error reporting systems. J Patient Saf Risk Manag. 2024;29(6):268-273. doi:10.1177/25160435241288287. Copy Citation Format: DOI Go…

  5. Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy. | PSNet

    psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient
    January 17, 2019 - Study Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy. Citation Text: Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):…

  6. The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department. | PSNet

    psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic
    February 13, 2019 - Study The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department. Citation Text: Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a direct observation stud…

  7. Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. | PSNet

    psnet.ahrq.gov/issue/recommendations-safe-effective-use-adaptive-cds-us-healthcare-system-amia-position-paper
    March 24, 2021 - Commentary Emerging Classic Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. Citation Text: Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in th…

  8. Using a network organisational architecture to support the development of Learning Healthcare Systems. | PSNet

    psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
    December 02, 2014 - Study Using a network organisational architecture to support the development of Learning Healthcare Systems. Citation Text: Britto MT, Fuller SC, Kaplan HC, et al. Using a network organisational architecture to support the development of Learning Healthcare Systems. BMJ Qual Saf. 2018;27…

  9. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. | PSNet

    psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication
    March 17, 2021 - Study The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. Citation Text: Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…

  10. Clinical data sharing improves quality measurement and patient safety. | PSNet

    psnet.ahrq.gov/issue/clinical-data-sharing-improves-quality-measurement-and-patient-safety
    April 21, 2021 - Study Clinical data sharing improves quality measurement and patient safety. Citation Text: D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039. Copy Citat…

  11. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. | PSNet

    psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive
    March 09, 2022 - Study Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Citation Text: Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Compreh…

  12. Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review. | PSNet

    psnet.ahrq.gov/issue/why-do-acute-healthcare-staff-behave-unprofessionally-towards-each-other-and-how-can-these
    July 24, 2024 - Review Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review. Citation Text: Aunger JA, Abrams R, Westbrook JI, et al. Why do acute healthcare staff behave unprofessionally towards each other and how can these b…

  13. Operating room to intensive care unit handoffs and the risks of patient harm. | PSNet

    psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm
    October 05, 2022 - Study Operating room to intensive care unit handoffs and the risks of patient harm. Citation Text: McElroy LM, Collins KM, Koller FL, et al. Operating room to intensive care unit handoffs and the risks of patient harm. Surgery. 2015;158(3):588-594. doi:10.1016/j.surg.2015.03.061. Copy …

  14. Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs. | PSNet

    psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive-care-unit-handoffs
    July 08, 2020 - Review Emerging Classic Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs. Citation Text: Abraham J, Meng A, Tripathy S, et al. Systematic review and meta-analysis of interventions for operating room to inten…

  15. Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. | PSNet

    psnet.ahrq.gov/issue/near-miss-transcription-errors-comparison-reporting-rates-between-novel-error-reporting
    January 31, 2018 - Study Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. Citation Text: South DA, Skelley JW, Dang M, et al. Near-miss transcription errors: a comparison of reporting rates between a novel error…

  16. Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. | PSNet

    psnet.ahrq.gov/issue/has-covid-pandemic-strengthened-or-weakened-health-care-teams-field-guide-healthy-workforce
    August 14, 2019 - Commentary Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. Citation Text: Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. Nurs …

  17. The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. | PSNet

    psnet.ahrq.gov/issue/effectiveness-interruptive-prescribing-alerts-ambulatory-cpoe-change-prescriber-behaviour-and
    February 02, 2022 - Review The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. Citation Text: Cerqueira O, Gill M, Swar B, et al. The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and …

  18. Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial. | PSNet

    psnet.ahrq.gov/issue/computerized-decision-support-reduce-potentially-inappropriate-prescribing-older-emergency
    December 17, 2010 - Study Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial. Citation Text: Terrell KM, Perkins AJ, Dexter P, et al. Computerized decision support to reduce potentially inappropriate prescrib…

  19. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct
    August 17, 2022 - Study The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. Citation Text: Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…

  20. Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/clinical-and-economic-impacts-explicit-tools-detecting-prescribing-errors-systematic-review
    January 12, 2022 - Review Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. Citation Text: Farhat A, Al‐Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4)…
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