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psnet.ahrq.gov/node/862984/psn-pdf
February 21, 2024 - Machine learning in medication prescription: a systematic
review.
February 21, 2024
Iancu A, Leb I, Prokosch H-U, et al. Machine learning in medication prescription: a systematic review. Int J
Med Inform. 2023;180:105241. doi:10.1016/j.ijmedinf.2023.105241.
https://psnet.ahrq.gov/issue/machine-learning-medication-…
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psnet.ahrq.gov/node/837064/psn-pdf
May 11, 2022 - Clinic design for safety during the pandemic: safety or
teamwork, can we only pick one?
May 11, 2022
Lim L, Zimring CM, DuBose JR, et al. Clinic design for safety during the pandemic: safety or teamwork, can
we only pick one? HERD. 2022;15(3):28-41. doi:10.1177/19375867221091310.
https://psnet.ahrq.gov/issue/clini…
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psnet.ahrq.gov/node/867683/psn-pdf
March 05, 2025 - Ambulatory medication errors and adverse events
involved in medicine-related malpractice cases from 2011
to 2021.
March 5, 2025
Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-
related malpractice cases from 2011 to 2021. J Patient Saf. 2025;21(2):111-117.
doi:10…
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psnet.ahrq.gov/node/865340/psn-pdf
March 27, 2024 - Risk management and patient safety in the artificial
intelligence era: a systematic review.
March 27, 2024
Ferrara M, Bertozzi G, Di Fazio N, et al. Risk management and patient safety in the artificial intelligence
era: a systematic review. Healthcare (Basel). 2024;12(5):549. doi:10.3390/healthcare12050549.
https:…
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psnet.ahrq.gov/node/61027/psn-pdf
October 14, 2020 - COVID-19: the dark side and the sunny side for patient
safety.
October 14, 2020
Wu AW, Sax H, Letaief M, et al. COVID-19: the dark side and the sunny side for patient safety. J Patient
Saf Risk Manag. 2020;25(4):137-141. doi:10.1177/2516043520957116.
https://psnet.ahrq.gov/issue/covid-19-dark-side-and-sunny-side-p…
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psnet.ahrq.gov/node/72569/psn-pdf
January 01, 2021 - Risk factors associated with medication ordering errors.
December 16, 2020
Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J
Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264.
https://psnet.ahrq.gov/issue/risk-factors-associated-medication-orderin…
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psnet.ahrq.gov/node/61023/psn-pdf
October 14, 2020 - Information concerning ICU patients’ families in the
handover—the clinicians’ “game of whispers”: a
qualitative study.
October 14, 2020
Nygaard AM, Selnes Haugdahl H, Støre Brinchmann B, et al. Information concerning ICU patients’ families
in the handover—the clinicians’ “game of whispers”: a qualitative study. J …
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psnet.ahrq.gov/node/34881/psn-pdf
January 05, 2017 - Communicating critical test results: safe practice
recommendations.
January 5, 2017
Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt
Comm J Qual Patient Saf. 2005;31(2):68-80.
https://psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-r…
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psnet.ahrq.gov/node/861292/psn-pdf
January 24, 2024 - Deficiencies in the Community Care Network
Credentialing Process of a Former VA Surgeon and
Veterans Health Administration Oversight Failures.
January 24, 2024
Washington DC: VA Office of the Inspector General; January 4, 2024; Report no. 22-02294-42.
https://psnet.ahrq.gov/issue/deficiencies-community-care-n…
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psnet.ahrq.gov/node/44926/psn-pdf
January 23, 2017 - How might health services capture patient-reported safety
concerns in a hospital setting? An exploratory pilot study
of three mechanisms.
January 23, 2017
O'Hara JK, Armitage G, Reynolds C, et al. How might health services capture patient-reported safety
concerns in a hospital setting? An exploratory pilot study o…
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psnet.ahrq.gov/node/866444/psn-pdf
August 07, 2024 - Documenting Diagnosis: Exploring the Impact of
Electronic Health Records on Diagnostic Safety.
August 7, 2024
Miller K, Ratwani R, Hose B-Z, et al. Documenting Diagnosis: Exploring The Impact Of Electronic Health
Records On Diagnostic Safety. Rockville, MD: Agency for Healthcare Research and Quality; August 2024.
…
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psnet.ahrq.gov/node/74845/psn-pdf
February 16, 2022 - Care transition of trauma patients: processes with
articulation work before and after handoff.
February 16, 2022
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with
articulation work before and after handoff. Appl Ergon. 2022;98:103606.
doi:10.1016/j.apergo.2021.10360…
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psnet.ahrq.gov/node/43480/psn-pdf
January 01, 2015 - Speaking up: factors and issues in nurses advocating for
patients when patients are in jeopardy.
December 15, 2014
Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy.
J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.0000000000000081.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/46525/psn-pdf
October 25, 2017 - Progress in interoperability: measuring US hospitals'
engagement in sharing patient data.
October 25, 2017
Holmgren J, Patel V, Adler-Milstein J. Progress in interoperability: measuring US hospitals' engagement in
sharing patient data. Health Aff (Millwood). 2017;36(10):1820-1827. doi:10.1377/hlthaff.2017.0546.
ht…
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psnet.ahrq.gov/node/854246/psn-pdf
October 04, 2023 - Inpatient EHR user experience and hospital EHR safety
performance.
October 4, 2023
Classen DC, Longhurst CA, Davis T, et al. Inpatient EHR user experience and hospital EHR safety
performance. JAMA Netw Open. 2023;6(9):e2333152. doi:10.1001/jamanetworkopen.2023.33152.
https://psnet.ahrq.gov/issue/inpatient-ehr-user…
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psnet.ahrq.gov/node/866814/psn-pdf
September 25, 2024 - Accuracy of a proprietary large language model in
labeling obstetric incident reports.
September 25, 2024
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:10.1016/j.jcjq.2024.08.001.
https:…
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psnet.ahrq.gov/node/46933/psn-pdf
April 04, 2018 - Pain states, the opioid epidemic, and the role of
radiologists.
April 4, 2018
Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists.
Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-x.
https://psnet.ahrq.gov/issue/pain-states-opioid-epidemic-and-r…
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psnet.ahrq.gov/node/850913/psn-pdf
June 21, 2023 - Understanding ultrarare adverse events - lessons learned
from a twelve-year review of intraoperative deaths at an
academic medical center.
June 21, 2023
Cohen TN, Kanji FF, Wang AS, et al. Understanding ultrarare adverse events - lessons learned from a
twelve-year review of intraoperative deaths at an academic med…
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psnet.ahrq.gov/node/40427/psn-pdf
May 04, 2011 - Development of a tool within the electronic medical
record to facilitate medication reconciliation after hospital
discharge.
May 4, 2011
Schnipper JL, Liang CL, Hamann C, et al. Development of a tool within the electronic medical record to
facilitate medication reconciliation after hospital discharge. J Am Med Inf…
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psnet.ahrq.gov/node/866557/psn-pdf
August 21, 2024 - Minimization of occurrence of retained surgical items
using machine learning and deep learning techniques: a
review.
August 21, 2024
Abo-Zahhad M, El-Malek AHA, Sayed MS, et al. Minimization of occurrence of retained surgical items
using machine learning and deep learning techniques: a review. BioData Min. 2024;17…