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psnet.ahrq.gov/issue/using-computerized-provider-order-entry-and-clinical-decision-support-improve-referring
August 20, 2018 - Study
Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations.
Citation Text:
Were MC, Abernathy G, Hui SL, et al. Using computerized provider order entry and clinical decision support…
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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…
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psnet.ahrq.gov/issue/understanding-nature-medication-errors-icu-computerized-physician-order-entry-system
August 24, 2015 - Study
Understanding the nature of medication errors in an ICU with a computerized physician order entry system.
Citation Text:
Cho IS, Park H, Choi YJ, et al. Understanding the nature of medication errors in an ICU with a computerized physician order entry system. PLoS One. 2014;9(12):e1…
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psnet.ahrq.gov/issue/unintended-consequences-quantifying-benefits-iatrogenic-harms-and-downstream-cascade-costs
March 17, 2021 - Study
Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care.
Citation Text:
Sajid IM, Parkunan A, Frost K. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs…
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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):…
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psnet.ahrq.gov/issue/clinical-pharmacist-led-integrated-approach-evaluation-medication-errors-among-medical
December 09, 2020 - Study
A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients.
Citation Text:
Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical inte…
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psnet.ahrq.gov/issue/facilitating-safe-transition-pediatric-emergency-department-home-post-discharge-phone-call
March 13, 2015 - Study
Facilitating a safe transition from the pediatric emergency department to home with a post-discharge phone call: a quality-improvement initiative to improve patient safety.
Citation Text:
Bucaro PJ, Black E. Facilitating a safe transition from the pediatric emergency department to …
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psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system
July 19, 2023 - Study
Missing clinical and behavioral health data in a large electronic health record (EHR) system.
Citation Text:
Madden JM, Lakoma MD, Rusinak D, et al. Missing clinical and behavioral health data in a large electronic health record (EHR) system. J Am Med Info Asso. 2016;23(6):1143-114…
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psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense
November 06, 2015 - Commentary
Barcoded medication administration: a last line of defense.
Citation Text:
Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA. 2008;299(18):2200-2. doi:10.1001/jama.299.18.2200.
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psnet.ahrq.gov/issue/detection-adverse-events-acute-geriatric-hospital-over-6-year-period-using-global-trigger
March 09, 2022 - Study
Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool.
Citation Text:
Suarez C, Menendez MD, Alonso J, et al. Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. J Am …
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psnet.ahrq.gov/issue/identifying-and-quantifying-medication-errors-evaluation-rapidly-discontinued-medication
February 03, 2011 - Study
Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted to a computerized physician order entry system.
Citation Text:
Koppel R, Leonard CE, Localio R, et al. Identifying and quantifying medication errors: evaluation of rapidl…
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psnet.ahrq.gov/issue/readmission-rates-after-passage-hospital-readmissions-reduction-program-pre-post-analysis
October 30, 2010 - Study
Classic
Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis.
Citation Text:
Wasfy JH, Zigler CM, Choirat C, et al. Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post An…
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psnet.ahrq.gov/issue/complications-and-death-start-new-academic-year-there-july-phenomenon
February 13, 2008 - Study
Complications and death at the start of the new academic year: is there a July phenomenon?
Citation Text:
Inaba K, Recinos G, Teixeira PGR, et al. Complications and death at the start of the new academic year: is there a July phenomenon? J Trauma. 2010;68(1):19-22. doi:10.1097/TA.…
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psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-patients
March 27, 2005 - Study
Classic
Computerized surveillance of adverse drug events in hospital patients.
Citation Text:
Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital patients. JAMA. 1991;266(20):2847-51.
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psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
January 20, 2021 - Study
Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors.
Citation Text:
Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.…
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psnet.ahrq.gov/issue/application-human-factors-methods-ensure-appropriate-infant-identification-and-abduction
April 27, 2022 - Commentary
Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting.
Citation Text:
Webster KLW, Stikes R, Bunnell L, et al. Application of human factors methods to ensure appropriate infant identification and a…
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psnet.ahrq.gov/issue/frequency-and-characteristics-errors-artificial-intelligence-ai-reading-screening-mammography
February 03, 2016 - Review
Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review.
Citation Text:
Zeng A, Houssami N, Noguchi N, et al. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammogra…
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psnet.ahrq.gov/issue/teamwork-clinical-leadership-skills-and-environmental-factors-influence-missed-nursing-care
August 04, 2010 - Study
Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards.
Citation Text:
Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental factors that influence mi…
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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…
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psnet.ahrq.gov/issue/safety-fragile-conflict-affected-and-vulnerable-settings-evidence-scanning-approach
January 12, 2022 - Review
Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions.
Citation Text:
O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence scanning approach…