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Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement. | PSNet

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July 13, 2022 - Study Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement. Citation Text: Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision‐making and judgement. Int J Mental Health Nurs. 2022;31(4)…

The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. | PSNet

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August 24, 2016 - Study The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. Citation Text: Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clin…

Patient safety and quality improvement adaptation during the COVID-19 pandemic. | PSNet

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February 12, 2020 - Commentary Patient safety and quality improvement adaptation during the COVID-19 pandemic. Citation Text: Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448…

Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. | PSNet

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February 24, 2011 - Study Classic Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. Citation Text: Hofer TP, Hayward RA. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cas…

Drug-related deaths among inpatients: a meta-analysis. | PSNet

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May 25, 2022 - Study Drug-related deaths among inpatients: a meta-analysis. Citation Text: Patel TK, Patel PB, Bhalla HL, et al. Drug-related deaths among inpatients: a meta-analysis. Eur J Clin Pharmacol. 2022;78(2):267-278. doi:10.1007/s00228-021-03214-w. Copy Citation Format: DOI Googl…

Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity. | PSNet

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September 06, 2023 - Study Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity. Citation Text: Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention…

A quality improvement initiative to improve patient safety event reporting by residents. | PSNet

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March 08, 2023 - Study A quality improvement initiative to improve patient safety event reporting by residents. Citation Text: Herchline D, Rojas C, Shah AA, et al. A quality improvement initiative to improve patient safety event reporting by residents. Pediatr Qual Saf. 2022;7(1):e519. doi:10.1097/pq9.0…

Hospital at Home: setting a regulatory course to ensure safe, high-quality care. | PSNet

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June 30, 2021 - Commentary Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Citation Text: DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/…

Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. | PSNet

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April 06, 2022 - Study Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. Citation Text: Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observa…

Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet

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October 29, 2017 - Review Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. Citation Text: Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…

Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-patients-discharged-acute-care-hospitals

June 23, 2021 - Study Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities. Citation Text: Poudel A, Peel NM, Nissen L, et al. Potentially inappropriate prescribing in older patients discharged from acute care hospitals to resid…

Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting. | PSNet

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March 12, 2025 - Study Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting. Citation Text: Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by…

Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. | PSNet

psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve-handoff

September 14, 2011 - Study Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. Citation Text: Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel way t…

Surgeons and systems working together to drive safety and quality. | PSNet

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February 02, 2022 - Commentary Surgeons and systems working together to drive safety and quality. Citation Text: Hawkins RB, Nallamothu BK. Surgeons and systems working together to drive safety and quality. BMJ Qual Saf. 2023;32(4):181-184. doi:10.1136/bmjqs-2022-015045. Copy Citation Format: …

Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. | PSNet

psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events

January 16, 2008 - Study Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. Citation Text: Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…

The effect of cognitive load and task complexity on automation bias in electronic prescribing. | PSNet

psnet.ahrq.gov/issue/effect-cognitive-load-and-task-complexity-automation-bias-electronic-prescribing

May 01, 2019 - Study The effect of cognitive load and task complexity on automation bias in electronic prescribing. Citation Text: Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/…

Potential drug interactions and duplicate prescriptions among cancer patients. | PSNet

psnet.ahrq.gov/issue/potential-drug-interactions-and-duplicate-prescriptions-among-cancer-patients

April 27, 2010 - Study Potential drug interactions and duplicate prescriptions among cancer patients. Citation Text: Riechelmann RP, Tannock IF, Wang L, et al. Potential drug interactions and duplicate prescriptions among cancer patients. J Natl Cancer Inst. 2007;99(8):592-600. Copy Citation Format…

Predicting self-intercepted medication ordering errors using machine learning. | PSNet

psnet.ahrq.gov/issue/predicting-self-intercepted-medication-ordering-errors-using-machine-learning

May 13, 2020 - Study Predicting self-intercepted medication ordering errors using machine learning. Citation Text: King CR, Abraham J, Fritz BA, et al. Predicting self-intercepted medication ordering errors using machine learning. PLoS One. 2021;16(7):e0254358. doi:10.1371/journal.pone.0254358. Copy …

Safety incident reports associated with blood transfusions. | PSNet

psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-transfusions

July 13, 2010 - Study Safety incident reports associated with blood transfusions. Citation Text: Vossoughi S, Perez G, Whitaker BI, et al. Safety incident reports associated with blood transfusions. Transfusion (Paris). 2019;59(9):2827-2832. doi:10.1111/trf.15429. Copy Citation Format: DOI…

The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. | PSNet

psnet.ahrq.gov/issue/frequency-inappropriate-nonformulary-medication-alert-overrides-inpatient-setting

July 02, 2019 - Study The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. Citation Text: Her QL, Amato MG, Seger DL, et al. The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. J Am Med Inform Assoc. 2016;23(5):924-…

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