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  1. psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results
    June 21, 2016 - Study Four-year impact of an alert notification system on closed-loop communication of critical test results. Citation Text: Lacson R, Prevedello LM, Andriole KP, et al. Four-year impact of an alert notification system on closed-loop communication of critical test results. AJR Am J Roent…
  2. psnet.ahrq.gov/issue/mixed-method-study-merits-e-prescribing-drug-alerts-primary-care
    September 25, 2011 - Study A mixed method study of the merits of e-prescribing drug alerts in primary care. Citation Text: Lapane KL, Waring ME, Schneider KL, et al. A mixed method study of the merits of e-prescribing drug alerts in primary care. J Gen Intern Med. 2008;23(4):442-6. doi:10.1007/s11606-008-0…
  3. psnet.ahrq.gov/issue/results-national-neurosurgery-resident-survey-duty-hour-regulations
    September 29, 2017 - Study Results of a national neurosurgery resident survey on duty hour regulations. Citation Text: Fargen KM, Chakraborty A, Friedman WA. Results of a national neurosurgery resident survey on duty hour regulations. Neurosurgery. 2011;69(6):1162-70. doi:10.1227/NEU.0b013e3182245989. Co…
  4. psnet.ahrq.gov/issue/comfort-uncertainty-reframing-our-conceptions-how-clinicians-navigate-complex-clinical
    February 06, 2013 - Review Emerging Classic Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. Citation Text: Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians navigate…
  5. psnet.ahrq.gov/issue/identification-patient-safety-threats-post-intensive-care-clinic
    November 21, 2021 - Study Identification of patient safety threats in a post-intensive care clinic. Citation Text: Karlic KJ, Valley TS, Cagino LM, et al. Identification of patient safety threats in a post-intensive care clinic. Am J Med Qual. 2023;38(3):117-121. doi:10.1097/jmq.0000000000000118. Copy Cit…
  6. psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety
    April 01, 2020 - Commentary Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. Citation Text: Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;…
  7. psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate
    January 17, 2024 - Review Using machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic review. Citation Text: Johns E, Alkanj A, Beck M, et al. Using machine learning or deep learning models in a hospital setting to detect inappropriate prescripti…
  8. psnet.ahrq.gov/issue/using-consumer-based-kiosk-technology-improve-and-standardize-medication-reconciliation
    August 23, 2023 - Study Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. Citation Text: Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty c…
  9. psnet.ahrq.gov/issue/enhancing-resident-education-embedding-improvement-specialists-quality-and-safety-curriculum
    April 24, 2018 - Study Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. Citation Text: Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. J Grad Med Educ. 202…
  10. psnet.ahrq.gov/issue/factors-influencing-hospital-prescribing-errors-systematic-review
    March 23, 2022 - Review Factors influencing in-hospital prescribing errors: a systematic review. Citation Text: Mahomedradja RF, Schinkel M, Sigaloff KCE, et al. Factors influencing in‐hospital prescribing errors: a systematic review. Br J Clin Pharmacol. 2023;89(6):1724-1735. doi:10.1111/bcp.15694. Co…
  11. psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside
    March 01, 2011 - Study Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. Citation Text: Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatr…
  12. psnet.ahrq.gov/issue/effects-brief-team-training-program-surgical-teams-nontechnical-skills-interrupted-time
    December 08, 2021 - Study Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. Citation Text: Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series stu…
  13. psnet.ahrq.gov/issue/reaching-summit-discharge-summaries-quality-improvement-project
    March 17, 2021 - Study Reaching the summit of discharge summaries: a quality improvement project. Citation Text: Richmond RT, McFadzean IJ, Vallabhaneni P. Reaching the summit of discharge summaries: a quality improvement project. BMJ Open Qual. 2021;10(1):e001142. doi:10.1136/bmjoq-2020-001142. Copy C…
  14. psnet.ahrq.gov/issue/use-medical-emergency-teams-medical-and-surgical-patients-impact-patient-nurse-and
    November 09, 2011 - Study The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. Citation Text: Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient,…
  15. psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety
    January 23, 2019 - Study Safety huddles to proactively identify and address electronic health record safety. Citation Text: Menon S, Singh H, Giardina TD, et al. Safety huddles to proactively identify and address electronic health record safety. J Am Med Inform Assoc. 2017;24(2):261-267. doi:10.1093/jamia/…
  16. psnet.ahrq.gov/issue/clinic-design-safety-during-pandemic-safety-or-teamwork-can-we-only-pick-one
    November 11, 2015 - Commentary Clinic design for safety during the pandemic: safety or teamwork, can we only pick one? Citation Text: 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:10.1177/1937586722109…
  17. psnet.ahrq.gov/issue/fighting-common-enemy-catalyst-close-intractable-safety-gaps
    June 30, 2021 - Commentary Fighting a common enemy: a catalyst to close intractable safety gaps. Citation Text: Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ Qual Saf. 2021;30(2):141-145. doi:10.1136/bmjqs-2020-011390. Copy Citation Format…
  18. psnet.ahrq.gov/issue/workarounds-and-test-results-follow-electronic-health-record-based-primary-care
    August 20, 2014 - Study Workarounds and test results follow-up in electronic health record–based primary care. Citation Text: Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015…
  19. psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event
    July 24, 2024 - Study Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest eve…
  20. psnet.ahrq.gov/issue/appropriateness-commercially-available-and-partially-customized-medication-dosing-alerts
    July 16, 2015 - Study Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. Citation Text: Stultz JS, Nahata MC. Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. J Am Med …

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