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psnet.ahrq.gov/node/42312/psn-pdf
June 12, 2013 - Determining a patient's comfort in inquiring about
healthcare providers' hand-washing behavior.
June 12, 2013
Clare CA, Afzal O, Knapp K, et al. Determining a patient's comfort in inquiring about healthcare providers'
hand-washing behavior. J Patient Saf. 2013;9(2):68-74. doi:10.1097/PTS.0b013e31827819d2.
https://…
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psnet.ahrq.gov/node/40715/psn-pdf
October 31, 2011 - Usability evaluation of order sets in a computerized
provider order entry system.
October 31, 2011
Chan J, Shojania KG, Easty AC, et al. Usability evaluation of order sets in a computerised provider order
entry system. BMJ Qual Saf. 2011;20(11):932-40. doi:10.1136/bmjqs.2010.050021.
https://psnet.ahrq.gov/issue/us…
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psnet.ahrq.gov/node/72500/psn-pdf
January 01, 2021 - Survey of cancer care providers' attitude toward care for
older adults with cancer during the COVID-19 pandemic.
November 25, 2020
BrintzenhofeSzoc K. Survey of cancer care providers' attitude toward care for older adults with cancer
during the COVID-19 pandemic. J Geriatr Onco. 2021;12(2):196-205. doi:10.1016/j.jg…
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psnet.ahrq.gov/node/46083/psn-pdf
April 26, 2017 - Impact of commercial computerized provider order entry
(CPOE) and clinical decision support systems (CDSSs) on
medication errors, length of stay, and mortality in
intensive care units: a systematic review and meta-
analysis.
April 26, 2017
Prgomet M, Li L, Niazkhani Z, et al. Impact of commercial computerized pro…
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psnet.ahrq.gov/node/44379/psn-pdf
August 05, 2015 - Implementing computerized provider order entry in acute
care hospitals in the United States could generate
substantial savings to society.
August 5, 2015
Nuckols TK, Asch SM, Patel V, et al. Implementing Computerized Provider Order Entry in Acute Care
Hospitals in the United States Could Generate Substantial Savin…
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psnet.ahrq.gov/node/41890/psn-pdf
December 12, 2012 - Quantification of anesthesia providers' hand hygiene in a
busy metropolitan operating room: what would
Semmelweis think?
December 12, 2012
Biddle C, Shah J. Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating
room: what would Semmelweis think? Am J Infect Control. 2012;40(8):756-9…
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psnet.ahrq.gov/node/38840/psn-pdf
August 12, 2009 - Assessment of quality of data provided on Pap test
requisitions: implications for quality of care and patient
safety.
August 12, 2009
Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for
quality of care and patient safety. Cytojournal. 2009;6:11. doi:10.4103/17…
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psnet.ahrq.gov/node/43668/psn-pdf
April 22, 2015 - Not just "getting by": factors influencing providers'
choice of interpreters.
April 22, 2015
Hsieh E. Not just "getting by": factors influencing providers' choice of interpreters. J Gen Intern Med.
2015;30(1):75-82. doi:10.1007/s11606-014-3066-8.
https://psnet.ahrq.gov/issue/not-just-getting-factors-influencing-pr…
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psnet.ahrq.gov/node/43819/psn-pdf
July 16, 2015 - Intercepting wrong-patient orders in a computerized
provider order entry system.
July 16, 2015
Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider
order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed.2014.11.017.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/47146/psn-pdf
June 27, 2018 - Provider perspectives on partnering with parents of
hospitalized children to improve safety.
June 27, 2018
Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of
Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. doi:10.1542/hpeds.2017-0159.
https…
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psnet.ahrq.gov/node/35971/psn-pdf
May 27, 2011 - Effectiveness of computerized provider order entry with
dose range checking on prescribing errors.
May 27, 2011
Boling B, McKibben M, Hingl J, et al. Effectiveness of Computerized Provider Order Entry with Dose Range
Checking on Prescribing Errors. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000215339.03807.fd.
…
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psnet.ahrq.gov/node/38474/psn-pdf
March 10, 2011 - Using computerized provider order entry and clinical
decision support to improve referring physicians'
implementation of consultants' medical
recommendations.
March 10, 2011
Were MC, Abernathy G, Hui SL, et al. Using computerized provider order entry and clinical decision
support to improve referring physicians' …
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psnet.ahrq.gov/node/40326/psn-pdf
May 25, 2011 - The impact of computerized provider order entry systems
on medical-imaging services: a systematic review.
May 25, 2011
Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on
medical-imaging services: a systematic review. J Am Med Inform Assoc. 2011;18(3):335-40.
doi:1…
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psnet.ahrq.gov/node/35494/psn-pdf
May 27, 2011 - Hospital implementation of computerized provider order
entry systems: results from the 2003 Leapfrog Group
quality and safety survey.
May 27, 2011
Hillman JM, Given RS. Hospital implementation of computerized provider order entry systems: results from
the 2003 leapfrog group quality and safety survey. J Healthc In…
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psnet.ahrq.gov/node/43081/psn-pdf
July 28, 2014 - Providers' perceptions of communication breakdowns in
cancer care.
July 28, 2014
Prouty CD, Mazor KM, Greene SM, et al. Providers' perceptions of communication breakdowns in cancer
care. J Gen Intern Med. 2014;29(8):1122-30. doi:10.1007/s11606-014-2769-1.
https://psnet.ahrq.gov/issue/providers-perceptions-communic…
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psnet.ahrq.gov/node/36105/psn-pdf
May 27, 2011 - Computerized provider order entry implementation: no
association with increased mortality rates in an intensive
care unit.
May 27, 2011
Del Beccaro MA, Jeffries HE, Eisenberg MA, et al. Computerized provider order entry implementation: no
association with increased mortality rates in an intensive care unit. Pediat…
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psnet.ahrq.gov/node/862137/psn-pdf
February 07, 2024 - What do parents think about the quality and safety of care
provided by hospitals to children and young people with
an intellectual disability? A qualitative study using
thematic analysis.
February 7, 2024
Ong N, Lucien A, Long JC, et al. What do parents think about the quality and safety of care provided by
hospi…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.167_slideshow.ppt
January 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case January 2008
How Do Providers Recover from Errors?
Source and Credits
This presentation is based on the January 2008 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Colin P. West, MD, PhD, Mayo Clini…
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psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - Myasthenia Crisis after a Delayed Diagnosis in a
Medically Complex Patient.
January 4, 2024
Chaffin Z. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. PSNet [internet].
2024.
https://psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
The Case
A 9…
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psnet.ahrq.gov/node/46697/psn-pdf
January 10, 2018 - Primary care providers' perspectives on errors of
omission.
January 10, 2018
Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am
Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161.
https://psnet.ahrq.gov/issue/primary-care-providers-perspectives…