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psnet.ahrq.gov/node/843521/psn-pdf
February 01, 2023 - How providers can optimize effective and safe scribe use:
a qualitative study.
February 1, 2023
Corby S, Ash JS, Florig ST, et al. How providers can optimize effective and safe scribe use: a qualitative
study. J Gen Intern Med. 2023;38(9):2052-2058. doi:10.1007/s11606-022-07942-2.
https://psnet.ahrq.gov/issue/how-…
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psnet.ahrq.gov/node/42862/psn-pdf
January 15, 2014 - VA Health Care: Improvements Needed in Processes
Used to Address Providers' Actions That Contribute to
Adverse Events.
January 15, 2014
Draper D. Washington, DC: United States Government Accountability Office; December 3, 2013.
Publication GAO-14-55.
https://psnet.ahrq.gov/issue/va-health-care-improvements-needed…
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psnet.ahrq.gov/node/837803/psn-pdf
August 10, 2022 - Association of provider specialty with abortion-related
morbidity and adverse events among patients having
procedural and medication abortions.
August 10, 2022
Patel D, Liu G, Roberts SCM, et al. Association of provider specialty with abortion-related morbidity and
adverse events among patients having procedural a…
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psnet.ahrq.gov/node/73596/psn-pdf
August 11, 2021 - Empowering Patients and Supporting Health Care
Providers—New Avenues for High Quality Care and
Safety.
August 11, 2021
Rimondini M, Busch IM, eds. Int J Environ Res Public Health. 2021;18.
https://psnet.ahrq.gov/issue/empowering-patients-and-supporting-health-care-providers-new-avenues-high-
quality-care-and…
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psnet.ahrq.gov/node/47091/psn-pdf
March 19, 2019 - Provider interruptions and patient perceptions of care: an
observational study in the emergency department.
March 19, 2019
Schneider A, Wehler M, Weigl M. Provider interruptions and patient perceptions of care: an observational
study in the emergency department. BMJ Qual Saf. 2019;28(4):296-304. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/node/46563/psn-pdf
February 07, 2018 - Near-miss medication errors provide a wake-up call.
February 7, 2018
Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55.
doi:10.1097/01.NURSE.0000527615.45031.9e.
https://psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
Case studies of adverse events a…
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psnet.ahrq.gov/node/866446/psn-pdf
August 07, 2024 - FDA alerts health care providers, compounders and
patients of dosing errors associated with compounded
injectable semaglutide products.
August 7, 2024
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded
injectable semaglutide products.July 26, 2024;
https://psnet…
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psnet.ahrq.gov/node/844554/psn-pdf
February 15, 2023 - Medication mix-up: what happened at Vanderbilt and how
it impacts health care providers.
February 15, 2023
Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71
https://psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care-
providers
High-profile medication errors like tha…
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psnet.ahrq.gov/node/49727/psn-pdf
March 01, 2015 - Critical Opportunity Lost
March 1, 2015
Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/critical-opportunity-lost
The Case
A 55-year-old woman presented to the emergency department (ED) with new onset chest pain. She
reported eating a heavy dinner the pre…
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psnet.ahrq.gov/node/45339/psn-pdf
August 10, 2016 - Hospital at night: an organizational design that provides
safer care at night.
August 10, 2016
Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care
at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17.
https://psnet.ahrq.gov/issue/hospi…
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psnet.ahrq.gov/node/46141/psn-pdf
May 17, 2017 - Ethical dilemma in missed melanoma: what to tell the
patient and other providers.
May 17, 2017
Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and
other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016.08.030.
https://psnet.ahrq.gov/issue/et…
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psnet.ahrq.gov/node/845633/psn-pdf
March 08, 2023 - Impact of pharmacist interventions provided in the
emergency department on quality use of medicines: a
systematic review and meta-analysis.
March 8, 2023
Atey TM, Peterson GM, Salahudeen MS, et al. Impact of pharmacist interventions provided in the
emergency department on quality use of medicines: a systematic rev…
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psnet.ahrq.gov/node/73316/psn-pdf
May 26, 2021 - Racial bias among emergency providers: strategies to
mitigate its adverse effects.
May 26, 2021
Brockett-Walker C, Lall M, Evans DD, et al. Racial bias among emergency providers: strategies to mitigate
its adverse effects. Adv Emerg Nurs J. 2021;43(2):89-101. doi:10.1097/tme.0000000000000352.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/45615/psn-pdf
October 26, 2016 - Mandatory provider review and pain clinic laws reduce
the amounts of opioids prescribed and overdose death
rates.
October 26, 2016
Dowell D, Zhang K, Noonan RK, et al. Mandatory Provider Review And Pain Clinic Laws Reduce The
Amounts Of Opioids Prescribed And Overdose Death Rates. Health Aff (Millwood). 2016;35(10…
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psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation
August 04, 2021 - Study
Using implementation safety indicators for CPOE implementation.
Citation Text:
Weir C, McCarthy CA. Using implementation safety indicators for CPOE implementation. Jt Comm J Qual Saf. 2009;35(1):21-28.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML …
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psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized
April 29, 2018 - Commentary
Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."
Citation Text:
Sittig DF, Ash JS, Zhang J, et al. Lessons from "Unexpected increased mortality after implementation of a commercially sold com…
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May 23, 2025 - Privacy Policy
Thank you for visiting AHRQ PSNet.
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psnet.ahrq.gov/node/49703/psn-pdf
March 01, 2014 - After-Visit Confusion
March 1, 2014
Ventres W. After-Visit Confusion. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/after-visit-confusion
The Case
An otherwise healthy 18-year-old woman presented to an urgent care clinic with new bumps and white
spots near her tongue. The patient's mother accompanied her …
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psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay
Citation Text:
O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Format:
G…
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psnet.ahrq.gov/node/47870/psn-pdf
April 17, 2019 - Saving without compromising: teaching trainees to safely
provide high value care.
April 17, 2019
Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high
value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003.
https://psnet.ahrq.gov/issue/saving-with…