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psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units
March 15, 2017 - Study
The effects of computerized provider order entry implementation on communication in intensive care units.
Citation Text:
Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units. Int J Med I…
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psnet.ahrq.gov/node/73294/psn-pdf
January 01, 2022 - Understanding the second victim experience among
multidisciplinary providers in obstetrics and gynecology.
May 19, 2021
Rivera-Chiauzzi E, Finney RE, Riggan KA, et al. Understanding the second victim experience among
multidisciplinary providers in obstetrics and gynecology. J Patient Saf. 2022;18(2):e463-e469.
doi…
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psnet.ahrq.gov/node/73425/psn-pdf
June 23, 2021 - A qualitative study of what care workers do to provide
patient safety at home through telecare.
June 23, 2021
Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at
home through telecare. BMC Health Serv Res. 2021;21(1):553. doi:10.1186/s12913-021-06556-4.
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psnet.ahrq.gov/node/850933/psn-pdf
June 21, 2023 - The prevalence of second victim syndrome and emotional
distress in pediatric intensive care providers.
June 21, 2023
Wolf MS, Smith K, Basu M, et al. The prevalence of second victim syndrome and emotional distress in
pediatric intensive care providers. J Pediatr Intensive Care. 2023;12(02):125-130. doi:10.1055/s-00…
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psnet.ahrq.gov/node/848359/psn-pdf
May 03, 2023 - Medical line entanglement: the unspoken patient safety
hazard of medical devices.
May 3, 2023
Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of
medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000.
https://psnet.ahrq.gov/issue/medical-line-enta…
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psnet.ahrq.gov/node/866730/psn-pdf
September 18, 2024 - Strengthening open disclosure in maternity services in
the English NHS: the DISCERN realist evaluation study.
September 18, 2024
Adams MA, Bevan C, Booker M, et al. Strengthening open disclosure in maternity services in the English
NHS: the DISCERN realist evaluation study. Health Soc Care Deliv Res. 2023;12(22):1-…
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psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - Critical Opportunity Lost
Citation Text:
Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - Critical Echocardiogram Result Lost to Follow-up
Citation Text:
Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/issue/learning-others-legal-aspects-sharing-patient-safety-data-using-provider-consortia
May 04, 2019 - Commentary
Learning from others: legal aspects of sharing patient safety data using provider consortia.
Citation Text:
Learning from others: legal aspects of sharing patient safety data using provider consortia. Liang BA; Weinger MB; Suydam S. J Patient Saf 2005;1:83–89
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psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety-concerns
December 09, 2020 - Book/Report
Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns.
Citation Text:
Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns. Washington DC; Governmental Accountability Office; December 1, 2020. Publication GAO-…
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psnet.ahrq.gov/issue/medication-related-clinical-decision-support-alert-overrides-inpatients
July 16, 2019 - Study
Medication-related clinical decision support alert overrides in inpatients.
Citation Text:
Nanji KC, Seger DL, Slight SP, et al. Medication-related clinical decision support alert overrides in inpatients. J Am Med Inform Assoc. 2018;25(5):476-481. doi:10.1093/jamia/ocx115.
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psnet.ahrq.gov/issue/communicating-patients-about-diagnostic-errors-breast-cancer-care-providers-attitudes
March 11, 2013 - Study
Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice
Citation Text:
Reisch LM, Prouty CD, Elmore JG, et al. Communicating with patients about diagnostic errors in breast cancer care: Providers’ attitudes, experienc…
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psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge
August 24, 2015 - Study
Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders.
Citation Text:
Colombini N, Abbes M, Cherpin A, et al. Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. Int J Med Info…
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psnet.ahrq.gov/issue/family-centered-rounds-checklist-family-engagement-and-patient-safety-randomized-trial
December 22, 2018 - Study
A family-centered rounds checklist, family engagement, and patient safety: a randomized trial.
Citation Text:
Cox E, Jacobsohn GC, Rajamanickam VP, et al. A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial. Pediatrics. 2017;139(5). doi:10.…
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psnet.ahrq.gov/node/39448/psn-pdf
May 20, 2015 - A Patient Safety Handbook for Ambulatory Care
Providers.
May 20, 2015
Oak Brook, IL: Joint Commission Resources; 2009. ISBN: 9781599403670.
https://psnet.ahrq.gov/issue/patient-safety-handbook-ambulatory-care-providers
This guide offers tools and strategies to ensure that care in the ambulatory setting is safely p…
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psnet.ahrq.gov/node/73414/psn-pdf
June 23, 2021 - Promoting the psychological well-being of healthcare
providers facing the burden of adverse events: a
systematic review of second victim support resources.
June 23, 2021
Busch IM, Moretti F, Campagna I, et al. Promoting the psychological well-being of healthcare providers
facing the burden of adverse events: a sys…
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psnet.ahrq.gov/node/44743/psn-pdf
December 22, 2017 - Patients' and providers' perceptions of the preventability
of hospital readmission: a prospective, observational
study in four European countries.
December 22, 2017
van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of
hospital readmission: a prospective, observ…
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psnet.ahrq.gov/node/866854/psn-pdf
January 01, 2025 - Charting diagnostic safety: exploring patient-provider
discordance in medical record documentation.
October 2, 2024
Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider
discordance in medical record documentation. J Gen Intern Med. 2025;40(4):773-781. doi:10.1007/s11606…
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psnet.ahrq.gov/node/853243/psn-pdf
September 06, 2023 - What do healthcare staff think about the quality and
safety of care provided to children and young people with
an intellectual disability? A qualitative study using the
framework method of analysis.
September 6, 2023
Ong N, Lucien A, Long JC, et al. What do healthcare staff think about the quality and safety of ca…
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psnet.ahrq.gov/node/36854/psn-pdf
May 11, 2014 - Ordering of continuous renal replacement therapy in a
computerized provider order entry system.
May 11, 2014
Oh SS; Sinclair-Pingel J; Feldott CC; Hargrove FR.
https://psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-
entry-system
The authors discuss the development o…