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psnet.ahrq.gov/issue/what-covid-19-teaches-us-about-implicit-bias-pediatric-health-care
March 25, 2020 - Commentary
What COVID-19 teaches us about implicit bias in pediatric health care.
Citation Text:
Mulchan SS, Wakefield EO, Santos M. What COVID-19 teaches us about implicit bias in pediatric health care. J Ped Psychol. 2021;46(2):138-143. doi:10.1093/jpepsy/jsaa131.
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psnet.ahrq.gov/issue/how-patients-can-improve-accuracy-their-medical-records
July 20, 2022 - Study
How patients can improve the accuracy of their medical records.
Citation Text:
Dullabh P, Sondheimer N, Katsh E, et al. How Patients Can Improve the Accuracy of their Medical Records. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2014;2(3). doi:10.13063/2327-92…
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psnet.ahrq.gov/issue/natural-history-recovery-healthcare-provider-second-victim-after-adverse-patient-events
January 03, 2017 - Study
The natural history of recovery for the healthcare provider "second victim" after adverse patient events.
Citation Text:
Scott SD, Hirschinger LE, Cox KR, et al. The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Qual Saf Healt…
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling
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January 31, 2024
Innovation
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psnet.ahrq.gov/node/40561/psn-pdf
March 23, 2012 - Principles of conservative prescribing.
March 23, 2012
Schiff G, Galanter W, Duhig J, et al. Principles of conservative prescribing. Arch Intern Med.
2011;171(16):1433-1440. doi:10.1001/archinternmed.2011.256.
https://psnet.ahrq.gov/issue/principles-conservative-prescribing
Strategies to prevent medication errors …
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psnet.ahrq.gov/node/46954/psn-pdf
January 23, 2019 - Opioid prescribing decreases after learning of a patient's
fatal overdose.
January 23, 2019
Doctor JN, Nguyen A, Lev R, et al. Opioid prescribing decreases after learning of a patient's fatal overdose.
Science. 2018;361(6402):588-590. doi:10.1126/science.aat4595.
https://psnet.ahrq.gov/issue/opioid-prescribing-dec…
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psnet.ahrq.gov/node/36460/psn-pdf
May 27, 2011 - Medication errors related to computerized order entry for
children.
May 27, 2011
Walsh KE, Adams WG, Bauchner H, et al. Medication errors related to computerized order entry for
children. Pediatrics. 2006;118(5):1872-1879.
https://psnet.ahrq.gov/issue/medication-errors-related-computerized-order-entry-children
Th…
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psnet.ahrq.gov/node/42399/psn-pdf
December 29, 2014 - Information technology interventions to improve
medication safety in primary care: a systematic review.
December 29, 2014
Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in
primary care: a systematic review. Int J Qual Health Care. 2013;25(5):590-8. doi:10.1093/intq…
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psnet.ahrq.gov/node/38675/psn-pdf
February 15, 2011 - Prescription errors and outcomes related to inconsistent
information transmitted through computerized order
entry: a prospective study.
February 15, 2011
Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information
transmitted through computerized order entry: a prospecti…
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psnet.ahrq.gov/node/38163/psn-pdf
April 11, 2011 - Retrospective evaluation of a computerized physician
order entry adaptation to prevent prescribing errors in a
pediatric emergency department.
April 11, 2011
Sard BE, Walsh KE, Doros G, et al. Retrospective evaluation of a computerized physician order entry
adaptation to prevent prescribing errors in a pediatric e…
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psnet.ahrq.gov/node/36044/psn-pdf
April 27, 2010 - Expected and unanticipated consequences of the quality
and information technology revolutions.
April 27, 2010
Wachter R. Expected and unanticipated consequences of the quality and information technology
revolutions. JAMA. 2006;295(23):2780-3.
https://psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-qua…
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psnet.ahrq.gov/node/49784/psn-pdf
February 01, 2017 - Safeguarding Diagnostic Testing at the Point of Care
February 1, 2017
Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
The Case
A 23-year-old woman presented to the family medicine clinic for…
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psnet.ahrq.gov/improvement-tools
February 26, 2025 - Improvement Resources Overview
Patient Safety Innovations highlight important innovations that can lead to improvements in patient safety, while Toolkits provide the practical applications of PSNet research and concepts for front line providers to use in their day to day work. Together these support the implementatio…
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psnet.ahrq.gov/web-mm/situational-unawareness
August 01, 2009 - Situational (Un)Awareness
Citation Text:
Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - SPOTLIGHT CASE
Prolonged DKA in Pregnancy: A Case of Communication Breakdown.
Citation Text:
Marshall S, Boe NM. Prolonged DKA in Pregnancy: A Case of Communication Breakdown.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services…
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psnet.ahrq.gov/node/38239/psn-pdf
November 19, 2008 - Postmarket Drug Safety Information for Patients and
Providers.
November 19, 2008
US Food and Drug Administration; Center for Drug Evaluation and Research.
https://psnet.ahrq.gov/issue/postmarket-drug-safety-information-patients-and-providers
This Web site centralizes information for practitioners, policymakers, an…
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psnet.ahrq.gov/issue/increasing-adoption-computerized-provider-order-entry-and-persistent-regional-disparities-us
May 16, 2012 - Study
Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments.
Citation Text:
Pallin DJ, Sullivan AF, Espinola JA, et al. Increasing adoption of computerized provider order entry, and persistent regional disparities, in…
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psnet.ahrq.gov/issue/using-enhanced-oral-chemotherapy-computerized-provider-order-entry-system-reduce-prescribing
October 20, 2014 - Study
Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.
Citation Text:
Collins CM, Elsaid KA. Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve …
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psnet.ahrq.gov/issue/association-communication-between-hospital-based-physicians-and-primary-care-providers
September 09, 2013 - Study
Association of communication between hospital-based physicians and primary care providers with patient outcomes.
Citation Text:
Bell CM, Schnipper JL, Auerbach AD, et al. Association of communication between hospital-based physicians and primary care providers with patient out…
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-inpatient-clinical-workflow-literature
February 23, 2009 - Review
The impact of computerized provider order entry systems on inpatient clinical workflow: a literature review.
Citation Text:
Niazkhani Z, Pirnejad H, Berg M, et al. The impact of computerized provider order entry systems on inpatient clinical workflow: a literature review. J Am M…