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psnet.ahrq.gov/issue/health-care-provider-use-private-sector-internal-error-reporting-systems
May 29, 2019 - Study
Health care provider use of private sector internal error-reporting systems.
Citation Text:
Roumm AR, Sciamanna CN, Nash DB. Health care provider use of private sector internal error-reporting systems. Am J Med Qual. 2005;20(6):304-12.
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psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record
April 13, 2022 - Study
Charting diagnostic safety: exploring patient-provider discordance in medical record documentation.
Citation Text:
Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. J Gen Intern Med. 2025;…
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psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
March 23, 2012 - Book/Report
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care.
Citation Text:
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Washington DC: National Quality Forum; 2010.
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psnet.ahrq.gov/issue/emergency-medical-and-health-providers-perceptions-key-issues-prehospital-patient-safety
January 11, 2017 - Study
Emergency medical and health providers' perceptions of key issues in prehospital patient safety.
Citation Text:
Atack L, Maher J. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Prehosp Emerg Care. 2010;14(1):95-102. doi:10.3109/10…
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psnet.ahrq.gov/issue/using-rapid-response-system-provide-better-oversight-patient-care-processes
January 07, 2015 - Commentary
Using the rapid response system to provide better oversight of patient care processes.
Citation Text:
Moore MS, Howard SK, Lighthall GK. Using the rapid response system to provide better oversight of patient care processes. Jt Comm J Qual Patient Saf. 2007;33(11):695-8, 645.
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psnet.ahrq.gov/issue/effectiveness-computerized-provider-order-entry-dose-range-checking-prescribing-errors
October 23, 2024 - Study
Effectiveness of computerized provider order entry with dose range checking on prescribing errors.
Citation Text:
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…
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psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training
January 12, 2022 - Commentary
Implementation of a mock root cause analysis to provide simulated patient safety training.
Citation Text:
Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-…
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psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-codes
November 02, 2022 - Newspaper/Magazine Article
Survey results from pharmacists provide support to enhance the organizational response to codes.
Citation Text:
Survey results from pharmacists provide support to enhance the organizational response to codes. ISMP Medication Safety Alert! Acute care edition. Oc…
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - Incident Reporting: More Attention to the Safety Action Feedback Loop, Please
Teryl K. Nuckols, MD, MSHS | September 1, 2011
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Nuckols TK. Incident Reporting: More Attention to the …
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psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider
September 01, 2016 - Study
Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE).
Citation Text:
Galanter W, Falck S, Burns M, et al. Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). …
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psnet.ahrq.gov/web-mm/missing-point-eye-injury
March 01, 2005 - Missing the Point—Eye Injury
Citation Text:
Sharma R, Brunette DD. Missing the Point—Eye Injury. 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/mistaken-identity
December 18, 2014 - Mistaken Identity
Citation Text:
Hall LW. Mistaken Identity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - Code Status vs. Care Status
December 23, 2020
Krisman RK, Spero H. Code Status vs. Care Status. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/code-status-vs-care-status
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for
Continuing Medical Education (AC…
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psnet.ahrq.gov/node/867522/psn-pdf
January 15, 2025 - What are the unintended patient safety consequences of
healthcare technologies? A qualitative study among
patients, carers and healthcare providers.
January 15, 2025
Abdelaziz S, Garfield S, Neves AL, et al. What are the unintended patient safety consequences of
healthcare technologies? A qualitative study among p…
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psnet.ahrq.gov/node/39396/psn-pdf
November 02, 2014 - Unmet Needs: Teaching Physicians to Provide Safe
Patient Care.
November 2, 2014
Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010.
https://psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care
Medical schools face an urgent need to transform their cur…
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psnet.ahrq.gov/node/47579/psn-pdf
December 12, 2018 - A prescription for enhancing electronic prescribing
safety.
December 12, 2018
Schiff G, Mirica MM, Dhavle AA, et al. A Prescription For Enhancing Electronic Prescribing Safety. Health
Aff (Millwood). 2018;37(11):1877-1883. doi:10.1377/hlthaff.2018.0725.
https://psnet.ahrq.gov/issue/prescription-enhancing-electroni…
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psnet.ahrq.gov/node/37345/psn-pdf
May 26, 2011 - Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients.
May 26, 2011
Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients. Pediatrics. 2007;120(5):1058-66.
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psnet.ahrq.gov/node/866903/psn-pdf
October 09, 2024 - What does 'safe care' mean in the context of community-
based mental health services? A qualitative exploration of
the perspectives of service users, carers, and healthcare
providers in England.
October 9, 2024
Averill P, Bowness B, Henderson C, et al. What does ‘safe care’ mean in the context of community-based
…
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psnet.ahrq.gov/node/42270/psn-pdf
December 31, 2014 - Relationship between medication event rates and the
Leapfrog computerized physician order entry evaluation
tool.
December 31, 2014
Leung AA, Keohane C, Lipsitz S, et al. Relationship between medication event rates and the Leapfrog
computerized physician order entry evaluation tool. J Am Med Info Asso. 2013;20(e1):…
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psnet.ahrq.gov/node/45435/psn-pdf
August 24, 2016 - Pharmacist–physician communications in a highly
computerised hospital: sign-off and action of electronic
review messages.
August 24, 2016
Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly
Computerised Hospital: Sign-Off and Action of Electronic Review Messages. PLoS One.
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