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psnet.ahrq.gov/node/35580/psn-pdf
May 27, 2011 - Using a preprinted order sheet to reduce prescription
errors in a pediatric emergency department: a
randomized, controlled trial.
May 27, 2011
Kozer E, Scolnik D, MacPherson A, et al. Using a preprinted order sheet to reduce prescription errors in a
pediatric emergency department: a randomized, controlled trial. P…
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psnet.ahrq.gov/node/35840/psn-pdf
May 27, 2011 - Development of the Leapfrog methodology for evaluating
hospital implemented inpatient computerized physician
order entry systems.
May 27, 2011
Kilbridge PM, Welebob EM, Classen DC. Development of the Leapfrog methodology for evaluating hospital
implemented inpatient computerized physician order entry systems. Qual…
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psnet.ahrq.gov/node/851350/psn-pdf
July 12, 2023 - A scoping review of legibility of hand-written
prescriptions and drug-orders: the writing on the wall.
July 12, 2023
Ariaga A, Balzan D, Falzon S, et al. A scoping review of legibility of hand-written prescriptions and drug-
orders: the writing on the wall. Expert Rev Clin Pharmacol. 2023;16(7):617-621.
doi:10.108…
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psnet.ahrq.gov/node/48096/psn-pdf
June 19, 2019 - When order sets do not align with clinician workflow:
assessing practice patterns in the electronic health
record.
June 19, 2019
Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice
patterns in the electronic health record. BMJ Qual Saf. 2019;28(12):987-996. doi:…
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psnet.ahrq.gov/node/839310/psn-pdf
December 01, 2019 - The patient perspective on errors in cancer care: results
of a cross-sectional survey.
December 1, 2019
Carey M, Boyes AW, Bryant J, et al. The patient perspective on errors in cancer care: results of a cross-
sectional survey. J Patient Saf. 2019;15(4):322-327. doi:10.1097/pts.0000000000000368.
https://psnet.ahrq…
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psnet.ahrq.gov/node/860387/psn-pdf
January 10, 2024 - An analysis of medical malpractice claims against
medical oncologists from a national database:
implications for safer practice.
January 10, 2024
Doolin JW, Schaffer AC, Tishler RB, et al. An analysis of medical malpractice claims against medical
oncologists from a national database: implications for safer practic…
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psnet.ahrq.gov/node/38517/psn-pdf
February 17, 2011 - Use of electronic health records in US hospitals.
February 17, 2011
Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals.
doi:10.1056/NEJMsa0900592.
https://psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
Increasing the use of electronic health records (EHRs)…
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psnet.ahrq.gov/node/40543/psn-pdf
March 23, 2012 - Can we rely on patients' reports of adverse events?
March 23, 2012
Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care.
2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8.
https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events
Traditional methods of…
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psnet.ahrq.gov/node/44238/psn-pdf
November 03, 2015 - Use of temporary names for newborns and associated
risks.
November 3, 2015
Adelman JS, Aschner JL, Schechter CB, et al. Use of Temporary Names for Newborns and Associated
Risks. Pediatrics. 2015;136(2):327-333. doi:10.1542/peds.2015-0007.
https://psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-ris…
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psnet.ahrq.gov/node/46962/psn-pdf
April 25, 2018 - Implementation of an integrated computerized prescriber
order-entry system for chemotherapy in a multisite safety-
net health system.
April 25, 2018
Chung C, Patel S, Lee R, et al. Implementation of an integrated computerized prescriber order-entry
system for chemotherapy in a multisite safety-net health system. A…
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psnet.ahrq.gov/node/47479/psn-pdf
December 12, 2018 - "Closing the loop": a mixed-methods study about
resident learning from outcome feedback after patient
handoffs.
December 12, 2018
Shenvi EC, Feupe SF, Yang H, et al. "Closing the loop": a mixed-methods study about resident learning
from outcome feedback after patient handoffs. Diagnosis (Berl). 2018;5(4):235-242. …
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psnet.ahrq.gov/node/45365/psn-pdf
August 03, 2016 - Workarounds and test results follow-up in electronic
health record–based primary care.
August 3, 2016
Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health
Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015-10-RA-0135.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/72526/psn-pdf
January 01, 2021 - How effective are electronic medication systems in
reducing medication error rates and associated harm
among hospital inpatients? A systematic review and
meta-analysis.
December 2, 2020
Gates PJ, Hardie R-A, Raban MZ, et al. How effective are electronic medication systems in reducing
medication error rates and as…
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psnet.ahrq.gov/node/843085/psn-pdf
January 25, 2023 - Assessment of the use of patient vital sign data for
preventing misidentification and medical errors.
January 25, 2023
Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and
medical errors. Healthcare (Basel). 2022;10(12):2440. doi:10.3390/healthcare10122440.
https:…
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psnet.ahrq.gov/node/867343/psn-pdf
December 11, 2024 - Communication about harm reduction with patients who
have opioid use disorder.
December 11, 2024
Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use
disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307.
https://psnet.ahrq.gov/issue/communication-about-harm-reduc…
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psnet.ahrq.gov/node/60327/psn-pdf
May 13, 2020 - Recommendations of individualized medical treatment
and common adverse events management for lung cancer
patients during the outbreak of COVID-19 epidemic.
May 13, 2020
Zhao Z, Bai H, Duan J, et al. Recommendations of individualized medical treatment and common adverse
events management for lung cancer patients du…
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psnet.ahrq.gov/node/72823/psn-pdf
March 10, 2021 - Care coordination strategies and barriers during
medication safety incidents: a qualitative, cognitive task
analysis.
March 10, 2021
Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during
medication safety incidents: a qualitative, cognitive task analysis. J Gen Intern Med.…
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psnet.ahrq.gov/node/837742/psn-pdf
July 27, 2022 - Room of hazards: a comparison of differences in safety
hazard recognition among various hospital-based
healthcare professionals and trainees in a simulated
patient room.
July 27, 2022
Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard
recognition among various hospita…
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psnet.ahrq.gov/node/850165/psn-pdf
June 07, 2023 - Adolescents identifying errors and omissions in their
electronic health records: a national survey.
June 7, 2023
Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic
health records: a national survey. Stud Health Technol Inform. 2023;302:242-246. doi:10.3233/shti2…
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psnet.ahrq.gov/node/837066/psn-pdf
May 11, 2022 - Compensation claims in Danish emergency care:
identifying hot spots and blind spots in the quality of
care.
May 11, 2022
Morsø L, Birkeland S, Walløe S, et al. Compensation claims in Danish emergency care: identifying hot
spots and blind spots in the quality of care. Jt Comm J Qual Patient Saf. 2022;48(5):271-279.…