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psnet.ahrq.gov/node/42102/psn-pdf
April 03, 2013 - Enhancing electronic health record usability in pediatric
patient care: a scenario-based approach.
April 3, 2013
Patterson ES, Zhang J, Abbott P, et al. Enhancing electronic health record usability in pediatric patient
care: a scenario-based approach. Jt Comm J Qual Patient Saf. 2013;39(3):129-135.
https://psnet.a…
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psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility
May 13, 2015 - Commentary
Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility.
Citation Text:
Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. Singh H, Sittig DF. NEJM Catalyst. December 7, 2017.
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January 01, 2014 - Understanding differences in electronic health record
(EHR) use: linking individual physicians' perceptions of
uncertainty and EHR use patterns in ambulatory care.
December 18, 2013
Lanham HJ, Sittig DF, Leykum LK, et al. Understanding differences in electronic health record (EHR) use:
linking individual physician…
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psnet.ahrq.gov/node/37621/psn-pdf
March 19, 2008 - An effort to improve electronic health record medication
list accuracy between visits: patients' and physicians'
response.
March 19, 2008
Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list
accuracy between visits: patients' and physicians' response. Int J Med …
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psnet.ahrq.gov/node/40681/psn-pdf
March 19, 2012 - Nurses' perceptions of an electronic patient record from a
patient safety perspective: a qualitative study.
March 19, 2012
Stevenson JE, Nilsson G. Nurses' perceptions of an electronic patient record from a patient safety
perspective: a qualitative study. J Adv Nurs. 2012;68(3):667-76. doi:10.1111/j.1365-2648.2011.…
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psnet.ahrq.gov/node/45545/psn-pdf
October 05, 2016 - How to Improve Electronic Health Record Usability and
Patient Safety.
October 5, 2016
Philadelphia, PA: Pew Charitable Trusts; September 6, 2016.
https://psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety
The usability of electronic health record (EHR) systems can affect clinici…
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psnet.ahrq.gov/node/43995/psn-pdf
August 02, 2015 - Patient access to electronic health records during
hospitalization.
August 2, 2015
Pell JM, Mancuso M, Limon S, et al. Patient access to electronic health records during hospitalization.
JAMA Intern Med. 2015;175(5):856-858. doi:10.1001/jamainternmed.2015.121.
https://psnet.ahrq.gov/issue/patient-access-electronic…
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psnet.ahrq.gov/node/39597/psn-pdf
July 14, 2010 - Ten strategies to improve management of abnormal test
result alerts in the electronic health record.
July 14, 2010
Singh H, Wilson L, Reis B, et al. Ten strategies to improve management of abnormal test result alerts in the
electronic health record. J Patient Saf. 2010;6(2):121-123. doi:10.1097/PTS.0b013e3181ddf652…
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psnet.ahrq.gov/node/40081/psn-pdf
December 21, 2014 - Electronic health record adoption by children's hospitals
in the United States.
December 21, 2014
Nakamura MM, Ferris T, DesRoches CM, et al. Electronic health record adoption by children's hospitals in
the United States. Arch Pediatr Adolesc Med. 2010;164(12):1145-51. doi:10.1001/archpediatrics.2010.234.
https://…
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psnet.ahrq.gov/node/38083/psn-pdf
September 24, 2008 - Sources and types of discrepancies between electronic
medical records and actual outpatient medication use.
September 24, 2008
Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient
medication use. J Manag Care Pharm. 2008;14(7):626-631.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/issue/quick-safety
May 30, 2012 - Newsletter/Journal
Quick Safety.
Citation Text:
Quick Safety. Oakbrook Terrace, IL: The Joint Commission.
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August 28, 2024 - Infection After Carpal Tunnel Surgery
August 28, 2024
Szabo RM. Infection After Carpal Tunnel Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
The Case
A woman presented for surgery on her right wrist as a treatment for carpal tunnel syndrome. There were no
repo…
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - SPOTLIGHT CASE
Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations
Citation Text:
Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - Delayed Evaluation of Abdominal Pain in an Elderly Patient.
Citation Text:
Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient.. 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/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - SPOTLIGHT CASE
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression
Citation Text:
Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - In Conversation with Lucy Savitz about Learning Health
Systems for Patient Safety
February 26, 2025
Savitz LA, Sousane Z, Mossburg SE. In Conversation with Lucy Savitz about Learning Health Systems for
Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learnin…
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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - Human Factors Engineering Can Teach You How to Be Surprised Again
John Gosbee, MD, MS | November 1, 2006
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Aga…
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - In Conversation With… Vineet Chopra, MD, MSc
October 30, 2019
Citation Text:
In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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September 27, 2023 - Delayed Evaluation of Abdominal Pain in an Elderly
Patient.
September 27, 2023
Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
The Case
An 85-year-old woman presente…
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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - Miscommunication During the Interhospital Transport of a
Critically Ill Child
August 31, 2022
Rosenthal J, Hamline M. Miscommunication During the Interhospital Transport of a Critically Ill Child.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-c…