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psnet.ahrq.gov/node/60578/psn-pdf
June 10, 2020 - Patient safety threats in information management using
health information technology in ambulatory cancer care:
an exploratory, prospective study.
June 10, 2020
Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using
health information technology in ambulatory cancer care: …
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psnet.ahrq.gov/node/837302/psn-pdf
June 01, 2022 - An objective framework for evaluating unrecognized bias
in medical AI models predicting COVID-19 outcomes.
June 1, 2022
Estiri H, Strasser ZH, Rashidian S, et al. An objective framework for evaluating unrecognized bias in
medical AI models predicting COVID-19 outcomes. J Am Med Inform Assoc. 2022;29(8):1334–1341.
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psnet.ahrq.gov/node/43205/psn-pdf
April 04, 2018 - Placing Diagnosis Errors on the Policy Agenda.
April 4, 2018
Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood
Johnson Foundation; 2014.
https://psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
This comprehensive policy brief emphasizes the importance of addre…
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psnet.ahrq.gov/node/74832/psn-pdf
February 16, 2022 - Preventable adverse events in obstetrics: systemic
assessment of their incidence and linked risk factors.
February 16, 2022
Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic
assessment of their incidence and linked risk factors. Healthcare (Basel). 2022;10(1):97.
doi:10.…
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psnet.ahrq.gov/node/858169/psn-pdf
December 13, 2023 - Nosocomial SARS-CoV-2 infections and mortality during
unique COVID-19 epidemic waves.
December 13, 2023
Dave N, Sjöholm D, Hedberg P, et al. Nosocomial SARS-CoV-2 infections and mortality during unique
COVID-19 epidemic waves. JAMA Netw Open. 2023;6(11):e2341936.
doi:10.1001/jamanetworkopen.2023.41936.
https://ps…
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psnet.ahrq.gov/node/36486/psn-pdf
June 13, 2011 - Design and implementation of an application and
associated services to support interdisciplinary
medication reconciliation efforts at an integrated
healthcare delivery network.
June 13, 2011
Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and Associated
Services to Support Inte…
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psnet.ahrq.gov/node/40364/psn-pdf
July 01, 2011 - Utilising improvement science methods to optimise
medication reconciliation.
April 13, 2011
White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise
medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845.
https://psnet.ahrq.gov/issue/utilising-…
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psnet.ahrq.gov/node/866556/psn-pdf
August 21, 2024 - Digital maturity as a predictor of quality and safety
outcomes in US hospitals: cross-sectional observational
study.
August 21, 2024
Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in
US hospitals: cross-sectional observational study. J Med Internet Res. 2024…
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psnet.ahrq.gov/node/841144/psn-pdf
December 07, 2022 - Using community detection techniques to identify themes
in COVID-19-related patient safety event reports.
December 7, 2022
Boxley C, Krevat SA, Sengupta S, et al. Using community detection techniques to identify themes in
COVID-19-related patient safety event reports. J Patient Saf. 2022;18(8):e1196-e1202.
doi:10.…
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psnet.ahrq.gov/node/73159/psn-pdf
April 21, 2021 - Drug-drug interactions and prescription appropriateness
at hospital discharge: experience with COVID-19 patients.
April 21, 2021
Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at
hospital discharge: experience with COVID-19 patients. Drugs Aging. 2021;38(4):341-346…
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psnet.ahrq.gov/node/73662/psn-pdf
September 01, 2021 - Trauma Resuscitation Using in situ Simulation Team
Training (TRUST) study: latent safety threat evaluation
using framework analysis and video review.
September 1, 2021
Petrosoniak A, Fan M, Hicks CM, et al. Trauma Resuscitation Using in situ Simulation Team Training
(TRUST) study: latent safety threat evaluation u…
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psnet.ahrq.gov/node/836921/psn-pdf
April 13, 2022 - Inviting patients to identify diagnostic concerns through
structured evaluation of their online visit notes.
April 13, 2022
Giardina TD, Choi DT, Upadhyay DK, et al. Inviting patients to identify diagnostic concerns through
structured evaluation of their online visit notes. J Am Med Inform Assoc. 2022;29(6):1091-11…
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psnet.ahrq.gov/node/46436/psn-pdf
May 30, 2018 - Effect of number of open charts on intercepted wrong-
patient medication orders in an emergency department.
May 30, 2018
Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-
patient medication orders in an emergency department. J Am Med Inform Assoc. 2018;25(6):739-7…
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psnet.ahrq.gov/node/61039/psn-pdf
October 21, 2020 - A machine learning-based clinical decision support
system to identify prescriptions with a high risk of
medication error.
October 21, 2020
Corny J, Rajkumar A, Martin O, et al. A machine learning–based clinical decision support system to identify
prescriptions with a high risk of medication error. J Am Med Inform …
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psnet.ahrq.gov/node/73095/psn-pdf
March 31, 2021 - Work effort, readability and quality of pharmacy
transcription of patient directions from electronic
prescriptions: a retrospective observational cohort
analysis.
March 31, 2021
Zheng Y, Jiang Y, Dorsch MP, et al. Work effort, readability and quality of pharmacy transcription of patient
directions from electronic…
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psnet.ahrq.gov/node/73251/psn-pdf
May 12, 2021 - Preventable morbidity and mortality among non-trauma
emergency surgery patients: the role of personal
performance and system flaws in adverse events.
May 12, 2021
Velmahos CS, Kokoroskos N, Tarabanis C, et al. Preventable morbidity and mortality among non-trauma
emergency surgery patients: the role of personal per…
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psnet.ahrq.gov/node/842429/psn-pdf
January 11, 2023 - How timely is diagnosis of lung cancer? Cohort study of
individuals with lung cancer presenting in ambulatory
care in the United States.
January 11, 2023
Zigman Suchsland M, Kowalski L, Burkhardt HA, et al. How timely is diagnosis of lung cancer? Cohort
study of individuals with lung cancer presenting in ambulator…
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psnet.ahrq.gov/node/43013/psn-pdf
March 12, 2014 - Laboratory test ordering and results management
systems: a qualitative study of safety risks identified by
administrators in general practice.
March 12, 2014
Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study
of safety risks identified by administrators in gene…
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psnet.ahrq.gov/node/844539/psn-pdf
February 15, 2023 - Partnering with patients and families living with chronic
conditions to coproduce diagnostic safety through
OurDX: a previsit online engagement tool.
February 15, 2023
Bell SK, Dong ZJ, DesRoches CM, et al. Partnering with patients and families living with chronic conditions
to coproduce diagnostic safety through …
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psnet.ahrq.gov/node/37927/psn-pdf
March 10, 2011 - A randomized trial of electronic clinical reminders to
improve medication laboratory monitoring.
March 10, 2011
Matheny ME, Sequist TD, Seger AC, et al. A randomized trial of electronic clinical reminders to improve
medication laboratory monitoring. J Am Med Inform Assoc. 2008;15(4):424-9. doi:10.1197/jamia.M2602.
…