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Missing clinical and behavioral health data in a large electronic health record (EHR) system. | PSNet

psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system

July 19, 2023 - Study Missing clinical and behavioral health data in a large electronic health record (EHR) system. Citation Text: Madden JM, Lakoma MD, Rusinak D, et al. Missing clinical and behavioral health data in a large electronic health record (EHR) system. J Am Med Info Asso. 2016;23(6):1143-114…

We will not compete on safety: how children's hospitals have come together to hasten harm reduction. | PSNet

psnet.ahrq.gov/issue/we-will-not-compete-safety-how-childrens-hospitals-have-come-together-hasten-harm-reduction

August 10, 2022 - Study We will not compete on safety: how children's hospitals have come together to hasten harm reduction. Citation Text: Lyren A, Coffey M, Shepherd M, et al. We Will Not Compete on Safety: How Children's Hospitals Have Come Together to Hasten Harm Reduction. Jt Comm J Qual Patient Saf.…

Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement

June 07, 2023 - Study Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. Citation Text: Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement projec…

Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. | PSNet

psnet.ahrq.gov/issue/physician-order-entry-or-nurse-order-entry-comparison-two-implementation-strategies

February 23, 2009 - Study Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. Citation Text: Kazemi A, Fors UGH, Tofighi S, et al. Physician order entry or nurse order entry? Comparison of…

Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. | PSNet

psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals

February 17, 2021 - Study Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Citation Text: Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Am J Health Syst Pharm. 2010;6…

Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program. | PSNet

psnet.ahrq.gov/issue/reducing-serious-safety-events-and-priority-hospital-acquired-conditions-pediatric-hospital

July 19, 2023 - Study Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program. Citation Text: Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in…

Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests. | PSNet

psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital-reduced-cardiac

January 02, 2017 - Study Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests. Citation Text: Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anes…

Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. | PSNet

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June 23, 2021 - Study Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. Citation Text: Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospectiv…

Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. | PSNet

psnet.ahrq.gov/issue/two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-associated-events

January 15, 2014 - Study Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. Citation Text: Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):120…

Variation in electronic test results management and its implications for patient safety: a multisite investigation. | PSNet

psnet.ahrq.gov/issue/variation-electronic-test-results-management-and-its-implications-patient-safety-multisite

June 02, 2021 - Study Variation in electronic test results management and its implications for patient safety: a multisite investigation. Citation Text: Thomas J, Dahm MR, Li J, et al. Variation in electronic test results management and its implications for patient safety: a multisite investigation. J A…

Using a network organisational architecture to support the development of Learning Healthcare Systems. | PSNet

psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems

December 02, 2014 - Study Using a network organisational architecture to support the development of Learning Healthcare Systems. Citation Text: Britto MT, Fuller SC, Kaplan HC, et al. Using a network organisational architecture to support the development of Learning Healthcare Systems. BMJ Qual Saf. 2018;27…

Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. | PSNet

psnet.ahrq.gov/issue/interventions-designed-improve-safety-and-quality-therapeutic-anticoagulation-inpatient

March 27, 2024 - Review Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. Citation Text: Austin J, Barras M, Sullivan C. Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient…

Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review. | PSNet

psnet.ahrq.gov/issue/medication-errors-related-computerized-provider-order-entry-systems-hospitals-and-how-they

April 07, 2021 - Review Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review. Citation Text: Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry systems in hospitals and how the…

Effective implementation of work-hour limits and systemic improvements. | PSNet

psnet.ahrq.gov/issue/effective-implementation-work-hour-limits-and-systemic-improvements

September 28, 2010 - Study Classic Effective implementation of work-hour limits and systemic improvements. Citation Text: Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl…

Emergency hospitalizations for adverse drug events in older Americans. | PSNet

psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans

October 20, 2021 - Study Classic Emergency hospitalizations for adverse drug events in older Americans. Citation Text: Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10…

Prevention of prescription opioid misuse and projected overdose deaths in the United States. | PSNet

psnet.ahrq.gov/issue/prevention-prescription-opioid-misuse-and-projected-overdose-deaths-united-states

August 04, 2021 - Study Classic Prevention of prescription opioid misuse and projected overdose deaths in the United States. Citation Text: Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. JAMA N…

An intervention to decrease narcotic-related adverse drug events in children's hospitals. | PSNet

psnet.ahrq.gov/issue/intervention-decrease-narcotic-related-adverse-drug-events-childrens-hospitals

April 11, 2011 - Study An intervention to decrease narcotic-related adverse drug events in children's hospitals. Citation Text: Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1…

Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting. | PSNet

psnet.ahrq.gov/issue/application-human-factors-methods-ensure-appropriate-infant-identification-and-abduction

April 27, 2022 - Commentary Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting. Citation Text: Webster KLW, Stikes R, Bunnell L, et al. Application of human factors methods to ensure appropriate infant identification and a…

Errors, omissions, and outliers in hourly vital signs measurements in intensive care. | PSNet

psnet.ahrq.gov/issue/errors-omissions-and-outliers-hourly-vital-signs-measurements-intensive-care

June 20, 2011 - Study Errors, omissions, and outliers in hourly vital signs measurements in intensive care. Citation Text: Maslove DM, Dubin JA, Shrivats A, et al. Errors, Omissions, and Outliers in Hourly Vital Signs Measurements in Intensive Care. Crit Care Med. 2016;44(11):e1021-e1030. Copy Citatio…

What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. | PSNet

psnet.ahrq.gov/issue/what-attributes-patients-affect-their-involvement-safety-key-opinion-leaders-perspective

June 02, 2010 - Study What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. Citation Text: Buetow S, Davis R, Callaghan K, et al. What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. BMJ Open. 2013;3(8):e003104.…

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