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psnet.ahrq.gov/node/36279/psn-pdf
May 27, 2011 - Evaluation of laboratory monitoring alerts within a
computerized physician order entry system for
medication orders.
May 27, 2011
Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized
physician order entry system for medication orders. Am J Manag Care. 2006;12(7):389…
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psnet.ahrq.gov/node/73364/psn-pdf
January 01, 2022 - Impact of opioid administration in the intensive care unit
and subsequent use in opioid-naïve patients.
June 9, 2021
Krancevich NM, Belfer JJ, Draper HM, et al. Impact of opioid administration in the intensive care unit and
subsequent use in opioid-naïve patients. Ann Pharmacother. 2022;56(1):52-59.
doi:10.1177/10…
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psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care
setting.
January 2, 2017
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/36201/psn-pdf
July 10, 2008 - US and Canadian physicians' attitudes and experiences
regarding disclosing errors to patients.
July 10, 2008
Gallagher TH, Waterman AD, Garbutt J, et al. US and Canadian physicians' attitudes and experiences
regarding disclosing errors to patients. Arch Intern Med. 2006;166(15):1605-11.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/46064/psn-pdf
April 19, 2017 - Prognosis of undiagnosed chest pain: linked electronic
health record cohort study.
April 19, 2017
Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record
cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194.
https://psnet.ahrq.gov/issue/prognosis-undiagnosed-ch…
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psnet.ahrq.gov/node/45891/psn-pdf
October 11, 2017 - Extent of diagnostic agreement among medical referrals.
October 11, 2017
Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval
Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747.
https://psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
Diagn…
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psnet.ahrq.gov/node/41993/psn-pdf
April 21, 2015 - Simulation-based trial of surgical-crisis checklists.
April 21, 2015
Arriaga AF, Bader AM, Wong JM, et al. Simulation-based trial of surgical-crisis checklists. N Engl J Med.
2013;368(3):246-53. doi:10.1056/NEJMsa1204720.
https://psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists
Surgical check…
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psnet.ahrq.gov/node/44042/psn-pdf
November 03, 2015 - Deployment of rapid response teams by 31 hospitals in a
statewide collaborative.
November 3, 2015
Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative.
Jt Comm J Qual Patient Saf. 2015;41(4):186-191.
https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-…
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psnet.ahrq.gov/node/866643/psn-pdf
September 04, 2024 - Three scans are better than two for follow-up: an
automatic method for finding missed and misidentified
lesions in cross-sectional follow-up of oncology patients.
September 4, 2024
Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic
method for finding missed and…
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psnet.ahrq.gov/node/38877/psn-pdf
April 08, 2011 - Computerized order entry with limited decision support to
prevent prescription errors in a PICU.
April 8, 2011
Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to
prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-940. doi:10.1542/peds.2008-2737.
https…
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psnet.ahrq.gov/node/41437/psn-pdf
January 03, 2017 - Making the transition to nursing bedside shift reports.
January 3, 2017
Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J
Qual Patient Saf. 2012;38(6):243-53.
https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
Efforts to improve comm…
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psnet.ahrq.gov/node/36208/psn-pdf
January 05, 2017 - Implementing computerized provider order entry with an
existing clinical information system.
January 5, 2017
Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing
clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-16.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/42047/psn-pdf
March 18, 2013 - Do you have to re-examine to reconsider your diagnosis?
Checklists and cardiac exam.
March 18, 2013
Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis?
Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-2012-001537.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/41404/psn-pdf
December 31, 2014 - Effects of an online personal health record on medication
accuracy and safety: a cluster-randomized trial.
December 31, 2014
Schnipper JL, Gandhi TK, Wald JS, et al. Effects of an online personal health record on medication
accuracy and safety: a cluster-randomized trial. J Am Med Inform Assoc. 2012;19(5):728-34.
…
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psnet.ahrq.gov/node/47900/psn-pdf
January 01, 2021 - Is physician mentorship associated with the occurrence
of adverse patient safety events?
April 10, 2019
Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of
Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637.
doi:10.1097/PTS.0000000000000592.
https://p…
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psnet.ahrq.gov/node/866908/psn-pdf
October 09, 2024 - Risk factors for wrong-site surgery: a study of 1,166
reports of informed consent and schedule errors.
October 9, 2024
Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent
and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.33940/001c.117084.
https://psnet…
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psnet.ahrq.gov/node/43193/psn-pdf
June 17, 2014 - Risks in the implementation and use of smart pumps in a
pediatric intensive care unit: application of the failure
mode and effects analysis.
June 17, 2014
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of
smart pumps in a pediatric intensive care unit: applicati…
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psnet.ahrq.gov/node/42836/psn-pdf
January 08, 2014 - Comparison of medication safety effectiveness among
nine critical access hospitals.
January 8, 2014
Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access
hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067.
https://psnet.ahrq.gov/issue/comparis…
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psnet.ahrq.gov/node/42710/psn-pdf
December 29, 2014 - Impact of electronic chemotherapy order forms on
prescribing errors at an urban medical center: results
from an interrupted time-series analysis.
December 29, 2014
Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing
errors at an urban medical center: results from a…
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psnet.ahrq.gov/node/44699/psn-pdf
December 16, 2015 - Suicide attempts after emergency room visits: the effect
of patient safety goals.
December 16, 2015
Robst J. Suicide Attempts After Emergency Room Visits: The Effect of Patient Safety Goals. Psych Q.
2015;86(4):497-504. doi:10.1007/s11126-015-9345-7.
https://psnet.ahrq.gov/issue/suicide-attempts-after-emergency-ro…