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  1. Summary and frequency of barriers to adoption of CPOE in the US. | PSNet

    psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
    March 17, 2021 - Review Summary and frequency of barriers to adoption of CPOE in the US. Citation Text: Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. Copy Citation Format: DOI Google Scholar Pub…

  2. Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. | PSNet

    psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
    April 24, 2018 - Study Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. Citation Text: Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors commo…

  3. Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. | PSNet

    psnet.ahrq.gov/issue/fatigue-amongst-anaesthesiology-and-intensive-care-trainees-europe-matter-concern
    June 28, 2023 - Study Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. Citation Text: Abramovich I, Matias B, Norte G, et al. Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. Eur J Anaesthesiol. 2023;40(8):587-595. doi…

  4. A systematic review on pediatric medication errors by parents or caregivers at home. | PSNet

    psnet.ahrq.gov/issue/systematic-review-pediatric-medication-errors-parents-or-caregivers-home
    July 07, 2021 - Review A systematic review on pediatric medication errors by parents or caregivers at home. Citation Text: Lopez-Pineda A, Gonzalez de Dios J, Guilabert Mora M, et al. A systematic review on pediatric medication errors by parents or caregivers at home. Expert Opin Drug Saf. 2021:1-11. do…

  5. AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. | PSNet

    psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative-database-report
    June 08, 2016 - Government Resource AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Citation Text: AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Famolaro T, Yount ND, Greene, K, Hare R, Thorton S, Sorra J. Rockville,…

  6. Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States. | PSNet

    psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united
    December 05, 2012 - Commentary Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States. Citation Text: Njoku A, Evans M, Nimo-Sefah L, et al. Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality…

  7. Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. | PSNet

    psnet.ahrq.gov/issue/barriers-and-enablers-affecting-patient-engagement-managing-medications-within-specialty
    December 12, 2014 - Study Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. Citation Text: Manias E, Rixon S, Williams A, et al. Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. Health …

  8. Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas. | PSNet

    psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-administration-errors-and
    October 26, 2022 - Study Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas. Citation Text: Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication administration errors and a…

  9. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/cost-illness-patient-reported-adverse-drug-events-population-based-cross-sectional-survey
    January 27, 2012 - Study Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. Citation Text: Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open. 2013;3(6).…

  10. The Harvard Medical Practice Study trigger system performance in deceased patients. | PSNet

    psnet.ahrq.gov/issue/harvard-medical-practice-study-trigger-system-performance-deceased-patients
    March 02, 2022 - Study The Harvard Medical Practice Study trigger system performance in deceased patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. The Harvard medical practice study trigger system performance in deceased patients. BMC Health Serv Res. 2019;19(1):16. doi:10.1186/s129…

  11. Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. | PSNet

    psnet.ahrq.gov/issue/association-health-literacy-postoperative-outcomes-patients-undergoing-major-abdominal
    May 08, 2017 - Study Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. Citation Text: Wright JP, Edwards GC, Goggins K, et al. Association of Health Literacy With Postoperative Outcomes in Patients Undergoing Major Abdominal Surgery. JAMA Surg. 2…

  12. Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/stop-orders-reduce-inappropriate-urinary-catheterization-hospitalized-patients-randomized
    February 23, 2022 - Study Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial. Citation Text: Loeb M, Hunt D, O'Halloran K, et al. Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled t…

  13. Reducing treatment errors through point-of-care glucometer configuration. | PSNet

    psnet.ahrq.gov/issue/reducing-treatment-errors-through-point-care-glucometer-configuration
    September 23, 2020 - Study Reducing treatment errors through point-of-care glucometer configuration. Citation Text: Estock JL, Pham I-T, Curinga HK, et al. Reducing Treatment Errors Through Point-of-Care Glucometer Configuration. Jt Comm J Qual Patient Saf. 2018;44(11):683-694. doi:10.1016/j.jcjq.2018.03.014…

  14. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. | PSNet

    psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis
    June 19, 2019 - Review Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. Citation Text: Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis …

  15. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. | PSNet

    psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity-mortality-or
    February 12, 2020 - Study Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. Citation Text: Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. J …

  16. Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. | PSNet

    psnet.ahrq.gov/issue/clinical-profile-hospitalized-children-provided-urgent-assistance-medical-emergency-team
    February 01, 2011 - Study Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Citation Text: Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Pediatrics. 20…

  17. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/understanding-attitudes-hospital-pharmacists-reporting-medication-incidents-qualitative-study
    September 04, 2016 - Study Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Citation Text: Williams SD, Phipps D, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Res Social Adm…

  18. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. | PSNet

    psnet.ahrq.gov/issue/application-digital-quality-measure-cancer-diagnosis-epic-cosmos
    November 13, 2024 - Study Application of a digital quality measure for cancer diagnosis in Epic Cosmos. Citation Text: Zimolzak AJ, Khan SP, Singh H, et al. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. J Am Med Inform Assoc. 2025;32(1):227-229. doi:10.1093/jamia/ocae253. C…

  19. Developing and evaluating large language model-generated emergency medicine handoff notes. | PSNet

    psnet.ahrq.gov/issue/developing-and-evaluating-large-language-model-generated-emergency-medicine-handoff-notes
    March 12, 2025 - Study Developing and evaluating large language model-generated emergency medicine handoff notes. Citation Text: Hartman V, Zhang X, Poddar R, et al. Developing and evaluating large language model-generated emergency medicine handoff notes. JAMA Netw Open. 2024;7(12):e2448723. doi:10.1001…

  20. Reducing diagnostic errors in the emergency department at the time of patient treatment. | PSNet

    psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment
    August 26, 2020 - Study Reducing diagnostic errors in the emergency department at the time of patient treatment. Citation Text: Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…
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