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psnet.ahrq.gov/issue/organization-wide-adoption-computerized-provider-order-entry-systems-study-based-diffusion
December 14, 2022 - Study
Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory.
Citation Text:
Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of …
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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…
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psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care
December 29, 2014 - Study
Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center.
Citation Text:
McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…
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psnet.ahrq.gov/issue/infections-and-interaction-rituals-organisation-clinician-accounts-speaking-or-remaining
November 03, 2015 - Study
Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety.
Citation Text:
Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…
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psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-systems
November 09, 2016 - Study
Pharmacists’ perceptions of error reporting systems.
Citation Text:
Hartt CM, Weigand H, MacDonald AJ, et al. Pharmacists’ perceptions of error reporting systems. J Patient Saf Risk Manag. 2024;29(6):268-273. doi:10.1177/25160435241288287.
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psnet.ahrq.gov/issue/what-do-healthcare-staff-think-about-quality-and-safety-care-provided-children-and-young
February 07, 2024 - Study
What do healthcare staff think about the quality and safety of care provided to children and young people with an intellectual disability? A qualitative study using the framework method of analysis.
Citation Text:
Ong N, Lucien A, Long JC, et al. What do healthcare staff think abou…
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psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic
February 13, 2019 - Study
The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department.
Citation Text:
Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a direct observation stud…
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psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
July 16, 2015 - Study
Wrong-side thoracentesis: lessons learned from root cause analysis.
Citation Text:
Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146.
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psnet.ahrq.gov/issue/covid-19-pandemic-patient-safety-new-spring-telemedicine-or-boomerang-effect
April 13, 2022 - Commentary
From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect?
Citation Text:
De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9…
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psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety
May 20, 2020 - Study
Emerging Classic
Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety.
Citation Text:
Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essent…
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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…
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psnet.ahrq.gov/issue/nursing-interventions-reduce-medication-errors-paediatrics-and-neonates-systematic-review-and
November 24, 2021 - Review
Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.
Citation Text:
Marufu TC, Bower R, Hendron E, et al. Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analys…
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psnet.ahrq.gov/issue/medication-errors-during-treatment-new-oral-anticancer-agents-consequences-clinical-practice
April 21, 2021 - Study
Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study.
Citation Text:
Schlichtig K, Dürr P, Dörje F, et al. Medication errors during treatment with new oral anticancer agents: consequences for clinical pract…
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psnet.ahrq.gov/issue/national-drug-shortages-worsen-during-covid-19-crisis-proposal-comprehensive-model-monitor
April 06, 2022 - Commentary
National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address critical drug shortages.
Citation Text:
Piatek OI, Ning JC-min, Touchette DR. National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive mo…
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psnet.ahrq.gov/issue/seven-features-safety-maternity-units-framework-based-multisite-ethnography-and-stakeholder
February 20, 2019 - Study
Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation.
Citation Text:
Liberati EG, Tarrant C, Willars J, et al. Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder con…
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psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct
August 28, 2024 - Study
Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients.
Citation Text:
Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective…
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psnet.ahrq.gov/issue/posttraumatic-growth-and-second-victim-distress-resulting-medical-mishaps-among-physicians
January 12, 2022 - Study
Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses.
Citation Text:
Pado K, Fraus K, Mulhem E, et al. Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. J Clin Psychol Me…
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psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and-academic-medical-center
September 23, 2020 - Study
Automated surveillance for adverse drug events at a community hospital and an academic medical center.
Citation Text:
Kilbridge PM, Campbell UC, Cozart HB, et al. Automated surveillance for adverse drug events at a community hospital and an academic medical center. J Am Med Infor…
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psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-intensive-care-unit
June 30, 2021 - Study
Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit.
Citation Text:
Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. Jt Comm J Qual Patient …
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psnet.ahrq.gov/issue/systemic-safety-inequities-people-learning-disabilities-qualitative-integrative-analysis
June 30, 2021 - Study
Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis of the experiences of English health and social care for people with learning disabilities, their families and carers.
Citation Text:
Ramsey L, Albutt AK, Perfetto K, et al. Systemi…