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  1. A prescription for enhancing electronic prescribing safety. | PSNet

    psnet.ahrq.gov/issue/prescription-enhancing-electronic-prescribing-safety
    August 04, 2021 - Commentary A prescription for enhancing electronic prescribing safety. Citation Text: Schiff G, Mirica MM, Dhavle AA, et al. A Prescription For Enhancing Electronic Prescribing Safety. Health Aff (Millwood). 2018;37(11):1877-1883. doi:10.1377/hlthaff.2018.0725. Copy Citation Format…

  2. Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab. | PSNet

    psnet.ahrq.gov/issue/partnership-pathway-diagnostic-excellence-challenges-and-successes-implementing-safer-dx
    April 13, 2022 - Study Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab. Citation Text: Sloane J, Singh H, Upadhyay DK, et al. Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer…

  3. A cognitive task analysis of information management strategies in a computerized provider order entry environment. | PSNet

    psnet.ahrq.gov/issue/cognitive-task-analysis-information-management-strategies-computerized-provider-order-entry
    May 27, 2011 - Study A cognitive task analysis of information management strategies in a computerized provider order entry environment. Citation Text: Weir C, Nebeker JJR, Hicken BL, et al. A cognitive task analysis of information management strategies in a computerized provider order entry environme…

  4. The impact of clinically undiagnosed injuries on survival estimates. | PSNet

    psnet.ahrq.gov/issue/impact-clinically-undiagnosed-injuries-survival-estimates
    April 03, 2024 - Study The impact of clinically undiagnosed injuries on survival estimates. Citation Text: Gedeborg R, Thiblin I, Byberg L, et al. The impact of clinically undiagnosed injuries on survival estimates. Crit Care Med. 2009;37(2). doi:10.1097/ccm.0b013e318194b164. Copy Citation Format…

  5. A "Do No Harm" novel safety checklist and research approach to determine whether to launch an artificial intelligence-based medical technology: introducing the Biological-Psychological, Economic, and Social (BPES) Framework. | PSNet

    psnet.ahrq.gov/issue/do-no-harm-novel-safety-checklist-and-research-approach-determine-whether-launch-artificial
    September 23, 2020 - Commentary A "Do No Harm" novel safety checklist and research approach to determine whether to launch an artificial intelligence-based medical technology: introducing the Biological-Psychological, Economic, and Social (BPES) Framework. Citation Text: Khan WU, Seto E. "Do No Harm" novel s…

  6. CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. | PSNet

    psnet.ahrq.gov/issue/cler-report-findings-2021-subprotocol-operative-and-procedural-areas
    October 18, 2017 - Book/Report CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. Citation Text: CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER Operative an…

  7. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet

    psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication
    July 27, 2018 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…

  8. A systematic review of failures in handoff communication during intrahospital transfers. | PSNet

    psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers
    November 03, 2015 - Review A systematic review of failures in handoff communication during intrahospital transfers. Citation Text: Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. Copy Citation …

  9. A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital. | PSNet

    psnet.ahrq.gov/issue/scoping-review-communication-tools-applicable-patients-and-their-primary-care-providers-after
    December 15, 2021 - Review A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital. Citation Text: Spencer RA, Singh Punia H. A scoping review of communication tools applicable to patients and their primary care providers after discharge …

  10. Adverse events present on arrival to the emergency department: the ED as a dual safety net. | PSNet

    psnet.ahrq.gov/issue/adverse-events-present-arrival-emergency-department-ed-dual-safety-net
    September 30, 2020 - Study Adverse events present on arrival to the emergency department: the ED as a dual safety net. Citation Text: Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-19…

  11. Patient, surgeon, and health care worker safety during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/patient-surgeon-and-health-care-worker-safety-during-covid-19-pandemic
    August 25, 2021 - Commentary Patient, surgeon, and health care worker safety during the COVID-19 pandemic. Citation Text: Hölscher AH. Patient, surgeon, and health care worker safety during the COVID-19 pandemic. Ann Surg. 2021;274(5):681-687. doi:10.1097/sla.0000000000005124. Copy Citation Format: …

  12. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. | PSNet

    psnet.ahrq.gov/issue/impact-comprehensive-safety-initiative-patient-controlled-analgesia-errors
    April 02, 2014 - Study Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Citation Text: Paul JE, Bertram B, Antoni K, et al. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Anesthesiology. 2010;113(6):1427-32. doi:10.1097/ALN.0b013e3…

  13. Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact-computerized-physician
    January 03, 2017 - Study Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention. Citation Text: Hug BL, Witkowski DJ, Sox CM, et al. Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Phys…

  14. Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. | PSNet

    psnet.ahrq.gov/issue/choosing-wisely-clinical-practice-embracing-critical-thinking-striving-safer-care
    February 15, 2023 - Commentary Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. Citation Text: Furlan L, Francesco PD, Costantino G, et al. Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. J Intern Med. 2022;291(4):397-407…

  15. Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. | PSNet

    psnet.ahrq.gov/issue/effect-automated-unit-dose-dispensing-barcode-scanning-medication-administration-errors
    August 10, 2022 - Study Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. Citation Text: Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication a…

  16. Ambulatory computerized prescribing and preventable adverse drug events. | PSNet

    psnet.ahrq.gov/issue/ambulatory-computerized-prescribing-and-preventable-adverse-drug-events
    June 11, 2014 - Study Ambulatory computerized prescribing and preventable adverse drug events. Citation Text: Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194. Copy Citation…

  17. Nurses' perception of medication administration errors and factors associated with their reporting in the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/nurses-perception-medication-administration-errors-and-factors-associated-their-reporting
    December 14, 2022 - Study Nurses' perception of medication administration errors and factors associated with their reporting in the neonatal intensive care unit. Citation Text: Henry Basil J, Premakumar CM, Mhd Ali A, et al. Nurses’ perception of medication administration errors and factors associated with …

  18. An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. | PSNet

    psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent
    March 25, 2021 - Study An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. Citation Text: Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitativ…

  19. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. | PSNet

    psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post-acute-rehabilitation
    March 16, 2022 - Study New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Citation Text: Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-3…

  20. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. | PSNet

    psnet.ahrq.gov/issue/changing-and-sustaining-medical-students-knowledge-skills-and-attitudes-about-patient-safety
    December 19, 2012 - Study Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. Citation Text: Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and …
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