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psnet.ahrq.gov/issue/nearing-zeroreducing-grade-c-medication-errors
October 05, 2022 - A performance improvement plan to increase nurse adherence to use of medication safety software
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psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports
March 04, 2020 - July 14, 2010
Patient readmissions, emergency visits, and adverse events after software-assisted
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psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
August 12, 2020 - November 18, 2009
Patient readmissions, emergency visits, and adverse events after software-assisted
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-japan-jade-study
September 25, 2019 - 2019
Analysis of errors in dictated clinical documents assisted by speech recognition software
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psnet.ahrq.gov/issue/increasing-use-smart-pump-drug-libraries-nurses-continuous-quality-improvement-project
September 09, 2020 - A performance improvement plan to increase nurse adherence to use of medication safety software
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psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
April 27, 2019 - A performance improvement plan to increase nurse adherence to use of medication safety software
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psnet.ahrq.gov/issue/testing-technology-acceptance-model-evaluating-healthcare-professionals-intention-use-adverse
March 24, 2019 - 2014
Analysis of errors in dictated clinical documents assisted by speech recognition software
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psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial-success
October 20, 2021 - A performance improvement plan to increase nurse adherence to use of medication safety software
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psnet.ahrq.gov/issue/introduction-discharge-plan-reduce-adverse-events-within-72-hours-discharge-icu
September 16, 2020 - June 29, 2011
Patient readmissions, emergency visits, and adverse events after software-assisted
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psnet.ahrq.gov/issue/medication-administration-errors-nurses-adherence-guidelines
July 08, 2020 - 2009
Analysis of errors in dictated clinical documents assisted by speech recognition software
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psnet.ahrq.gov/issue/culture-trauma-team-relation-human-factors
February 22, 2023 - April 13, 2022
Optimizing the use of dose error reduction software on intravenous infusion
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psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-blame
February 02, 2022 - November 10, 2021
The impact of drug error reduction software on preventing harmful adverse
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psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
May 20, 2020 - November 4, 2020
The impact of drug error reduction software on preventing harmful adverse
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psnet.ahrq.gov/issue/tools-and-methods-quality-improvement-and-patient-safety-perinatal-care
November 16, 2022 - September 23, 2020
Evaluation of drug interaction software to identify alerts for transplant
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psnet.ahrq.gov/issue/all-clear-preparing-it-downtime
November 16, 2022 - Food and Drug Administration Precertification pilot program for digital health software: weighing the
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psnet.ahrq.gov/issue/factors-associated-diagnostic-error-analysis-closed-medical-malpractice-claims
July 13, 2022 - 2017
WebM&M Cases
Falling Between the Cracks in the Software
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psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
December 19, 2016 - A performance improvement plan to increase nurse adherence to use of medication safety software
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psnet.ahrq.gov/issue/ounce-prevention-reduce-errors-hospitals-prescribe-innovative-designs
December 13, 2006 - August 22, 2007
Software for symptoms.
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psnet.ahrq.gov/issue/deep-learning-black-box-health-care-wont-mind
October 31, 2018 - September 1, 2016
Software for symptoms.
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 - Background (2)
• Most American hospitals now have a robust EHR with drug-disease interaction
checking software … clinicians’ work.
32
Approach to Improving Patient Safety (6)
• Health systems can license additional software …
• For example, Kaiser Permanente in California worked with their drug-
disease knowledge software …
• Configuring drug-disease alerts in EHRs is complex, as available
software often leads to excessive