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  1. Comprehensive analysis of a medication dosing error related to CPOE. | PSNet

    psnet.ahrq.gov/issue/comprehensive-analysis-medication-dosing-error-related-cpoe
    June 01, 2005 - Commentary Comprehensive analysis of a medication dosing error related to CPOE. Citation Text: Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740. Copy Citation Fo…

  2. Active-shooter response at a health care facility. | PSNet

    psnet.ahrq.gov/issue/active-shooter-response-health-care-facility
    January 18, 2012 - Commentary Active-shooter response at a health care facility. Citation Text: Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med. 2018;379(6):583-586. doi:10.1056/NEJMms1800582. Copy Citation Format: DOI Google Scholar PubM…

  3. A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. | PSNet

    psnet.ahrq.gov/issue/diagnostic-time-out-improve-differential-diagnosis-pediatric-abdominal-pain
    February 10, 2021 - Study A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Citation Text: Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-…

  4. The impact of resident duty hour and supervision changes: a review. | PSNet

    psnet.ahrq.gov/issue/impact-resident-duty-hour-and-supervision-changes-review
    September 29, 2017 - Review The impact of resident duty hour and supervision changes: a review. Citation Text: Greenberg WE, Borus JF. The Impact of Resident Duty Hour and Supervision Changes: A Review. Harv Rev Psychiatry. 2016;24(1):69-76. doi:10.1097/HRP.0000000000000061. Copy Citation Format: …

  5. Patient safety superheroes in training: using a comic book to teach patient safety to residents. | PSNet

    psnet.ahrq.gov/issue/patient-safety-superheroes-training-using-comic-book-teach-patient-safety-residents
    May 11, 2022 - Study Patient safety superheroes in training: using a comic book to teach patient safety to residents. Citation Text: Maatman TC, Prigmore H, Williams JS, et al. Patient safety superheroes in training: using a comic book to teach patient safety to residents. BMJ Qual Saf. 2019;28(11):934…

  6. Improving communication and resolution following adverse events using a patient-created simulation exercise. | PSNet

    psnet.ahrq.gov/issue/improving-communication-and-resolution-following-adverse-events-using-patient-created
    September 01, 2018 - Study Improving communication and resolution following adverse events using a patient-created simulation exercise. Citation Text: Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise. H…

  7. Disposal of paper records containing personal information in hospitals. | PSNet

    psnet.ahrq.gov/issue/disposal-paper-records-containing-personal-information-hospitals
    March 13, 2024 - Study Disposal of paper records containing personal information in hospitals. Citation Text: Ramjist JK, Coburn N, Urbach DR, et al. Disposal of Paper Records Containing Personal Information in Hospitals. JAMA. 2018;319(11):1162-1163. doi:10.1001/jama.2017.21533. Copy Citation Form…

  8. Overriding of drug safety alerts in computerized physician order entry. | PSNet

    psnet.ahrq.gov/issue/overriding-drug-safety-alerts-computerized-physician-order-entry
    March 04, 2011 - Review Overriding of drug safety alerts in computerized physician order entry. Citation Text: van der Sijs H, Aarts J, Vulto A, et al. Overriding of drug safety alerts in computerized physician order entry. J Am Med Inform Assoc. 2006;13(2):138-47. Copy Citation Format: G…

  9. Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults: the D-PRESCRIBE randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-pharmacist-led-educational-intervention-inappropriate-medication-prescriptions-older
    February 14, 2017 - Study Classic Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults: the D-PRESCRIBE randomized clinical trial. Citation Text: Martin P, Tamblyn R, Benedetti A, et al. Effect of a Pharmacist-Led Educational…

  10. Pharmacist work stress and learning from quality related events. | PSNet

    psnet.ahrq.gov/issue/pharmacist-work-stress-and-learning-quality-related-events
    January 07, 2016 - Study Pharmacist work stress and learning from quality related events. Citation Text: Boyle TA, Bishop A, Morrison B, et al. Pharmacist work stress and learning from quality related events. Res Social Adm Pharm. 2016;12(5):772-83. doi:10.1016/j.sapharm.2015.10.003. Copy Citation Fo…

  11. Effects of CPOE on provider cognitive workload: a randomized crossover trial. | PSNet

    psnet.ahrq.gov/issue/effects-cpoe-provider-cognitive-workload-randomized-crossover-trial
    March 14, 2022 - Study Effects of CPOE on provider cognitive workload: a randomized crossover trial. Citation Text: Avansino J, Leu MG. Effects of CPOE on provider cognitive workload: a randomized crossover trial. Pediatrics. 2012;130(3):e547-52. doi:10.1542/peds.2011-3408. Copy Citation Format: …

  12. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. | PSNet

    psnet.ahrq.gov/issue/scaffolding-our-systems-patients-and-families-reaching-source-healthcare-resilience
    February 23, 2022 - Commentary Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. Citation Text: O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:1…

  13. Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. | PSNet

    psnet.ahrq.gov/issue/opioid-prescribing-after-surgical-extraction-teeth-medicaid-patients-2000-2010
    March 02, 2011 - Study Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. Citation Text: Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058. …

  14. Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? | PSNet

    psnet.ahrq.gov/issue/rating-recommendations-consumers-about-patient-safety-sense-common-sense-or-nonsense
    January 06, 2017 - Study Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Citation Text: Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4…

  15. Clinical outcomes associated with medication regimen complexity in older people: a systematic review. | PSNet

    psnet.ahrq.gov/issue/clinical-outcomes-associated-medication-regimen-complexity-older-people-systematic-review
    March 21, 2012 - Review Clinical outcomes associated with medication regimen complexity in older people: a systematic review. Citation Text: Wimmer BC, Cross AJ, Jokanovic N, et al. Clinical Outcomes Associated with Medication Regimen Complexity in Older People: A Systematic Review. J Am Geriatr Soc. 201…

  16. The computerized rounding report: implementation of a model system to support transitions of care. | PSNet

    psnet.ahrq.gov/issue/computerized-rounding-report-implementation-model-system-support-transitions-care
    October 19, 2022 - Study The computerized rounding report: implementation of a model system to support transitions of care. Citation Text: Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7.…

  17. Communicating critical test results: safe practice recommendations. | PSNet

    psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations
    June 13, 2011 - Study Communicating critical test results: safe practice recommendations. Citation Text: Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80. Copy Citation Format: Google Schol…

  18. 'Bad apples': time to redefine as a type of systems problem? | PSNet

    psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem
    April 19, 2017 - Commentary 'Bad apples': time to redefine as a type of systems problem? Citation Text: Shojania KG, Dixon-Woods M. 'Bad apples': time to redefine as a type of systems problem? BMJ Qual Saf. 2013;22(7):528-531. doi:10.1136/bmjqs-2013-002138. Copy Citation Format: DOI Google …

  19. Considering human factors and developing systems-thinking behaviours to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
    March 01, 2023 - Newspaper/Magazine Article Considering human factors and developing systems-thinking behaviours to ensure patient safety. Citation Text: Considering human factors and developing systems-thinking behaviours to ensure patient safety. Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical H…

  20. Hospital system barriers to rapid response team activation: a cognitive work analysis. | PSNet

    psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis
    September 09, 2015 - Study Hospital system barriers to rapid response team activation: a cognitive work analysis. Citation Text: Braaten JS. CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis. Am J Nurs. 2015;115(2):22-32; test 33; 47. doi:10.1097/01.…
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