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psnet.ahrq.gov/node/42946/psn-pdf
January 07, 2015 - Evaluation of medium-term consequences of
implementing commercial computerized physician order
entry and clinical decision support prescribing systems in
two 'early adopter' hospitals.
January 7, 2015
Cresswell K, Bates DW, Williams R, et al. Evaluation of medium-term consequences of implementing
commercial compu…
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psnet.ahrq.gov/node/73333/psn-pdf
June 03, 2021 - TeleDx: How is Telemedicine Working - and not Working -
to Support Diagnosis?
May 26, 2021
Society to Improve Diagnosis in Medicine. June 3, 2021.
https://psnet.ahrq.gov/issue/teledx-how-telemedicine-working-and-not-working-support-diagnosis
The use of telemedicine has expanded during the COVID-19 pandemic in…
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psnet.ahrq.gov/node/838028/psn-pdf
September 15, 2022 - Creating a Communication Coaching Structure and
Support for your CRP Program.
September 7, 2022
Collaborative for Accountability and Improvement. September 15, 2022.
https://psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program
Communication and resolution program (CRP) succes…
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psnet.ahrq.gov/node/866531/psn-pdf
August 14, 2024 - The Impact of Artificial Intelligence (AI) on the Safety of
Patients.
August 14, 2024
Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. .
https://psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients
Artificial intelligence (AI) is rapidly …
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psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 2019 - Emerging Safety Issues in Artificial Intelligence
Robert Challen, MA, MBBS | July 1, 2019
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Citation Text:
Challen R. Emerging Safety Issues in Artificial Intelligence. PSNet [internet]. Rockville (MD): Agency for Healthcare…
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psnet.ahrq.gov/issue/medical-error-second-victim-0
February 17, 2017 - Commentary
Medical error: the second victim.
Citation Text:
McCay L, Wu AW. Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148.
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Do…
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psnet.ahrq.gov/issue/meeting-moment-addressing-barriers-and-facilitating-clinical-adoption-artificial-intelligence
September 19, 2018 - Book/Report
Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis.
Citation Text:
Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. Adler-Milstei…
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psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and-improve
July 22, 2024 - Meeting/Conference Proceedings
Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety.
Citation Text:
Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Agency for Healthcare Research a…
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psnet.ahrq.gov/issue/improving-patient-safety-intersection-safety-culture-clinician-and-staff-support-and-patient
April 15, 2015 - Book/Report
Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations.
Citation Text:
Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations. Miller RG, …
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psnet.ahrq.gov/issue/drug-shortages-and-clinicians-no-time-complacency
February 26, 2009 - Commentary
Drug shortages and clinicians: no time for complacency.
Citation Text:
Rochon P, Gurwitz JH. Drug shortages and clinicians: no time for complacency. Arch Intern Med. 2012;172(19):1499-500.
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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations
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psnet.ahrq.gov/node/49778/psn-pdf
December 01, 2016 - One Dose, Two Errors
December 1, 2016
Filice GA. One Dose, Two Errors. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/one-dose-two-errors
The Case
A 65-year-old woman was admitted to the intensive care unit (ICU) with severe sepsis and respiratory
failure secondary to community-acquired pneumonia. The pati…
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents
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July 28, 2021
Innovation
Contact
…
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psnet.ahrq.gov/node/47829/psn-pdf
March 27, 2019 - The impact of internal service quality on preventable
adverse events in hospitals.
March 27, 2019
Zheng S, Tucker AL, Ren ZJ, et al. The Impact of Internal Service Quality on Preventable Adverse Events
in Hospitals. Production Operations Manag. 2017;27(12):2201-2212. doi:10.1111/poms.12758.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/41118/psn-pdf
February 08, 2012 - Preventability of adverse drug events involving multiple
drugs using publicly available clinical decision support
tools.
February 8, 2012
Wright A, Feblowitz J, Phansalkar S, et al. Preventability of adverse drug events involving multiple drugs
using publicly available clinical decision support tools. Am J Health …
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psnet.ahrq.gov/node/35286/psn-pdf
February 24, 2011 - Outpatient prescribing errors and the impact of
computerized prescribing.
February 24, 2011
Gandhi TK, Weingart SN, Seger AC, et al. Outpatient prescribing errors and the impact of computerized
prescribing. J Gen Intern Med. 2005;20(9):837-841. doi:10.1111/j.1525-1497.2005.0194.x.
https://psnet.ahrq.gov/issue/outp…
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psnet.ahrq.gov/node/39603/psn-pdf
February 16, 2011 - The Schwartz Center Rounds: evaluation of an
interdisciplinary approach to enhancing patient-centered
communication, teamwork, and provider support.
February 16, 2011
Lown BA, Manning CF. The Schwartz Center Rounds: evaluation of an interdisciplinary approach to
enhancing patient-centered communication, teamwork, …
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psnet.ahrq.gov/node/46213/psn-pdf
June 28, 2017 - The second victim: a review.
June 28, 2017
Coughlan B, Powell D, Higgins MF. The Second Victim: a Review. Eur J Obstet Gynecol Reprod Biol.
2017;213:11-16. doi:10.1016/j.ejogrb.2017.04.002.
https://psnet.ahrq.gov/issue/second-victim-review
Maternity care is a high-risk environment. This review discusses second vic…
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psnet.ahrq.gov/issue/effects-healthcare-organization-actions-and-policies-related-covid-19-perceived
March 24, 2021 - Study
Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national study.
Citation Text:
Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to COVID-19 on…
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psnet.ahrq.gov/issue/exploring-roots-unintended-safety-threats-associated-introduction-hospital-eprescribing
December 21, 2022 - Study
Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study.
Citation Text:
Mozaffar H, Cresswell K, Williams R, et al. Exploring the roots of unintended…