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psnet.ahrq.gov/issue/reduction-chemotherapy-order-errors-computerised-physician-order-entry-and-clinical-decision
October 22, 2014 - Study
Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems.
Citation Text:
Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44.
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psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review
July 22, 2020 - Review
Second victims and mindfulness: a systematic review.
Citation Text:
S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176.
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psnet.ahrq.gov/issue/cluster-randomized-clinical-trial-improve-prescribing-patterns-ambulatory-pediatrics
April 04, 2011 - Study
A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics.
Citation Text:
Davis RL, Wright J, Chalmers F, et al. A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics. PLoS Clin Trials. 2007;2(5):e25.
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psnet.ahrq.gov/issue/reduced-verification-medication-alerts-increases-prescribing-errors
January 09, 2019 - Study
Reduced verification of medication alerts increases prescribing errors.
Citation Text:
Lyell D, Magrabi F, Coiera E. Reduced Verification of Medication Alerts Increases Prescribing Errors. Appl Clin Inform. 2019;10(1):66-76. doi:10.1055/s-0038-1677009.
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psnet.ahrq.gov/issue/inside-closed-loop-medication-strategy-medication-management-targets-stages-which-errors
January 30, 2013 - Study
Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step.
Citation Text:
Williams CT. Inside a closed-loop medication strategy. Nurs Manag. 2004;35 Suppl 5:8-9, 24.
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psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
February 04, 2018 - Study
Guided prescription of psychotropic medications for geriatric inpatients.
Citation Text:
Peterson JF, Kuperman GJ, Shek C, et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005;165(7):802-7.
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - In Conversation with…David W. Bates, MD, MSc
May 1, 2008
Also Read an Essay
Citation Text:
In Conversation with…David W. Bates, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008…
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psnet.ahrq.gov/node/43704/psn-pdf
November 26, 2014 - Magnet in Support of Patient Safety.
November 26, 2014
Lewis L, ed. J Nurs Adm. 2014;44(suppl 10):S1-S53.
https://psnet.ahrq.gov/issue/magnet-support-patient-safety
The Magnet Hospital Program recognizes hospitals with a track record of maintaining an excellent work
environment for nurses. Articles in this special…
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psnet.ahrq.gov/node/72829/psn-pdf
March 10, 2021 - Safe Practices to Reduce CPOE Alert Fatigue through
Monitoring, Analysis, and Optimization.
March 10, 2021
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021.
https://psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and-
optimization
Alert…
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psnet.ahrq.gov/node/33818/psn-pdf
November 01, 2016 - In Conversation With… Andrew Bindman, MD
November 1, 2016
In Conversation With… Andrew Bindman, MD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
Editor's note: Dr. Bindman was appointed as Director of the Agency for Healthcare Research and Quality
(AHRQ) in May 2016. P…
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psnet.ahrq.gov/node/843328/psn-pdf
February 01, 2023 - Self-assessment and learning motivation in the second
victim phenomenon.
February 1, 2023
Bushuven S, Trifunovic-Koenig M, Bentele M, et al. Self-assessment and learning motivation in the second
victim phenomenon. Int J Environ Res Public Health. 2022;19(23):16016. doi:10.3390/ijerph192316016.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/866324/psn-pdf
July 17, 2024 - Total systems safety supports practitioners in partnering
with families to protect patients.
July 17, 2024
ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4.
https://psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
Patient and family concerns can provide…
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psnet.ahrq.gov/node/42656/psn-pdf
April 21, 2015 - Improving quality and safety of care using
"technovigilance": an ethnographic case study of
secondary use of data from an electronic prescribing and
decision support system.
April 21, 2015
Dixon-Woods M, Redwood S, Leslie M, et al. Improving quality and safety of care using "technovigilance":
an ethnographic case…
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psnet.ahrq.gov/node/48124/psn-pdf
July 31, 2019 - Medication safety alert fatigue may be reduced via
interaction design and clinical role tailoring: a systematic
review.
July 31, 2019
Hussain MI, Reynolds TL, Zheng K. Medication safety alert fatigue may be reduced via interaction design
and clinical role tailoring: a systematic review. J Am Med Inform Assoc. 2019…
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psnet.ahrq.gov/node/48171/psn-pdf
August 21, 2019 - Reducing drug prescription errors and adverse drug
events by application of a probabilistic, machine-learning
based clinical decision support system in an inpatient
setting.
August 21, 2019
Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by application
of a probabilistic…
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psnet.ahrq.gov/node/44493/psn-pdf
September 19, 2016 - Interventions in health organisations to reduce the impact
of adverse events in second and third victims.
September 19, 2016
Mira JJ, Lorenzo S, Carrillo I, et al. Interventions in health organisations to reduce the impact of adverse
events in second and third victims. BMC Health Serv Res. 2015;15:341. doi:10.1186/…
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psnet.ahrq.gov/node/844774/psn-pdf
September 11, 2019 - Advances in Human Factors and Ergonomics in
Healthcare and Medical Devices.
September 11, 2019
Lightner NJ, Kalra J, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030204501.
https://psnet.ahrq.gov/issue/advances-human-factors-and-ergonomics-healthcare-and-medical-devices
Human-centered processes, techno…
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psnet.ahrq.gov/issue/suffering-silence-medical-error-and-its-impact-health-care-providers
December 12, 2014 - Review
Suffering in silence: medical error and its impact on health care providers.
Citation Text:
Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J Emerg Med. 2018;54(4). doi:10.1016/j.jemermed.2017.12.001.
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psnet.ahrq.gov/issue/trial-automated-decision-support-alerts-contraindicated-medications-using-computerized
May 20, 2019 - Study
A trial of automated decision support alerts for contraindicated medications using computerized physician order entry.
Citation Text:
Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated medications using computerized physician…
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psnet.ahrq.gov/issue/essential-activities-electronic-health-record-safety-qualitative-study
April 29, 2018 - Study
Essential activities for electronic health record safety: a qualitative study.
Citation Text:
Ash JS, Singh H, Wright A, et al. Essential activities for electronic health record safety: A qualitative study. Health Informatics J. 2019:1460458219833109. doi:10.1177/1460458219833109. …