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psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error-rates-and
August 26, 2020 - Review
Emerging Classic
How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis.
Citation Text:
Gates PJ, Hardie R-A, Raban MZ, et al. How effective a…
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psnet.ahrq.gov/issue/use-artificial-intelligence-optimize-medication-alerts-generated-clinical-decision-support
May 26, 2021 - February 21, 2024
Anaesthesia and patient safety in the socio-technical operating theatre
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psnet.ahrq.gov/issue/unscheduled-radiologic-examination-orders-electronic-health-record-novel-resource-targeting
March 30, 2022 - September 26, 2012
Compliance to technical guidelines for radiotherapy treatment in relation
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psnet.ahrq.gov/issue/emotional-responses-and-support-needs-healthcare-professionals-after-adverse-or-traumatic
April 03, 2019 - June 11, 2014
Socio-technical issues and challenges in implementing safe patient handovers
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psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
February 15, 2023 - Study
Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement.
Citation Text:
Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…
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psnet.ahrq.gov/issue/thematic-analysis-nurses-experiences-joint-commissions-medication-management-titration
November 03, 2021 - March 1, 2017
Technical Evaluation, Testing, and Validation of the Usability of Electronic
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psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication
March 17, 2021 - Study
The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support.
Citation Text:
Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - Offer
assistance with filling out forms and training on the patient portal. … strategies8 such as determining patient
access to technology, promoting technology adoption, and offering technical
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psnet.ahrq.gov/issue/classifying-safety-events-related-diagnostic-imaging-safety-reporting-system-using-human
November 02, 2018 - June 4, 2014
Compliance to technical guidelines for radiotherapy treatment in relation
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psnet.ahrq.gov/issue/adapting-new-technologies-operating-room
January 16, 2017 - Study
Classic
Adapting to new technologies in the operating room.
Citation Text:
Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593-613. doi:10.1518/001872096778827224.
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psnet.ahrq.gov/issue/squire-guidelines-evaluation-field-5-years-post-release
November 18, 2016 - November 5, 2015
Technical Evaluation, Testing, and Validation of the Usability of Electronic
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psnet.ahrq.gov/issue/usability-computerised-drug-monitoring-programme-detect-adverse-drug-events-and-non
December 21, 2014 - system only reached 70% of patients despite multiple events, and elderly patients in particular had more technical
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - federal health care quality and patient safety projects, most recently supporting CMS in providing technical … assistance to small, underserved and rural clinicians participating in the Quality Payment Program.
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Approach to Improving Systemic Safety: Non-technical Considerations
Even with implementation of all … In these situations, non-technical skills like team communication become crucial for saving lives. … and non-technical skills such as communication, leadership, and teamwork. 22 For example, utilization … aspects of endoscopy and resuscitation, but also the non-technical aspects such as communication. … Technical steps like using appropriate monitoring, minimizing insufflation and dilation pressures to
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psnet.ahrq.gov/issue/systematic-review-effectiveness-interruptive-medication-prescribing-alerts-hospital-cpoe
August 17, 2016 - Review
A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety.
Citation Text:
Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medic…
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psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-implementation-organizational-patient-safety
April 23, 2014 - reliability of the explicit professional oral communication observation tool to quantify the use of non-technical
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psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
November 02, 2016 - , change management, and opportunities for successful dissemination become as important as the more technical … however, health care simulation has a broader scope, and it has been successfully applied without complex technical … Whether high-tech or not, simulation has been used by students and clinicians to practice and strengthen technical … AHRQ projects are also supporting improving and spreading tools, and providing technical assistance to
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - website: My Birth Matters
Use of CMS §1115 waiver process to incentivize participation
Mentorship, technical … assistance, and individual coaching for implementation
Webinars
Training materials for hospital trainers … disincentives through state Medicaid
Monthly calls with hospital leaders and champions
Site visits and technical … assistance
A means for peer-group sharing of best practices
Funding Sources
The CMQCC reports that
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psnet.ahrq.gov/node/60329/psn-pdf
May 14, 2020 - They also handle the basic technical support component of connecting people to telehealth. … been around patients not being able to connect and that they are then not
getting care because of technical … them though a consent statement and verify a phone
number you can call them back on if there is a technical
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - That represents significant assistance to PSOs. … We also provide quite a lot of technical assistance free of charge. … We're also issuing technical specifications so software developers can develop systems both to collect … safety work product for the purposes of encouraging a culture of safety and of providing feedback and assistance