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Medication-related clinical decision support alert overrides in inpatients. | PSNet

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July 16, 2019 - Study Medication-related clinical decision support alert overrides in inpatients. Citation Text: Nanji KC, Seger DL, Slight SP, et al. Medication-related clinical decision support alert overrides in inpatients. J Am Med Inform Assoc. 2018;25(5):476-481. doi:10.1093/jamia/ocx115. Copy C…

Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. | PSNet

psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors

October 20, 2021 - Study Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. Citation Text: Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors:…

Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. | PSNet

psnet.ahrq.gov/issue/exploration-automated-approach-receiving-patient-feedback-after-outpatient-acute-care-visits

September 07, 2011 - Study Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. Citation Text: Berner ES, Ray MN, Panjamapirom A, et al. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med.…

The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. | PSNet

psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication

February 16, 2022 - Review The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Citation Text: Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…

Healing our own: a randomized trial to assess benefits of peer support. | PSNet

psnet.ahrq.gov/issue/healing-our-own-randomized-trial-assess-benefits-peer-support

May 19, 2021 - Study Healing our own: a randomized trial to assess benefits of peer support. Citation Text: Rivera-Chiauzzi EY, Smith HA, Moore-Murray T, et al. Healing our own: a randomized trial to assess benefits of peer support. J Patient Saf. 2022;18(1):e308-e314. doi:10.1097/pts.0000000000000771.…

Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. | PSNet

psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic

August 24, 2022 - Study Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. Citation Text: Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report system data in a large academic hos…

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. | PSNet

psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary

January 18, 2013 - Study Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. Citation Text: Staggers N, Clark L, Blaz JW, et al. Why patient summaries in electronic…

Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. | PSNet

psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned

January 08, 2020 - Study Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. Citation Text: Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency departme…

Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. | PSNet

psnet.ahrq.gov/issue/adaptive-design-adaptation-and-adoption-patient-safety-practices-daily-routines-multi-site

November 25, 2020 - Study Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. Citation Text: Dekker - van Doorn C, Wauben LSGL, van Wijngaarden JDH, et al. Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-…

Patient safety indicators during the initial COVID-19 pandemic surge in the United States. | PSNet

psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states

August 03, 2022 - Study Patient safety indicators during the initial COVID-19 pandemic surge in the United States. Citation Text: Rodriguez JA, Samal L, Ganesan S, et al. Patient safety indicators during the initial COVID-19 pandemic surge in the United States. J Patient Saf. 2024;20(4):247-251. doi:10.10…

Analysis of clinical decision support system malfunctions: a case series and survey. | PSNet

psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey

April 29, 2018 - Study Analysis of clinical decision support system malfunctions: a case series and survey. Citation Text: Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…

The extent and importance of unintended consequences related to computerized provider order entry. | PSNet

psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry

May 27, 2011 - Study Classic The extent and importance of unintended consequences related to computerized provider order entry. Citation Text: Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry…

Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effects-multimodal-transitional-care-intervention-patients-high-risk-readmission-target-read

August 18, 2021 - Study Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial. Citation Text: Donzé JD, John G, Genné D, et al. Effects of a multimodal transitional care intervention in patients at high risk of readmission…

Principles of conservative prescribing. | PSNet

psnet.ahrq.gov/issue/principles-conservative-prescribing

April 22, 2017 - Review Classic Principles of conservative prescribing. Citation Text: Schiff G, Galanter W, Duhig J, et al. Principles of conservative prescribing. Arch Intern Med. 2011;171(16):1433-1440. doi:10.1001/archinternmed.2011.256. Copy Citation Format: …

Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. | PSNet

psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study

July 17, 2013 - Study Classic Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. Citation Text: Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of ala…

Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study. | PSNet

psnet.ahrq.gov/issue/adverse-events-intensive-care-and-continuing-care-units-during-bed-bath-procedures

March 05, 2025 - Study Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study. Citation Text: Decormeille G, Maurer-Maouchi V, Mercier G, et al. Adverse events in intensive care and continuing care u…

Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-effect-and-criticality-analysis-improve-safety-cancer-treatment

October 21, 2020 - Study Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. Citation Text: Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment…

Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. | PSNet

psnet.ahrq.gov/issue/estimating-information-gap-between-emergency-department-records-community-medication-compared

March 11, 2011 - Study Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. Citation Text: Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …

Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. | PSNet

psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled

June 27, 2018 - Study Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. Citation Text: Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge a…

Surgical case listing accuracy: failure analysis at a high-volume academic medical center. | PSNet

psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center

September 25, 2011 - Study Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Citation Text: Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…

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