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psnet.ahrq.gov/issue/timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-electronic
September 20, 2011 - Study
Classic
Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential?
Citation Text:
Singh H, Thomas EJ, Mani S, et al. Timely follow-up of abnormal diagnostic imaging tes…
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psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
April 04, 2011 - Study
Classic
Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain?
Citation Text:
Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical record: do any safet…
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psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
January 26, 2022 - Review
Emerging Classic
Application of electronic trigger tools to identify targets for improving diagnostic safety.
Citation Text:
Murphy DR, Meyer AN, Sittig DF, et al. Application of electronic trigger tools to identify targets for improving diagnostic safety…
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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…
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psnet.ahrq.gov/issue/systematic-review-literature-evaluation-handoff-tools-implications-research-and-practice
May 23, 2012 - Review
A systematic review of the literature on the evaluation of handoff tools: implications for research and practice.
Citation Text:
Abraham J, Kannampallil TG, Patel VL. A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. …
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psnet.ahrq.gov/issue/medication-errors-during-simulated-paediatric-resuscitations-prospective-observational-human
February 23, 2022 - Study
Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis.
Citation Text:
Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliabilit…
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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.…
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psnet.ahrq.gov/issue/key-use-cases-artificial-intelligence-reduce-frequency-adverse-drug-events-scoping-review
May 20, 2020 - Review
Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review.
Citation Text:
Syrowatka A, Song W, Amato MG, et al. Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review. Lancet Digit…
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psnet.ahrq.gov/issue/diagnostic-accuracy-physician-staffed-emergency-medical-teams-retrospective-observational
December 22, 2021 - Study
Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval.
Citation Text:
Schewe J-C, Kappler J, Dovermann K, et al. Diagnostic accuracy of physician-staffed emergency …
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psnet.ahrq.gov/issue/patient-safety-and-sense-security-when-telemonitoring-chronic-conditions-home-views-patients
August 21, 2024 - Study
Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study.
Citation Text:
Ekstedt M, Nordheim ES, Hellström A, et al. Patient safety and sense of security when telemonitoring chronic…
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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:…
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psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
July 07, 2021 - Review
Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review.
Citation Text:
Hada A, Coyer F. Shift‐to‐shift nursing handover interventions associated with improved …
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psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
October 24, 2018 - Study
Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers.
Citation Text:
Neily J, Soncrant C, Mills PD, et al. Assessment of Incorrect Surgical Procedures Within and Outside the Opera…
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psnet.ahrq.gov/issue/scoping-review-non-professional-medication-practices-and-medication-safety-outcomes-during
May 12, 2021 - Review
A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies.
Citation Text:
Kelly D, Koay A, Mineva G, et al. A scoping review of non-professional medication practices and medication safety outcomes during public health…
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psnet.ahrq.gov/issue/association-hospital-readmissions-reduction-program-implementation-readmission-and-mortality
November 03, 2021 - Study
Classic
Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure.
Citation Text:
Gupta A, Allen LA, Bhatt DL, et al. Association of the Hospital Readmissions Reduction Program Implem…
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psnet.ahrq.gov/issue/associations-between-double-checking-and-medication-administration-errors-direct
January 18, 2023 - Study
Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients.
Citation Text:
Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational st…
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psnet.ahrq.gov/issue/retrospective-review-serious-surgical-incidents-5-large-uk-teaching-hospitals-system-based
May 26, 2021 - Study
A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach.
Citation Text:
Serou N, Slight RD, Husband AK, et al. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. J Pa…
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psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
January 15, 2025 - Study
Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system.
Citation Text:
Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident r…
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psnet.ahrq.gov/issue/artificial-intelligence-identifying-prevention-medication-incidents-causing-serious-or
March 11, 2020 - Study
Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views.
Citation Text:
Härkänen M, Haatainen K, Vehviläinen-Julkunen K, et al. Artificial intelligence for identifying the preventio…
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - Organizations responded by looking at new ways to fix the system, mostly through the introduction of new technologies