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psnet.ahrq.gov/node/72678/psn-pdf
January 27, 2021 - Health information technology-related wrong-patient
errors: context is critical.
January 27, 2021
Kim T, Howe J, Franklin E, et al.?Patient Safety. 2020;2(4):40–57.
https://psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
Patient misidentification errors…
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digital.ahrq.gov/ahrq-funded-projects/evaluating-prediction-tool-and-decision-aid-patients-crohns-disease
January 01, 2023 - Evaluating a Prediction Tool and Decision Aid for Patients with Crohn's Disease
Project Final Report ( PDF , 888.47 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repr…
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psnet.ahrq.gov/issue/effect-implementing-bar-code-medication-administration-emergency-department-medication
December 01, 2021 - Study
The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction.
Citation Text:
Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in an emergency …
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digital.ahrq.gov/funding-mechanism/national-resource-center-health-it-nrc
January 01, 2023 - National Resource Center for Health IT (NRC)
Children's EHR Format Enhancement - Final Report
Citation
Wald JS, Rizk S, Webb JR., Haque S, et al. Children’s EHR Format Enhancement - Final Report. (Prepared by RTI International under Contract No. HHSA 290-2009-00021I). AHRQ Pub…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/oklahoma
January 01, 2023 - Oklahoma
Team Description
The health care field is working to develop a way to share health records electronically among providers. RTI International has awarded contracts to 34 states and territories to look at their privacy and security policies, laws, and business practices. These group…
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psnet.ahrq.gov/issue/improving-bar-coded-medication-administration-system-department-veterans-affairs
November 18, 2009 - Study
Improving the bar-coded medication administration system at the Department of Veterans Affairs.
Citation Text:
Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):144…
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psnet.ahrq.gov/issue/impact-health-information-technology-detection-potential-adverse-drug-events-ordering-stage
June 25, 2008 - Study
Impact of health information technology on detection of potential adverse drug events at the ordering stage.
Citation Text:
Roberts LL, Ward MM, Brokel JM, et al. Impact of health information technology on detection of potential adverse drug events at the ordering stage. Am J Hea…
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digital.ahrq.gov/ahrq-funded-projects/development-electronic-health-record-format-children
January 01, 2023 - Development of an Electronic Health Record Format for Children
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-09-00023I-3
Funding Mechanism(s)
National Resource Center for H…
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psnet.ahrq.gov/issue/development-preliminary-patient-safety-classification-system-generative-ai
December 21, 2022 - Study
Development of a preliminary patient safety classification system for generative AI.
Citation Text:
Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017…
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psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
September 24, 2016 - Review
Classic
A systematic review of the psychological literature on interruption and its patient safety implications.
Citation Text:
Li SYW, Magrabi F, Coiera E. A systematic review of the psychological literature on interruption and its patient safety implica…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/nease-de-et-al-2008
January 01, 2008 - Nease DE et al. 2008 "Impact of a generalizable reminder system on colorectal cancer screening in diverse primary care practices - a report from the prompting and reminding at encounters for prevention project."
Reference
Nease DE, Ruffin MT, Klinkman MS, et al. Impact of a generalizable reminder syst…
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psnet.ahrq.gov/issue/development-leapfrog-groups-bar-code-medication-administration-standard-address-hospital
November 10, 2015 - Commentary
Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety.
Citation Text:
Austin JM, Bane A, Gooder V, et al. Development of the Leapfrog Group's bar code medication administration standard to address hospit…
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psnet.ahrq.gov/issue/implementation-health-information-technology-safety-classification-system-veterans-health
August 04, 2021 - Study
Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office.
Citation Text:
Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system in the…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2011
January 01, 2011 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2011
Project Name
Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home
Princi…
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psnet.ahrq.gov/issue/benefits-health-information-technology-review-recent-literature-shows-predominantly-positive
December 21, 2018 - Review
Classic
The benefits of health information technology: a review of the recent literature shows predominantly positive results.
Citation Text:
Buntin MB, Burke MF, Hoaglin MC, et al. The Benefits Of Health Information Technology: A Review Of The Recent Lit…
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psnet.ahrq.gov/issue/effect-cognitive-load-and-task-complexity-automation-bias-electronic-prescribing
May 01, 2019 - Study
The effect of cognitive load and task complexity on automation bias in electronic prescribing.
Citation Text:
Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/…
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital
Citation Text:
Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
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psnet.ahrq.gov/node/74102/psn-pdf
January 01, 2022 - Workforce planning and safe workload in sterile
compounding hospital pharmacy services.
November 24, 2021
Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding
hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379.
https://psnet…
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psnet.ahrq.gov/node/45243/psn-pdf
September 14, 2016 - Incidence of speech recognition errors in the emergency
department.
September 14, 2016
Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J
Med Inform. 2016;93:70-73. doi:10.1016/j.ijmedinf.2016.05.005.
https://psnet.ahrq.gov/issue/incidence-speech-recognition-error…
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psnet.ahrq.gov/node/44130/psn-pdf
May 13, 2015 - Recent Evidence That Health IT Improves Patient Safety:
Issue Brief.
May 13, 2015
Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information
Technology; February 2015.
https://psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
Rapid implementatio…