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psnet.ahrq.gov/issue/workforce-planning-and-safe-workload-sterile-compounding-hospital-pharmacy-services
October 19, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Workforce planning and safe workload in sterile compounding hospital pharmacy services. 
 
 
 
 
 Citation Text: 
 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:10.10… 
                                     
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psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-problems-patient
March 18, 2020 - Study 
 
 
 
 
 
 
 
 
 
 Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery.  
 
 
 
 
 Citation Text: 
 Anderson DE, Watts B. Application of an engineering problem-solving methodology to address persistent… 
                                     
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psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-systematic-review
October 12, 2022 - Review 
 
 
 
 
 
 
 
 
 
 Causes of use errors in ventilation devices--systematic review. 
 
 
 
 
 Citation Text: 
 Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544. 
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 D… 
                                     
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psnet.ahrq.gov/issue/quality-and-safety-considerations-intensity-modulated-radiation-therapy-astro-safety-white
October 30, 2024 - Organizational Policy/Guidelines 
 
 
 
 
 
 
 
 
 
 Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety White Paper Update. 
 
 
 
 
 Citation Text: 
 Moran JM, Bazan JG, Dawes SL, et al. Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety… 
                                     
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psnet.ahrq.gov/issue/medication-errors-resulting-computer-entry-nonprescribers
January 02, 2017 - Study 
 
 
 
 
 
 
 
 
 
 Medication errors resulting from computer entry by nonprescribers.     
 
 
 
 
 Citation Text: 
 Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208. 
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psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-application-pending-tests-hospital-discharge
March 04, 2015 - Study 
 
 
 
 
 
 
 
 
 
 Lessons learned from implementation of a computerized application for pending tests at hospital discharge.   
 
 
 
 
 Citation Text: 
 Dalal A, Poon EG, Karson A, et al. Lessons learned from implementation of a computerized application for pending tests at hospital discharge. J Hosp Med. 2011… 
                                     
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psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-ehr-and-disruption-medicine
August 02, 2015 - Commentary 
 
 
 
 
 
 
 
 
 
 Transitional chaos or enduring harm? The EHR and the disruption of medicine. 
 
 
 
 
 Citation Text: 
 Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. 
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psnet.ahrq.gov/issue/safe-practices-copy-and-paste-ehr-systematic-review-recommendations-and-novel-model-health-it
April 08, 2018 - Review 
 
 
 
 
 
 
 
 
 
 Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. 
 
 
 
 
 Citation Text: 
 Tsou AY, Lehmann CU, Michel J, et al. Safe Practices for Copy and Paste in the EHR. Systematic Review, Recommendations, and Novel Model for… 
                                     
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psnet.ahrq.gov/issue/thoughtless-design-electronic-health-record-drives-overuse-purposeful-design-can-nudge
July 17, 2024 - Commentary 
 
 
 
 
 
 
 
 
 
            Emerging Classic
           
 
 Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. 
 
 
 
 
 Citation Text: 
 Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purp… 
                                     
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psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments
April 06, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Patient safety incidents caused by poor quality surgical instruments. 
 
 
 
 
 Citation Text: 
 Dominguez ED, Rocos B. Patient Safety Incidents Caused by Poor Quality Surgical Instruments. Cureus. 2019;11(6):e4877. doi:10.7759/cureus.4877. 
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 DOI Google Schola… 
                                     
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psnet.ahrq.gov/issue/using-data-enhance-performance-and-improve-quality-and-safety-surgery
March 15, 2023 - Commentary 
 
 
 
 
 
 
 
 
 
 Using data to enhance performance and improve quality and safety in surgery. 
 
 
 
 
 Citation Text: 
 Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888. 
 Co… 
                                     
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psnet.ahrq.gov/issue/analysis-and-prioritization-near-miss-adverse-events-radiology-department
June 15, 2016 - Study 
 
 
 
 
 
 
 
 
 
 Analysis and prioritization of near-miss adverse events in a radiology department. 
 
 
 
 
 Citation Text: 
 Thornton RH, Miransky J, Killen A, et al. Analysis and prioritization of near-miss adverse events in a radiology department. AJR Am J Roentgenol. 2011;196(5):1120-4. doi:10.2214/AJR.10… 
                                     
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digital.ahrq.gov/ahrq-funded-projects/insights-community-health
January 01, 2023 - Insights for Community Health 
 
 
 
 
 
 
 
 
 
 Project Final Report ( PDF , 590.45 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 represent the views of AHRQ. No statement in this re… 
                                     
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psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability
February 23, 2015 - Commentary 
 
 
 
 
 
 
 
 
 
 Capturing essential information to achieve safe interoperability. 
 
 
 
 
 Citation Text: 
 Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. 
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 Google Scholar PubMed… 
                                     
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psnet.ahrq.gov/issue/barriers-and-facilitators-associated-implementation-surgical-safety-checklists-qualitative
August 17, 2022 - Review 
 
 
 
 
 
 
 
 
 
 Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. 
 
 
 
 
 Citation Text: 
 Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitati… 
                                     
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psnet.ahrq.gov/issue/physician-burnout-electronic-health-record-era-are-we-ignoring-real-cause
October 04, 2023 - Commentary 
 
 
 
 
 
 
 
 
 
 Physician burnout in the electronic health record era: are we ignoring the real cause? 
 
 
 
 
 Citation Text: 
 Downing L, Bates DW, Longhurst CA. Physician Burnout in the Electronic Health Record Era: Are We Ignoring the Real Cause? Ann Intern Med. 2018;169(1):50-51. doi:10.7326/M18-01… 
                                     
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digital.ahrq.gov/ahrq-funded-projects/improving-electronic-health-records-patient-education-materials
January 01, 2023 - Improving Electronic Health Records Patient Education Materials 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Project Description 
 
 
 Annual Summaries 
 
 
 Publications 
 
 
 
 
 
 
 
 Project Details - 
             Completed 
 
 
 
 
 Contract Number 
 290-09-00012I-4 
 
 
 
 
 Funding Mechanism(s) 
 
 National Resource Center for … 
                                     
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psnet.ahrq.gov/issue/maximizing-ability-health-it-and-ai-improve-patient-safety
May 22, 2015 - Commentary 
 
 
 
 
 
 
 
 
 
 Maximizing the ability of health IT and AI to improve patient safety. 
 
 
 
 
 Citation Text: 
 Singh H, Sittig DF, Classen DC. Maximizing the ability of health IT and AI to improve patient safety. JAMA Intern Med. 2025;185(1):10-12. doi:10.1001/jamainternmed.2024.4343. 
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psnet.ahrq.gov/issue/overcoming-barriers-adopting-and-implementing-computerized-physician-order-entry-systems-us
July 10, 2008 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals.   
 
 
 
 
 Citation Text: 
 Poon EG, Blumenthal D, Jaggi T, et al. Overcoming barriers to adopting and implementing computerized physician order ent… 
                                     
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digital.ahrq.gov/medical-condition/hyperlipidemia-hl
January 01, 2023 - Hyperlipidemia (HL)  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect  
 
 
 
 Description 
 This research developed and maintained the CDS Connect platform, including its public repository of CDS resources and tools. Current work explores the potential of publi…