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psnet.ahrq.gov/node/45034/psn-pdf
February 25, 2019 - Future directions for diagnostic decision support.
February 25, 2019
Carr S. ImproveDx. April 2016;3:1-3.
https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support
Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic
accuracy. This newsletter article …
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psnet.ahrq.gov/node/46390/psn-pdf
October 29, 2017 - Using data to enhance performance and improve quality
and safety in surgery.
October 29, 2017
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.
https://psnet.ahrq.gov/issue/using-data-…
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psnet.ahrq.gov/node/44235/psn-pdf
January 22, 2016 - Interventions to reduce nurses' medication administration
errors in inpatient settings: a systematic review and meta-
analysis.
January 22, 2016
Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in
inpatient settings: A systematic review and meta-analysis. Int J…
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psnet.ahrq.gov/node/42937/psn-pdf
February 12, 2014 - Using smart pumps to understand and evaluate clinician
practice patterns to ensure patient safety.
February 12, 2014
Mansfield J, Jarrett S. Using smart pumps to understand and evaluate clinician practice patterns to ensure
patient safety. Hosp Pharm. 2013;48(11):942-950. doi:10.1310/hpj4811-942.
https://psnet.ahr…
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psnet.ahrq.gov/node/36470/psn-pdf
September 27, 2010 - Prioritizing patient safety interventions in small and rural
hospitals.
September 27, 2010
Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural
hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702.
https://psnet.ahrq.gov/issue/prioritizing-patient-safety-interv…
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psnet.ahrq.gov/node/34890/psn-pdf
February 17, 2011 - Electronic alerts to prevent venous thromboembolism
among hospitalized patients.
February 17, 2011
Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized
patients. N Engl J Med. 2005;352(10):969-77.
https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thro…
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psnet.ahrq.gov/node/47237/psn-pdf
January 01, 2020 - First-year analysis of the Operating Room Black Box
study.
July 25, 2018
Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg.
2020;271(1):122-127. doi:10.1097/SLA.0000000000002863.
https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
An…
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psnet.ahrq.gov/node/73112/psn-pdf
April 07, 2021 - Smartphone distraction during nursing care: systematic
literature review.
April 7, 2021
Fiorinelli M, Di Mario S, Surace A, et al. Smartphone distraction during nursing care: systematic literature
review. Appl Nurs Res. 2021;58:151405. doi:10.1016/j.apnr.2021.151405.
https://psnet.ahrq.gov/issue/smartphone-distrac…
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psnet.ahrq.gov/node/837041/psn-pdf
May 04, 2022 - APSF endorsed statement on revising recommendations
for patient monitoring during anesthesia.
May 4, 2022
The APSF Committee on Technology. APSF Newsletter. 2022;37(1):7–8.
https://psnet.ahrq.gov/issue/apsf-endorsed-statement-revising-recommendations-patient-monitoring-during-
anesthesia
Variation across sta…
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psnet.ahrq.gov/node/44183/psn-pdf
November 03, 2015 - The absence of a drug–disease interaction alert leads to a
child's death.
November 3, 2015
ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4.
https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
The disabling of alerts due to alarm fatigue can hinder the abilit…
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psnet.ahrq.gov/node/43881/psn-pdf
February 11, 2015 - Cognitive Systems Engineering in Health Care.
February 11, 2015
Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960.
https://psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
This publication provides information about the role of cognition in medical error. Th…
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psnet.ahrq.gov/node/849604/psn-pdf
May 31, 2023 - Reducing errors resulting from commonly missed chest
radiography findings.
May 31, 2023
Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest.
2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003.
https://psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed…
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psnet.ahrq.gov/node/47898/psn-pdf
January 01, 2020 - Capturing patients' perspectives on medication safety:
the development of a patient-centered medication safety
framework.
May 8, 2019
Giles SJ, Lewis PJ, Phipps D, et al. Capturing Patients' Perspectives on Medication Safety: The
Development of a Patient-Centered Medication Safety Framework. J Patient Saf. 2020;16…
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psnet.ahrq.gov/node/836917/psn-pdf
April 13, 2022 - Error and cognitive bias in diagnostic radiology.
April 13, 2022
Tee QX, Nambiar M, Stuckey S. Error and cognitive bias in diagnostic radiology. J Med Imaging Radiat
Oncol. 2022;66(2):202-207. doi:10.1111/1754-9485.13320.
https://psnet.ahrq.gov/issue/error-and-cognitive-bias-diagnostic-radiology
Diagnostic errors …
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psnet.ahrq.gov/node/44072/psn-pdf
August 02, 2015 - The rise of the medical scribe industry: implications for
the advancement of electronic health records.
August 2, 2015
Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the
advancement of electronic health records. JAMA. 2015;313(13):1315-1316. doi:10.1001/jama.2014.17128.
…
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psnet.ahrq.gov/node/46492/psn-pdf
November 29, 2017 - Themed Issue on the Opioid Epidemic.
November 29, 2017
Benzon HT, Anderson TA, eds. Anesth Analg. 2017;125(5):1427-1778.
https://psnet.ahrq.gov/issue/themed-issue-opioid-epidemic
Anesthesiologists provide pain management services in both perioperative and inpatient settings. Articles
in this special issue review f…
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psnet.ahrq.gov/node/34724/psn-pdf
May 27, 2011 - From patients to politicians: a cognitive engineering view
of patient safety.
May 27, 2011
Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health
Care. 2002;11(4):302-4.
https://psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety
V…
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psnet.ahrq.gov/node/47222/psn-pdf
October 03, 2018 - Decision support tools, systems, and artificial intelligence
in cardiac imaging.
October 3, 2018
Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in
Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04.032.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/38711/psn-pdf
September 02, 2009 - The relationship between computerized physician order
entry and pediatric adverse drug events: a nested
matched case-control study.
September 2, 2009
Yu F, Salas M, Kim Y-I, et al. The relationship between computerized physician order entry and pediatric
adverse drug events: a nested matched case-control study. Ph…
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psnet.ahrq.gov/node/44883/psn-pdf
February 17, 2016 - Comparison of barcode scanning by pharmacy
technicians and pharmacists' visual checks for final
product verification.
February 17, 2016
Wang BN-T, Brummond P, Stevenson JG. Comparison of barcode scanning by pharmacy technicians and
pharmacists' visual checks for final product verification. Am J Health Syst Pharm. …