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psnet.ahrq.gov/node/45346/psn-pdf
November 18, 2016 - How do simulated error experiences impact attitudes
related to error prevention?
November 18, 2016
Breitkreuz KR, Dougal RL, Wright MC. How Do Simulated Error Experiences Impact Attitudes Related to
Error Prevention? Simul Healthc. 2016;11(5):323-333.
https://psnet.ahrq.gov/issue/how-do-simulated-error-experiences…
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psnet.ahrq.gov/node/60613/psn-pdf
June 24, 2020 - A sociotechnical framework for safety-related electronic
health record research reporting: the SAFER reporting
framework.
June 24, 2020
Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record research
reporting: the SAFER reporting framework. Ann Intern Med. 2020;172(11_Supp):S92…
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psnet.ahrq.gov/node/60751/psn-pdf
January 01, 2021 - Fighting a common enemy: a catalyst to close intractable
safety gaps.
August 5, 2020
Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ
Qual Saf. 2021;30(2):141-145. doi:10.1136/bmjqs-2020-011390.
https://psnet.ahrq.gov/issue/fighting-common-enemy-catalyst-clos…
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psnet.ahrq.gov/node/43909/psn-pdf
March 11, 2015 - Summary and frequency of barriers to adoption of CPOE
in the US.
March 11, 2015
Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst.
2015;39(2):15. doi:10.1007/s10916-015-0198-2.
https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
Although compu…
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psnet.ahrq.gov/node/43383/psn-pdf
August 13, 2014 - Risk factors for retained surgical items: a meta-analysis
and proposed risk stratification system.
August 13, 2014
Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis
and proposed risk stratification system. J Surg Res. 2014;190(2):429-36. doi:10.1016/j.jss.2014…
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psnet.ahrq.gov/node/44570/psn-pdf
October 21, 2015 - Technical Evaluation, Testing, and Validation of the
Usability of Electronic Health Records: Empirically Based
Use Cases for Validating Safety-Enhanced Usability and
Guidelines for Standardization.
October 21, 2015
Lowry SZ, Ramaiah M, Taylor S, et al. Gaithersburg, MD: US Department of Commerce, National Institut…
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psnet.ahrq.gov/node/44799/psn-pdf
July 11, 2017 - Unintended Consequences: New Problems and New
Solutions.
July 11, 2017
Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271.
https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
Unexpected effects associated with implementation and use of health information technolo…
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psnet.ahrq.gov/node/852287/psn-pdf
August 09, 2023 - Electronic health record usability contributions to patient
safety and clinician burnout: a path forward.
August 9, 2023
Schwappach DLB, Ratwani RM. Electronic health record usability contributions to patient safety and
clinician burnout: a path forward. J Patient Saf. 2023;19(5):38-39. doi:10.1097/pts.000000000000…
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psnet.ahrq.gov/node/45698/psn-pdf
January 11, 2017 - Design and testing of the safety agenda mobile app for
managing health care managers' patient safety
responsibilities.
January 11, 2017
Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing
Health Care Managers' Patient Safety Responsibilities. JMIR MHealth UHealt…
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psnet.ahrq.gov/node/41571/psn-pdf
October 29, 2012 - Adverse drug events caused by serious medication
administration errors.
October 29, 2012
Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration
errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946.
https://psnet.ahrq.gov/issue/adverse-drug-events-ca…
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psnet.ahrq.gov/node/73659/psn-pdf
September 01, 2021 - Using a patient safety/quality improvement model to
assess telehealth for psychiatry and behavioral health
services among special populations during COVID-19 and
beyond.
September 1, 2021
Li L, Childs AW. J Psychiatr Pract. 2021;27(4):245-253.
https://psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-m…
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psnet.ahrq.gov/node/73624/psn-pdf
August 25, 2021 - System factors affecting patient safety in the OR: an
analysis of safety threats and resiliency.
August 25, 2021
Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. System factors affecting patient safety in the OR: an
analysis of safety threats and resiliency. Ann Surg. 2021;274(1):114-119.
doi:10.1097/sla.00000000…
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psnet.ahrq.gov/node/836785/psn-pdf
March 23, 2022 - Impact of CancelRx on discontinuation of controlled
substance prescriptions: an interrupted time series
analysis.
March 23, 2022
Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance
prescriptions: an interrupted time series analysis. BMC Med Inform Decis Mak. 2022;…
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psnet.ahrq.gov/node/47405/psn-pdf
January 27, 2019 - Robotic dispensing improves patient safety, inventory
management, and staff satisfaction in an outpatient
hospital pharmacy.
January 27, 2019
Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves
patient safety, inventory management, and staff satisfaction in an outpatie…
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psnet.ahrq.gov/node/841472/psn-pdf
December 14, 2022 - Reducing potential errors associated with insulin
administration: an integrative review.
December 14, 2022
Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval
Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668.
https://psnet.ahrq.gov/issue/reducing-pote…
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psnet.ahrq.gov/node/45772/psn-pdf
January 11, 2017 - Technical Series on Safer Primary Care.
January 11, 2017
Geneva, Switzerland: World Health Organization; 2016.
https://psnet.ahrq.gov/issue/technical-series-safer-primary-care
Much of patient safety research has focused on the hospital setting, but a majority of health care is
delivered in the ambulatory setting. …
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psnet.ahrq.gov/node/44308/psn-pdf
July 22, 2015 - Primary care medication safety surveillance with
integrated primary and secondary care electronic health
records: a cross-sectional study.
July 22, 2015
Akbarov A, Kontopantelis E, Sperrin M, et al. Primary Care Medication Safety Surveillance with Integrated
Primary and Secondary Care Electronic Health Records: A …
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psnet.ahrq.gov/node/46048/psn-pdf
July 05, 2017 - Association between elements of electronic health record
systems and the weekend effect in urgent general
surgery.
July 5, 2017
Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record
Systems and the Weekend Effect in Urgent General Surgery. JAMA Surg. 2017;152(6):602-…
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psnet.ahrq.gov/node/43631/psn-pdf
December 19, 2014 - An internal quality improvement collaborative
significantly reduces hospital-wide medication error
related adverse drug events.
December 19, 2014
McClead RE, Catt C, Davis T, et al. An internal quality improvement collaborative significantly reduces
hospital-wide medication error related adverse drug events. J Ped…
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psnet.ahrq.gov/node/44220/psn-pdf
June 10, 2015 - Building a Culture of Patient Safety Through Simulation:
An Interprofessional Learning Model.
June 10, 2015
Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. ISBN: 9780826169068.
https://psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-
model…