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psnet.ahrq.gov/node/35050/psn-pdf
May 27, 2011 - High rates of adverse drug events in a highly
computerized hospital.
May 27, 2011
Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized
hospital. Arch Intern Med. 2005;165(10):1111-6.
https://psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospita…
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psnet.ahrq.gov/node/39000/psn-pdf
September 01, 2016 - Clinicians' assessments of electronic medication safety
alerts in ambulatory care.
September 1, 2016
Weingart SN, Simchowitz B, Shiman L, et al. Clinicians' assessments of electronic medication safety alerts
in ambulatory care. Arch Intern Med. 2009;169(17):1627-1632. doi:10.1001/archinternmed.2009.300.
https://ps…
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psnet.ahrq.gov/node/39106/psn-pdf
June 30, 2011 - Uncomfortable prescribing decisions in hospitals: the
impact of teamwork.
June 30, 2011
Lewis PJ, Tully MP. Uncomfortable prescribing decisions in hospitals: the impact of teamwork. J R Soc
Med. 2009;102(11):481-8. doi:10.1258/jrsm.2009.090150.
https://psnet.ahrq.gov/issue/uncomfortable-prescribing-decisions-hospi…
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psnet.ahrq.gov/node/35906/psn-pdf
May 27, 2011 - Error reduction in pediatric chemotherapy: computerized
order entry and failure modes and effects analysis.
May 27, 2011
Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and
failure modes and effects analysis. Arch Pediatr Adolesc Med. 2006;160(5):495-8.
https:/…
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psnet.ahrq.gov/node/854384/psn-pdf
January 01, 2024 - Look-alike medications in the perioperative setting:
scoping review of medication incidents and risk reduction
interventions.
October 11, 2023
Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of
medication incidents and risk reduction interventions. Int J Clin Ph…
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psnet.ahrq.gov/node/47198/psn-pdf
August 22, 2018 - Health IT Safe Practices for Closing the Loop.
August 22, 2018
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018.
https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…
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psnet.ahrq.gov/node/851919/psn-pdf
August 02, 2023 - A data-driven approach to evaluate barcode-assisted
medication preparation alerts at a large academic medical
center.
August 2, 2023
Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted
medication preparation alerts at a large academic medical center. Jt Comm J Qual Pati…
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digital.ahrq.gov/2019-year-review/research-dissemination
January 01, 2019 - Research Dissemination
Dissemination of key research findings from the Digital Healthcare Research Program is critical to the transfer of knowledge and the dissemination of successful digital healthcare knowledge, tools, and strategies that improve patient safety, optimize EHR design, re…
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psnet.ahrq.gov/node/43983/psn-pdf
February 05, 2016 - Near-miss transcription errors: a comparison of reporting
rates between a novel error-reporting mechanism and a
current formal reporting system.
February 5, 2016
South DA, Skelley JW, Dang M, et al. Near-miss transcription errors: a comparison of reporting rates
between a novel error-reporting mechanism and a curr…
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psnet.ahrq.gov/node/852751/psn-pdf
August 23, 2023 - Automated search methods for identifying wrong patient
order entry-a scoping review.
August 23, 2023
Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping
review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057.
https://psnet.ahrq.gov/issue/automated-s…
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digital.ahrq.gov/organization/drexel-university
January 01, 2023 - Drexel University
Empower NICU - A Bridge to Resources for Adjusting and Coping with Emotions (EmBRACE)
Description
This research will develop, evaluate, and test the efficacy of Empower NICU – A Bridge to Resources for Adjusting and Coping with Emotions (EmBRACE), a mobile he…
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digital.ahrq.gov/ahrq-laboratory-exchange-meeting
January 01, 2023 - AHRQ Laboratory Exchange Meeting
Communities across the Nation are developing health information exchange (HIE) initiatives to improve quality of care. Ambulatory care providers treating patients need quick and easy access to a range of medical information, such as medication histories and l…
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psnet.ahrq.gov/node/34949/psn-pdf
June 23, 2009 - A randomized, controlled trial evaluating the impact of a
computerized rounding and sign-out system on continuity
of care and resident work hours.
June 23, 2009
Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating the impact of a
computerized rounding and sign-out system on continui…
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psnet.ahrq.gov/node/866556/psn-pdf
August 21, 2024 - Digital maturity as a predictor of quality and safety
outcomes in US hospitals: cross-sectional observational
study.
August 21, 2024
Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in
US hospitals: cross-sectional observational study. J Med Internet Res. 2024…
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psnet.ahrq.gov/node/44237/psn-pdf
November 03, 2015 - Surgical never events and contributing human factors.
November 3, 2015
Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery.
2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053.
https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors
Never even…
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psnet.ahrq.gov/node/44580/psn-pdf
January 13, 2016 - Computerized Prescriber Order Entry Medication Safety
(CPOEMS): Uncovering and Learning From Issues and
Errors.
January 13, 2016
Brigham and Women's Hospital, Harvard Medical School, Partners HealthCare. Silver Spring, MD: US
Food and Drug Administration; December 15, 2015.
https://psnet.ahrq.gov/issue/computeriz…
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psnet.ahrq.gov/issue/safe-rx-awards
August 02, 2023 - Award Recipient
The Safe RX Awards.
Citation Text:
The Safe RX Awards. SureScripts
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April 27, 2009
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www.ahrq.gov/ncepcr/tools/practice-facilitation/index.html
September 01, 2024 - AHRQ Practice Facilitation Resources
Practice facilitators help primary care practices implement the best evidence and develop quality improvement capacity. To assist practice facilitators in gaining critical skills, AHRQ has developed several resources. AHRQ Practice Facilitation Training Modules AHRQ develop…
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www.ahrq.gov/topics/telehealth.html
Telehealth
AHRQ has invested in research and shared information on the benefits of telehealth for several years, through its Digital Healthcare Research Program and Effective Healthcare Program. Use of telehealth has expanded through advances in technology, availability of training, and improvemen…
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digital.ahrq.gov/organization/state-university-new-york-buffalo
January 01, 2023 - State University of New York at Buffalo
Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients
Description
This research will integrate c…