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psnet.ahrq.gov/issue/high-risk-prescribing-primary-care-patients-particularly-vulnerable-adverse-drug-events-cross
February 15, 2017 - Study
High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice.
Citation Text:
Guthrie B, McCowan C, Davey P, et al. High risk prescribing in primary care patients particular…
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psnet.ahrq.gov/issue/automated-detection-look-alikesound-alike-medication-errors
August 28, 2019 - Study
Automated detection of look-alike/sound-alike medication errors.
Citation Text:
Rash-Foanio C, Galanter W, Bryson M, et al. Automated detection of look-alike/sound-alike medication errors. Am J Health Syst Pharm. 2017;74(7):521-527. doi:10.2146/ajhp150690.
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psnet.ahrq.gov/issue/parents-perceptions-patient-safety-paediatric-hospital-care-mixed-methods-systematic-review
May 01, 2024 - Review
Parents' perceptions of patient safety in paediatric hospital care-a mixed-methods systematic review.
Citation Text:
Witkowska MI, Janhunen K, Sak‐Dankosky N, et al. Parents' perceptions of patient safety in paediatric hospital care—a mixed‐methods systematic review. J Adv Nurs. 2…
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psnet.ahrq.gov/issue/understanding-diagnostic-safety-emergency-medicine-case-case-review-closed-ed-malpractice
May 11, 2019 - Study
Understanding diagnostic safety in emergency medicine: a case‐by‐case review of closed ED malpractice claims.
Citation Text:
Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case-by-case review of closed ED malpractice claims. J Healt…
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www.ahrq.gov/research/findings/evidence-based-reports/er207-abstract.html
October 01, 2014 - Allocation of Scarce Resources During MCEs
Full Title: Allocation of Scarce Resources During Mass Casualty Events
Topic page summarizing evidence report on allocation of scarce resources during mass casualty events (MCEs).
June 2012
This report reviews the evidence regarding allocation of scarce medical r…
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psnet.ahrq.gov/issue/errors-drug-computations-during-newborn-intensive-care
December 15, 2021 - Study
Errors in drug computations during newborn intensive care.
Citation Text:
Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006.
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…
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psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
May 01, 2015 - Study
Classic
Physician spending and subsequent risk of malpractice claims: observational study.
Citation Text:
Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ. 2015;351:h5516. …
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psnet.ahrq.gov/issue/development-and-validation-taxonomy-adverse-handover-events-hospital-settings
March 05, 2014 - Study
Development and validation of a taxonomy of adverse handover events in hospital settings.
Citation Text:
Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1).…
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psnet.ahrq.gov/issue/does-increased-schedule-flexibility-lead-change-national-survey-program-directors-2017-work
October 12, 2022 - Study
Does increased schedule flexibility lead to change? A national survey of program directors on 2017 work hours requirements.
Citation Text:
Finn KM, Halvorsen AJ, Chaudhry S, et al. Does increased schedule flexibility lead to change? A national survey of program directors on 2017 wo…
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psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computerized-order-entry
February 17, 2011 - Study
Physician characteristics, attitudes, and use of computerized order entry.
Citation Text:
Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized order entry. J Hosp Med. 2006;1(4):221-30.
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psnet.ahrq.gov/issue/caught-middle-resident-perspective-influences-learning-environment-perpetuate-mistreatment
September 04, 2019 - Commentary
Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment.
Citation Text:
Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate Mistreatment. Ac…
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psnet.ahrq.gov/issue/personal-health-records-randomized-trial-effects-elder-medication-safety
November 16, 2022 - Study
Personal health records: a randomized trial of effects on elder medication safety.
Citation Text:
Chrischilles EA, Hourcade JP, Doucette W, et al. Personal health records: a randomized trial of effects on elder medication safety. J Am Med Inform Assoc. 2014;21(4):679-86. doi:10.113…
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psnet.ahrq.gov/issue/closing-loop-process-evaluation-inpatient-care-team-communication
March 09, 2019 - Study
Closing the loop: a process evaluation of inpatient care team communication.
Citation Text:
Broman KK, Kensinger C, Hart H, et al. Closing the loop: a process evaluation of inpatient care team communication. BMJ Qual Saf. 2017;26(1):30-32. doi:10.1136/bmjqs-2015-004580.
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psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
February 17, 2016 - Study
Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine.
Citation Text:
Okafor N, Payne VL, Chathampally Y, et al. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Emerg Med J. 2016;33(4):245-252. d…
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psnet.ahrq.gov/issue/two-year-longitudinal-assessment-physicians-perceptions-after-replacement-longstanding
December 31, 2014 - Study
Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist?
Citation Text:
Hanauer DA, Branford GL, Greenberg G, et al. Two-year longitudinal assessment of physician…
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psnet.ahrq.gov/issue/adverse-events-and-hospital-acquired-conditions-associated-potential-low-value-care-medicare
May 19, 2021 - Study
Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries.
Citation Text:
Chalmers K, Gopinath V, Brownlee S, et al. Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare benefic…
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psnet.ahrq.gov/issue/defining-health-information-technology-related-errors-new-developments-err-human
December 06, 2023 - Commentary
Classic
Defining health information technology–related errors: new developments since To Err Is Human.
Citation Text:
Sittig DF, Singh H. Defining health information technology-related errors: new developments since to err is human. Arch Intern Med.…
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psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and-transfer
May 23, 2013 - Study
Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills.
Citation Text:
Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retent…
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year3-final-report-2019.pdf
January 01, 2019 - and testing. … CQL
Services and the CQL Testing Framework should also be updated to support testing and
executing … Update the CQL Testing Framework to support all FHIR resource types: Currently,
the CQL Testing Framework … Key work products: Alpha, beta, and production-level prototype tool (CQL
Testing Framework); CQL Testing … AHRQ-CDS/CQL Testing Framework. https://github.com/AHRQ-CDS/CQL-
Testing-Framework.
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cds.ahrq.gov/sites/default/files/cds/artifact/106/AMIA_presentation.pptx
January 01, 2012 - Healthy Weight
Stage 1:
Freehand mockup
Stage 2
Wireframe mockup
Stage 3
Interactive module
Stage 4
User testing … Stage 1
Quick, easy, low overhead, adaptable
Stage 2
Layout, spacing, internal workflow (white box testing … Testing before implementation
Everything functions as expected
Patient data is appropriately handled … The CDS does not break the EHR
Testing after implementation
How do different clinical workflows impact … is possible
Even minimally tested CDS can have an immediate impact on patient care, but inadequate testing