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psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis
August 25, 2021 - Review
Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis.
Citation Text:
Clari M, Conti A, Chiarini D, et al. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. J Nurs Care Qual. 2021;36(4):e51-…
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psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve-handoff
September 14, 2011 - Study
Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities.
Citation Text:
Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel way t…
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psnet.ahrq.gov/issue/effect-pharmacist-counseling-intervention-health-care-utilization-following-hospital
November 26, 2014 - Study
Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial.
Citation Text:
Bell SP, Schnipper JL, Goggins K, et al. Effect of Pharmacist Counseling Intervention on Health Care Utilization Following Hospital Disch…
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psnet.ahrq.gov/issue/surgeons-and-systems-working-together-drive-safety-and-quality
February 02, 2022 - Commentary
Surgeons and systems working together to drive safety and quality.
Citation Text:
Hawkins RB, Nallamothu BK. Surgeons and systems working together to drive safety and quality. BMJ Qual Saf. 2023;32(4):181-184. doi:10.1136/bmjqs-2022-015045.
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psnet.ahrq.gov/issue/effect-cognitive-load-and-task-complexity-automation-bias-electronic-prescribing
May 01, 2019 - Study
The effect of cognitive load and task complexity on automation bias in electronic prescribing.
Citation Text:
Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/…
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psnet.ahrq.gov/issue/effects-workload-work-complexity-and-repeated-alerts-alert-fatigue-clinical-decision-support
March 04, 2015 - Study
Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system.
Citation Text:
Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. B…
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psnet.ahrq.gov/issue/antibiotic-prescribing-errors-patients-discharged-pediatric-emergency-department
September 22, 2021 - Study
Antibiotic prescribing errors in patients discharged from the pediatric emergency department.
Citation Text:
LaScala EC, Monroe AK, Hall GA, et al. Antibiotic prescribing errors in patients discharged from the pediatric emergency department. Pediatr Emerg Care. 2022;38(1):e387-e392…
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psnet.ahrq.gov/issue/prescribing-errors-low-molecular-weight-heparins
July 26, 2017 - Study
Prescribing errors with low-molecular-weight heparins.
Citation Text:
Slikkerveer M, van de Plas A, Driessen JHM, et al. Prescribing errors with low-molecular-weight heparins. J Patient Saf. 2021;17(7):e587-e592. doi:10.1097/pts.0000000000000417.
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psnet.ahrq.gov/issue/automatable-algorithms-identify-nonmedical-opioid-use-using-electronic-data-systematic-review
July 27, 2016 - Review
Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review.
Citation Text:
Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. J Am Med Inform Assoc.…
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psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture
August 01, 2018 - Study
Leveraging a safety event management system to improve organizational learning and safety culture.
Citation Text:
Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407…
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psnet.ahrq.gov/issue/automated-communication-tools-and-computer-based-medication-reconciliation-decrease-hospital
September 23, 2020 - Study
Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors.
Citation Text:
Smith KJ, Handler S, Kapoor WN, et al. Automated Communication Tools and Computer-Based Medication Reconciliation to Decrease Hospital Dischar…
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psnet.ahrq.gov/issue/30-day-potentially-avoidable-readmissions-due-adverse-drug-events
June 14, 2017 - Study
30-day potentially avoidable readmissions due to adverse drug events.
Citation Text:
Dalleur O, Beeler PE, Schnipper JL, et al. 30-Day Potentially Avoidable Readmissions Due to Adverse Drug Events. J Patient Saf. 2021;17(5):e379-e386. doi:10.1097/pts.0000000000000346.
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psnet.ahrq.gov/issue/cognitive-bias-impact-management-postoperative-complications-medical-error-and-standard-care
March 09, 2022 - Study
Cognitive bias impact on management of postoperative complications, medical error, and standard of care.
Citation Text:
Antonacci AC, Dechario SP, Antonacci C, et al. Cognitive bias impact on management of postoperative complications, medical error, and standard of care. J Surg Res…
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psnet.ahrq.gov/issue/safety-health-care-ethnic-minority-patients-systematic-review
May 25, 2022 - Review
The safety of health care for ethnic minority patients: a systematic review.
Citation Text:
Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic review. Int J Equity Health. 2020;19(1):118. doi:10.1186/s12939-020-01223-2.
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psnet.ahrq.gov/issue/medicine-self-administration-errors-older-adult-population-systematic-review
August 18, 2021 - Review
Medicine self-administration errors in the older adult population: a systematic review.
Citation Text:
Aldila F, Walpola RL. Medicine self-administration errors in the older adult population: a systematic review. Res Social Adm Pharm. 2021;17(11):1877-1886. doi:10.1016/j.sapharm.2…
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psnet.ahrq.gov/issue/stigmatizing-language-patient-demographics-and-errors-diagnostic-process
April 12, 2023 - Study
Stigmatizing language, patient demographics, and errors in the diagnostic process.
Citation Text:
Brooks KC, Raffel KE, Chia D, et al. Stigmatizing language, patient demographics, and errors in the diagnostic process. JAMA Intern Med. 2024;184(6):704-706. doi:10.1001/jamainternmed.…
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psnet.ahrq.gov/issue/medication-double-checking-procedures-clinical-practice-cross-sectional-survey-oncology
March 21, 2018 - Study
Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences.
Citation Text:
Schwappach DLB, Pfeiffer Y, Taxis K. Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experie…
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psnet.ahrq.gov/issue/using-consumer-based-kiosk-technology-improve-and-standardize-medication-reconciliation
August 23, 2023 - Study
Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting.
Citation Text:
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty c…
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psnet.ahrq.gov/issue/enhancing-resident-education-embedding-improvement-specialists-quality-and-safety-curriculum
April 24, 2018 - Study
Enhancing resident education by embedding improvement specialists into a quality and safety curriculum.
Citation Text:
Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. J Grad Med Educ. 202…
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psnet.ahrq.gov/issue/improving-reliability-verbal-communication-between-primary-care-physicians-and-pediatric
November 16, 2015 - Study
Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge.
Citation Text:
Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediat…