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psnet.ahrq.gov/issue/accuracy-laboratory-data-communication-icu-daily-rounds-using-electronic-health-record
July 27, 2016 - Study
Accuracy of laboratory data communication on ICU daily rounds using an electronic health record.
Citation Text:
Artis KA, Dyer E, Mohan V, et al. Accuracy of Laboratory Data Communication on ICU Daily Rounds Using an Electronic Health Record. Crit Care Med. 2017;45(2):179-186. doi:…
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psnet.ahrq.gov/issue/moral-distress-intensive-care-unit-personnel-not-consistently-associated-adverse-medication
November 02, 2010 - Study
Moral distress in intensive care unit personnel is not consistently associated with adverse medication events and other adverse events
Citation Text:
Dodek P, Norena M, Ayas N, et al. Moral distress in intensive care unit personnel is not consistently associated with adverse medica…
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psnet.ahrq.gov/issue/adolescents-identifying-errors-and-omissions-their-electronic-health-records-national-survey
December 08, 2021 - Study
Adolescents identifying errors and omissions in their electronic health records: a national survey.
Citation Text:
Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic health records: a national survey. Stud Health Technol Inform.…
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psnet.ahrq.gov/issue/contingency-planning-electronic-health-record-based-care-continuity-survey-recommended
November 11, 2020 - Study
Contingency planning for electronic health record–based care continuity: a survey of recommended practices.
Citation Text:
Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a survey of recommended practices. Int J Med Inform. 2…
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psnet.ahrq.gov/issue/sign-right-here-and-youre-good-go-content-analysis-audiotaped-emergency-department-discharge
December 18, 2013 - Study
"Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions.
Citation Text:
Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Ann Emer…
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psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-drug-events-elderly-patients-multimorbidity
December 02, 2020 - Study
Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity.
Citation Text:
Guzmán MDT, Banqueri MG, Otero MJ, et al. Development of a Trigger Tool to Identify Adverse Drug Events in Elderly Patients With Multimorbidity. J Patient Saf. 2021…
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psnet.ahrq.gov/issue/enhancing-patient-safety-during-pediatric-sedation-impact-simulation-based-training
January 17, 2012 - Study
Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists.
Citation Text:
Shavit I, Keidan I, Hoffmann Y, et al. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiol…
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psnet.ahrq.gov/issue/drug-related-morbidity-and-mortality-and-economic-impact-pharmaceutical-care
December 23, 2008 - Study
Drug-related morbidity and mortality and the economic impact of pharmaceutical care.
Citation Text:
Johnson JA, Bootman JL. Drug-related morbidity and mortality and the economic impact of pharmaceutical care. Am J Health Syst Pharm. 1997;54(5):554-8.
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psnet.ahrq.gov/issue/impact-post-fall-huddles-repeat-fall-rates-and-perceptions-safety-culture-quasi-experimental
December 30, 2014 - Journal Article
The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project
Citation Text:
Jones KJ, Crowe J, Allen JA, et al. The impact of post-fall huddles on repeat fall rates and pe…
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psnet.ahrq.gov/issue/we-thought-we-would-be-perfect-medication-errors-and-after-initiation-computerized-physician
September 18, 2019 - Study
We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry.
Citation Text:
Schwartzberg D, Ivanovic S, Patel S, et al. We thought we would be perfect: medication errors before and after the initiation of Computerized Phys…
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psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia
May 06, 2009 - Study
The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system.
Citation Text:
Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's An…
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psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-procedures-performed-during
April 13, 2022 - Commentary
A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.
Citation Text:
Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.…
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psnet.ahrq.gov/issue/exploring-human-factors-prescribing-errors-paediatric-intensive-care-units
March 06, 2024 - Study
Emerging Classic
Exploring the human factors of prescribing errors in paediatric intensive care units.
Citation Text:
Sutherland A, Ashcroft DM, Phipps D. Exploring the human factors of prescribing errors in paediatric intensive care units. Arch Dis Child.…
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psnet.ahrq.gov/issue/patients-willingness-and-ability-participate-actively-reduction-clinical-errors-systematic
February 24, 2021 - Review
Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review.
Citation Text:
DOHERTY CAROLE, STAVROPOULOU CHARITINI. Patients' willingness and ability to participate actively in the reduction of clinical errors: a …
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psnet.ahrq.gov/issue/crisis-checklists-emergency-medicine-another-step-forward-cognitive-aids
April 21, 2021 - Commentary
Crisis checklists in emergency medicine: another step forward for cognitive aids.
Citation Text:
Chen Y-YK, Arriaga AF. Crisis checklists in emergency medicine: another step forward for cognitive aids. BMJ Qual Saf. 2021;30(9):689-693. doi:10.1136/bmjqs-2021-013203.
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psnet.ahrq.gov/issue/identifying-potential-patient-safety-issues-federal-electronic-health-record-surveillance
May 12, 2021 - Study
Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program
Citation Text:
Pacheco TB, Hettinger AZ, Ratwani RM. Identifying Potential Patient Safety Issues From the Federal Electronic Health Record Surveillance Program. JAMA. 2019;322…
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psnet.ahrq.gov/issue/evolving-literature-safety-walkrounds-emerging-themes-and-practical-messages
February 25, 2015 - Commentary
The evolving literature on safety WalkRounds: emerging themes and practical messages.
Citation Text:
Singer SJ, Tucker AL. The evolving literature on safety WalkRounds: emerging themes and practical messages: Table 1. BMJ Qual Saf. 2014;23(10). doi:10.1136/bmjqs-2014-003416.
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psnet.ahrq.gov/issue/what-defines-high-performing-health-system-systematic-review
August 17, 2022 - Review
What defines a high-performing health system: a systematic review.
Citation Text:
Ahluwalia SC, Damberg CL, Silverman M, et al. What Defines a High-Performing Health Care Delivery System: A Systematic Review. Jt Comm J Qual Patient Saf. 2017;43(9):450-459. doi:10.1016/j.jcjq.2017.…
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psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary-acute-hospital
July 21, 2017 - Study
Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital.
Citation Text:
Han L, Sutton M, Clough S, et al. Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. BMJ Qual Saf. 2018;…
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psnet.ahrq.gov/issue/initial-assessment-patient-handoff-accredited-general-surgery-residency-programs-united
October 19, 2022 - Study
Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey.
Citation Text:
Saleem AM, Paulus JK, Vassiliou MC, et al. Initial assessment of patient handoff in accredited general surgery residency …