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The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

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Displaying 1 - 13 of 13 Results
Krevat S, Samuel S, Boxley C, et al. JAMA Netw Open. 2023;6:e238399.
The majority of healthcare providers use electronic health record (EHR) systems but these systems are not infallible. This analysis used closed malpractice claims from the CRICO malpractice insurance database to identify whether the EHR contributes to diagnostic error, the types of errors, and where in the diagnostic process errors occur. EHR contributed to diagnostic error in 61% of claims, the majority in outpatient care, and 92% at the testing stage.
Corby S, Ash JS, Florig ST, et al. J Gen Intern Med. 2023;38:2052-2058.
Medical scribes are increasingly being utilized to reduce the time burden on clinicians for electronic health record (EHR) documentation. In this secondary analysis, researchers identified three themes for safe use of medical scribes: communication aspects, teamwork efforts, and provider characteristics.
Dixit RA, Boxley CL, Samuel S, et al. J Patient Saf. 2023;19:e25-e30.
… and communication . The majority of issues were a related to providers’ cognitive processing, revealing an … and quality improvement. … Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping review and framework. J Patient Saf. …
Burchiel KJ, Zetterman RK, Ludmerer KM, et al. J Grad Med Educ. 2017;9:692-696.
… … J Grad Med Educ … Resident work hour limits have been a controversial patient safety strategy. Discussing a recent adjustment to the duty hours requirements, this … new standards on both the medical profession and society. A recent PSNet perspective described the 2017 work hour …
Kizzier-Carnahan V, Artis KA, Mohan V, et al. J Patient Saf. 2019;15:246-250.
This study found that laboratory values designated as "abnormal" or "panic" in the electronic health record, which are considered passive alerts, are very common for patients in the intensive care unit. The authors suggest that these passive alerts contribute to the pervasive problem of alert fatigue in the intensive care unit.
WebM&M Case August 21, 2007
… evaluation of her stool. The final line of the intern's admitting note also stated that the patient would receive … more acceptable to use when orders are bundled in sets. … William Hersh, MD … Professor and Chair Department of Medical … [go to PubMed] 2. Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism …