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psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-elderly-systematic-review
September 23, 2020 - Review
Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.
Citation Text:
Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam Pract. 2006;55(4):305-12.
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psnet.ahrq.gov/issue/incidence-speech-recognition-errors-emergency-department
February 14, 2017 - Study
Incidence of speech recognition errors in the emergency department.
Citation Text:
Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform. 2016;93:70-73. doi:10.1016/j.ijmedinf.2016.05.005.
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psnet.ahrq.gov/issue/addressing-opioid-epidemic-united-states-lessons-department-veterans-affairs
September 07, 2022 - Commentary
Classic
Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs.
Citation Text:
Gellad WF, Good CB, Shulkin DJ. Addressing the Opioid Epidemic in the United States: Lessons From the Department of Veterans A…
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psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-protocol
November 12, 2014 - Study
5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.
Citation Text:
Pandit JJ, Andrade J, Bogod DG, et al. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, metho…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
May 01, 2014 - benefits:
Reducing clinically significant medication discrepancies
Decreasing potential and confirmed adverse … drug events
Alone it does not reduce post-discharge utilization but may do so when bundled with other … other essential tasks to carry out
Often best to target "high-risk" patients—those most at risk of an adverse … drug event during transitions of care
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Kwan JL, Lo L, Sampson M, Shojania KG.
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psnet.ahrq.gov/issue/framework-classifying-factors-contribute-error-emergency-department
February 14, 2024 - January 8, 2018
Adverse drug event–related emergency department visits associated with
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psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-environment
July 02, 2014 - January 18, 2012
Field test results of a new ambulatory care Medication Error and Adverse … Drug Event Reporting System—MEADERS.
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - Palliative Care: Comfort vs. Harm
November 1, 2017
Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
Case Objectives
Recognize errors may be difficult to identify in palliative care.
State that medication errors and errors in communica…
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psnet.ahrq.gov/issue/evidence-based-organization-and-patient-safety-strategies-european-hospitals
January 20, 2016 - Study
Evidence-based organization and patient safety strategies in European hospitals.
Citation Text:
Suñol R, Wagner C, Arah OA, et al. Evidence-based organization and patient safety strategies in European hospitals. Int J Qual Health Care. 2014;26 Suppl 1:47-55. doi:10.1093/intqhc/mzu0…
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psnet.ahrq.gov/issue/emergency-department-checklist-innovation-improve-safety-emergency-care
December 20, 2023 - Commentary
Emergency department checklist: an innovation to improve safety in emergency care.
Citation Text:
Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-00…
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psnet.ahrq.gov/issue/intensive-care-unit-safety-culture-and-outcomes-us-multicenter-study
June 16, 2011 - Study
Intensive care unit safety culture and outcomes: a US multicenter study.
Citation Text:
Huang DT, Clermont G, Kong L, et al. Intensive care unit safety culture and outcomes: a US multicenter study. Int J Qual Health Care. 2010;22(3):151-61. doi:10.1093/intqhc/mzq017.
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psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
June 04, 2008 - Study
Medical errors recovered by critical care nurses.
Citation Text:
Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e.
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psnet.ahrq.gov/issue/team-management-training-using-crisis-resource-management-results-perceived-benefits
October 03, 2011 - Study
Team management training using crisis resource management results in perceived benefits by healthcare workers.
Citation Text:
Rudy SJ, Polomano R, Murray WB, et al. Team management training using crisis resource management results in perceived benefits by healthcare workers. J Co…
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psnet.ahrq.gov/issue/latent-bias-and-implementation-artificial-intelligence-medicine
August 18, 2021 - Commentary
Emerging Classic
Latent bias and the implementation of artificial intelligence in medicine.
Citation Text:
Decamp M, Lindvall C. Latent bias and the implementation of artificial intelligence in medicine. J Am Med Inform Assoc. 2020;27(12):2020-2023. d…
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psnet.ahrq.gov/issue/back-basics-approach-reduce-ed-medication-errors
September 28, 2010 - Study
A "back to basics" approach to reduce ED medication errors.
Citation Text:
Blank FSJ, Tobin J, Macomber S, et al. A "back to basics" approach to reduce ED medication errors. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2…
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psnet.ahrq.gov/issue/passing-yo-mama-test
February 15, 2023 - Commentary
Passing the "Yo' Mama" test.
Citation Text:
Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18.
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psnet.ahrq.gov/issue/effect-automated-alerts-provider-ordering-behavior-outpatient-setting
November 23, 2016 - Study
The effect of automated alerts on provider ordering behavior in an outpatient setting.
Citation Text:
Steele AW, Eisert S, Witter J, et al. The effect of automated alerts on provider ordering behavior in an outpatient setting. PLoS Med. 2005;2(9):e255. doi:10.1371/journal.pmed.…
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psnet.ahrq.gov/issue/threats-patient-safety-primary-care-office-concerns-physicians-and-nurses
November 09, 2015 - Study
Threats to patient safety in the primary care office: concerns of physicians and nurses.
Citation Text:
Schwappach DLB, Gehring K, Battaglia M, et al. Threats to patient safety in the primary care office: concerns of physicians and nurses. Swiss Med Wkly. 2012;142:w13601. doi:10.…
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psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care
August 04, 2021 - Commentary
Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care.
Citation Text:
Taylor D, Hassan MA, Luterman A, et al. Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Arch Surg. 2008;143(1):87-92. do…
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psnet.ahrq.gov/issue/differences-medication-knowledge-and-risk-errors-between-graduating-nursing-students-and
December 29, 2014 - Study
Differences in medication knowledge and risk of errors between graduating nursing students and working registered nurses: comparative study.
Citation Text:
Simonsen BO, Daehlin GK, Johansson I, et al. Differences in medication knowledge and risk of errors between graduating nursing…