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  1. psnet.ahrq.gov/issue/medication-discrepancy-rates-and-sources-upon-nursing-home-intake-prospective-study
    February 12, 2020 - Study Medication discrepancy rates and sources upon nursing home intake: a prospective study. Citation Text: Patterson ME, Bollinger S, Coleman C, et al. Medication discrepancy rates and sources upon nursing home intake: a prospective study. Res Social Adm Pharm. 2022;18(5):2830-2836. do…
  2. psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-systems
    October 04, 2011 - Study Classic The long road to patient safety: a status report on patient safety systems. Citation Text: Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. Copy Citation …
  3. psnet.ahrq.gov/issue/electronic-health-records-and-adverse-drug-events-after-patient-transfer
    February 25, 2009 - Study Electronic health records and adverse drug events after patient transfer. Citation Text: Boockvar KS, Livote EE, Goldstein N, et al. Electronic health records and adverse drug events after patient transfer. Qual Saf Health Care. 2010;19(5):e16. doi:10.1136/qshc.2009.033050. …
  4. psnet.ahrq.gov/issue/non-dispensing-pharmacists-actions-and-solutions-drug-therapy-problems-among-elderly
    February 03, 2021 - Study Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care. Citation Text: Hazen ACM, Zwart DLM, Poldervaart JM, et al. Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polyp…
  5. psnet.ahrq.gov/issue/association-between-night-time-surgery-and-occurrence-intraoperative-adverse-events-and
    October 13, 2021 - Study Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. Citation Text: Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. Cortegi…
  6. psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community-pharmacy-incident
    May 05, 2021 - Study The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. Citation Text: Adie K, Fois RA, McLachlan AJ, et al. The nature, severity and causes of medication incidents from an Australian community pha…
  7. psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative
    July 31, 2019 - Review The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. Citation Text: Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…
  8. psnet.ahrq.gov/issue/cdc-central-line-bloodstream-infection-prevention-efforts-produced-net-benefits-least-640
    October 31, 2014 - Study CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008. Citation Text: Scott D, Sinkowitz-Cochran R, Wise ME, et al. CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 M…
  9. psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-ahrq-patient-safety-indicator-postoperative
    January 10, 2018 - Study Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. Citation Text: Nguyen MC, Moffatt-Bruce SD, Strosberg DS, et al. Agency for Healthcare Research …
  10. psnet.ahrq.gov/issue/clinical-predictors-unsafe-direct-discharge-home-patients-intensive-care-units
    January 12, 2011 - Study Clinical predictors for unsafe direct discharge home patients from intensive care units. Citation Text: Lau VI, Priestap FA, Lam JNH, et al. Clinical predictors for unsafe direct discharge home patients from intensive care units. J Intensive Care Med. 2020;35(10):1067-1073. doi:10.…
  11. psnet.ahrq.gov/issue/communicating-patients-about-diagnostic-errors-breast-cancer-care-providers-attitudes
    March 11, 2013 - Study Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice Citation Text: Reisch LM, Prouty CD, Elmore JG, et al. Communicating with patients about diagnostic errors in breast cancer care: Providers’ attitudes, experienc…
  12. psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution
    August 04, 2021 - Commentary Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Citation Text: Pelaccia T, Messman AM, Kline JA. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Patient Edu Couns. 2020;103(8):1650-1656. doi:10…
  13. psnet.ahrq.gov/issue/review-medication-errors-and-second-victim-pediatric-pharmacy
    January 27, 2019 - Review A review of medication errors and the second victim in pediatric pharmacy. Citation Text: Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. …
  14. psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-adults-2019
    September 30, 2020 - Study Opioid prescribing to US children and young adults in 2019. Citation Text: Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019. Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539. Copy Citation Format: DOI …
  15. psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
    February 15, 2011 - Study Patient characteristics and the occurrence of never events. Citation Text: Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277. Copy Citation Format: DOI Google Schol…
  16. psnet.ahrq.gov/issue/impact-oncology-drug-shortages-chemotherapy-treatment
    November 01, 2012 - Study Impact of oncology drug shortages on chemotherapy treatment. Citation Text: Alpert A, Jacobson M. Impact of Oncology Drug Shortages on Chemotherapy Treatment. Clin Pharmacol Ther. 2019;106(2):415-421. doi:10.1002/cpt.1390. Copy Citation Format: DOI Google Scholar PubM…
  17. psnet.ahrq.gov/issue/improving-timely-recognition-and-treatment-sepsis-pediatric-icu
    December 09, 2020 - Study Improving timely recognition and treatment of sepsis in the pediatric ICU. Citation Text: Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. …
  18. psnet.ahrq.gov/issue/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution-treatment
    August 25, 2021 - Study A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. Citation Text: Gibson R, MacLeod N, Donaldson LJ, et al. A mixed‐methods analysis of patient safety incidents i…
  19. psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population
    December 29, 2014 - Study Classic Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Citation Text: Weiser TG, Haynes AB, Dziekan G, et al. Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patie…
  20. psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation
    January 06, 2018 - Review Surgical checklists: a systematic review of impacts and implementation. Citation Text: Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797. Copy Citation F…

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