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  1. Direct oral anticoagulants: a review of common medication errors. | PSNet

    psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medication-errors
    January 12, 2022 - Review Emerging Classic Direct oral anticoagulants: a review of common medication errors. Citation Text: Barr D, Epps QJ. Direct oral anticoagulants: a review of common medication errors. J Thromb Thrombolysis. 2019;47(1):146-154. doi:10.1007/s11239-018-1752-9. …

  2. What are we doing when we double check? | PSNet

    psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check
    June 10, 2020 - Commentary What are we doing when we double check? Citation Text: Pfeiffer Y, Zimmermann C, Schwappach DLB. What are we doing when we double check? BMJ Qual Saf. 2020;29(7):536-540. doi:10.1136/bmjqs-2019-009680. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  3. Older people's experiences of medicine changes on leaving hospital. | PSNet

    psnet.ahrq.gov/issue/older-peoples-experiences-medicine-changes-leaving-hospital
    August 26, 2020 - Study Older people's experiences of medicine changes on leaving hospital. Citation Text: Bagge M, Norris P, Heydon S, et al. Older people's experiences of medicine changes on leaving hospital. Res Social Admin Pharm. 2013;10(5):791-800. doi:10.1016/j.sapharm.2013.10.005. Copy Citation …

  4. Patient safety in home health care: a grounded theory study. | PSNet

    psnet.ahrq.gov/issue/patient-safety-home-health-care-grounded-theory-study
    September 25, 2019 - Study Patient safety in home health care: a grounded theory study. Citation Text: Shahrestanaki SK, Rafii F, Najafi Ghezeljeh T, et al. Patient safety in home health care: a grounded theory study. BMC Health Serv Res. 2023;23(1):467. doi:10.1186/s12913-023-09458-9. Copy Citation Fo…

  5. A team disclosure of error educational activity: objective outcomes. | PSNet

    psnet.ahrq.gov/issue/team-disclosure-error-educational-activity-objective-outcomes
    January 31, 2018 - Study A team disclosure of error educational activity: objective outcomes. Citation Text: Krumwiede KH, Wagner JM, Kirk LM, et al. A Team Disclosure of Error Educational Activity: Objective Outcomes. J Am Geriatr Soc. 2019;67(6):1273-1277. doi:10.1111/jgs.15883. Copy Citation Forma…

  6. Healthcare professionals' encounters with ethnic minority patients: the critical incident approach. | PSNet

    psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident-approach
    July 29, 2020 - Study Healthcare professionals' encounters with ethnic minority patients: the critical incident approach. Citation Text: Debesay J, Kartzow AH, Fougner M. Healthcare professionals’ encounters with ethnic minority patients: the critical incident approach. Nurs Inq. 2021;29(1):e12421. doi:…

  7. Discrepant advanced directives and code status orders: a preventable medical error. | PSNet

    psnet.ahrq.gov/issue/discrepant-advanced-directives-and-code-status-orders-preventable-medical-error
    October 31, 2018 - Journal Article Discrepant advanced directives and code status orders: a preventable medical error. Citation Text: Meisenberg B, Zaidi S, Franks L, et al. Discrepant Advanced Directives and Code Status Orders: A Preventable Medical Error. J Hosp Med. 2019;14(10):716-718. doi:10.12788/jhm…

  8. Wear face masks with no metal during MRI exams. | PSNet

    psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams
    April 08, 2020 - Press Release/Announcement Wear face masks with no metal during MRI exams. Citation Text: Wear face masks with no metal during MRI exams. FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020. Copy Citation …

  9. Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey | PSNet

    psnet.ahrq.gov/issue/factors-affecting-patient-safety-culture-among-dental-healthcare-workers-nationwide-cross
    June 16, 2021 - Study Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey Citation Text: Cheng H-C, Yen AM-F, Lee Y-H. Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey. J Dent Sci. 2019…

  10. Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs. | PSNet

    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…

  11. The use of simulation in emergency medicine: a research agenda. | PSNet

    psnet.ahrq.gov/issue/use-simulation-emergency-medicine-research-agenda
    December 30, 2008 - Commentary The use of simulation in emergency medicine: a research agenda. Citation Text: Bond WF, Lammers RL, Spillane LL, et al. The use of simulation in emergency medicine: a research agenda. Acad Emerg Med. 2007;14(4):353-63. Copy Citation Format: Google Scholar PubMed …

  12. Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. | PSNet

    psnet.ahrq.gov/issue/linking-joint-commission-inpatient-core-measures-and-national-patient-safety-goals-evidence
    October 19, 2022 - Commentary Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. Citation Text: Masica AL, Richter KM, Convery P, et al. Linking joint commission inpatient core measures and national patient safety goals with evidence. Proc (Bayl Univ Med Cen…

  13. Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. | PSNet

    psnet.ahrq.gov/issue/provider-and-pharmacist-responses-warfarin-drug-drug-interaction-alerts-study-healthcare
    July 29, 2020 - Study Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. Citation Text: Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downst…

  14. Patient safety in inpatient psychiatry: a remaining frontier for health policy. | PSNet

    psnet.ahrq.gov/issue/patient-safety-inpatient-psychiatry-remaining-frontier-health-policy
    October 19, 2022 - Commentary Patient safety in inpatient psychiatry: a remaining frontier for health policy. Citation Text: Shields MC, Stewart MT, Delaney KR. Patient Safety In Inpatient Psychiatry: A Remaining Frontier For Health Policy. Health Aff (Millwood). 2018;37(11):1853-1861. doi:10.1377/hlthaff.…

  15. The flaw of medicine: addressing racial and gender disparities in critical care. | PSNet

    psnet.ahrq.gov/issue/flaw-medicine-addressing-racial-and-gender-disparities-critical-care
    June 16, 2010 - Commentary The flaw of medicine: addressing racial and gender disparities in critical care. Citation Text: Hilton EJ, Goff KL, Sreedharan R, et al. The flaw of medicine: addressing racial and gender disparities in critical care. Anesthesiol Clin. 2020;38(2):357-368. doi:10.1016/j.anclin.…

  16. Effect of a rapid response team on the incidence of in-hospital mortality. | PSNet

    psnet.ahrq.gov/issue/effect-rapid-response-team-incidence-hospital-mortality
    March 15, 2023 - Study Effect of a rapid response team on the incidence of in-hospital mortality. Citation Text: Factora F, Maheshwari K, Khanna S, et al. Effect of a rapid response team on the incidence of in-hospital mortality. Anesth Analg. 2022;135(3):595-604. doi:10.1213/ane.0000000000006005. Copy…

  17. 'More than words' - interpersonal communication, cognitive bias and diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/more-words-interpersonal-communication-cognitive-bias-and-diagnostic-errors
    March 11, 2013 - Commentary 'More than words' - interpersonal communication, cognitive bias and diagnostic errors. Citation Text: Dahm MR, Williams M, Crock C. ‘More than words’ – Interpersonal communication, cognitive bias and diagnostic errors. Patient Educ Couns. 2022;105(1):252-256. doi:10.1016/j.pec…

  18. Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. | PSNet

    psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after
    April 11, 2011 - Study Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. Citation Text: MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a L…

  19. Patient-centered prescription opioid tapering in community outpatients with chronic pain. | PSNet

    psnet.ahrq.gov/issue/patient-centered-prescription-opioid-tapering-community-outpatients-chronic-pain
    May 17, 2017 - Study Emerging Classic Patient-centered prescription opioid tapering in community outpatients with chronic pain. Citation Text: Darnall BD, Ziadni MS, Stieg RL, et al. Patient-Centered Prescription Opioid Tapering in Community Outpatients With Chronic Pain. JAMA…

  20. Educating medical trainees on medication reconciliation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review
    October 16, 2019 - Review Educating medical trainees on medication reconciliation: a systematic review. Citation Text: Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. Copy C…
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