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psnet.ahrq.gov/issue/use-pediatric-injectable-medicines-guidelines-and-associated-medication-administration-errors
December 18, 2019 - Study
Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis.
Citation Text:
Jones MD, Clarke J, Feather C, et al. Use of pediatric injectable medicines guidelines and associated medication administration errors: a h…
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psnet.ahrq.gov/issue/interventions-address-potentially-inappropriate-prescribing-community-dwelling-older-adults
August 14, 2024 - Review
Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials.
Citation Text:
Clyne B, Fitzgerald C, Quinlan A, et al. Interventions to Address Potentially Inappropriate Prescribing in Communi…
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psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general
December 14, 2022 - Study
How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway.
Citation Text:
Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioner…
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psnet.ahrq.gov/issue/perioperative-safety-determinants-ethnic-patient-groups
February 09, 2022 - Study
Perioperative safety determinants in ethnic patient groups.
Citation Text:
Bloo G, Calsbeek H, Westert GP, et al. Perioperative safety determinants in ethnic patient groups. J Patient Saf Risk Manag. 2023;28(1):31-46. doi:10.1177/25160435231151545.
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psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology
April 05, 2013 - Study
Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons.
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psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
July 20, 2011 - Study
Medication discrepancies upon hospital to skilled nursing facility transitions.
Citation Text:
Tjia J, Bonner A, Briesacher BA, et al. Medication discrepancies upon hospital to skilled nursing facility transitions. J Gen Intern Med. 2009;24(5):630-5. doi:10.1007/s11606-009-0948-2…
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psnet.ahrq.gov/issue/clinical-and-safety-impact-inpatient-pharmacist-directed-anticoagulation-service
September 23, 2020 - Study
Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.
Citation Text:
Schillig J, Kaatz S, Hudson M, et al. Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. J Hosp Med. 2011;6(6):322-8. doi:10.1002/jhm.910.
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psnet.ahrq.gov/issue/association-between-waiting-times-and-short-term-mortality-and-hospital-admission-after
May 19, 2018 - Study
Classic
Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada.
Citation Text:
Guttmann A, Schull MJ, Vermeulen MJ, et al. Associatio…
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psnet.ahrq.gov/issue/alternatives-opioid-education-and-prescription-drug-monitoring-program-cumulatively-decreased
April 06, 2022 - Study
Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions.
Citation Text:
Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased…
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psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors
April 06, 2022 - Commentary
Weight and size descriptors for drug dosing: too many options and too many errors.
Citation Text:
Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…
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psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
June 16, 2021 - Study
Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.'
Citation Text:
Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after…
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psnet.ahrq.gov/issue/electronic-prescribing-subcutaneous-infusions-and-after-study-assessing-impact-upon-patient
July 06, 2022 - Study
The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency.
Citation Text:
Hindmarsh J, Holden K. The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact …
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psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k
April 13, 2022 - Study
Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls.
Citation Text:
Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) …
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking/annual-summary/2011
January 01, 2011 - Using Information Technology for Patient-Centered Communication and Decisionmaking about Medications - 2011
Project Name
Using Information Technology for Patient-Centered Communication and Decisionmaking about Medications
Principal Investigator
Wolf, Michael
Organization
Nort…
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digital.ahrq.gov/ahrq-funded-projects/veterans-administration-va-integrated-medication-manager/annual-summary/2011
January 01, 2011 - Veterans Administration (VA) Integrated Medication Manager - 2011
Project Name
Veterans Administration (VA) Integrated Medication Manager
Principal Investigator
Nebeker, Jonathan
Organization
Western Institute for Biomedical Research
Funding Mechanism
RFA: HS07-006:…
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digital.ahrq.gov/ahrq-funded-projects/veterans-administration-va-integrated-medication-manager/annual-summary/2010
January 01, 2010 - Veterans Administration (VA) Integrated Medication Manager - 2010
Project Name
Veterans Administration (VA) Integrated Medication Manager
Principal Investigator
Nebeker, Jonathan
Organization
Western Institute for Biomedical Research
Funding Mechanism
RFA: HS07-006:…
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psnet.ahrq.gov/issue/why-do-healthcare-professionals-fail-escalate-early-warning-system-ews-protocol-qualitative
August 25, 2021 - Review
Emerging Classic
Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation.
Citation Text:
O’Neill SM, Clyne B, Bell M, et al. Why do h…
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psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting
March 24, 2021 - Study
Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system.
Citation Text:
Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting system. J Trau…
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psnet.ahrq.gov/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text-communication
February 17, 2021 - Study
Safety risks and workflow implications associated with nursing-related free-text communication orders.
Citation Text:
Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 20…
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psnet.ahrq.gov/issue/association-work-environment-missed-and-rushed-care-tasks-among-care-aides-nursing-homes
August 31, 2016 - Study
Association of work environment with missed and rushed care: tasks among care aides in nursing homes.
Citation Text:
Song Y, Hoben M, Norton PG, et al. Association of work environment with missed and rushed care: tasks among care aides in nursing homes. JAMA Netw Open. 2020;3(1):e1…