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Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. | PSNet

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May 12, 2021 - Study Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. Citation Text: Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication …

Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. | PSNet

psnet.ahrq.gov/issue/combined-impact-medicares-hospital-pay-performance-programs-quality-and-safety-outcomes-mixed

December 08, 2021 - Study Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. Citation Text: Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance programs on quality and safety outcomes is mixed. BMC Health …

An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective. | PSNet

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June 10, 2020 - Review An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective. Citation Text: Strandås M, Vizcaya-Moreno M, Ingstad K, et al. An integrative systematic review of promoting patient safety within p…

Opioid guidelines for common dental surgical procedures: a multidisciplinary panel consensus. | PSNet

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April 28, 2021 - Organizational Policy/Guidelines Opioid guidelines for common dental surgical procedures: a multidisciplinary panel consensus. Citation Text: Farooqi OA, Bruhn WE, Lecholop MK, et al. Opioid guidelines for common dental surgical procedures: a multidisciplinary panel consensus. Int J Oral…

Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation | PSNet

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August 10, 2022 - Journal Article Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation Citation Text: Parker H, Farrell O, Bethune R, et al. Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A…

Misleading one detail: a preventable mode of diagnostic error? | PSNet

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February 10, 2016 - Study Misleading one detail: a preventable mode of diagnostic error? Citation Text: Arzy S, Brezis M, Khoury S, et al. Misleading one detail: a preventable mode of diagnostic error? J Eval Clin Pract. 2009;15(5):804-6. doi:10.1111/j.1365-2753.2008.01098.x. Copy Citation Format: …

Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. | PSNet

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February 17, 2017 - Study Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. Citation Text: Radomski TR, Bixler FR, Zickmund SL, et al. Physicians' Perspectives Regarding Prescription Drug Monitoring Program…

A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. | PSNet

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January 09, 2018 - Review A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. Citation Text: Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital-acquired bloodstream infections. Arch Dis Child Fetal Neon…

The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. | PSNet

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January 07, 2015 - Review The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. Citation Text: Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. Br…

Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study. | PSNet

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January 09, 2011 - Study Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study. Citation Text: Sedney CL, Dekeseredy P, Singh SA, et al. Stigmatizing language expressed towards individuals with current or previous OUD who have pain an…

Five system barriers to achieving ultrasafe health care. | PSNet

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September 29, 2017 - Commentary Classic Five system barriers to achieving ultrasafe health care. Citation Text: Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. Copy Citation Format: …

Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. | PSNet

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April 24, 2018 - Study Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. Citation Text: Zivin K, White JO, Chao S, et al. Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study. Pain Med. 2019;20(1):103-…

Periodic Issue | PSNet

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April 26, 2023 - Weight-based calculation errors and lack of weight documentation can lead to medication errors in pediatric

To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet

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July 28, 2021 - Drug calculation errors in anesthesiology residents and faculty: an analysis of contributing factors.

Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial. | PSNet

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September 09, 2015 - Study Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial. Citation Text: Stevens AD, Hernandez C, Jones S, et al. Color-coded prefilled medication syringes decrease time to …

Cost-benefit analysis of a medical emergency team in a children's hospital. | PSNet

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November 06, 2015 - Study Cost-benefit analysis of a medical emergency team in a children's hospital. Citation Text: Bonafide CP, Localio R, Song L, et al. Cost-benefit analysis of a medical emergency team in a children's hospital. Pediatrics. 2014;134(2):235-41. doi:10.1542/peds.2014-0140. Copy Citation …

Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-patients-excess-length-stay-extra-costs-and-attributable

February 10, 2011 - Study Classic Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. Citation Text: Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra cos…

Estimating deaths due to medical error: the ongoing controversy and why it matters. | PSNet

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December 30, 2014 - Commentary Estimating deaths due to medical error: the ongoing controversy and why it matters. Citation Text: Shojania KG, Dixon-Woods M. Estimating deaths due to medical error: the ongoing controversy and why it matters. BMJ Qual Saf. 2017;26(5):423-428. doi:10.1136/bmjqs-2016-006144. …

Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. | PSNet

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July 21, 2016 - Study Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. Citation Text: Smith SA, Yount N, Sorra J. Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. BMC Health Serv Res. 2017;17(1):143. do…

What is the return on investment for implementation of a crew resource management program at an academic medical center? | PSNet

psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical

April 24, 2018 - Study What is the return on investment for implementation of a crew resource management program at an academic medical center? Citation Text: Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Ac…

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