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Vulnerability of the medical product supply chain: the wake-up call of COVID-19. | PSNet

psnet.ahrq.gov/issue/vulnerability-medical-product-supply-chain-wake-call-covid-19

December 02, 2020 - Commentary Emerging Classic Vulnerability of the medical product supply chain: the wake-up call of COVID-19. Citation Text: Miller FA, Young SB, Dobrow M, et al. Vulnerability of the medical product supply chain: the wake-up call of COVID-19. BMJ Qual Saf. 2020;…

Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet

psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient

October 29, 2017 - Review Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. Citation Text: Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…

Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities. | PSNet

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June 23, 2021 - Study Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities. Citation Text: Poudel A, Peel NM, Nissen L, et al. Potentially inappropriate prescribing in older patients discharged from acute care hospitals to resid…

Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/barriers-and-enablers-nurses-use-harm-prevention-strategies-older-patients-hospital-cross

August 10, 2022 - Study Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey. Citation Text: Redley B, Taylor N, Hutchinson A. Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross‐s…

Potential drug interactions and duplicate prescriptions among cancer patients. | PSNet

psnet.ahrq.gov/issue/potential-drug-interactions-and-duplicate-prescriptions-among-cancer-patients

April 27, 2010 - Study Potential drug interactions and duplicate prescriptions among cancer patients. Citation Text: Riechelmann RP, Tannock IF, Wang L, et al. Potential drug interactions and duplicate prescriptions among cancer patients. J Natl Cancer Inst. 2007;99(8):592-600. Copy Citation Format…

Predicting self-intercepted medication ordering errors using machine learning. | PSNet

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May 13, 2020 - Study Predicting self-intercepted medication ordering errors using machine learning. Citation Text: King CR, Abraham J, Fritz BA, et al. Predicting self-intercepted medication ordering errors using machine learning. PLoS One. 2021;16(7):e0254358. doi:10.1371/journal.pone.0254358. Copy …

Impact of a comprehensive safety initiative on patient-controlled analgesia errors. | PSNet

psnet.ahrq.gov/issue/impact-comprehensive-safety-initiative-patient-controlled-analgesia-errors

April 02, 2014 - Study Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Citation Text: Paul JE, Bertram B, Antoni K, et al. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Anesthesiology. 2010;113(6):1427-32. doi:10.1097/ALN.0b013e3…

Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. | PSNet

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September 01, 2021 - Study Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. Citation Text: Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of Interventions in a Simulated Intensive Care Setting. Crit …

Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel. | PSNet

psnet.ahrq.gov/issue/should-electronic-differential-diagnosis-support-be-used-early-or-late-diagnostic-process

November 16, 2022 - Study Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel. Citation Text: Sibbald M, Monteiro SD, Sherbino J, et al. Should electronic differential diagnosis support be used early or late in the diag…

A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. | PSNet

psnet.ahrq.gov/issue/web-application-involve-patients-medication-reconciliation-process-user-centered-usability

August 18, 2021 - Study A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. Citation Text: Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication reconciliation process: a user-centered usa…

The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. | PSNet

psnet.ahrq.gov/issue/impact-missed-nursing-care-or-care-not-done-adults-health-care-rapid-review-consensus

October 27, 2021 - Review The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. Citation Text: Willis E, Brady C. The impact of “missed nursing care” or “care not done” on adults in health care: A rapid review for the Consensu…

Pediatric trainee perspectives on the decision to disclose medical errors. | PSNet

psnet.ahrq.gov/issue/pediatric-trainee-perspectives-decision-disclose-medical-errors

April 27, 2022 - Study Pediatric trainee perspectives on the decision to disclose medical errors. Citation Text: Lin M, Horwitz LI, Gross RS, et al. Pediatric trainee perspectives on the decision to disclose medical errors. J Patient Saf. 2022;18(2):e470-e476. doi:10.1097/pts.0000000000000848. Copy Cit…

Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. | PSNet

psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during

April 24, 2018 - Study Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Citation Text: Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…

Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals. | PSNet

psnet.ahrq.gov/issue/validity-16-ahrq-patient-safety-indicators-identify-hospital-complications-medical-record

November 29, 2023 - Study Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals. Citation Text: Havranek MM, Rüter F, Bilger S, et al. Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a med…

Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. | PSNet

psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors

October 03, 2011 - Study Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Citation Text: Szeinbach S, Seoane-Vazquez E, Parekh A, et al. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Int J Qual Health Care. 2007;19(4):203-9.…

Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/outcome-adverse-events-and-medical-errors-intensive-care-unit-systematic-review-and-meta

March 16, 2022 - Review Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Citation Text: Ahmed AH, Giri J, Kashyap R, et al. Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Am J M…

How differences between manager and clinician perceptions of safety culture impact hospital processes of care. | PSNet

psnet.ahrq.gov/issue/how-differences-between-manager-and-clinician-perceptions-safety-culture-impact-hospital

December 21, 2018 - Study How differences between manager and clinician perceptions of safety culture impact hospital processes of care. Citation Text: Richter J, Mazurenko O, Kazley AS, et al. How Differences Between Manager and Clinician Perceptions of Safety Culture Impact Hospital Processes of Care. J P…

Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. | PSNet

psnet.ahrq.gov/issue/identifying-potential-medication-discrepancies-during-medication-reconciliation-post-acute

June 17, 2020 - Study Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. Citation Text: Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Sett…

Communication and birth experiences among Black birthing people who experienced preterm birth. | PSNet

psnet.ahrq.gov/issue/communication-and-birth-experiences-among-black-birthing-people-who-experienced-preterm-birth

September 23, 2020 - Study Communication and birth experiences among Black birthing people who experienced preterm birth. Citation Text: Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:…

Using name overlap analysis to understand medication name search safety. | PSNet

psnet.ahrq.gov/issue/using-name-overlap-analysis-understand-medication-name-search-safety

August 31, 2022 - Study Using name overlap analysis to understand medication name search safety. Citation Text: Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048. Copy Citation …

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