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The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. | PSNet

psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-2009-consensus-development

November 16, 2022 - Commentary The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. Citation Text: Rodriguez R. The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. Hos…

Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. | PSNet

psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three

October 23, 2018 - Study Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. Citation Text: Grissinger MC, Hicks RW, Keroack MA, et al. Harmful medication errors involving unfractionated and low-molecular-weight heparin in three pa…

An estimate of missed pediatric sepsis in the emergency department. | PSNet

psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-emergency-department

December 08, 2021 - Study An estimate of missed pediatric sepsis in the emergency department. Citation Text: Cifra CL, Westlund E, Ten Eyck P, et al. An estimate of missed pediatric sepsis in the emergency department. Diagnosis (Berl). 2020;8(2):193-198. doi:10.1515/dx-2020-0023. Copy Citation Format:…

Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. | PSNet

psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract

July 22, 2020 - Study Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. Citation Text: Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-critical care setting and retract–reorder error…

Varying rates of patient identity verification when using computerized provider order entry. | PSNet

psnet.ahrq.gov/issue/varying-rates-patient-identity-verification-when-using-computerized-provider-order-entry

July 07, 2021 - Study Varying rates of patient identity verification when using computerized provider order entry. Citation Text: Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928…

The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. | PSNet

psnet.ahrq.gov/issue/effect-computerised-decision-support-alerts-tailored-intensive-care-administration-high-risk

October 18, 2023 - Study The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. Citation Text: Bakker T, Klopotowska JE, Dongelmans DA, et al. The effect of computeri…

Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. | PSNet

psnet.ahrq.gov/issue/reduction-omission-events-after-implementing-rapid-response-system-mortality-review

April 20, 2022 - Study Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. Citation Text: Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid Response System: a mortality review…

Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/exploring-association-between-organizational-culture-and-large-scale-adverse-events-evidence

August 18, 2021 - Study Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. Citation Text: George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and Large-Scale Adverse Events: Ev…

Meaningful use of health information technology and declines in in-hospital adverse drug events. | PSNet

psnet.ahrq.gov/issue/meaningful-use-health-information-technology-and-declines-hospital-adverse-drug-events

November 28, 2012 - Study Meaningful use of health information technology and declines in in-hospital adverse drug events. Citation Text: Furukawa MF, Spector WD, Limcangco R, et al. Meaningful use of health information technology and declines in in-hospital adverse drug events. J Am Med Inform Assoc. 2017;…

Potentially inappropriate prescribing among older persons: a meta-analysis of observational studies. | PSNet

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May 27, 2020 - Review Emerging Classic Potentially inappropriate prescribing among older persons: a meta-analysis of observational studies. Citation Text: Liew TM, Lee CS, Shawn KLG, et al. Potentially Inappropriate Prescribing Among Older Persons: A Meta-Analysis of Observati…

Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. | PSNet

psnet.ahrq.gov/issue/effect-transformation-veterans-affairs-health-care-system-quality-care

July 28, 2014 - Study Classic Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. Citation Text: Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. N E…

Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens. | PSNet

psnet.ahrq.gov/issue/stakeholder-perspectives-handovers-between-hospital-staff-and-general-practitioners

October 03, 2012 - Study Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens. Citation Text: Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and general practitioners: an e…

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration. | PSNet

psnet.ahrq.gov/issue/tracking-rates-patient-safety-indicators-over-time-lessons-veterans-administration

July 14, 2009 - Study Tracking rates of patient safety indicators over time: lessons from the Veterans Administration. Citation Text: Rosen AK, Zhao S, Rivard PE, et al. Tracking rates of Patient Safety Indicators over time: lessons from the Veterans Administration. Med Care. 2006;44(9):850-61. Copy…

Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. | PSNet

psnet.ahrq.gov/issue/validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality

July 14, 2009 - Study Classic Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. Citation Text: Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA National Surg…

Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. | PSNet

psnet.ahrq.gov/issue/quality-and-variability-patient-directions-electronic-prescriptions-ambulatory-care-setting

May 08, 2017 - Study Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. Citation Text: Yang Y, Ward-Charlerie S, Dhavle AA, et al. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Car…

Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults. | PSNet

psnet.ahrq.gov/issue/effects-state-opioid-prescribing-laws-use-opioid-and-other-pain-treatments-among-commercially

October 13, 2018 - Study Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults. Citation Text: McGinty EE, Bicket MC, Seewald NJ, et al. Effects of state opioid prescribing laws on use of opioid and other pain treatments among commerciall…

How medical error shapes physicians' perceptions of learning: an exploratory study. | PSNet

psnet.ahrq.gov/issue/how-medical-error-shapes-physicians-perceptions-learning-exploratory-study

August 16, 2023 - Study How medical error shapes physicians' perceptions of learning: an exploratory study. Citation Text: Shepherd L, LaDonna KA, Cristancho SM, et al. How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. Acad Med. 2019;94(8):1157-1163. doi:10.1097/ACM.00000…

The effectiveness of electronic differential diagnoses (DDX) generators: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/effectiveness-electronic-differential-diagnoses-ddx-generators-systematic-review-and-meta

October 14, 2015 - Review Classic The effectiveness of electronic differential diagnoses (DDX) generators: a systematic review and meta-analysis. Citation Text: Riches N, Panagioti M, Alam R, et al. The Effectiveness of Electronic Differential Diagnoses (DDX) Generators: A Systema…

Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19. | PSNet

psnet.ahrq.gov/issue/identifying-adverse-events-patients-hospitalized-isolation-or-quarantine-due-covid-19

September 13, 2023 - Study Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19. Citation Text: de Arriba Fernández A, Sánchez Medina R, Dorta Hung ME, et al. Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19. J Patient Sa…

Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. | PSNet

psnet.ahrq.gov/issue/medication-related-harm-older-adults-following-hospital-discharge-development-and-validation

May 15, 2013 - Study Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. Citation Text: Parekh N, Ali K, Davies JG, et al. Medication-related harm in older adults following hospital discharge: development and validation of a prediction …

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