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psnet.ahrq.gov/issue/estimating-information-gap-between-emergency-department-records-community-medication-compared
March 11, 2011 - Study
Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records.
Citation Text:
Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …
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psnet.ahrq.gov/issue/systematic-review-safety-checklists-use-medical-care-teams-acute-hospital-settings-limited
July 29, 2020 - Review
Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness.
Citation Text:
Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in acute hospital settings--limi…
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psnet.ahrq.gov/issue/improving-medication-safety-accurate-preadmission-medication-lists-and-postdischarge
June 26, 2019 - Study
Improving medication safety with accurate preadmission medication lists and postdischarge education.
Citation Text:
Gardella JE, Cardwell TB, Nnadi M. Improving medication safety with accurate preadmission medication lists and postdischarge education. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/issue/classifying-and-predicting-errors-inpatient-medication-reconciliation
February 15, 2011 - Study
Classifying and predicting errors of inpatient medication reconciliation.
Citation Text:
Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9.
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psnet.ahrq.gov/issue/transparent-and-open-discussion-errors-does-not-increase-malpractice-risk-trauma-patients
October 19, 2022 - Study
Transparent and open discussion of errors does not increase malpractice risk in trauma patients.
Citation Text:
Stewart RM, Corneille MG, Johnston J, et al. Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Ann Surg. 2006;243(5):645-9;…
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psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating-opioids-pain
November 16, 2022 - Review
Classic
Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review.
Citation Text:
Klimas J, Gorfinkel L, Fairbairn N, et al. Strategies to Identify Patient Risks of Prescription Opioid Addi…
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psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws
October 05, 2022 - Study
Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws.
Citation Text:
Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39…
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psnet.ahrq.gov/issue/turning-frequently-overridden-drug-alerts-limited-opportunities-doing-it-safely
March 04, 2011 - Study
Turning off frequently overridden drug alerts: limited opportunities for doing it safely.
Citation Text:
van der Sijs H, Aarts J, van Gelder T, et al. Turning off frequently overridden drug alerts: limited opportunities for doing it safely. J Am Med Inform Assoc. 2008;15(4):439-4…
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psnet.ahrq.gov/issue/intercepting-wrong-patient-orders-computerized-provider-order-entry-system
May 29, 2019 - Study
Intercepting wrong-patient orders in a computerized provider order entry system.
Citation Text:
Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed…
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psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health
July 22, 2009 - Study
The frequency of missed test results and associated treatment delays in a highly computerized health system.
Citation Text:
Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Fam Pract. 2007;8:32.
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psnet.ahrq.gov/issue/cross-sectional-analysis-investigating-organizational-factors-influence-near-miss-error
September 25, 2013 - Study
A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists.
Citation Text:
Patterson ME, Pace HA. A Cross-sectional Analysis Investigating Organizational Factors That Influence Near-Miss Error Reporting Among …
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psnet.ahrq.gov/issue/adoption-factors-associated-electronic-health-record-among-long-term-care-facilities
March 17, 2021 - Review
Adoption factors associated with electronic health record among long-term care facilities: a systematic review.
Citation Text:
Kruse CS, Mileski M, Alaytsev V, et al. Adoption factors associated with electronic health record among long-term care facilities: a systematic review. BM…
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psnet.ahrq.gov/issue/impact-ehealth-quality-and-safety-health-care-systematic-overview
December 14, 2016 - Review
The impact of eHealth on the quality and safety of health care: a systematic overview.
Citation Text:
Black AD, Car J, Pagliari C, et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011;8(1):e1000387. doi:10.1371/journal.pmed…
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psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning
May 22, 2024 - Commentary
Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events.
Citation Text:
McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…
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psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors
January 05, 2012 - Study
National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings.
Citation Text:
Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of voluntarily reported…
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psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission-prospective
September 07, 2016 - Study
Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries.
Citation Text:
van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of hospital read…
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psnet.ahrq.gov/issue/electromagnetic-interference-radio-frequency-identification-inducing-potentially-hazardous
February 14, 2024 - Study
Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment.
Citation Text:
van der Togt R, van Lieshout EJ, Hensbroek R, et al. Electromagnetic interference from radio frequency identification indu…
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psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
May 12, 2021 - Commentary
The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy.
Citation Text:
Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-43…
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psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
December 17, 2014 - Study
Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients.
Citation Text:
Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. An…
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psnet.ahrq.gov/issue/effectiveness-continuous-or-intermittent-vital-signs-monitoring-preventing-adverse-events
July 19, 2023 - Review
Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis.
Citation Text:
Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs monitorin…