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psnet.ahrq.gov/issue/case-adverse-drug-reaction-induced-dispensing-error
August 17, 2022 - Commentary
A case of adverse drug reaction induced by dispensing error.
Citation Text:
Gallelli L, Staltari O, Palleria C, et al. A case of adverse drug reaction induced by dispensing error. J Forensic Leg Med. 2012;19(8):497-8. doi:10.1016/j.jflm.2012.04.026.
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psnet.ahrq.gov/issue/use-report-cards-and-outcome-measurements-improve-safety-surgical-care-american-college
May 26, 2016 - Review
The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program.
Citation Text:
Maggard-Gibbons M. The use of report cards and outcome measurements to improve the safety of surg…
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psnet.ahrq.gov/issue/patient-safety-rounds-pilot-program-clinics-affiliated-large-research-and-education
August 10, 2022 - Study
A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution.
Citation Text:
Savely SM, Muraca PW, Eller MF, et al. A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution. J Patient …
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psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system
April 06, 2022 - Study
Accuracy of adverse-drug-event reports collected using an automated dispensing system.
Citation Text:
Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing system. Am J Health Syst Pharm. 2005;62(13):1375-80.
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psnet.ahrq.gov/issue/safe-practices-copy-and-paste-ehr-systematic-review-recommendations-and-novel-model-health-it
April 08, 2018 - Review
Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration.
Citation Text:
Tsou AY, Lehmann CU, Michel J, et al. Safe Practices for Copy and Paste in the EHR. Systematic Review, Recommendations, and Novel Model for…
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psnet.ahrq.gov/issue/agreement-expert-judgment-causality-assessment-adverse-drug-reactions
November 29, 2023 - Study
Agreement of expert judgment in causality assessment of adverse drug reactions.
Citation Text:
Arimone Y, Bégaud B, Miremont-Salamé G, et al. Agreement of expert judgment in causality assessment of adverse drug reactions. Eur J Clin Pharmacol. 2005;61(3):169-73.
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psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation
June 07, 2023 - Commentary
Evolution of a rapid response system from voluntary to mandatory activation.
Citation Text:
Jones CM, Bleyer AJ, Petree B. Evolution of a rapid response system from voluntary to mandatory activation. Jt Comm J Qual Patient Saf. 2010;36(6):266-70, 241.
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psnet.ahrq.gov/issue/determinants-adverse-events-hospitals-potential-role-patient-safety-culture
October 22, 2008 - Study
Determinants of adverse events in hospitals—the potential role of patient safety culture.
Citation Text:
Kline TJB, Willness C, Ghali WA. Determinants of adverse events in hospitals--the potential role of patient safety culture. J Healthc Qual. 2008;30(1):11-7.
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psnet.ahrq.gov/issue/does-inappropriate-selectivity-information-use-relate-diagnostic-errors-and-patient-harm
July 02, 2014 - Study
Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea.
Citation Text:
Zwaan L, Thijs A, Wagner C, et al. Does inappropriate selectivity in information use relate to diagnostic errors and patient harm?…
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psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
March 03, 2011 - Study
The sensitivity of adverse event cost estimates to diagnostic coding error.
Citation Text:
Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.0…
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psnet.ahrq.gov/issue/validity-retrospective-review-medical-records-means-identifying-adverse-events-comparison
October 25, 2023 - Study
Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports.
Citation Text:
Kobayashi M, Ikeda S, Kitazawa N, et al. Validity of retrospective review of medical records as a means of identif…
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psnet.ahrq.gov/issue/there-vulnerable-group-we-must-not-leave-behind-our-response-covid-19-people-who-are
October 05, 2022 - Newspaper/Magazine Article
There is a vulnerable group we must not leave behind in our response to COVID-19: people who are dependent on illicit drugs.
Citation Text:
Guirguis A. There is a vulnerable group we must not leave behind in our response to COVID-19: people who are dependent on…
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psnet.ahrq.gov/issue/reconcilable-differences-correcting-medication-errors-hospital-admission-and-discharge
February 13, 2019 - Study
Reconcilable differences: correcting medication errors at hospital admission and discharge.
Citation Text:
Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006;15(2):122-6.
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psnet.ahrq.gov/issue/board-pharmacy-practices-related-medication-errors-and-their-potential-impact-patient-safety
December 20, 2017 - Study
Board of pharmacy practices related to medication errors and their potential impact on patient safety.
Citation Text:
Degnan DD, Hertig JB, Peters MJ, et al. Board of Pharmacy Practices Related to Medication Errors and Their Potential Impact on Patient Safety. J Pharm Pract. 2018;3…
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psnet.ahrq.gov/issue/strategies-reduce-diagnostic-errors-systematic-review
February 02, 2022 - Review
Strategies to reduce diagnostic errors: a systematic review
Citation Text:
Abimanyi-Ochom J, Mudiyanselage SB, Catchpool M, et al. Strategies to reduce diagnostic errors: a systematic review. BMC Med Inform Decis Mak. 2019;19(1):174. doi:10.1186/s12911-019-0901-1.
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psnet.ahrq.gov/issue/evaluating-effect-distractions-operating-room-clinical-decision-making-and-patient-safety
November 16, 2022 - Study
Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety.
Citation Text:
Murji A, Luketic L, Sobel ML, et al. Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. Surg Endosc. 2…
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psnet.ahrq.gov/issue/decreasing-paediatric-prescribing-errors-district-general-hospital
June 09, 2011 - Study
Decreasing paediatric prescribing errors in a district general hospital.
Citation Text:
Davey AL, Britland A, Naylor RJ. Decreasing paediatric prescribing errors in a district general hospital. Qual Saf Health Care. 2008;17(2):146-9. doi:10.1136/qshc.2006.021212.
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psnet.ahrq.gov/issue/epidemiology-adverse-events-and-medical-errors-care-cardiology-patients
November 26, 2014 - Study
Epidemiology of adverse events and medical errors in the care of cardiology patients.
Citation Text:
Ohta Y, Miki I, Kimura T, et al. Epidemiology of Adverse Events and Medical Errors in the Care of Cardiology Patients. J Patient Saf. 2019;15(3):251-256. doi:10.1097/PTS.00000000000…
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psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events
March 23, 2011 - Study
Ambulance stretcher adverse events.
Citation Text:
Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care. 2009;18(3):213-216. doi:10.1136/qshc.2007.024562.
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psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
February 19, 2014 - Commentary
Framework for analysing risk and safety in clinical medicine.
Citation Text:
Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157.
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