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Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. | PSNet

psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk

October 04, 2023 - Review Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. Citation Text: Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduct…

Medication guides: patient medication information. A proposed rule by the Food and Drug Administration. | PSNet

psnet.ahrq.gov/issue/medication-guides-patient-medication-information-proposed-rule-food-and-drug-administration

September 15, 2021 - Press Release/Announcement Medication guides: patient medication information. A proposed rule by the Food and Drug Administration. Citation Text: Medication guides: patient medication information. A proposed rule by the Food and Drug Administration. May 31, 2023; Fed Register;88:35694-35…

Hospital autopsy: endangered or extinct? | PSNet

psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct

November 21, 2021 - Study Hospital autopsy: endangered or extinct? Citation Text: Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601-604. doi:10.1136/jclinpath-2014-202700. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

Utilizing pharmacy students in transitions-of-care services. | PSNet

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October 19, 2022 - Commentary Utilizing pharmacy students in transitions-of-care services. Citation Text: L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561. Copy Citation Format…

Prevalence and sources of duplicate information in the electronic medical record. | PSNet

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October 21, 2020 - Study Prevalence and sources of duplicate information in the electronic medical record. Citation Text: Steinkamp J, Kantrowitz JJ, Airan-Javia S. Prevalence and sources of duplicate information in the electronic medical record. JAMA Netw Open. 2022;5(9):e2233348. doi:10.1001/jamanetworko…

Patient safety incidents caused by poor quality surgical instruments. | PSNet

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April 06, 2022 - Study Patient safety incidents caused by poor quality surgical instruments. Citation Text: Dominguez ED, Rocos B. Patient Safety Incidents Caused by Poor Quality Surgical Instruments. Cureus. 2019;11(6):e4877. doi:10.7759/cureus.4877. Copy Citation Format: DOI Google Schola…

Medication sharing, storage, and disposal practices for opioid medications among US adults. | PSNet

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March 30, 2022 - Study Medication sharing, storage, and disposal practices for opioid medications among US adults. Citation Text: Kennedy-Hendricks A, Gielen A, McDonald E, et al. Medication Sharing, Storage, and Disposal Practices for Opioid Medications Among US Adults. JAMA Intern Med. 2016;176(7):1027…

Infection After Carpal Tunnel Surgery | PSNet

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May 28, 2014 - Infection After Carpal Tunnel Surgery Citation Text: Szabo RM. Infection After Carpal Tunnel Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNo…

Cognitive Systems Engineering in Health Care. | PSNet

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October 11, 2016 - Book/Report Cognitive Systems Engineering in Health Care. Citation Text: Cognitive Systems Engineering in Health Care. Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960. Copy Citation Save Save to your library Prin…

An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. | PSNet

psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical

June 12, 2013 - Book/Report Classic An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. Citation Text: An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events …

Nurses' perceptions of multidisciplinary team work in acute health-care. | PSNet

psnet.ahrq.gov/issue/nurses-perceptions-multidisciplinary-team-work-acute-health-care

January 06, 2017 - Image/Poster Nurses' perceptions of multidisciplinary team work in acute health-care. Citation Text: Atwal A, Caldwell K. Nurses' perceptions of multidisciplinary team work in acute health-care. Int J Nurs Pract. 2006;12(6):359-65. Copy Citation Format: Google Scholar Pub…

Safe medication prescribing and monitoring in the outpatient setting. | PSNet

psnet.ahrq.gov/issue/safe-medication-prescribing-and-monitoring-outpatient-setting

January 06, 2018 - Commentary Safe medication prescribing and monitoring in the outpatient setting. Citation Text: Shojania KG. Safe medication prescribing and monitoring in the outpatient setting. Can Med Assoc J. 2006;174(9). doi:10.1503/cmaj.050984. Copy Citation Format: DOI Google Schol…

Standardization as a mechanism to improve safety in health care. | PSNet

psnet.ahrq.gov/issue/standardization-mechanism-improve-safety-health-care

January 05, 2017 - Study Standardization as a mechanism to improve safety in health care. Citation Text: Rozich JD, Howard RJ, Justeson JM, et al. Standardization as a mechanism to improve safety in health care. Jt Comm J Qual Patient Saf. 2004;30(1):5-14. Copy Citation Format: Google Schol…

Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. | PSNet

psnet.ahrq.gov/issue/time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-real-world-knowledge

June 09, 2011 - Commentary Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. Citation Text: Nunnally M, Bitan Y. Time to Get Off this Pig's Back? J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000233827.90…

Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery. | PSNet

psnet.ahrq.gov/issue/implementation-comprehensive-unit-based-safety-program-reduce-surgical-site-infections

December 20, 2023 - Study Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery. Citation Text: Dieplinger B, Egger M, Jezek C, et al. Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean deli…

Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? | PSNet

psnet.ahrq.gov/issue/discontinuation-antihyperglycemic-therapy-after-acute-myocardial-infarction-medical-necessity

February 28, 2011 - Study Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? Citation Text: Lovig KO, Horwitz LI, Lipska K, et al. Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical e…

Double Trouble | PSNet

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August 01, 2012 - Since the patient’s prior diabetic history is not described, we do not know whether he was started on

Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. | PSNet

psnet.ahrq.gov/issue/association-use-mandatory-prescription-drug-monitoring-program-prescribing-practices-patients

March 01, 2023 - Study Emerging Classic Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. Citation Text: Stucke RS, Kelly JL, Mathis KA, et al. Association of the Use of a Mandatory Pre…

Refocusing the lens: patient safety in ambulatory chronic disease care. | PSNet

psnet.ahrq.gov/issue/refocusing-lens-patient-safety-ambulatory-chronic-disease-care

December 19, 2018 - Commentary Classic Refocusing the lens: patient safety in ambulatory chronic disease care. Citation Text: Sarkar U, Wachter R, Schroeder SA, et al. Refocusing the lens: patient safety in ambulatory chronic disease care. Jt Comm J Qual Patient Saf. 2009;35(7):377…

Content analysis of nurses' reflections on medication errors in a regional hospital. | PSNet

psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital

December 23, 2020 - Study Content analysis of nurses' reflections on medication errors in a regional hospital. Citation Text: Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.222043…

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