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psnet.ahrq.gov/issue/scoping-review-studies-evaluating-frailty-and-its-association-medication-harm
May 25, 2022 - Review
Scoping review of studies evaluating frailty and its association with medication harm.
Citation Text:
Lam JYJ, Barras M, Scott IA, et al. Scoping review of studies evaluating frailty and its association with medication harm. Drugs Aging. 2022;39(5):333-353. doi:10.1007/s40266-022-…
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psnet.ahrq.gov/issue/overlapping-surgery-arthroplasty-systematic-review-and-meta-analysis
October 19, 2022 - Review
Overlapping surgery in arthroplasty - a systematic review and meta-analysis.
Citation Text:
Kim RG, An VVG, Lee SLK, et al. Overlapping surgery in arthroplasty – a systematic review and meta-analysis. Orthop Traumatol Surg Res. 2023;109(4):103299. doi:10.1016/j.otsr.2022.103299.
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psnet.ahrq.gov/issue/transforming-morbidity-and-mortality-conference-promote-safety-and-quality-picu
April 28, 2021 - Study
Transforming the morbidity and mortality conference to promote safety and quality in a PICU.
Citation Text:
Cifra CL, Bembea MM, Fackler JC, et al. Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Crit Care Med. 2016;17(1):58-66. doi:10.1…
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psnet.ahrq.gov/issue/safe-use-ehr-medical-scribes-qualitative-study
February 01, 2023 - Study
Safe use of the EHR by medical scribes: a qualitative study.
Citation Text:
Ash JS, Corby S, Mohan V, et al. Safe use of the EHR by medical scribes: a qualitative study. J Amer Med Inform Assoc. 2021;28(2):294-302. doi:10.1093/jamia/ocaa199.
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psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
March 10, 2021 - Commentary
Beyond the corrective action hierarchy: a systems approach to organizational change.
Citation Text:
Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068…
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psnet.ahrq.gov/issue/impact-power-health-care-team-performance-and-patient-safety-review-literature
February 01, 2023 - Review
The impact of power on health care team performance and patient safety: a review of the literature.
Citation Text:
Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090. …
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psnet.ahrq.gov/issue/patient-safety-advisory-fentanyl-counterfeit-prescription-medications-contain-fentanyl-and
September 18, 2024 - Organizational Policy/Guidelines
Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety.
Citation Text:
Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fent…
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psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis-75-cases
June 19, 2019 - Study
Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany.
Citation Text:
Fisseni G, Pentzek M, Abholz H-H. Responding to serious medical error in general practice--consequences for the GPs involved: analysis of 7…
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psnet.ahrq.gov/issue/uncertainty-decision-making-medicine-scoping-review-and-thematic-analysis-conceptual-models
July 11, 2018 - Review
Uncertainty in decision making in medicine: a scoping review and thematic analysis of conceptual models.
Citation Text:
Helou MA, DiazGranados D, Ryan MS, et al. Uncertainty in Decision Making in Medicine. Acad Med. 2020;95(1):157-165. doi:10.1097/acm.0000000000002902.
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psnet.ahrq.gov/issue/effects-power-leadership-and-psychological-safety-resident-event-reporting
November 16, 2022 - Study
The effects of power, leadership and psychological safety on resident event reporting.
Citation Text:
Appelbaum NP, Dow A, Mazmanian PE, et al. The effects of power, leadership and psychological safety on resident event reporting. Med Edu. 2016;50(3):343-350. doi:10.1111/medu.12947…
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psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer
December 22, 2018 - Commentary
The successful anesthesia patient safety officer.
Citation Text:
Cohen JB, Patel SY. The successful anesthesia patient safety officer. Anesth Analg. 2021;133(3):816-820. doi:10.1213/ane.0000000000005637.
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psnet.ahrq.gov/issue/influence-structure-and-culture-medical-group-practices-prescription-drug-errors
January 14, 2011 - Study
The influence of the structure and culture of medical group practices on prescription drug errors.
Citation Text:
Kralewski JE, Dowd BE, Heaton A, et al. The influence of the structure and culture of medical group practices on prescription drug errors. Med care. 2005;43(8):817-82…
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psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
April 01, 2015 - Study
Retrospective analysis of medication incidents reported using an on-line reporting system.
Citation Text:
Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-…
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psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting
December 06, 2013 - Study
Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting.
Citation Text:
Tjia J, Field T, Garber LD, et al. Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. Am J Manag Care. 2010;…
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psnet.ahrq.gov/issue/social-capital-and-knowledge-sharing-effects-patient-safety
September 15, 2011 - Study
Social capital and knowledge sharing: effects on patient safety.
Citation Text:
Chang C-W, Huang H-C, Chiang C-Y, et al. Social capital and knowledge sharing: effects on patient safety. J Adv Nurs. 2012;68(8):1793-803. doi:10.1111/j.1365-2648.2011.05871.x.
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psnet.ahrq.gov/issue/factors-associated-medication-errors-pediatric-emergency-department
March 09, 2022 - Study
Factors associated with medication errors in the pediatric emergency department.
Citation Text:
Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, et al. Factors associated with medication errors in the pediatric emergency department. Pediatr Emerg Care. 2011;27(4):290-294. doi:…
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psnet.ahrq.gov/issue/medicines-management-medication-errors-and-adverse-medication-events-older-people-referred
January 06, 2016 - Study
Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study.
Citation Text:
Elliott RA, Lee CY, Beanland C, et al. Medicines Management, Medication Errors and Adverse Medication E…
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psnet.ahrq.gov/issue/quiet-please-drug-round-tabards-are-they-effective-and-accepted-mixed-method-study
May 19, 2018 - Study
Quiet please! Drug round tabards: are they effective and accepted? A mixed method study.
Citation Text:
Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.111…
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psnet.ahrq.gov/issue/work-observation-study-nuclear-medicine-technologists-interruptions-resilience-and
May 25, 2011 - Study
A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety.
Citation Text:
Larcos G, Prgomet M, Georgiou A, et al. A work observation study of nuclear medicine technologists: interruptions, resilience and implications f…
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psnet.ahrq.gov/issue/lacerations-and-embedded-needles-caused-epinephrine-autoinjector-use-children
September 23, 2020 - Study
Lacerations and embedded needles caused by epinephrine autoinjector use in children.
Citation Text:
Brown JC, Tuuri RE, Akhter S, et al. Lacerations and Embedded Needles Caused by Epinephrine Autoinjector Use in Children. Ann Emerg Med. 2016;67(3):307-315.e8. doi:10.1016/j.annemerg…