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psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
September 29, 2017 - Commentary
Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment.
Citation Text:
Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0…
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psnet.ahrq.gov/issue/responsible-e-prescribing-needs-e-discontinuation
July 10, 2017 - Commentary
Responsible e-prescribing needs e-discontinuation.
Citation Text:
Fischer SH, Rose AJ. Responsible e-Prescribing Needs e-Discontinuation. JAMA. 2017;317(5):469-470. doi:10.1001/jama.2016.19908.
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psnet.ahrq.gov/issue/relationship-between-systems-level-factors-and-hand-hygiene-adherence
September 28, 2011 - Study
Relationship between systems-level factors and hand hygiene adherence.
Citation Text:
Dunn-Navarra A-M, Cohen B, Stone PW, et al. Relationship between systems-level factors and hand hygiene adherence. J Nurs Care Qual. 2011;26(1):30-38. doi:10.1097/NCQ.0b013e3181e15c71.
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psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events
July 14, 2010 - Study
Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system.
Citation Text:
Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive …
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psnet.ahrq.gov/issue/prospective-multicenter-study-pharmacist-activities-resulting-medication-error-interception
December 14, 2011 - Study
A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.
Citation Text:
Patanwala AE, Sanders AB, Thomas MC, et al. A prospective, multicenter study of pharmacist activities resulting in medication error int…
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psnet.ahrq.gov/issue/oral-chemotherapy-safety-practices-us-cancer-centres-questionnaire-survey
July 23, 2014 - Study
Oral chemotherapy safety practices at US cancer centres: questionnaire survey.
Citation Text:
Weingart SN, Flug J, Brouillard D, et al. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. BMJ. 2007;334(7590). doi:10.1136/bmj.39069.489757.55.
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psnet.ahrq.gov/issue/establishing-rapid-response-team-rrt-academic-hospital-one-years-experience
September 28, 2010 - Study
Establishing a rapid response team (RRT) in an academic hospital: one year's experience.
Citation Text:
King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114.
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psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid
October 15, 2008 - Book/Report
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics.
Citation Text:
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. HHS Guide for Clinicians on the App…
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psnet.ahrq.gov/issue/quality-and-safety-track-training-future-physician-leaders
March 28, 2018 - Commentary
The quality and safety track: training future physician leaders.
Citation Text:
Vinci LM, Oyler J, Arora V. The Quality and Safety Track: Training Future Physician Leaders. Am J Med Qual. 2014;29(4):277-83. doi:10.1177/1062860613498264.
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psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
January 14, 2011 - Study
The value of inking breast cores to reduce specimen mix-up.
Citation Text:
Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2.
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psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
November 26, 2014 - Commentary
Supervision, autonomy, and medical error in the teaching clinic.
Citation Text:
Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033.
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psnet.ahrq.gov/issue/correlation-workload-disagreement-and-amendment-rates-surgical-pathology-and-nongynecologic
January 14, 2011 - Study
Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology.
Citation Text:
Renshaw AA, Gould EW. Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. Am J Clin Pathol.…
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psnet.ahrq.gov/issue/2-year-study-patient-safety-competency-assessment-29-clinical-laboratories
December 14, 2016 - Study
A 2-year study of patient safety competency assessment in 29 clinical laboratories.
Citation Text:
Reed RC, Kim S, Farquharson K, et al. A 2-Year Study of Patient Safety Competency Assessment in 29 Clinical Laboratories. Am J Clin Pathol. 2008;129(6). doi:10.1309/bm8jje1auca408tq…
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psnet.ahrq.gov/issue/clinical-impact-associated-corrected-results-clinical-microbiology-testing
December 03, 2008 - Study
Clinical impact associated with corrected results in clinical microbiology testing.
Citation Text:
Yuan S, Astion ML, Schapiro J, et al. Clinical impact associated with corrected results in clinical microbiology testing. J Clin Microbiol. 2005;43(5):2188-93.
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psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely
September 01, 2012 - Study
Assessment of latent factors contributing to error: addressing surgical pathology error wisely.
Citation Text:
Smith ML, Raab SS. Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology Error Wisely. Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011…
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psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
February 15, 2017 - Commentary
Beyond medication reconciliation: the correct medication list.
Citation Text:
Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628.
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psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination
August 20, 2018 - Review
Emerging Classic
Diagnostic errors and the bedside clinical examination.
Citation Text:
Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007.
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psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights
November 18, 2016 - Commentary
Towards a new paradigm in laboratory medicine: the five rights.
Citation Text:
Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med. 2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848.
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psnet.ahrq.gov/issue/using-standardized-or-checklists-and-creating-extended-time-out-checklists
February 15, 2011 - Commentary
Using standardized OR checklists and creating extended time-out checklists.
Citation Text:
Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007.
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psnet.ahrq.gov/issue/measuring-errors-surgical-pathology-real-life-practice-defining-what-does-and-does-not-matter
January 14, 2011 - Review
Measuring errors in surgical pathology in real-life practice: defining what does and does not matter.
Citation Text:
Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Am J Clin Pathol. 2007;127(1):144-52. …