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  1. psnet.ahrq.gov/issue/emergency-physicians-views-direct-notification-laboratory-and-radiology-results-patients
    March 23, 2012 - Study Emergency physicians' views of direct notification of laboratory and radiology results to patients using the internet: a multisite survey. Citation Text: Callen J, Giardina TD, Singh H, et al. Emergency physicians' views of direct notification of laboratory and radiology results to…
  2. psnet.ahrq.gov/issue/national-cost-adverse-drug-events-resulting-inappropriate-medication-related-alert-overrides
    July 02, 2019 - Study The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States. Citation Text: Slight SP, Seger DL, Franz C, et al. The national cost of adverse drug events resulting from inappropriate medication-related alert override…
  3. psnet.ahrq.gov/issue/effect-health-information-exchange-recognition-medication-discrepancies-interrupted-when-data
    November 16, 2022 - Study Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial. Citation Text: Boockvar K, Ho W, Pruskowski J, et al. Effect of health information exchange on recogni…
  4. psnet.ahrq.gov/issue/iatroref-study-medical-errors-are-associated-symptoms-depression-icu-staff-not-burnout-or
    April 12, 2011 - Study The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. Citation Text: Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but…
  5. psnet.ahrq.gov/issue/hospital-staff-should-use-more-one-method-detect-adverse-events-and-potential-adverse-events
    November 12, 2014 - Study Hospital staff should use more than one method to detect adverse events and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review may all have a place. Citation Text: Olsen S, Neale G, Schwab K, et al. Hospital staff should use mo…
  6. psnet.ahrq.gov/issue/health-disparities-impact-health-disparities-and-treatment-decision-making-biases-cancer
    October 14, 2020 - Commentary Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors. Citation Text: Vo J, Gillman A, Mitchell K, et al. Health disparities: impact of health disparities and treatment decision-making biase…
  7. psnet.ahrq.gov/issue/minding-gaps-assessing-communication-outcomes-electronic-preconsultation-exchange
    November 30, 2016 - Study Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. Citation Text: Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54. …
  8. psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english-hospitals
    December 21, 2022 - Study Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. Citation Text: Cresswell K, Mozaffar H, Lee L, et al. Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. BMJ Qual Saf. 2017;26(7):542-551…
  9. psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review
    May 18, 2022 - Study Patient safety and telephone medicine: some lessons from closed claim case review. Citation Text: Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-…
  10. psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
    January 11, 2023 - Study Classic A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis. Citation Text: Avery A, Rodgers S, Cantrill JA, et al. A pharmacist-led info…
  11. psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
    August 10, 2022 - Study Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses. Citation Text: Maierhofer CN, Ran…
  12. psnet.ahrq.gov/issue/prescription-opioid-use-misuse-and-use-disorders-us-adults-2015-national-survey-drug-use-and
    October 17, 2012 - Study Classic Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health. Citation Text: Han B, Compton WM, Blanco C, et al. Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Surv…
  13. psnet.ahrq.gov/issue/systematic-review-types-and-causes-prescribing-errors-generated-using-computerized-provider
    July 02, 2019 - Review A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. Citation Text: Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing err…
  14. psnet.ahrq.gov/issue/association-label-drug-use-and-adverse-drug-events-adult-population
    February 03, 2011 - Study Classic Association of off-label drug use and adverse drug events in an adult population. Citation Text: Eguale T, Buckeridge DL, Verma A, et al. Association of Off-label Drug Use and Adverse Drug Events in an Adult Population. JAMA Intern Med. 2016;176(1)…
  15. psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
    July 20, 2022 - Study Classic Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. Citation Text: Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals: a retrospect…
  16. psnet.ahrq.gov/issue/antecedent-treat-and-release-diagnoses-prior-sepsis-hospitalization-among-adult-emergency
    May 12, 2021 - Study Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology. Citation Text: Nassery N, Horberg MA, …
  17. psnet.ahrq.gov/issue/weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural-and-urban
    January 19, 2022 - Study Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. Citation Text: Mekonnen B, Wang G, Rajbhandari-Thapa J, et al. Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. J…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837913/psn-pdf
    August 31, 2022 - off supplemental oxygen after about 24 more hours, transferred to a regular pediatric bed, and then discharged
  19. psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
    March 27, 2024 - off supplemental oxygen after about 24 more hours, transferred to a regular pediatric bed, and then discharged
  20. psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
    September 01, 2012 - It's also clear that patients being discharged from hospitals, nursing homes, and rehabilitation units

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