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psnet.ahrq.gov/node/838929/psn-pdf
October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care.
October 26, 2022
Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care
Inappropriate antibiotic prescribing is associated with increased risk potential. This toolkit a…
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psnet.ahrq.gov/node/38082/psn-pdf
June 30, 2011 - Chronic kidney disease adversely influences patient
safety.
June 30, 2011
Seliger SL, Zhan M, Hsu VD, et al. Chronic kidney disease adversely influences patient safety. J Am Soc
Nephrol. 2008;19(12):2414-9. doi:10.1681/ASN.2008010022.
https://psnet.ahrq.gov/issue/chronic-kidney-disease-adversely-influences-patient…
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psnet.ahrq.gov/node/73406/psn-pdf
June 16, 2021 - Machine learning is booming in medicine. It’s also facing
a credibility crisis.
June 16, 2021
Ross C. STAT. June 2, 2021.
https://psnet.ahrq.gov/issue/machine-learning-booming-medicine-its-also-facing-credibility-crisis
Artificial intelligence and machine learning are often promoted as tools with impressive p…
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psnet.ahrq.gov/node/41797/psn-pdf
August 20, 2018 - Risk models to improve safety of dispensing high-alert
medications in community pharmacies.
August 20, 2018
Cohen MR, Smetzer JL, Westphal JE, et al. Risk models to improve safety of dispensing high-alert
medications in community pharmacies. J Am Pharm Assoc (2003). 2012;52(5):584-602.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/36967/psn-pdf
February 15, 2011 - A study of the frequency and rationale for overriding
allergy warnings in a computerized prescriber order entry
system.
February 15, 2011
Swiderski SM, Pedersen CA, Schneider PJ, et al. A Study of the Frequency and Rationale for Overriding
Allergy Warnings in a Computerized Prescriber Order Entry System. J Patient…
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psnet.ahrq.gov/node/45526/psn-pdf
January 01, 2019 - Improving incident reporting among physician trainees.
September 28, 2016
Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient
Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325.
https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train…
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psnet.ahrq.gov/node/46746/psn-pdf
March 07, 2018 - Safety with nebulized medications requires an
interdisciplinary team approach.
March 7, 2018
ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5.
https://psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
Myriad system and clinician failures can con…
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psnet.ahrq.gov/node/37117/psn-pdf
October 04, 2011 - Language barriers to prescriptions for patients with
limited English proficiency: a survey of pharmacies.
October 4, 2011
Bradshaw M, Tomany-Korman S, Flores G. Language barriers to prescriptions for patients with limited
English proficiency: a survey of pharmacies. Pediatrics. 2007;120(2):e225-35.
https://psnet.a…
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psnet.ahrq.gov/node/39186/psn-pdf
December 16, 2009 - How do physicians conduct medication reviews?
December 16, 2009
Tarn DM, Paterniti DA, Kravitz RL, et al. How do physicians conduct medication reviews? J Gen Intern
Med. 2009;24(12):1296-302. doi:10.1007/s11606-009-1132-4.
https://psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews
This study analyze…
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psnet.ahrq.gov/node/44211/psn-pdf
June 10, 2015 - Frequency of prescribing errors by medical residents in
various training programs.
June 10, 2015
Honey BL, Bray WM, Gomez MR, et al. Frequency of prescribing errors by medical residents in various
training programs. J Patient Saf. 2015;11(2):100-4. doi:10.1097/PTS.0000000000000048.
https://psnet.ahrq.gov/issue/fre…
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psnet.ahrq.gov/node/42049/psn-pdf
February 20, 2013 - Mitigating error vulnerability at the transition of care
through the use of health IT applications.
February 20, 2013
Cortelyou-Ward K, Swain A, Yeung T. Mitigating Error Vulnerability at the Transition of Care through the
Use of Health IT Applications. J Med Syst. 2012;36(6). doi:10.1007/s10916-012-9855-x.
https:…
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psnet.ahrq.gov/node/38061/psn-pdf
November 08, 2008 - Medication errors in pediatric inpatients: prevalence and
results of a prevention program.
November 8, 2008
Otero P, Leyton A, Mariani G, et al. Medication errors in pediatric inpatients: prevalence and results of a
prevention program. Pediatrics. 2008;122(3):e737-43. doi:10.1542/peds.2008-0014.
https://psnet.ahrq…
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psnet.ahrq.gov/node/45958/psn-pdf
January 01, 2021 - The effects of bar-coding technology on medication
errors: a systematic literature review.
April 19, 2017
Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic
Literature Review. J Patient Saf. 2021;17(3):e192-e206. doi:10.1097/PTS.0000000000000366.
https://psnet.ahrq…
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psnet.ahrq.gov/node/43118/psn-pdf
April 16, 2014 - NCPDP Recommendations and Guidance for
Standardizing the Dosing Designations on Prescription
Container Labels of Oral Liquid Medications Version 1.0.
April 16, 2014
Scottsdale, AZ: National Council for Prescription Drug Programs; March 2014.
https://psnet.ahrq.gov/issue/ncpdp-recommendations-and-guidance-standardi…
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psnet.ahrq.gov/node/72581/psn-pdf
December 16, 2020 - Dispensing Errors.
December 16, 2020
Phipps D, Ashour A, Riste L, et al. The Pharmaceutical Journal. 2020;305(7943, 7944).
November 10, December 1, 2020.
https://psnet.ahrq.gov/issue/dispensing-errors
Dispensing mistakes are a common contributor to preventable adverse events in community pharmacies.
Par…
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psnet.ahrq.gov/node/37050/psn-pdf
September 29, 2011 - Computerized provider order entry and prescribing and
the evidence for safe practice: update for the clinical
nurse specialist.
September 29, 2011
O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update
for the clinical nurse specialist. Clin Nurse Spec. 2007;21(3):…
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psnet.ahrq.gov/node/50835/psn-pdf
January 29, 2020 - Safe work-hour standards for parents of children with
medical complexity.
January 29, 2020
Schall TE, Foster CC, Feudtner C. Safe Work-Hour Standards for Parents of Children With Medical
Complexity. JAMA Pediatr. 2019;174(1):7-8. doi:10.1001/jamapediatrics.2019.4003.
https://psnet.ahrq.gov/issue/safe-work-hour-sta…
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psnet.ahrq.gov/node/43961/psn-pdf
August 02, 2015 - Reducing inappropriate polypharmacy: the process of
deprescribing.
August 2, 2015
Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing.
JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324.
https://psnet.ahrq.gov/issue/reducing-inappropriate-pol…
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psnet.ahrq.gov/node/41677/psn-pdf
September 26, 2012 - Interventions to reduce medication errors in adult
intensive care: a systematic review.
September 26, 2012
Manias E, Williams A, Liew D. Interventions to reduce medication errors in adult intensive care: a
systematic review. Br J Clin Pharmacol. 2012;74(3). doi:10.1111/j.1365-2125.2012.04220.x.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/46414/psn-pdf
January 10, 2018 - Leveraging the electronic health record to improve quality
and safety in rheumatology.
January 10, 2018
Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in
rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4.
https://psnet.ahrq.gov/issue/lev…