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psnet.ahrq.gov/node/73635/psn-pdf
August 25, 2021 - Impact of smart pump-electronic health record
interoperability on patient safety and finances at a
community hospital
August 25, 2021
Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient
safety and finances at a community hospital. Am J Health Syst Pharm. 2021…
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psnet.ahrq.gov/node/50735/psn-pdf
December 11, 2019 - Never events in UK general practice: A survey of the
views of general practitioners on their frequency and
acceptability as a safety improvement approach
December 11, 2019
Stocks SJ, Alam R, Bowie P, et al. Never Events in UK General Practice: A Survey of the Views of General
Practitioners on Their Frequency and A…
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psnet.ahrq.gov/node/47046/psn-pdf
April 18, 2018 - Smart pumps in practice: survey results reveal
widespread use, but optimization is challenging.
April 18, 2018
ISMP Medication Safety Alert! Acute Care Edition. April 5, 2018;23:1-5.
https://psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization-
challenging
Smart pumps are co…
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psnet.ahrq.gov/node/841768/psn-pdf
December 21, 2022 - Implementation of an online reporting system to identify
unprofessional behaviors and mistreatment directed at
trainees at an academic medical center.
December 21, 2022
Leitman IM, Muller D, Miller S, et al. Implementation of an online reporting system to identify unprofessional
behaviors and mistreatment directed…
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psnet.ahrq.gov/node/60726/psn-pdf
January 01, 2021 - User-testing guidelines to improve the safety of
intravenous medicines administration: a randomised in
situ simulation study.
July 29, 2020
Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous
medicines administration: a randomised in situ simulation study. BMJ Qual …
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psnet.ahrq.gov/node/844548/psn-pdf
February 15, 2023 - Use of complete medication history to identify and correct
transitions-of-care medication errors at psychiatric
hospital admission.
February 15, 2023
Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct
transitions-of-care medication errors at psychiatric hospital adm…
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psnet.ahrq.gov/node/41646/psn-pdf
September 05, 2012 - Interventions to increase clinical incident reporting in
health care.
September 5, 2012
Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care.
Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2.
https://psnet.ahrq.gov/issue/in…
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psnet.ahrq.gov/node/866525/psn-pdf
August 14, 2024 - Stakeholder perceptions of and attitudes towards
problematic polypharmacy and prescribing cascades: a
qualitative study.
August 14, 2024
Jennings AA, Doherty AS, Clyne B, et al. Stakeholder perceptions of and attitudes towards problematic
polypharmacy and prescribing cascades: a qualitative study. Age Ageing. 2024…
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psnet.ahrq.gov/node/37454/psn-pdf
January 09, 2008 - Quantifying nursing workflow in medication
administration.
January 9, 2008
Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J
Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc.
https://psnet.ahrq.gov/issue/quantifying-nursing-workflow-medicatio…
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psnet.ahrq.gov/node/46653/psn-pdf
July 02, 2019 - Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis.
July 2, 2019
Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):841-847.
doi:10.1093/jamia/ocy026.
h…
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psnet.ahrq.gov/node/60521/psn-pdf
May 27, 2020 - Assessment of potentially inappropriate prescribing of
opioid analgesics requiring prior opioid tolerance.
May 27, 2020
Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid
analgesics requiring prior opioid tolerance. JAMA Netw Open. 2020;3(4).
doi:10.1001/jamanetwo…
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psnet.ahrq.gov/node/866438/psn-pdf
August 07, 2024 - Using machine learning or deep learning models in a
hospital setting to detect inappropriate prescriptions: a
systematic review.
August 7, 2024
Johns E, Alkanj A, Beck M, et al. Using machine learning or deep learning models in a hospital setting to
detect inappropriate prescriptions: a systematic review. Eur J Ho…
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psnet.ahrq.gov/node/74010/psn-pdf
October 27, 2021 - Purchase of prescription medicines via social media: a
survey-based study of prevalence, risk perceptions, and
motivations.
October 27, 2021
Moureaud C, Hertig JB, Dong Y, et al. Purchase of prescription medicines via social media: a survey-based
study of prevalence, risk perceptions, and motivations. Health Polic…
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psnet.ahrq.gov/node/47776/psn-pdf
August 20, 2021 - FDA Safety Communication: update--robotically-assisted
surgical devices in mastectomy.
August 20, 2021
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 20, 2021.
https://psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-
devices-womens
…
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psnet.ahrq.gov/node/867142/psn-pdf
November 13, 2024 - Adverse events in patients transitioning from the
emergency department to the inpatient setting.
November 13, 2024
Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency
department to the inpatient setting. J Patient Saf. 2024;20(8):564-570.
doi:10.1097/pts.000000…
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psnet.ahrq.gov/node/35802/psn-pdf
January 02, 2017 - Reconciliation failures lead to medication errors.
January 2, 2017
Santell JP. Reconciliation failures lead to medication errors. Jt Comm J Qual Patient Saf. 2006;32(4):225-9.
https://psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors
Medication reconciliation represents an active effort of hospita…
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psnet.ahrq.gov/node/47676/psn-pdf
December 19, 2018 - Assessment of attitudes toward deprescribing in older
Medicare beneficiaries in the United States.
December 19, 2018
Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare
Beneficiaries in the United States. JAMA Intern Med. 2018;178(12):1673-1680.
doi:10.1001/jamaintern…
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psnet.ahrq.gov/node/866313/psn-pdf
July 17, 2024 - Towards understanding and improving medication safety
for patients with mental illness in primary care: a
multimethod study.
July 17, 2024
Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients
with mental illness in primary care: a multimethod study. Health Expect.…
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psnet.ahrq.gov/node/44907/psn-pdf
May 25, 2016 - Bundle interventions used to reduce prescribing and
administration errors in hospitalized children: a
systematic review.
May 25, 2016
Bannan DF, Tully MP. Bundle interventions used to reduce prescribing and administration errors in
hospitalized children: a systematic review. J Clin Pharm Ther. 2016;41(3):246-55. d…
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psnet.ahrq.gov/node/866811/psn-pdf
September 25, 2024 - Association between potentially inappropriate
medications prescription and health-related quality of life
among US older adults.
September 25, 2024
Clark CM, Guan J, Patel AR, et al. Association between potentially inappropriate medications prescription
and health?related quality of life among US older adults. J A…