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psnet.ahrq.gov/node/35404/psn-pdf
March 11, 2011 - Improving patient safety by identifying side effects from
introducing bar coding in medication administration.
March 11, 2011
Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar
coding in medication administration. J Am Med Inform Assoc. 2002;9(5):540-53.
htt…
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psnet.ahrq.gov/node/46214/psn-pdf
June 28, 2017 - Impact of the introduction of electronic prescribing on
staff perceptions of patient safety and organizational
culture.
June 28, 2017
Davies J, Pucher PH, Ibrahim H, et al. Impact of the introduction of electronic prescribing on staff
perceptions of patient safety and organizational culture. J Surg Res. 2017;212:2…
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psnet.ahrq.gov/node/851448/psn-pdf
July 19, 2023 - Medication reconciliation for patients after their discharge
from intensive care unit to the hospital ward.
July 19, 2023
Pradeda AM, Pérez MSA, Oliveira CF, et al. Medication reconciliation for patients after their discharge from
intensive care unit to the hospital ward. Farm Hosp. 2023;47(3):121-126. doi:10.1016/…
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psnet.ahrq.gov/node/45734/psn-pdf
January 23, 2017 - Inappropriate opioid dosing and prescribing for children:
an unintended consequence of the clinical pain score?
January 23, 2017
Voepel-Lewis T, Malviya S, Tait AR. Inappropriate Opioid Dosing and Prescribing for Children: An
Unintended Consequence of the Clinical Pain Score? JAMA Pediatr. 2017;171(1):5-6.
doi:10.…
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psnet.ahrq.gov/node/844765/psn-pdf
September 18, 2019 - Untangling infusion confusion: a comparative evaluation
of interventions in a simulated intensive care setting.
September 18, 2019
Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of
Interventions in a Simulated Intensive Care Setting. Crit Care Med. 2019;47(7):e597-e601…
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psnet.ahrq.gov/node/73423/psn-pdf
June 23, 2021 - Medication use and cognitive impairment among
residents of aged care facilities.
June 23, 2021
Shafiee Hanjani L, Hubbard RE, Freeman CR, et al. Medication use and cognitive impairment among
residents of aged care facilities. Intern Med J. 2021;51(4):520-532. doi:10.1111/imj.14804.
https://psnet.ahrq.gov/issue/med…
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psnet.ahrq.gov/node/838181/psn-pdf
September 28, 2022 - Factors associated with potentially harmful medication
prescribing in nursing homes: a scoping review.
September 28, 2022
Lipori JP, Tu E, Shireman TI, et al. Factors associated with potentially harmful medication prescribing in
nursing homes: a scoping review. J Am Med Dir Assoc. 2022;23(9):1589.e1-1589.e10.
doi:…
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psnet.ahrq.gov/node/838023/psn-pdf
September 07, 2022 - Postdischarge adverse events among neonates admitted
to the neonatal intensive care unit.
September 7, 2022
Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the
neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.1097/pts.0000000000000960.
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psnet.ahrq.gov/node/46845/psn-pdf
April 16, 2018 - Do final-year medical students have sufficient prescribing
competencies? A systematic literature review.
April 16, 2018
Brinkman DJ, Tichelaar J, Graaf S, et al. Do final-year medical students have sufficient prescribing
competencies? A systematic literature review. Br J Clin Pharmacol. 2018;84(4):615-635.
doi:10.…
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psnet.ahrq.gov/node/47255/psn-pdf
August 29, 2018 - Influence of shift duration on cognitive performance of
emergency physicians: a prospective cross-sectional
study.
August 29, 2018
Persico N, Maltese F, Ferrigno C, et al. Influence of Shift Duration on Cognitive Performance of Emergency
Physicians: A Prospective Cross-Sectional Study. Ann Emerg Med. 2018;72(2):17…
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psnet.ahrq.gov/node/42744/psn-pdf
September 01, 2016 - Physicians' responses to clinical decision support on an
intensive care unit—comparison of four different alerting
methods.
September 1, 2016
Scheepers-Hoeks A-MJ, Grouls RJ, Neef C, et al. Physicians' responses to clinical decision support on an
intensive care unit--comparison of four different alerting methods. …
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psnet.ahrq.gov/node/39387/psn-pdf
July 23, 2014 - Medication errors involving oral chemotherapy.
July 23, 2014
Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer.
2010;116(10):2455-2464. doi:10.1002/cncr.25027.
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
Widely publicized errors associated w…
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psnet.ahrq.gov/node/43499/psn-pdf
September 03, 2014 - Older folks in hospitals: the contributing factors and
recommendations for incident prevention.
September 3, 2014
Mansah M, Griffiths R, Fernandez R, et al. Older folks in hospitals: the contributing factors and
recommendations for incident prevention. J Patient Saf. 2014;10(3):146-53.
doi:10.1097/PTS.0b013e318299…
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psnet.ahrq.gov/node/46455/psn-pdf
April 24, 2018 - ISMP Medication Safety Self Assessment for High-Alert
Medications.
April 24, 2018
Horsham, PA: Institute for Safe Medication Practices; 2017.
https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications
High-alert medications have the potential to cause substantial patient harm if adm…
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psnet.ahrq.gov/node/47721/psn-pdf
April 24, 2019 - Effects of chemotherapy prescription clinical decision-
support systems on the chemotherapy process: a
systematic review.
April 24, 2019
Rahimi R, Moghaddasi H, Rafsanjani KA, et al. Effects of chemotherapy prescription clinical decision-
support systems on the chemotherapy process: A systematic review. Int J Med …
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psnet.ahrq.gov/node/46290/psn-pdf
January 01, 2021 - Using prospective risk analysis tools to improve safety in
pharmacy settings: a systematic review and critical
appraisal.
August 2, 2017
Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy
Settings: A Systematic Review and Critical Appraisal. J Patient Saf. 2021…
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psnet.ahrq.gov/node/47349/psn-pdf
January 30, 2019 - Relationship of staff information sharing and advice
networks to patient safety outcomes.
January 30, 2019
Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice
Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444.
doi:10.1097/NNA.0000000000000646.
ht…
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psnet.ahrq.gov/node/862150/psn-pdf
February 07, 2024 - Effectiveness of ChatGPT in clinical pharmacy and the
role of artificial intelligence in medication therapy
management.
February 7, 2024
Roosan D, Padua P, Khan R, et al. Effectiveness of ChatGPT in clinical pharmacy and the role of artificial
intelligence in medication therapy management. J Am Pharm Assoc (2003).…
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psnet.ahrq.gov/node/38662/psn-pdf
April 12, 2011 - Patient error: a preliminary taxonomy.
April 12, 2011
Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31.
doi:10.1370/afm.941.
https://psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
Preliminary research has found that patient factors may contribute to er…
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psnet.ahrq.gov/node/47216/psn-pdf
July 11, 2018 - Progress Made Towards Improving Opioid Safety, But
Further Efforts to Assess Progress and Reduce Risk Are
Needed.
July 11, 2018
Washington, DC: United States Government Accountability Office; May 2018. Publication GAO-18-380.
https://psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-effort…