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psnet.ahrq.gov/node/43190/psn-pdf
September 04, 2015 - Pediatric obesity and safety in inpatient settings: a
systematic literature review.
September 4, 2015
Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature
review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/0009922814533406.
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November 08, 2017 - Automatable algorithms to identify nonmedical opioid use
using electronic data: a systematic review.
November 8, 2017
Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using
electronic data: a systematic review. J Am Med Inform Assoc. 2017;24(6):1204-1210.
doi:10.10…
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psnet.ahrq.gov/node/41898/psn-pdf
December 05, 2012 - Pharmacy dispensing of electronically discontinued
medications.
December 5, 2012
Allen AS, Sequist TD. Pharmacy dispensing of electronically discontinued medications. Ann Intern Med.
2012;157(10):700-705. doi:10.7326/0003-4819-157-10-201211200-00006.
https://psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-…
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psnet.ahrq.gov/node/865973/psn-pdf
May 29, 2024 - Physician antipsychotic overprescribing letters and
cognitive, behavioral, and physical health outcomes
among people with dementia: a secondary analysis of a
randomized clinical trial.
May 29, 2024
Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing letters and cognitive,
behavioral…
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psnet.ahrq.gov/node/42836/psn-pdf
January 08, 2014 - Comparison of medication safety effectiveness among
nine critical access hospitals.
January 8, 2014
Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access
hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067.
https://psnet.ahrq.gov/issue/comparis…
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psnet.ahrq.gov/node/851914/psn-pdf
August 02, 2023 - Insulin pump-associated adverse events: a qualitative
descriptive study of clinical consequences and potential
root causes.
August 2, 2023
Estock JL, Codario RA, Keddem S, et al. Insulin pump-associated adverse events: a qualitative descriptive
study of clinical consequences and potential root causes. Diabetes Tec…
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psnet.ahrq.gov/node/45174/psn-pdf
November 18, 2016 - Patient safety events and harms during medical and
surgical hospitalizations for persons with serious mental
illness.
November 18, 2016
Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical
Hospitalizations for Persons With Serious Mental Illness. Psychiatr Serv. 20…
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psnet.ahrq.gov/node/46431/psn-pdf
November 22, 2017 - Prescription Opioids: Medicare Needs to Expand
Oversight Efforts to Reduce the Risk of Harm.
November 22, 2017
Washington, DC: United States Government Accountability Office; October 2017. Publication GAO-18-15.
https://psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk-
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psnet.ahrq.gov/node/862991/psn-pdf
February 21, 2024 - Exploring the role of guidelines in contributing to
medication errors: a descriptive analysis of national
patient safety incident data.
February 21, 2024
Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a
descriptive analysis of national patient safety incide…
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psnet.ahrq.gov/node/37923/psn-pdf
July 23, 2008 - Unit-based clinical pharmacists' prevention of serious
medication errors in pediatric inpatients.
July 23, 2008
Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious
medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;65(13):1254-1260.
doi:10.2146/ajhp0…
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psnet.ahrq.gov/node/40539/psn-pdf
June 22, 2011 - Medication administration errors in assisted living: scope,
characteristics, and the importance of staff training.
June 22, 2011
Zimmerman S, Love K, Sloane PD, et al. Medication administration errors in assisted living: scope,
characteristics, and the importance of staff training. J Am Geriatr Soc. 2011;59(6):1060…
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psnet.ahrq.gov/node/38454/psn-pdf
January 02, 2017 - Comparing process- and outcome-oriented approaches to
voluntary incident reporting in two hospitals.
January 2, 2017
Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to
voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf. 2009;35(3):139-45.
https://psn…
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psnet.ahrq.gov/node/40304/psn-pdf
March 23, 2011 - Bar code medication administration technology:
characterization of high-alert medication triggers and
clinician workarounds.
March 23, 2011
Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of
High-Alert Medication Triggers and Clinician Workarounds. Ann Pharmacoth…
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psnet.ahrq.gov/node/42123/psn-pdf
June 18, 2013 - On higher ground: ethical reasoning and its relationship
with error disclosure.
June 18, 2013
Cole AP, Block L, Wu AW. On higher ground: ethical reasoning and its relationship with error disclosure.
BMJ Qual Saf. 2013;22(7):580-585. doi:10.1136/bmjqs-2012-001496.
https://psnet.ahrq.gov/issue/higher-ground-ethical-…
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psnet.ahrq.gov/node/74126/psn-pdf
December 01, 2021 - Effect of automated unit dose dispensing with barcode
scanning on medication administration errors: an
uncontrolled before-and-after study.
December 1, 2021
Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode
scanning on medication administration errors: an uncont…
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psnet.ahrq.gov/node/842416/psn-pdf
January 11, 2023 - A failure in the medication delivery system-how
disclosure and systems investigation improve patient
safety.
January 11, 2023
Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems
investigation improve patient safety. J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10…
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psnet.ahrq.gov/node/41847/psn-pdf
November 28, 2012 - Improving organizational climate for quality and quality of
care: does membership in a collaborative help?
November 28, 2012
Nembhard IM, Northrup V, Shaller D, et al. Improving organizational climate for quality and quality of care:
does membership in a collaborative help? Med Care. 2012;50 Suppl:S74-82.
doi:10.1…
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psnet.ahrq.gov/node/37446/psn-pdf
January 06, 2017 - How useful are voluntary medication error reports? The
case of warfarin-related medication errors.
January 6, 2017
Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of
warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;34(1):36-45.
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psnet.ahrq.gov/node/45773/psn-pdf
January 11, 2017 - Opioid-Related Inpatient Stays and Emergency
Department Visits by State, 2009–2014.
January 11, 2017
Weiss AJ, Elixhauser A, Barrett ML, Steiner CA, Bailey MK, O'Malley L. HCUP Statistical Brief #219.
Rockville, MD: Agency for Healthcare Research and Quality; December 2016.
https://psnet.ahrq.gov/issue/opioid-rela…
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psnet.ahrq.gov/node/44609/psn-pdf
June 21, 2016 - The missing evidence: a systematic review of patients'
experiences of adverse events in health care.
June 21, 2016
Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences
of adverse events in health care. Int J Qual Health Care. 2015;27(6):424-42. doi:10.1093/intqhc…