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The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. | PSNet

psnet.ahrq.gov/issue/frequency-inappropriate-nonformulary-medication-alert-overrides-inpatient-setting

July 02, 2019 - Study The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. Citation Text: Her QL, Amato MG, Seger DL, et al. The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. J Am Med Inform Assoc. 2016;23(5):924-…

Antibiotic prescribing errors in patients discharged from the pediatric emergency department. | PSNet

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September 22, 2021 - Study Antibiotic prescribing errors in patients discharged from the pediatric emergency department. Citation Text: LaScala EC, Monroe AK, Hall GA, et al. Antibiotic prescribing errors in patients discharged from the pediatric emergency department. Pediatr Emerg Care. 2022;38(1):e387-e392…

Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. | PSNet

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May 31, 2023 - Study Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. Citation Text: Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2…

Impact of a comprehensive safety initiative on patient-controlled analgesia errors. | PSNet

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April 02, 2014 - Study Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Citation Text: Paul JE, Bertram B, Antoni K, et al. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Anesthesiology. 2010;113(6):1427-32. doi:10.1097/ALN.0b013e3…

Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing

August 02, 2017 - Study Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. Citation Text: Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient safety risks related to t…

Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. | PSNet

psnet.ahrq.gov/issue/associations-between-national-board-exam-performance-and-residency-program-emphasis-patient

January 12, 2022 - Study Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. Citation Text: Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency program emphasis on patient …

30-day potentially avoidable readmissions due to adverse drug events. | PSNet

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June 14, 2017 - Study 30-day potentially avoidable readmissions due to adverse drug events. Citation Text: Dalleur O, Beeler PE, Schnipper JL, et al. 30-Day Potentially Avoidable Readmissions Due to Adverse Drug Events. J Patient Saf. 2021;17(5):e379-e386. doi:10.1097/pts.0000000000000346. Copy Citati…

Reporting of unsafe conditions at an academic women and children's hospital. | PSNet

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December 09, 2020 - Study Reporting of unsafe conditions at an academic women and children's hospital. Citation Text: Grabinski ZG, Babineau J, Jamal N, et al. Reporting of unsafe conditions at an academic women and children's hospital. Jt Comm J Qual Patient Saf. 2021;47(11):731-738. doi:10.1016/j.jcjq.202…

Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. | PSNet

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April 24, 2018 - Study Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Citation Text: Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…

An examination of Leapfrog safety measures and Magnet designation. | PSNet

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January 27, 2021 - Study An examination of Leapfrog safety measures and Magnet designation. Citation Text: Tai TWC, Mattie A, Miller SM, et al. An examination of Leapfrog safety measures and Magnet designation. J Healthc Risk Manag. 2023;42(3-4):21-29. doi:10.1002/jhrm.21533. Copy Citation Format: …

FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). | PSNet

psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing-errors-resulting

August 05, 2020 - Press Release/Announcement FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). Citation Text: FDA Drug Safety Communication: FDA warns ab…

Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. | PSNet

psnet.ahrq.gov/issue/analysis-prescribers-notes-electronic-prescriptions-ambulatory-practice

July 23, 2018 - Study Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. Citation Text: Dhavle AA, Yang Y, Rupp MT, et al. Analysis of Prescribers' Notes in Electronic Prescriptions in Ambulatory Practice. JAMA Intern Med. 2016;176(4):463-70. doi:10.1001/jamainternmed.201…

Pharmacy dispensing of electronically discontinued medications. | PSNet

psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-discontinued-medications

October 03, 2012 - Study Pharmacy dispensing of electronically discontinued medications. Citation Text: 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. Copy Citation Format: …

Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. | PSNet

psnet.ahrq.gov/issue/identifying-potential-medication-discrepancies-during-medication-reconciliation-post-acute

June 17, 2020 - Study Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. Citation Text: Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Sett…

Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. | PSNet

psnet.ahrq.gov/issue/collaboration-regulators-support-quality-and-accountability-following-medical-errors

September 29, 2017 - Study Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. Citation Text: Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability …

Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. | PSNet

psnet.ahrq.gov/issue/resolving-malpractice-claims-after-tort-reform-experience-self-insured-texas-public-academic

December 19, 2018 - Study Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. Citation Text: Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self-Insured Texas Public Academic Health System. Health …

The safety of health care for ethnic minority patients: a systematic review. | PSNet

psnet.ahrq.gov/issue/safety-health-care-ethnic-minority-patients-systematic-review

May 25, 2022 - Review The safety of health care for ethnic minority patients: a systematic review. Citation Text: Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic review. Int J Equity Health. 2020;19(1):118. doi:10.1186/s12939-020-01223-2. Cop…

Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice. | PSNet

psnet.ahrq.gov/issue/safety-during-night-shifts-cross-sectional-survey-junior-doctors-preparation-and-practice

August 18, 2021 - Study Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice. Citation Text: Jackson EJ, Moreton A. Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice. BMJ Open. 2013;3(9):e003567. doi:10.1136/bmjope…

COVID-19: an emerging threat to antibiotic stewardship in the emergency department. | PSNet

psnet.ahrq.gov/issue/covid-19-emerging-threat-antibiotic-stewardship-emergency-department

October 21, 2020 - Commentary COVID-19: an emerging threat to antibiotic stewardship in the emergency department. Citation Text: Pulia M, Wolf I, Schulz L, et al. COVID-19: an emerging threat to antibiotic stewardship in the emergency department. West J Emerg Med. 2020;21(5):1283-1286. doi:10.5811/westjem.…

Results of a national neurosurgery resident survey on duty hour regulations. | PSNet

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September 29, 2017 - Study Results of a national neurosurgery resident survey on duty hour regulations. Citation Text: Fargen KM, Chakraborty A, Friedman WA. Results of a national neurosurgery resident survey on duty hour regulations. Neurosurgery. 2011;69(6):1162-70. doi:10.1227/NEU.0b013e3182245989. Co…

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