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psnet.ahrq.gov/issue/using-simulation-improve-first-year-pharmacy-students-ability-identify-medication-errors
January 23, 2017 - Study
Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications.
Citation Text:
Atayee RS, Awdishu L, Namba J. Using Simulation to Improve First-Year Pharmacy Students' Ability to Identify Medication Err…
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psnet.ahrq.gov/issue/safety-participation-direct-care-level-results-patient-questionnaire
August 26, 2020 - Study
Safety participation at the direct care level: results of a patient questionnaire.
Citation Text:
Duhn L, Gumapac N, Medves J. Safety participation at the direct care level: results of a patient questionnaire. Patient Exp J. 2021;8(1):59-68. doi:10.35680/2372-0247.1506.
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psnet.ahrq.gov/issue/accuracy-send-out-test-ordering-college-american-pathologists-q-probes-study-ordering
November 12, 2008 - Study
Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories.
Citation Text:
Valenstein PN, Walsh MK, Stankovic AK. Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of o…
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psnet.ahrq.gov/issue/more-just-crushing-prospective-pre-post-intervention-study-reduce-drug-preparation-errors
November 02, 2010 - Study
More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors in patients with feeding tubes.
Citation Text:
Lohmann K, Gartner D, Kurze R, et al. More than just crushing: a prospective pre-post intervention study to reduce drug preparation er…
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psnet.ahrq.gov/issue/utilization-role-based-head-covering-system-decrease-misidentification-operating-room
September 23, 2020 - Study
Utilization of a role-based head covering system to decrease misidentification in the operating room.
Citation Text:
Rosen DA, Criser AL, Petrone AB, et al. Utilization of a Role-Based Head Covering System to Decrease Misidentification in the Operating Room. J Patient Saf. 2019;15(…
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psnet.ahrq.gov/issue/missed-opportunities-initiate-endoscopic-evaluation-colorectal-cancer-diagnosis
February 15, 2011 - Study
Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis.
Citation Text:
Singh H, Daci K, Petersen L, et al. Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. Am J Gastroenterol. 2009;104(10):2543-2554. doi:10.103…
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psnet.ahrq.gov/issue/role-dynamic-trade-offs-creating-safety-qualitative-study-handover-across-care-boundaries
January 21, 2015 - Study
The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care.
Citation Text:
Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emerg…
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psnet.ahrq.gov/issue/can-medical-students-identify-potentially-serious-acetaminophen-dosing-error-simulated
March 30, 2011 - Study
Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study.
Citation Text:
Dudas RA, Barone MA. Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? a case control…
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psnet.ahrq.gov/issue/pediatric-obesity-and-safety-inpatient-settings-systematic-literature-review
November 12, 2014 - Review
Pediatric obesity and safety in inpatient settings: a systematic literature review.
Citation Text:
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:10.1177/000992281…
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psnet.ahrq.gov/issue/using-risk-stratification-reduce-medical-errors-cervical-cancer-prevention
September 05, 2012 - Commentary
Using risk stratification to reduce medical errors in cervical cancer prevention.
Citation Text:
Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed…
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psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and-transfer
May 23, 2013 - Study
Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills.
Citation Text:
Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retent…
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psnet.ahrq.gov/issue/medication-errors-prospective-cohort-study-hand-written-and-computerised-physician-order
March 06, 2013 - Study
Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit.
Citation Text:
Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order …
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psnet.ahrq.gov/issue/how-do-stakeholders-experience-adoption-electronic-prescribing-systems-hospitals-systematic
December 16, 2020 - Review
How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies.
Citation Text:
Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing syst…
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psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative-care
May 11, 2019 - Commentary
A hospital is not just a factory, but a complex adaptive system—implications for perioperative care.
Citation Text:
Mahajan A, Islam SD, Schwartz MJ, et al. A Hospital Is Not Just a Factory, but a Complex Adaptive System-Implications for Perioperative Care. Anesth Analg. 2017;…
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psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error
March 11, 2013 - Study
A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention.
Citation Text:
Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…
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psnet.ahrq.gov/issue/effects-clinical-pharmacist-service-health-related-quality-life-and-prescribing-drugs
December 14, 2022 - Study
Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled trial.
Citation Text:
Bladh L, Ottosson E, Karlsson J, et al. Effects of a clinical pharmacist service on health-related quality of life and prescribing of…
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psnet.ahrq.gov/issue/meaningful-use-stage-2-e-prescribing-threshold-and-adverse-drug-events-medicare-part-d
July 05, 2017 - Study
Meaningful Use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes.
Citation Text:
Powers C, Gabriel MH, Encinosa W, et al. Meaningful use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population w…
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psnet.ahrq.gov/issue/difficult-diagnosis-icu-making-right-call-beware-uncertainty-and-bias
May 19, 2021 - Review
Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias.
Citation Text:
Pisciotta W, Arina P, Hofmaenner D, et al. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Anaesthesia. 2023;78(4):501-509. doi:10.1111/anae…
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psnet.ahrq.gov/issue/error-reduction-and-performance-improvement-emergency-department-through-formal-teamwork
June 24, 2015 - Study
Classic
Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project.
Citation Text:
Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in t…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription-accuracy
May 27, 2011 - Study
Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.
Citation Text:
Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sc…