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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/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/using-prospective-risk-analysis-tools-improve-safety-pharmacy-settings-systematic-review-and
January 24, 2018 - Review
Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal.
Citation Text:
Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and Criti…
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psnet.ahrq.gov/issue/clinical-decision-support-prevention-tool-medication-errors-operating-room-retrospective
July 05, 2023 - Study
Clinical decision support as a prevention tool for medication errors in the operating room: a retrospective cross-sectional study.
Citation Text:
Amici LD, van Pelt M, Mylott L, et al. Clinical decision support as a prevention tool for medication errors in the operating room: a ret…
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psnet.ahrq.gov/issue/speaking-same-language-international-variations-safety-information-accompanying-top-selling
September 25, 2008 - Study
Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs.
Citation Text:
Kesselheim AS, Franklin JM, Avorn J, et al. Speaking the same language? International variations in the safety information accompanying top-se…
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psnet.ahrq.gov/issue/were-all-truly-pulling-exact-same-direction-qualitative-study-attending-and-resident
December 09, 2020 - Study
"We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds.
Citation Text:
Mastalerz KA, Jordan SR, Townsley N. “We're all truly pulling in the exact same direction”: a qu…
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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/defining-critical-role-nurses-diagnostic-error-prevention-conceptual-framework-and-call
October 28, 2020 - Review
Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action.
Citation Text:
Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to act…
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psnet.ahrq.gov/issue/towards-diagnostic-excellence-academic-ward-teams-building-conceptual-model-team-dynamics
August 20, 2018 - Study
Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process.
Citation Text:
Choi JJ, Rosen MA, Shapiro MF, et al. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in t…
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psnet.ahrq.gov/issue/oncology-pharmacist-led-medication-reconciliation-among-cancer-patients-initiating
March 24, 2021 - Study
Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy.
Citation Text:
Chun DS, Faso A, Muss HB, et al. Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. J Oncol Pharm Pract. 2020;26(5):1156-116…
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psnet.ahrq.gov/issue/impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets
June 18, 2014 - Study
The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy.
Citation Text:
Battis B, Clifford L, Huq M, et al. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic orde…
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psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
September 24, 2017 - Study
Validation of the second victim experience and support tool-revised in the neonatal intensive care unit.
Citation Text:
Winning AM, Merandi J, Rausch JR, et al. Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. J Patient Saf. 2…
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psnet.ahrq.gov/issue/inaccurate-penicillin-allergy-labeling-electronic-health-record-and-adverse-outcomes-care
December 09, 2020 - Commentary
Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care.
Citation Text:
Olans RD, Olans RN, Marfatia R, et al. Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. Jt Comm J Qual Patient …
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psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency
May 15, 2024 - Study
Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study.
Citation Text:
Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency dep…
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psnet.ahrq.gov/issue/what-became-eyes-and-ears-exploring-challenges-reporting-poor-quality-care-among-trainee
June 24, 2020 - Commentary
What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff.
Citation Text:
Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of care among trainee medical st…
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psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass
September 23, 2020 - Study
Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings.
Citation Text:
Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS acros…
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psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
February 16, 2022 - Study
Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…
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psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature
February 12, 2020 - Review
The role of organizational and professional cultures in medication safety: a scoping review of the literature.
Citation Text:
Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety: a scoping review of the literature. Int J Hea…
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psnet.ahrq.gov/issue/handoff-mnemonics-used-perioperative-handoff-intervention-studies-systematic-review
November 16, 2022 - Review
Handoff mnemonics used in perioperative handoff intervention studies: a systematic review.
Citation Text:
Patel SM, Fuller S, Michael MM, et al. Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. Anesth Analg. 2024;Epub Nov 26. doi:10.1213/a…
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psnet.ahrq.gov/issue/impact-electronic-communication-medication-discontinuation-cancelrx-medication-safety-pilot
December 07, 2022 - Study
The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study.
Citation Text:
Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot stud…