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psnet.ahrq.gov/issue/bayesian-cohort-and-cross-sectional-analyses-pincer-trial-pharmacist-led-intervention-reduce
December 21, 2022 - Study
Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce medication errors in primary care.
Citation Text:
Hemming K, Chilton PJ, Lilford RJ, et al. Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led…
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psnet.ahrq.gov/issue/pharmacy-e-prescription-dispensing-and-after-cancelrx-implementation
October 05, 2022 - Study
Pharmacy e-prescription dispensing before and after CancelRx implementation.
Citation Text:
Pitts SI, Olson S, Yanek LR, et al. Pharmacy e-prescription dispensing before and after CancelRx implementation. JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192.…
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
August 04, 2021 - Study
Classic
Reducing adverse drug events: lessons from a breakthrough series collaborative.
Citation Text:
Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…
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psnet.ahrq.gov/issue/do-healthcare-professionals-work-around-safety-standards-and-should-we-be-worried-scoping
December 21, 2016 - Review
Do healthcare professionals work around safety standards, and should we be worried? A scoping review.
Citation Text:
Clark D, Lawton R, Baxter R, et al. Do healthcare professionals work around safety standards, and should we be worried? A scoping review. BMJ Qual Saf. 2024;Epub Se…
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psnet.ahrq.gov/issue/family-support-role-hospital-rapid-response-teams-scoping-review
September 16, 2020 - Review
Family support role in hospital rapid response teams: a scoping review.
Citation Text:
Howlett O, Gleeson R, Jackson L, et al. Family support role in hospital rapid response teams: a scoping review. JBI Evid Synth. 2022;20(8):2001-2024. doi:10.11124/jbies-21-00189.
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psnet.ahrq.gov/issue/inappropriate-diagnosis-pneumonia-among-hospitalized-adults
July 17, 2024 - Study
Inappropriate diagnosis of pneumonia among hospitalized adults.
Citation Text:
Gupta AB, Flanders SA, Petty LA, et al. Inappropriate diagnosis of pneumonia among hospitalized adults. JAMA Intern Med. 2024;184(4):548-556. doi:10.1001/jamainternmed.2024.0077.
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psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
March 13, 2013 - Review
Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events.
Citation Text:
Hempel S, Maggard-Gibbons M, Nguyen DK, et al. Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Even…
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psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and
September 19, 2016 - Study
Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations.
Citation Text:
Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…
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psnet.ahrq.gov/issue/assessing-effectiveness-engaging-patients-and-their-families-three-step-fall-prevention
February 19, 2020 - Study
Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study.
Citation Text:
Duckworth M, Adelman JS, Belategui K, et al. Assessing the E…
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psnet.ahrq.gov/issue/one-fourth-unplanned-transfers-higher-level-care-are-associated-highly-preventable-adverse
May 16, 2018 - Study
One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals.
Citation Text:
Marquet K, Claes N, De Troy E, et al. One fourth of unplanned transfers to a higher level of care are…
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psnet.ahrq.gov/issue/errors-administration-parenteral-drugs-intensive-care-units-multinational-prospective-study
September 30, 2010 - Study
Errors in administration of parenteral drugs in intensive care units: multinational prospective study.
Citation Text:
Valentin A, Capuzzo M, Guidet B, et al. Errors in administration of parenteral drugs in intensive care units: multinational prospective study. BMJ. 2009;338:b814.…
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psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol
October 19, 2022 - Study
Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors.
Citation Text:
MacMaster HW, Gonzalez S, Maruoka A, et al. Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning…
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psnet.ahrq.gov/issue/checklist-address-implicit-bias-healthcare-settings-during-covid-19-pandemic-place-strategy
July 07, 2021 - Commentary
A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy.
Citation Text:
Galiatsatos P, O'Conor KJ, Wilson C, et al. A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy…
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psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
January 19, 2012 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
May 01, 2013 - December 27, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
March 28, 2012 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
November 03, 2015 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
October 04, 2011 - June 18, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
April 21, 2011 - October 4, 2011
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.