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An acetaminophen icon helps reduce medication decision errors in an experimental setting. | PSNet

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January 12, 2022 - Study An acetaminophen icon helps reduce medication decision errors in an experimental setting. Citation Text: Shiffman S, Cotton H, Jessurun C, et al. An acetaminophen icon helps reduce medication decision errors in an experimental setting. J Am Pharm Assoc (2003). 2016;56(5):495-503.e4…

Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. | PSNet

psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medication-safety-pediatrics-avoid-study

October 28, 2015 - Study Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Citation Text: Wimmer S, Toni I, Botzenhardt S, et al. Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Pharmacol Res P…

Pharmacist medication reviews to improve safety monitoring in primary care patients. | PSNet

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April 24, 2018 - Study Pharmacist medication reviews to improve safety monitoring in primary care patients. Citation Text: Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh…

Competition and health plan performance: evidence from health maintenance organization insurance markets. | PSNet

psnet.ahrq.gov/issue/competition-and-health-plan-performance-evidence-health-maintenance-organization-insurance

July 14, 2009 - Study Competition and health plan performance: evidence from health maintenance organization insurance markets. Citation Text: Scanlon D, Swaminathan S, Chernew M, et al. Competition and health plan performance: evidence from health maintenance organization insurance markets. Med Care.…

Error in intensive care: psychological repercussions and defense mechanisms among health professionals. | PSNet

psnet.ahrq.gov/issue/error-intensive-care-psychological-repercussions-and-defense-mechanisms-among-health

November 29, 2023 - Study Error in intensive care: psychological repercussions and defense mechanisms among health professionals. Citation Text: Laurent A, Aubert L, Chahraoui K, et al. Error in intensive care: psychological repercussions and defense mechanisms among health professionals. Crit Care Med. 201…

The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-center study. | PSNet

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May 27, 2011 - Study The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-center study. Citation Text: Karpman C, Keegan MT, Jensen J, et al. The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-cent…

Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. | PSNet

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March 17, 2014 - Study Emerging Classic Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. Citation Text: McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to …

Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. | PSNet

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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 …

Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. | PSNet

psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual

March 22, 2023 - Study Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. Citation Text: Maul L, Regenstein M, Andres E, et al. Using a risk assessment approach to determine which f…

Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional development, system improvements, clinician engagement, and enhanced patient safety culture? | PSNet

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October 23, 2024 - Review Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional development, system improvements, clinician engagement, and enhanced patient safety culture? Citation Text: Steel EJ, Janda M, Jamali S, et al. Systematic review of morbidit…

Estimating the hospital costs of inpatient harms. | PSNet

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February 07, 2024 - Study Estimating the hospital costs of inpatient harms. Citation Text: Anand P, Kranker K, Chen AY. Estimating the hospital costs of inpatient harms. Health Serv Res. 2019;54(1):86-96. doi:10.1111/1475-6773.13066. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/inappropriateness-medication-prescriptions-elderly-patients-primary-care-setting-systematic

February 14, 2024 - Review Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic review. Citation Text: Opondo D, Eslami S, Visscher S, et al. Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic r…

Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet

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June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical care. Citation Text: Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. Copy Citation Format: Goog…

Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality. | PSNet

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December 20, 2023 - Study Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality. Citation Text: Teufel RJ, Kazley AS, Basco WT. Early adopters of computerized physician order entry in…

Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. | PSNet

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September 20, 2011 - Study Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. Citation Text: Stone A, Jiang ST, Stahl MC, et al. Development and interrater agreement of a novel classification system combining medical and surgical adve…

Opioid dependence and overdose after surgery: rate, risk factors, and reasons. | PSNet

psnet.ahrq.gov/issue/opioid-dependence-and-overdose-after-surgery-rate-risk-factors-and-reasons

August 05, 2020 - Study Opioid dependence and overdose after surgery: rate, risk factors, and reasons. Citation Text: Wylie JA, Kong L, Barth RJ. Opioid dependence and overdose after surgery: rate, risk factors, and reasons. Ann Surg. 2022;276(3):e192-e198. doi:10.1097/sla.0000000000005546. Copy Citatio…

Prescribing errors with low-molecular-weight heparins. | PSNet

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July 26, 2017 - Study Prescribing errors with low-molecular-weight heparins. Citation Text: Slikkerveer M, van de Plas A, Driessen JHM, et al. Prescribing errors with low-molecular-weight heparins. J Patient Saf. 2021;17(7):e587-e592. doi:10.1097/pts.0000000000000417. Copy Citation Format: …

Imperfect practice makes perfect: error management training improves transfer of learning. | PSNet

psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-transfer-learning

May 19, 2019 - Study Imperfect practice makes perfect: error management training improves transfer of learning. Citation Text: Dyre L, Tabor A, Ringsted C, et al. Imperfect practice makes perfect: error management training improves transfer of learning. Med Educ. 2017;51(2):196-206. doi:10.1111/medu.13…

Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. | PSNet

psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care

May 24, 2010 - Study Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. Citation Text: Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and legal action after medical error in the c…

Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by alerting inadvertent discordance between the radiologist and AI in the interpretation of high acuity CT scans. | PSNet

psnet.ahrq.gov/issue/cross-check-qa-quality-assurance-workflow-prevent-missed-diagnoses-alerting-inadvertent

March 04, 2015 - Study Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by alerting inadvertent discordance between the radiologist and AI in the interpretation of high acuity CT scans. Citation Text: Chekmeyan M, Baccei SJ, Garwood ER. Cross-Check QA: a quality assurance workflow…

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