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Prevalence, contributory factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis. | PSNet

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December 22, 2021 - Review Prevalence, contributory factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis. Citation Text: Al Rowily A, Jalal Z, Price MJ, et al. Prevalence, contributory factors and severity of med…

The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. | PSNet

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August 17, 2022 - Study The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. Citation Text: Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…

High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events. | PSNet

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March 09, 2022 - Study High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events. Citation Text: Edrees H, Amato MG, Wong A, et al. High-priority drug-drug interactio…

Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. | PSNet

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May 11, 2022 - Study Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. Citation Text: Bender JA, Kulju S, Soncrant C. Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. Jt Comm J Qua…

Methodological variations and their effects on reported medication administration error rates. | PSNet

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January 15, 2025 - Review Methodological variations and their effects on reported medication administration error rates. Citation Text: McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.…

Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. | PSNet

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September 26, 2012 - Study Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. Citation Text: Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a p…

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. | PSNet

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February 15, 2011 - Study Classic 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. Citation Text: Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…

Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. | PSNet

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May 08, 2017 - Study Classic Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. Citation Text: Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication error…

Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. | PSNet

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November 25, 2009 - Study Classic Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. Citation Text: Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient saf…

Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. | PSNet

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November 10, 2021 - Study Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. Citation Text: Trost SL, Beauregard JL, Smoots AN, et al. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committee…

The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. | PSNet

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April 09, 2013 - Study Classic The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. Citation Text: Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimatio…

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. | PSNet

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December 09, 2020 - Study Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. Citation Text: Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase patient safety in the intensive care uni…

Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. | PSNet

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October 20, 2021 - Study Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. Citation Text: Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…

Paediatric family activated rapid response interventions; qualitative systematic review. | PSNet

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November 24, 2021 - Review Paediatric family activated rapid response interventions; qualitative systematic review. Citation Text: Cresham Fox S, Taylor N, Marufu TC, et al. Paediatric family activated rapid response interventions; qualitative systematic review. Intensive Crit Care Nurs. 2023;2023(75):1033…

Using radiofrequency technology to prevent retained sponges and improve patient outcomes. | PSNet

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November 25, 2020 - Study Using radiofrequency technology to prevent retained sponges and improve patient outcomes. Citation Text: Primiano M, Sparks D, Murphy J, et al. Using radiofrequency technology to prevent retained sponges and improve patient outcomes. AORN J. 2020;112(4):345-352. doi:10.1002/aorn.13…

Digital Healthcare Research. | PSNet

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December 24, 2008 - August 19, 2020 Novel, High-Impact Studies Evaluating Health System and Healthcare Professional

AHRQ Grants by State. | PSNet

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December 24, 2008 - September 22, 2021 Novel, High-Impact Studies Evaluating Health System and Healthcare

Special Issue on Health Information Technology. | PSNet

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August 22, 2007 - June 29, 2022 Scoping review of studies evaluating frailty and its association with medication

Hospital mistakes kept secret. | PSNet

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September 30, 2009 - June 21, 2017 Medication safety at the interface: evaluating risks associated with discharge

Radiology Missed an Intracranial Bleed in a Lethargic Infant. | PSNet

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August 21, 2016 - The initial head CT and skeletal survey provide critical information in screening and evaluating for … after a missed diagnosis of NAT – of these, 6 children later died and 10 survived with handicap. 9 Evaluating … A study evaluating discrepancies in head CT readings between referring community radiologists and fellowship-trained … Skeletal surveys and head CTs, critical for screening and evaluating for NAT, should generally be interpreted

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