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psnet.ahrq.gov/issue/impact-interactions-between-drugs-and-laboratory-test-results-diagnostic-test-interpretation
March 06, 2019 - Review
Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review.
Citation Text:
van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Impact of interactions between drugs and laboratory test results on diagnostic test …
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psnet.ahrq.gov/issue/effect-complementary-interventions-redesign-care-teamwork-and-quality-hospitalized-medical
November 25, 2020 - Study
Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial.
Citation Text:
O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on teamwork and quality …
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psnet.ahrq.gov/issue/new-2011-survey-patients-complex-care-needs-eleven-countries-finds-care-often-poorly
February 22, 2010 - Study
New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated.
Citation Text:
Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordi…
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psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center
March 16, 2022 - Study
Classic
Medication misadventures resulting in emergency department visits at an HMO medical center.
Citation Text:
Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…
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psnet.ahrq.gov/issue/we-thought-we-would-be-perfect-medication-errors-and-after-initiation-computerized-physician
September 18, 2019 - Study
We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry.
Citation Text:
Schwartzberg D, Ivanovic S, Patel S, et al. We thought we would be perfect: medication errors before and after the initiation of Computerized Phys…
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psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors
February 18, 2011 - Study
Classic
Role of computerized physician order entry systems in facilitating medication errors.
Citation Text:
Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):119…
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psnet.ahrq.gov/issue/reducing-drug-prescription-errors-and-adverse-drug-events-application-probabilistic-machine
March 12, 2025 - Study
Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting.
Citation Text:
Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by…
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety-practice
March 25, 2015 - Review
Human factors and ergonomics as a patient safety practice.
Citation Text:
Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf. 2014;23(3):196-205. doi:10.1136/bmjqs-2013-001812.
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-increase-patient-safety-cancer-chemotherapy
August 18, 2021 - Study
Using failure mode and effects analysis to increase patient safety in cancer chemotherapy.
Citation Text:
Weber L, Schulze I, Jaehde U. Using Failure Mode and Effects Analysis to increase patient safety in cancer chemotherapy. Res Social Adm Pharm. 2022;18(8):3386-3393. doi:10.1016…
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psnet.ahrq.gov/issue/principles-automation-patient-safety-intensive-care-learning-aviation
April 20, 2022 - Commentary
Principles of automation for patient safety in intensive care: learning from aviation.
Citation Text:
Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jc…
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psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery-patients
March 23, 2022 - Study
The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record.
Citation Text:
Baimas-George M, Ross SW, Hetherington T, et al. The physiology of failure: identifying risk f…
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psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
March 23, 2022 - Study
Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths.
Citation Text:
LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…
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psnet.ahrq.gov/issue/repeat-medication-errors-nursing-homes-contributing-factors-and-their-association-patient
August 07, 2013 - Study
Repeat medication errors in nursing homes: contributing factors and their association with patient harm.
Citation Text:
Crespin DJ, Modi A, Wei D, et al. Repeat medication errors in nursing homes: Contributing factors and their association with patient harm. Am J Geriatr Pharmaco…
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psnet.ahrq.gov/issue/reducing-high-risk-medication-use-through-pharmacist-led-interventions-outpatient-setting
September 23, 2020 - Study
Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting.
Citation Text:
Deyo JC, Smith BH, Biola H, et al. Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. J Am Pharm Assoc. 2020. doi:10.1016/j.…
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-pediatric-intensive-care-means-improving-patient-safety
December 16, 2009 - Study
The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety.
Citation Text:
Frey B, Doell C, Klauwer D, et al. The Morbidity and Mortality Conference in Pediatric Intensive Care as a Means for Improving Patient Safety. Pediatr Crit Car…
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psnet.ahrq.gov/issue/patient-safety-and-satisfaction-fully-remote-management-radiation-oncology-care
October 19, 2022 - Study
Patient safety and satisfaction with fully remote management of radiation oncology care.
Citation Text:
Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570. doi:10.1001/jam…
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psnet.ahrq.gov/issue/developing-standardized-receiver-driven-handoffs-between-referring-providers-and-emergency
June 03, 2020 - Study
Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment.
Citation Text:
Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Provider…
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psnet.ahrq.gov/issue/impact-daily-huddle-safety-perioperative-services
March 03, 2021 - Study
Impact of a daily huddle on safety in perioperative services.
Citation Text:
Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012.
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psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture-2015-user-comparative-database-report
November 30, 2016 - Book/Report
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report.
Citation Text:
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Resea…
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psnet.ahrq.gov/issue/systematic-review-physiologic-monitor-alarm-characteristics-and-pragmatic-interventions
August 03, 2017 - Review
Classic
Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency.
Citation Text:
Paine CW, Goel V, Ely E, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Inter…