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psnet.ahrq.gov/issue/patients-perceptions-using-technology-self-reporting-cancer-medication-safety-events-home
June 05, 2024 - Study
Patients' perceptions of using technology for self-reporting cancer medication safety events from home.
Citation Text:
Gahn K, Hwang M, Cho Y, et al. Patients' perceptions of using technology for self-reporting cancer medication safety events from home. Stud Health Technol Inform. …
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psnet.ahrq.gov/issue/adverse-events-paediatric-emergency-department-prospective-cohort-study
August 03, 2022 - Study
Adverse events in the paediatric emergency department: a prospective cohort study.
Citation Text:
Plint AC, Stang A, Newton AS, et al. Adverse events in the paediatric emergency department: a prospective cohort study. BMJ Qual Saf. 2021;30(3):216-227. doi:10.1136/bmjqs-2019-010055.…
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psnet.ahrq.gov/issue/quantification-and-classification-errors-associated-hand-repackaging-medications-long-term
April 21, 2021 - Study
Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany.
Citation Text:
Gerber A, Kohaupt I, Lauterbach KW, et al. Quantification and classification of errors associated with hand-repackaging of medicat…
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psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
May 15, 2013 - Study
Measuring harm in health care: optimizing adverse event review.
Citation Text:
Walsh KE, Harik P, Mazor KM, et al. Measuring Harm in Health Care: Optimizing Adverse Event Review. Med Care. 2017;55(4):436-441. doi:10.1097/MLR.0000000000000679.
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psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
July 28, 2021 - Commentary
Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics.
Citation Text:
Kern-Goldberger AR, Adelman JS, Applebaum JR, et al. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety chal…
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psnet.ahrq.gov/issue/patient-perspectives-use-artificial-intelligence-skin-cancer-screening-qualitative-study
October 19, 2022 - Study
Emerging Classic
Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study.
Citation Text:
Nelson CA, Pérez-Chada LM, Creadore A, et al. Patient perspectives on the use of artificial intelligence for skin can…
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psnet.ahrq.gov/issue/factors-associated-workarounds-barcode-assisted-medication-administration-hospitals
January 23, 2019 - Study
Factors associated with workarounds in barcode-assisted medication administration in hospitals.
Citation Text:
Veen W, Taxis K, Wouters H, et al. Factors associated with workarounds in barcode‐assisted medication administration in hospitals. J Clin Nurs. 2020;29(13-14):2239-2250. d…
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psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
November 21, 2012 - Study
Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration.
Citation Text:
Paull DE, Mazzia L, Neily J, et al. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in t…
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psnet.ahrq.gov/issue/design-and-implementation-application-and-associated-services-support-interdisciplinary
February 15, 2011 - Study
Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.
Citation Text:
Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and …
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psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths
October 19, 2022 - Review
How health care systems let our patients down: a systematic review into suicide deaths.
Citation Text:
Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1…
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psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals
January 02, 2017 - Study
Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
Citation Text:
Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488.
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psnet.ahrq.gov/issue/physician-patient-communication-failure-facilitates-medication-errors-older-polymedicated
November 02, 2010 - Study
Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities.
Citation Text:
Mira JJ, Orozco-Beltrán D, Pérez-Jover V, et al. Physician patient communication failure facilitates medication errors in older polyme…
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - Study
System issues leading to "found-on-floor" incidents: a multi-incident analysis.
Citation Text:
Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294.
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psnet.ahrq.gov/issue/changes-safety-and-teamwork-climate-after-adding-structured-observations-patient-safety
August 20, 2018 - Study
Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds.
Citation Text:
Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Pa…
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psnet.ahrq.gov/issue/organisational-culture-variation-across-hospitals-and-connection-patient-safety-climate
March 17, 2010 - Study
Organisational culture: variation across hospitals and connection to patient safety climate.
Citation Text:
Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. do…
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psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
February 24, 2011 - Commentary
Creating a safer health care system: finding the constraint.
Citation Text:
Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8.
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-hospitalized-patients-comparative-study-intensive-care-and
March 31, 2021 - Study
Classic
Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units.
Citation Text:
Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Me…
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psnet.ahrq.gov/issue/impact-implementing-alerts-about-medication-black-box-warnings-electronic-health-records
July 10, 2008 - Study
Impact of implementing alerts about medication black-box warnings in electronic health records.
Citation Text:
Yu DT, Seger DL, Lasser KE, et al. Impact of implementing alerts about medication black-box warnings in electronic health records. Pharmacoepidemiol Drug Saf. 2011;20(2):1…
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psnet.ahrq.gov/issue/critical-errors-infrequently-performed-trauma-procedures-after-training
June 27, 2018 - Study
Critical errors in infrequently performed trauma procedures after training.
Citation Text:
Mackenzie CF, Shackelford SA, Tisherman SA, et al. Critical errors in infrequently performed trauma procedures after training. Surgery. 2019;166(5):835-843. doi:10.1016/j.surg.2019.05.031.
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psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning
February 02, 2022 - Commentary
Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning.
Citation Text:
Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097…