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psnet.ahrq.gov/issue/pharmacist-participation-physician-rounds-and-adverse-drug-events-intensive-care-unit
February 10, 2011 - Study
Classic
Pharmacist participation on physician rounds and adverse drug events in the intensive care unit.
Citation Text:
Leape L, Cullen DJ, Clapp M, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. J…
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psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients
January 16, 2008 - Study
Increased mortality and costs associated with adverse events in intensive care unit patients.
Citation Text:
Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…
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psnet.ahrq.gov/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united
December 02, 2020 - Study
Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms.
Citation Text:
Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United …
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psnet.ahrq.gov/issue/impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm
September 23, 2020 - Study
The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue.
Citation Text:
Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fati…
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psnet.ahrq.gov/issue/association-between-workarounds-and-medication-administration-errors-bar-code-assisted
August 26, 2020 - Study
Classic
Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals.
Citation Text:
van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication adm…
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psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical
July 28, 2021 - Study
Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows.
Citation Text:
Gabrysz-Forget F, Young M, Zahabi S, et al. Surgical errors happen, but are learners trained to recover from them? A survey of North Amer…
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psnet.ahrq.gov/issue/gender-based-differences-surgical-residents-perceptions-patient-safety-continuity-care-and
February 14, 2017 - Study
Gender-based differences in surgical residents' perceptions of patient safety, continuity of care, and well-being: an analysis from the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial.
Citation Text:
Ban KA, Chung JW, Matulewicz RS, et al. Gender-Based Dif…
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psnet.ahrq.gov/issue/design-and-impact-novel-surgery-specific-second-victim-peer-support-program
March 09, 2022 - Study
Emerging Classic
Design and impact of a novel surgery-specific second victim peer support program.
Citation Text:
El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…
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psnet.ahrq.gov/issue/determining-medication-errors-adult-intensive-care-unit
February 15, 2017 - Study
Determining medication errors in an adult intensive care unit.
Citation Text:
Castro R da NS de, Aguiar LB de, Volpe CRG, et al. Determining medication errors in an adult intensive care unit. Int J Environ Res Public Health. 2023;20(18):6788. doi:10.3390/ijerph20186788.
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psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors
April 12, 2017 - Study
Automated detection of wrong-drug prescribing errors.
Citation Text:
Lambert BL, Galanter W, Liu KL, et al. Automated detection of wrong-drug prescribing errors. BMJ Qual Saf. 2019;28(11):908-915. doi:10.1136/bmjqs-2019-009420.
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DOI Google Scholar…
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psnet.ahrq.gov/issue/patient-safety-and-sense-security-when-telemonitoring-chronic-conditions-home-views-patients
August 21, 2024 - Study
Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study.
Citation Text:
Ekstedt M, Nordheim ES, Hellström A, et al. Patient safety and sense of security when telemonitoring chronic…
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psnet.ahrq.gov/issue/medsafer-study-controlled-trial-electronic-decision-support-tool-deprescribing-acute-care
February 02, 2022 - Study
The MedSafer Study: a controlled trial of an electronic decision support tool for deprescribing in acute care.
Citation Text:
McDonald EG, Wu PE, Rashidi B, et al. The MedSafer Study: A Controlled Trial of an Electronic Decision Support Tool for Deprescribing in Acute Care. J Am Ge…
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psnet.ahrq.gov/issue/assessing-patient-work-system-factors-medication-management-during-transition-care-among
July 20, 2022 - Study
Assessing patient work system factors for medication management during transition of care among older adults: an observational study.
Citation Text:
Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among ol…
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psnet.ahrq.gov/issue/raising-barcode-improving-medication-safety-behaviours-through-behavioural-science-informed
November 01, 2023 - Study
Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis.
Citation Text:
Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving med…
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psnet.ahrq.gov/issue/appropriate-use-medical-interpreters-breast-imaging-clinic
October 16, 2024 - Commentary
Appropriate use of medical interpreters in the breast imaging clinic.
Citation Text:
Feliciano-Rivera YZ, Yepes MM, Sanchez P, et al. Appropriate use of medical interpreters in the breast imaging clinic. J Breast Imaging. 2024;27(3):296-303. doi:10.1093/jbi/wbad109.
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psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
February 16, 2022 - Review
The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging.
Citation Text:
Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…
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psnet.ahrq.gov/issue/resilience-nursing-medication-administration-practice-systematic-review-narrative-synthesis
February 18, 2017 - Review
Resilience in nursing medication administration practice: a systematic review with narrative synthesis.
Citation Text:
Kellett PLR, Franklin BD, Pearce S, et al. Resilience in nursing medication administration practice: a systematic review with narrative synthesis. BMJ Open Qual. …
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psnet.ahrq.gov/issue/longitudinal-study-manifestations-and-mechanisms-technology-related-prescribing-errors
January 18, 2023 - Study
Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics.
Citation Text:
Raban MZ, Fitzpatrick E, Merchant A, et al. Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics.…
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psnet.ahrq.gov/issue/analysis-prehospital-pediatric-medication-dosing-errors-after-implementation-state-wide-ems
August 25, 2021 - Study
An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference.
Citation Text:
Kazi R, Hoyle JD, Huffman C, et al. An analysis of prehospital pediatric medication dosing errors after implementation of a state-w…
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psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious
May 16, 2018 - Study
Emerging Classic
Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents.
Citation Text:
Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to…