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psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health
March 10, 2010 - Study
Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care.
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Habraken MMP, van der Schaaf TW, Leistikow IP, et al. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFM…
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psnet.ahrq.gov/issue/how-improve-delivery-medication-alerts-within-computerized-physician-order-entry-systems
October 30, 2013 - Study
How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study.
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Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within computerized physician order entry systems:…
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psnet.ahrq.gov/issue/information-overload-and-missed-test-results-electronic-health-record-based-settings
April 14, 2011 - Study
Information overload and missed test results in electronic health record–based settings.
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Singh H, Spitzmueller C, Petersen NJ, et al. Information overload and missed test results in electronic health record-based settings. JAMA Intern Med. 2013;173(8):702-4. doi:10.1…
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psnet.ahrq.gov/issue/standard-admission-order-sets-promote-ordering-unnecessary-investigations-quasi-randomised
March 24, 2021 - Study
Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting.
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Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evalu…
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psnet.ahrq.gov/issue/effect-us-drug-enforcement-administrations-rescheduling-hydrocodone-combination-analgesic
August 04, 2021 - Study
Effect of US Drug Enforcement Administration's rescheduling of hydrocodone combination analgesic products on opioid analgesic prescribing.
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Jones CM, Lurie PG, Throckmorton DC. Effect of US Drug Enforcement Administration's Rescheduling of Hydrocodone Combination Anal…
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psnet.ahrq.gov/issue/ensuring-access-medications-us-during-covid-19-pandemic
May 08, 2017 - Commentary
Ensuring access to medications in the US during the COVID-19 pandemic.
Citation Text:
Alexander GC, Qato DM. Ensuring access to medications in the US during the COVID-19 pandemic. JAMA. 2020;324(1):31-32. doi:10.1001/jama.2020.6016.
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psnet.ahrq.gov/issue/animated-stories-medical-error-means-teaching-undergraduates-patient-safety-evaluation-study
June 10, 2020 - Study
Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study.
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Cooper K, Hatfield E, Yeomans J. Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. Perspect Med Edu…
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psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service-comparison-two-population
February 16, 2011 - Study
Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013.
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Gray AM, Fenn P, Rickman N, et al. Changing experience of adverse medical events in the National Health Service: Comparison of two pop…
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psnet.ahrq.gov/issue/sustaining-innovations-complex-health-care-environments-multiple-case-study-rapid-response
November 03, 2015 - Study
Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams.
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Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 202…
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psnet.ahrq.gov/issue/performance-international-classification-diseases-9th-revision-clinical-modification-codes
May 07, 2008 - Study
Performance of International Classification of Diseases, 9th Revision, Clinical Modification codes as an adverse drug event surveillance system.
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Hougland P, Xu W, Pickard S, et al. Performance of International Classification Of Diseases, 9th Revision, Clinical Modi…
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
October 19, 2022 - Study
Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.
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Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.…
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psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic-conditions
November 04, 2014 - Study
Medical errors in US pediatric inpatients with chronic conditions.
Citation Text:
Ahuja N, Zhao W, Xiang H. Medical errors in US pediatric inpatients with chronic conditions. Pediatrics. 2012;130(4):e786-e793. doi:10.1542/peds.2011-2555.
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psnet.ahrq.gov/issue/design-and-implementation-tool-pharmacists-register-potential-errors-prescribed-medication
March 09, 2022 - Study
Design and implementation of a tool for pharmacists to register potential errors in prescribed medication.
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Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register Potential Errors in Prescribed Medication. Stud Health Tech…
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psnet.ahrq.gov/issue/prospective-study-evaluate-awareness-about-medication-errors-amongst-health-care-personnel
May 17, 2018 - Study
A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India.
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Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors amongst health-c…
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psnet.ahrq.gov/issue/reduction-medication-errors-related-sliding-scale-insulin-introduction-standardized-order
June 19, 2024 - Study
Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet.
Citation Text:
Harada S, Suzuki A, Nishida S, et al. Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet.…
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psnet.ahrq.gov/issue/utilization-role-based-head-covering-system-decrease-misidentification-operating-room
September 23, 2020 - Study
Utilization of a role-based head covering system to decrease misidentification in the operating room.
Citation Text:
Rosen DA, Criser AL, Petrone AB, et al. Utilization of a Role-Based Head Covering System to Decrease Misidentification in the Operating Room. J Patient Saf. 2019;15(…
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psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system
October 16, 2012 - Study
Promoting patient safety using an early warning scoring system.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/intro.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Building the Project Founda…
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psnet.ahrq.gov/issue/enhancing-patient-safety-during-pediatric-sedation-impact-simulation-based-training
January 17, 2012 - Study
Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists.
Citation Text:
Shavit I, Keidan I, Hoffmann Y, et al. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiol…
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psnet.ahrq.gov/issue/error-reduction-and-performance-improvement-emergency-department-through-formal-teamwork
June 24, 2015 - Study
Classic
Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project.
Citation Text:
Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in t…