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psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site-observational
March 04, 2020 - Study
Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems.
Citation Text:
Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational coho…
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psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-reported-fda
May 01, 2019 - Study
More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA.
Citation Text:
Lyell D, Wang Y, Coiera E, et al. More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. J Am Med Inform…
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psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
September 01, 2021 - Press Release/Announcement
FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy.
Citation Text:
FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…
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psnet.ahrq.gov/issue/associations-between-hospitalist-shift-busyness-diagnostic-confidence-and-resource
September 16, 2020 - Study
Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study.
Citation Text:
Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. J …
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psnet.ahrq.gov/issue/prevalence-incivility-hospitals-and-effects-incivility-patient-safety-culture-and-outcomes
March 24, 2019 - Review
The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis.
Citation Text:
Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on patie…
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psnet.ahrq.gov/issue/adverse-events-and-patient-outcomes-among-hospitalized-children-cared-general-pediatricians
March 23, 2016 - Study
Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists.
Citation Text:
Basco WT. Comparing the Care of Pediatric Hospitalists With That of General Pediatricians. JAMA Netw Open. 2018;1(8). doi:10.1001/jamanetworkopen.2018.…
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psnet.ahrq.gov/issue/implementing-standardized-operating-room-briefings-and-debriefings-large-regional-medical
January 03, 2017 - Study
Implementing standardized operating room briefings and debriefings at a large regional medical center.
Citation Text:
Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qua…
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psnet.ahrq.gov/issue/dosing-errors-made-paramedics-during-pediatric-patient-simulations-after-implementation-state
August 25, 2021 - Study
Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference.
Citation Text:
Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation …
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psnet.ahrq.gov/issue/errors-and-error-producing-conditions-during-simulated-prehospital-pediatric-cardiopulmonary
August 25, 2021 - Study
Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest.
Citation Text:
Lammers RL, Willoughby-Byrwa M, Fales WD. Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. Simul Healthc. …
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psnet.ahrq.gov/issue/state-health-burnout-healthy-behaviors-workplace-wellness-support-and-concerns-medication
July 14, 2021 - Study
The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medication errors in pharmacists during the COVID-19 pandemic.
Citation Text:
Melnyk BM, Hsieh AP, Tan A, et al. The state of health, burnout, healthy behaviors, workplace wellness support,…
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psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-practices
October 19, 2011 - Study
Deaths among opioid users: impact of potential inappropriate prescribing practices.
Citation Text:
Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate prescribing practices. Am J Manag Care. 2019;25(4):e98-e103.
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psnet.ahrq.gov/issue/impact-unacceptable-behaviour-between-healthcare-workers-clinical-performance-and-patient
April 27, 2022 - Review
Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review.
Citation Text:
Guo L, Ryan B, Leditschke IA, et al. Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcom…
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psnet.ahrq.gov/issue/visual-acuity-literacy-and-unintentional-misuse-nonprescription-medications
November 26, 2014 - Study
Visual acuity, literacy, and unintentional misuse of nonprescription medications.
Citation Text:
Mullen RJ, Curtis LM, O'Conor R, et al. Visual acuity, literacy, and unintentional misuse of nonprescription medications. Am J Health-Syst Pharm. 2018;75(9):e213-e220. doi:10.2146/ajhp1…
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psnet.ahrq.gov/issue/longitudinal-evaluation-computed-tomography-radiation-incidents-within-multisite-nhs-trust
September 07, 2022 - Study
A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust.
Citation Text:
Adamson HK, Foster B, Clarke R, et al. A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. J Patient Saf. 2022;18(7):e109…
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psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
September 06, 2023 - Study
Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity.
Citation Text:
Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention…
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psnet.ahrq.gov/issue/canadian-adverse-events-study-incidence-adverse-events-among-hospital-patients-canada
July 07, 2021 - Study
Classic
The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada.
Citation Text:
Baker R, Norton PG, Flintoft V, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients…
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psnet.ahrq.gov/issue/outcomes-quality-improvement-project-educating-nurses-medication-administration-and-errors
April 24, 2018 - Study
Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes.
Citation Text:
Tenhunen ML, Tanner EK, Dahlen R. Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursin…
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psnet.ahrq.gov/issue/web-application-involve-patients-medication-reconciliation-process-user-centered-usability
August 18, 2021 - Study
A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study.
Citation Text:
Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication reconciliation process: a user-centered usa…
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psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
September 02, 2016 - Congressional Testimony
More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety.
Citation Text:
More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Hearing Before the Subcommittee on Primary Health and Aging, 113th Co…
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psnet.ahrq.gov/issue/unveiling-hidden-struggle-healthcare-students-second-victims-through-systematic-review
September 06, 2023 - Review
Unveiling the hidden struggle of healthcare students as second victims through a systematic review.
Citation Text:
Mira JJ, Matarredona V, Tella S, et al. Unveiling the hidden struggle of healthcare students as second victims through a systematic review. BMC Med Educ. 2024;24(1):3…