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Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. | PSNet

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February 17, 2021 - Study Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. Citation Text: Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system…

Medication discrepancies upon hospital to skilled nursing facility transitions. | PSNet

psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions

July 20, 2011 - Study Medication discrepancies upon hospital to skilled nursing facility transitions. Citation Text: Tjia J, Bonner A, Briesacher BA, et al. Medication discrepancies upon hospital to skilled nursing facility transitions. J Gen Intern Med. 2009;24(5):630-5. doi:10.1007/s11606-009-0948-2…

Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients. | PSNet

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July 20, 2022 - Study Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients. Citation Text: Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays to identifi…

Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. | PSNet

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June 15, 2022 - Review Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. Citation Text: Schiavo G, Forgerini M, Varallo FR, et al. Application of trigger tools for detecting adverse drug events in older people: a systematic review and …

The social cost of adverse medical events, and what we can do about it. | PSNet

psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it

February 10, 2015 - Commentary The social cost of adverse medical events, and what we can do about it. Citation Text: Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256. Copy Ci…

National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. | PSNet

psnet.ahrq.gov/issue/national-trends-hospital-acquired-preventable-adverse-events-after-major-cancer-surgery-usa

September 12, 2016 - Study National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. Citation Text: Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6)…

Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. | PSNet

psnet.ahrq.gov/issue/electronic-diagnostic-support-emergency-physician-triage-qualitative-study-thematic-analysis

October 27, 2021 - Study Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. Citation Text: Sibbald M, Abdulla B, Keuhl A, et al. Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of intervi…

Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes. | PSNet

psnet.ahrq.gov/issue/incidence-and-variables-associated-inconsistencies-opioid-prescribing-hospital-discharge-and

April 29, 2018 - Study Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes. Citation Text: Kurteva S, Habib B, Moraga T, et al. Incidence and variables associated with inconsistencies in opioid prescribing at hospita…

Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. | PSNet

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March 24, 2021 - Study Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. Citation Text: Kukielka E, Jones R. Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 20…

CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. | PSNet

psnet.ahrq.gov/issue/cdc-guideline-opioid-prescribing-associated-reduced-dispensing-certain-patients-chronic-pain

October 13, 2018 - Study CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. Citation Text: Townsend T, Cerdá M, Bohnert AS, et al. CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. Healt…

Emergency physician perceptions of patient safety risks. | PSNet

psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-risks

September 15, 2011 - Study Emergency physician perceptions of patient safety risks. Citation Text: Sklar DP, Crandall CS, Zola T, et al. Emergency physician perceptions of patient safety risks. Ann Emerg Med. 2010;55(4):336-40. doi:10.1016/j.annemergmed.2009.08.020. Copy Citation Format: DOI …

Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. | PSNet

psnet.ahrq.gov/issue/alternatives-opioid-education-and-prescription-drug-monitoring-program-cumulatively-decreased

April 06, 2022 - Study Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. Citation Text: Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased…

Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events

April 22, 2015 - Study Classic Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients. Citation Text: Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP crit…

Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. | PSNet

psnet.ahrq.gov/issue/differences-donor-heart-acceptance-race-and-gender-patients-transplant-waiting-list

January 12, 2022 - Study Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. Citation Text: Breathett K, Knapp SM, Lewsey SC, et al. Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. JAMA. 2024;331(16):1379-…

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. | PSNet

psnet.ahrq.gov/issue/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors

September 29, 2021 - Study Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Citation Text: Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2021;8(3):347-352. doi…

Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. | PSNet

psnet.ahrq.gov/issue/gender-bias-risk-management-reports-involving-physicians-training-retrospective-qualitative

September 01, 2021 - Study Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. Citation Text: Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. J Surg…

Weight and size descriptors for drug dosing: too many options and too many errors. | PSNet

psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors

April 06, 2022 - Commentary Weight and size descriptors for drug dosing: too many options and too many errors. Citation Text: Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…

Mixed results in the safety performance of computerized physician order entry. | PSNet

psnet.ahrq.gov/issue/mixed-results-safety-performance-computerized-physician-order-entry

May 04, 2022 - Study Classic Mixed results in the safety performance of computerized physician order entry. Citation Text: Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician order entry. Health Aff (Millwood). 2010;29(4):65…

Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation. | PSNet

psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and

June 05, 2018 - Study Emerging Classic Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation. Citation Text: Rozenblum R, Rodriguez-Monguio R, Volk LA, et al. Using a machine learning system to identify an…

Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. | PSNet

psnet.ahrq.gov/issue/impact-clinical-decision-support-therapeutic-interchanges-hospital-discharge-medication

July 29, 2020 - Study Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. Citation Text: Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions a…

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