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psnet.ahrq.gov/issue/influence-race-and-gender-pain-management-systematic-literature-review
December 02, 2020 - Review
The influence of race and gender on pain management: a systematic literature review.
Citation Text:
Hampton SB, Cavalier J, Langford R. The influence of race and gender on pain management: a systematic literature review. Pain Manag Nurs. 2015;16(6):968-977. doi:10.1016/j.pmn.2015.…
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psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident-monitoring-study
June 13, 2011 - Study
Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database.
Citation Text:
Abeysekera A, Bergman IJ, Kluger MT, et al. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study…
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psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
April 12, 2011 - Study
Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs.
Citation Text:
Roulet L, Ballereau F, Hardouin J-B, et al. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related …
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psnet.ahrq.gov/issue/transition-planning-senior-surgeon-guidance-and-recommendations-society-surgical-chairs
August 14, 2019 - Commentary
Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs.
Citation Text:
Rosengart TK, Doherty G, Higgins R, et al. Transition Planning for the Senior Surgeon: Guidance and Recommendations From the Society of Surgical Chairs.…
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psnet.ahrq.gov/issue/specimen-labeling-errors-q-probes-analysis-147-clinical-laboratories
February 15, 2010 - Study
Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories.
Citation Text:
Wagar EA, Stankovic AK, Raab SS, et al. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Arch Pathol Lab Med. 2008;132(10):1617-22. doi:10.1043/1543-2165(2008)…
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psnet.ahrq.gov/issue/mobile-situ-obstetric-emergency-simulation-and-teamwork-training-improve-maternal-fetal
July 09, 2008 - Study
Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals.
Citation Text:
Guise J-M, Lowe NK, Deering S, et al. Mobile in situ obstetric emergency simulation and teamwork training to improve maternal-fetal safety in hospitals.…
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psnet.ahrq.gov/issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-and-upon
November 20, 2013 - Study
Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population.
Citation Text:
Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon dischar…
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psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-administration-expert-panel
June 22, 2022 - Commentary
Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations.
Citation Text:
Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administra…
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psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric
September 01, 2016 - Study
Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study.
Citation Text:
Stultz JS, Nahata MC. Preventability of Voluntarily Reported or Trigger Tool-Identified Medication …
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psnet.ahrq.gov/issue/moral-distress-intensive-care-unit-personnel-not-consistently-associated-adverse-medication
November 02, 2010 - Study
Moral distress in intensive care unit personnel is not consistently associated with adverse medication events and other adverse events
Citation Text:
Dodek P, Norena M, Ayas N, et al. Moral distress in intensive care unit personnel is not consistently associated with adverse medica…
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psnet.ahrq.gov/issue/test-result-communication-primary-care-clinical-and-office-staff-perspectives
November 20, 2015 - Study
Test result communication in primary care: clinical and office staff perspectives.
Citation Text:
Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: clinical and office staff perspectives. Fam Pract. 2014;31(5):592-7. doi:10.1093/fampra/cmu041.
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psnet.ahrq.gov/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective-study-concurrent
April 24, 2019 - Study
Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls.
Citation Text:
Stauffer BD, Fullerton C, Fleming N, et al. Effectiveness and cost of a transitional care program for heart failure: a prospective study with conc…
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psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia
May 06, 2009 - Study
The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system.
Citation Text:
Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's An…
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psnet.ahrq.gov/issue/impact-medication-reconciliation-improving-transitions-care
June 19, 2019 - Review
Emerging Classic
Impact of medication reconciliation for improving transitions of care.
Citation Text:
Redmond P, Grimes TC, McDonnell R, et al. Impact of medication reconciliation for improving transitions of care. Cochrane Database Syst Rev. 2018;8(8):C…
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psnet.ahrq.gov/issue/unintended-discontinuation-medication-following-hospitalisation-retrospective-cohort-study
September 05, 2018 - Study
Unintended discontinuation of medication following hospitalisation: a retrospective cohort study.
Citation Text:
Redmond P, McDowell R, Grimes TC, et al. Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. BMJ Open. 2019;9(6):e024747. d…
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psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
November 18, 2020 - Study
Human error, not communication and systems, underlies surgical complications.
Citation Text:
Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011.
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psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
October 31, 2017 - Study
Internal reporting system to improve a pharmacy's medication distribution process.
Citation Text:
Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202.
Cop…
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psnet.ahrq.gov/issue/national-patient-safety-curriculum-pediatric-emergency-medicine
January 12, 2022 - Study
A national patient safety curriculum in pediatric emergency medicine.
Citation Text:
Stankovic C, Wolff M, Chang TP, et al. A National Patient Safety Curriculum in Pediatric Emergency Medicine. Pediatr Emerg Care. 2019;35(8):519-521. doi:10.1097/PEC.0000000000001533.
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psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
October 19, 2022 - Commentary
A lethal hidden curriculum—death of a medical student from opioid use disorder.
Citation Text:
Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537.
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psnet.ahrq.gov/issue/diagnostic-discrepancies-emergency-department-retrospective-study
October 04, 2023 - Study
Diagnostic discrepancies in the emergency department: a retrospective study.
Citation Text:
Schols LA, Maranus ME, Rood PPM, et al. Diagnostic discrepancies in the emergency department: a retrospective study. J Patient Saf. 2024;20(6):420-425. doi:10.1097/pts.0000000000001252.
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