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psnet.ahrq.gov/issue/medication-reconciliation-during-internal-hospital-transfer-and-impact-computerized
October 15, 2008 - Study
Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.
Citation Text:
Lee JY, Leblanc K, Fernandes O, et al. Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. Ann …
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psnet.ahrq.gov/issue/evidence-review-conducted-agency-healthcare-research-and-quality-safety-program-improving
June 21, 2015 - Review
Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.
Citation Text:
Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Heal…
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psnet.ahrq.gov/issue/realistic-distractions-and-interruptions-impair-simulated-surgical-performance-novice
August 04, 2021 - Study
Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons.
Citation Text:
Feuerbacher RL, Funk KH, Spight DH, et al. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg. 2012;…
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psnet.ahrq.gov/issue/patient-safety-advisory-fentanyl-counterfeit-prescription-medications-contain-fentanyl-and
September 18, 2024 - Organizational Policy/Guidelines
Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety.
Citation Text:
Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fent…
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psnet.ahrq.gov/issue/do-faculty-and-resident-physicians-discuss-their-medical-errors
February 15, 2011 - Study
Do faculty and resident physicians discuss their medical errors?
Citation Text:
Kaldjian LC, Forman-Hoffman VL, Jones EW, et al. Do faculty and resident physicians discuss their medical errors? J Med Ethics. 2008;34(10):717-22. doi:10.1136/jme.2007.023713.
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psnet.ahrq.gov/issue/doctors-and-dentists-still-flooding-us-opioid-prescriptions
October 13, 2018 - Newspaper/Magazine Article
Doctors and dentists still flooding U.S. with opioid prescriptions.
Citation Text:
Mann B. Doctors and dentists still flooding U.S. with opioid prescriptions. National Public Radio. 2020;July 17.
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psnet.ahrq.gov/issue/managing-and-mitigating-conflict-healthcare-teams-integrative-review
July 19, 2023 - Review
Managing and mitigating conflict in healthcare teams: an integrative review.
Citation Text:
Almost J, Wolff AC, Stewart-Pyne A, et al. Managing and mitigating conflict in healthcare teams: an integrative review. J Adv Nurs. 2016;72(7):1490-505. doi:10.1111/jan.12903.
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psnet.ahrq.gov/issue/emergency-department-volume-and-delayed-diagnosis-serious-pediatric-conditions
September 13, 2023 - Study
Emergency department volume and delayed diagnosis of serious pediatric conditions.
Citation Text:
Michelson KA, Rees CA, Florin TA, et al. Emergency department volume and delayed diagnosis of serious pediatric conditions. JAMA Pediatr. 2024;178(4):362-368. doi:10.1001/jamapediatric…
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psnet.ahrq.gov/issue/risk-managers-descriptions-programs-support-second-victims-after-adverse-events
May 11, 2016 - Study
Risk managers' descriptions of programs to support second victims after adverse events.
Citation Text:
White AA, Brock DM, McCotter PI, et al. Risk managers' descriptions of programs to support second victims after adverse events. J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002…
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psnet.ahrq.gov/issue/experiences-risk-managers-providing-emotional-support-health-care-workers-after-adverse
September 19, 2016 - Study
The experiences of risk managers in providing emotional support for health care workers after adverse events.
Citation Text:
Edrees HH, Brock DM, Wu AW, et al. The experiences of risk managers in providing emotional support for health care workers after adverse events. J Healthc Ri…
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psnet.ahrq.gov/issue/context-sensitive-decision-support-infobuttons-electronic-health-records-systematic-review
August 23, 2023 - Review
Context-sensitive decision support (infobuttons) in electronic health records: a systematic review.
Citation Text:
Cook DA, Teixeira MT, Heale BS, et al. Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. J Am Med Inform Assoc. 2017…
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psnet.ahrq.gov/issue/reducing-inappropriate-diagnostic-practice-through-education-and-decision-support
December 13, 2013 - Study
Reducing inappropriate diagnostic practice through education and decision support.
Citation Text:
Bairstow PJ, Persaud J, Mendelson R, et al. Reducing inappropriate diagnostic practice through education and decision support. Int J Qual Health Care. 2010;22(3):194-200. doi:10.1093…
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psnet.ahrq.gov/issue/recommended-guidelines-monitoring-reporting-and-conducting-research-medical-emergency-team
August 04, 2021 - Commentary
Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement.
Citation Text:
Peberdy MA, Cretikos MA, Abella BS, et al. Recommended Guidelines for Monitoring, …
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psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
September 27, 2017 - Study
Preventable deaths in patients admitted from emergency department.
Citation Text:
Lu T-C, Tsai C-L, Lee C-C, et al. Preventable deaths in patients admitted from emergency department. Emerg Med J. 2006;23(6):452-5.
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psnet.ahrq.gov/issue/factors-associated-medication-errors-pediatric-emergency-department
March 09, 2022 - Study
Factors associated with medication errors in the pediatric emergency department.
Citation Text:
Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, et al. Factors associated with medication errors in the pediatric emergency department. Pediatr Emerg Care. 2011;27(4):290-294. doi:…
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psnet.ahrq.gov/issue/prevalence-polypharmacy-exposure-among-hospitalized-children-united-states
August 20, 2016 - Study
Prevalence of polypharmacy exposure among hospitalized children in the United States.
Citation Text:
Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/a…
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psnet.ahrq.gov/issue/disclosure-nonharmful-medical-errors-and-other-events-duty-disclose
January 23, 2017 - Commentary
Disclosure of "nonharmful" medical errors and other events: duty to disclose.
Citation Text:
Chamberlain CJ, Koniaris LG, Wu AW, et al. Disclosure of "nonharmful" medical errors and other events: duty to disclose. Arch Surg. 2012;147(3):282-6. doi:10.1001/archsurg.2011.1005.
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psnet.ahrq.gov/issue/if-only-failed-missed-and-absent-error-recovery-opportunities-medication-errors
July 15, 2009 - Study
If only...: failed, missed and absent error recovery opportunities in medication errors.
Citation Text:
Habraken MMP, van der Schaaf TW. If only..: failed, missed and absent error recovery opportunities in medication errors. Qual Saf Health Care. 2010;19(1):37-41. doi:10.1136/qsh…
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psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
March 09, 2022 - Study
Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study.
Citation Text:
Pinto Carvalho FL, Cordeiro JA, Cury PM. Clinical and pathological disagreement upon the cause of death in a teaching hospi…
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psnet.ahrq.gov/issue/improving-patient-safety-effects-safety-program-performance-and-culture-department-radiology
May 12, 2010 - Study
Improving patient safety: effects of a safety program on performance and culture in a department of radiology.
Citation Text:
Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety: effects of a safety program on performance and culture in a department of radiolo…