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Unintended adverse consequences of a clinical decision support system: two cases. | PSNet

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October 23, 2018 - Commentary Unintended adverse consequences of a clinical decision support system: two cases. Citation Text: Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096. Copy Citation …

From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. | PSNet

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December 12, 2014 - Study From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. Citation Text: Bardach N, Lyndon A, Asteria-Peñaloza R, et al. From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. BMJ Qua…

If only...: failed, missed and absent error recovery opportunities in medication errors. | PSNet

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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…

Use of specific indicators to detect warfarin-related adverse events. | PSNet

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October 19, 2022 - Study Use of specific indicators to detect warfarin-related adverse events. Citation Text: Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404. Copy Cita…

Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. | PSNet

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August 04, 2021 - Study Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. Citation Text: Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilita…

Double checking medicines: defence against error or contributory factor? | PSNet

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January 31, 2024 - Study Double checking medicines: defence against error or contributory factor? Citation Text: Armitage G. Double checking medicines: defence against error or contributory factor? J Eval Clin Pract. 2008;14(4):513-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? | PSNet

psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality

August 20, 2018 - Study Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? Citation Text: Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Bu…

Practising safely in the foundation years. | PSNet

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February 04, 2015 - Commentary Practising safely in the foundation years. Citation Text: Long SJ, Neale G, Vincent CA. Practising safely in the foundation years. BMJ. 2009;338:b1046. doi:10.1136/bmj.b1046. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. | PSNet

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February 27, 2014 - Study Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. Citation Text: Berg M, Meijerink Y, Gras M, et al. Feasibility first: developing public performance indicators on patient safety and clinical effectivenes…

Using pharmacists to optimize patient outcomes and costs in the ED. | PSNet

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October 13, 2015 - Review Using pharmacists to optimize patient outcomes and costs in the ED. Citation Text: Jacknin G, Nakamura T, Smally AJ, et al. Using pharmacists to optimize patient outcomes and costs in the ED. Am J Emerg Med. 2014;32(6):673-7. doi:10.1016/j.ajem.2013.11.031. Copy Citation For…

Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service. | PSNet

psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission-and-discharge

March 09, 2022 - Study Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service. Citation Text: Climente-Martí M, García-Mañón ER, Artero-Mora A, et al. Potential risk of medication discrepancies and reconciliation errors at admis…

Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. | PSNet

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November 16, 2016 - Study Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. Citation Text: Sharma M, Krishnamurthy M, Snyder R, et al. Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. Clin Pract. 2017;7(2). doi:10.4081/cp…

Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. | PSNet

psnet.ahrq.gov/issue/implementing-electronic-medical-record-computerized-prescriber-order-entry-critical-access

August 21, 2024 - Commentary Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Citation Text: Horning R. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Am J Health Syst Phar…

Inappropriate medications in elderly ICU survivors: where to intervene? | PSNet

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May 08, 2017 - Study Inappropriate medications in elderly ICU survivors: where to intervene? Citation Text: Morandi A, Vasilevskis EE, Pandharipande PP, et al. Inappropriate medications in elderly ICU survivors: where to intervene? Arch Intern Med. 2011;171(11):1032-4. doi:10.1001/archinternmed.2011.…

Staff attitudes about event reporting and patient safety culture in hospital transfusion services. | PSNet

psnet.ahrq.gov/issue/staff-attitudes-about-event-reporting-and-patient-safety-culture-hospital-transfusion

March 03, 2011 - Study Staff attitudes about event reporting and patient safety culture in hospital transfusion services. Citation Text: Sorra J, Nieva V, Fastman BR, et al. Staff attitudes about event reporting and patient safety culture in hospital transfusion services. Transfusion (Paris). 2008;48(9…

Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report. | PSNet

psnet.ahrq.gov/issue/developing-and-testing-health-care-safety-hotline-prototype-consumer-reporting-system-patient

October 26, 2016 - Book/Report Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report. Citation Text: Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final R…

Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. | PSNet

psnet.ahrq.gov/issue/paradoxical-effects-hospital-based-multi-intervention-programme-aimed-reducing-medication

September 13, 2023 - Study Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. Citation Text: Tomietto M, Sartor A, Mazzocoli E, et al. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round …

Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries. | PSNet

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September 09, 2020 - Study Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries. Citation Text: Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospit…

Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. | PSNet

psnet.ahrq.gov/issue/antiretroviral-medication-prescribing-errors-are-common-hospitalization-hiv-infected-patients

September 08, 2016 - Study Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. Citation Text: Commers T, Swindells S, Sayles H, et al. Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. J Antimicrob Chemo…

A framework for patient safety: a defense nuclear industry-based high-reliability model. | PSNet

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June 14, 2017 - Commentary A framework for patient safety: a defense nuclear industry-based high-reliability model. Citation Text: Birnbach DJ, Rosen LF, Williams L, et al. A framework for patient safety: a defense nuclear industry--based high-reliability model. Jt Comm J Qual Patient Saf. 2013;39(5):…

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