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  1. Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. | PSNet

    psnet.ahrq.gov/issue/community-acquired-and-hospital-acquired-medication-harm-among-older-inpatients-and-impact
    August 28, 2024 - Study Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. Citation Text: Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm among older inpatients an…

  2. Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. | PSNet

    psnet.ahrq.gov/issue/contributors-diagnostic-error-or-delay-acute-care-setting-survey-clinical-stakeholders
    May 26, 2021 - Study Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. Citation Text: Redmond S, Barwise A, Zornes S, et al. Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. Health Serv Insights…

  3. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. | PSNet

    psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
    June 22, 2022 - Study Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. Citation Text: Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults…

  4. Errors of diagnosis in pediatric practice: a multisite survey. | PSNet

    psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey
    November 13, 2024 - Study Errors of diagnosis in pediatric practice: a multisite survey. Citation Text: Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218. Copy Citation Format: DOI Goog…

  5. Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review. | PSNet

    psnet.ahrq.gov/issue/retrospective-review-medication-dose-errors-pediatric-emergency-department-medication-orders
    January 12, 2022 - Study Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review. Citation Text: Todd SE, Thompson AJ, Russell WS. Retrospective review for medication dose errors in pediatric emergency department medication orders…

  6. How safe are paediatric emergency departments? A national prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/how-safe-are-paediatric-emergency-departments-national-prospective-cohort-study
    May 20, 2020 - Study How safe are paediatric emergency departments? A national prospective cohort study. Citation Text: Plint AC, Newton AS, Stang A, et al. How safe are paediatric emergency departments? A national prospective cohort study. BMJ Qual Saf. 2022;31(11):806-817. doi:10.1136/bmjqs-2021-0146…

  7. Perspectives on anesthesia and perioperative patient safety: past, present, and future. | PSNet

    psnet.ahrq.gov/issue/perspectives-anesthesia-and-perioperative-patient-safety-past-present-and-future
    June 19, 2019 - Commentary Perspectives on anesthesia and perioperative patient safety: past, present, and future. Citation Text: Kanjia MK, Kurth CD, Hyman D, et al. Perspectives on anesthesia and perioperative patient safety: past, present, and future. Anesthesiology. 2024;141(5):835-848. doi:10.1097/…

  8. Toward a responsible future: recommendations for AI-enabled clinical decision support. | PSNet

    psnet.ahrq.gov/issue/toward-responsible-future-recommendations-ai-enabled-clinical-decision-support
    April 03, 2024 - Commentary Toward a responsible future: recommendations for AI-enabled clinical decision support. Citation Text: Labkoff S, Oladimeji B, Kannry J, et al. Toward a responsible future: recommendations for AI-enabled clinical decision support. J Am Med Inform Assoc. 2024;31(11):2730-2739. d…

  9. Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. | PSNet

    psnet.ahrq.gov/issue/application-failure-mode-effect-analysis-improve-care-septic-patients-admitted-through
    February 01, 2013 - Study Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. Citation Text: Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through th…

  10. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. | PSNet

    psnet.ahrq.gov/issue/designing-human-centered-ai-prevent-medication-dispensing-errors-focus-group-study
    August 31, 2022 - Study Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. Citation Text: Zheng Y, Rowell B, Chen Q, et al. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. JMIR Form Res. 2023;7:e…

  11. Outcomes of medication misadventure among people with cognitive impairment or dementia: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/outcomes-medication-misadventure-among-people-cognitive-impairment-or-dementia-systematic
    March 08, 2023 - Review Outcomes of medication misadventure among people with cognitive impairment or dementia: a systematic review and meta-analysis. Citation Text: Zaidi AS, Peterson GM, Bereznicki LRE, et al. Outcomes of medication misadventure among people with cognitive impairment or dementia: a sys…

  12. The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. | PSNet

    psnet.ahrq.gov/issue/incidence-and-cost-unexpected-hospital-use-after-scheduled-outpatient-endoscopy
    October 31, 2012 - Study The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Citation Text: Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/arc…

  13. Electronic health record challenges, workarounds, and solutions observed in practices integrating behavioral health and primary care. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-challenges-workarounds-and-solutions-observed-practices-integrating
    September 20, 2023 - Study Electronic health record challenges, workarounds, and solutions observed in practices integrating behavioral health and primary care. Citation Text: Cifuentes M, Davis M, Fernald D, et al. Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integra…

  14. Establishing a global learning community for incident-reporting systems. | PSNet

    psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems
    May 24, 2012 - Commentary Establishing a global learning community for incident-reporting systems. Citation Text: Pham JC, Gianci S, Battles J, et al. Establishing a global learning community for incident-reporting systems. Qual Saf Health Care. 2010;19(5):446-51. doi:10.1136/qshc.2009.037739. Copy…

  15. Effectiveness of acute care remote triage systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effectiveness-acute-care-remote-triage-systems-systematic-review
    March 14, 2022 - Review Emerging Classic Effectiveness of acute care remote triage systems: a systematic review. Citation Text: Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic review. J Gen Intern Med. 2020;35(7):2136-2145.…

  16. Critical errors in infrequently performed trauma procedures after training. | PSNet

    psnet.ahrq.gov/issue/critical-errors-infrequently-performed-trauma-procedures-after-training
    June 27, 2018 - Study Critical errors in infrequently performed trauma procedures after training. Citation Text: Mackenzie CF, Shackelford SA, Tisherman SA, et al. Critical errors in infrequently performed trauma procedures after training. Surgery. 2019;166(5):835-843. doi:10.1016/j.surg.2019.05.031. …

  17. Indication alerts to improve problem list documentation. | PSNet

    psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-documentation
    July 28, 2021 - Study Indication alerts to improve problem list documentation. Citation Text: Grauer A, Kneifati-Hayek J, Reuland B, et al. Indication alerts to improve problem list documentation. J Am Med Inform Assoc. 2022;29(5):909-917. doi:10.1093/jamia/ocab285. Copy Citation Format: D…

  18. A scoping review of distributed cognition in acute care clinical decision-making. | PSNet

    psnet.ahrq.gov/issue/scoping-review-distributed-cognition-acute-care-clinical-decision-making
    April 08, 2020 - Review A scoping review of distributed cognition in acute care clinical decision-making. Citation Text: Wilson E, Daniel M, Rao A, et al. A scoping review of distributed cognition in acute care clinical decision-making. Diagnosis (Berl). 2023;10(2):68-88. doi:10.1515/dx-2022-0095. Copy…

  19. Specialized nurses' role in ensuring patient safety within the context of telehealth in home care: a scoping review. | PSNet

    psnet.ahrq.gov/issue/specialized-nurses-role-ensuring-patient-safety-within-context-telehealth-home-care-scoping
    October 11, 2017 - Review Specialized nurses' role in ensuring patient safety within the context of telehealth in home care: a scoping review. Citation Text: Vaismoradi M, Rae J, Turunen H, et al. Specialized nurses’ role in ensuring patient safety within the context of telehealth in home care: a scoping …

  20. For children admitted to hospital, what interventions improve medication safety on ward rounds? | PSNet

    psnet.ahrq.gov/issue/children-admitted-hospital-what-interventions-improve-medication-safety-ward-rounds
    July 29, 2020 - Review For children admitted to hospital, what interventions improve medication safety on ward rounds? Citation Text: King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023;…
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