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psnet.ahrq.gov/issue/tallman-lettering-strategy-differentiation-look-alike-sound-alike-drug-names-role-familiarity
May 27, 2020 - Study
Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers.
Citation Text:
DeHenau C, Becker MW, Bello NM, et al. Tallman lettering as a strategy for differentiation in look-alike, sound-a…
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psnet.ahrq.gov/issue/rural-emergency-medical-services-clinicians-perceptions-and-preferences-receiving-clinical
June 02, 2021 - Study
Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment.
Citation Text:
Schneider K, Williams M, Mohr NM, et al. Rural emergency medical services clinicians' perceptions and preferences i…
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psnet.ahrq.gov/issue/polypharmacy-hospitalized-older-adult-cancer-patients-experience-prospective-observational
July 19, 2023 - Study
Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.
Citation Text:
Flood KL, Carroll MB, Le C, et al. Polypharmacy in hospitalized older adult cancer patients: experience from a …
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psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors
August 15, 2013 - Study
Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions.
Citation Text:
Armada ER, Villamañán E, López-de-Sá E, et al. Computerized physician order entry in the cardiac intensive care unit: effects on prescriptio…
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psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
March 03, 2011 - Study
Fatal flaws in clinical decision making.
Citation Text:
Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955.
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psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
November 16, 2022 - Study
Unanticipated death after discharge home from the emergency department.
Citation Text:
Sklar DP, Crandall CS, Loeliger E, et al. Unanticipated Death After Discharge Home From the Emergency Department. Ann Emerg Med. 2007;49(6). doi:10.1016/j.annemergmed.2006.11.018.
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psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative-environment
May 24, 2023 - Study
Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment.
Citation Text:
Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. JAMA Netw Open. 2023;6(4):e237621. doi:…
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psnet.ahrq.gov/issue/occupational-stress-and-cognitive-failure-nurses-and-associations-self-reported-adverse
June 09, 2021 - Study
Emerging Classic
Occupational stress and cognitive failure of nurses and associations with on self-reported adverse events: a national cross-sectional survey.
Citation Text:
Kakemam E, Kalhor R, Khakdel Z, et al. Occupational stress and cognitive failure o…
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psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-evidence-based-approach
July 07, 2021 - Study
Reducing near miss medication events using an evidence-based approach.
Citation Text:
Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630.
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psnet.ahrq.gov/issue/narrative-feedback-or-personnel-about-safety-their-surgical-practice-and-after-surgical
May 09, 2018 - Study
Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention.
Citation Text:
Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their surgical practice before an…
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psnet.ahrq.gov/issue/resident-faculty-overnight-discrepancy-rates-function-number-consecutive-nights-during-week
November 16, 2022 - Study
Resident-faculty overnight discrepancy rates as a function of number of consecutive nights during a week of night float.
Citation Text:
Peterson C, Moore M, Sarwani N, et al. Resident-faculty overnight discrepancy rates as a function of number of consecutive nights during a week of…
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psnet.ahrq.gov/issue/impact-electronic-medical-records-hospital-acquired-adverse-safety-events-differential
October 24, 2012 - Study
The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems.
Citation Text:
Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse Safety Events…
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psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-occupational-safety-climate-healthcare-multi
January 21, 2015 - Study
The relationship between patient safety climate and occupational safety climate in healthcare—a multi-level investigation.
Citation Text:
Pousette A, Larsman P, Eklöf M, et al. The relationship between patient safety climate and occupational safety climate in healthcare – A multi-l…
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psnet.ahrq.gov/issue/patient-surgeon-and-health-care-worker-safety-during-covid-19-pandemic
August 25, 2021 - Commentary
Patient, surgeon, and health care worker safety during the COVID-19 pandemic.
Citation Text:
Hölscher AH. Patient, surgeon, and health care worker safety during the COVID-19 pandemic. Ann Surg. 2021;274(5):681-687. doi:10.1097/sla.0000000000005124.
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psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted-medications
September 25, 2024 - Study
Decreasing prescribing errors in antimicrobial stewardship program-restricted medications.
Citation Text:
Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hped…
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psnet.ahrq.gov/issue/patient-safety-perspectives-providers-and-nurses-experience-rural-ambulatory-care-practice
January 13, 2010 - Study
Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing.
Citation Text:
Bramble JD, Abbott AA, Fuji KT, et al. Patient safety perspectives of providers and nurses: the experience of a rural ambulatory …
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psnet.ahrq.gov/issue/err-human-disclosure-must-be-taught-simulation-based-assessment-study
August 04, 2021 - Study
"To err is human" but disclosure must be taught: a simulation-based assessment study.
Citation Text:
Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation-Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.000000…
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psnet.ahrq.gov/issue/analysis-overridden-alerts-drug-drug-interaction-detection-system
June 30, 2011 - Study
Analysis of overridden alerts in a drug–drug interaction detection system.
Citation Text:
Mille F, Schwartz C, Brion F, et al. Analysis of overridden alerts in a drug-drug interaction detection system. Int J Qual Health Care. 2008;20(6):400-5. doi:10.1093/intqhc/mzn038.
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psnet.ahrq.gov/issue/weekend-and-night-outcomes-statewide-trauma-system
November 16, 2022 - Study
Weekend and night outcomes in a statewide trauma system.
Citation Text:
Carr BG, Reilly PM, Schwab W, et al. Weekend and night outcomes in a statewide trauma system. Arch Surg. 2011;146(7):810-7. doi:10.1001/archsurg.2011.60.
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psnet.ahrq.gov/issue/reporting-perioperative-adverse-events-pediatric-anesthesiologists-tertiary-childrens
April 24, 2018 - Study
Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting.
Citation Text:
Williams GD, Muffly MK, Mendoza JM, et al. Reporting of Perioperative Adverse Events by Pediatric Ane…