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psnet.ahrq.gov/issue/use-specific-indicators-detect-warfarin-related-adverse-events
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.
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psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-destination-after-hospital-discharge
March 04, 2020 - Study
Risk of adverse drug events by patient destination after hospital discharge.
Citation Text:
Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9.
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psnet.ahrq.gov/issue/discrepancies-between-prescribed-and-actual-pediatric-home-parenteral-nutrition-solutions
November 11, 2009 - Study
Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions.
Citation Text:
Raphael BP, Murphy M, Gura KM, et al. Discrepancies Between Prescribed and Actual Pediatric Home Parenteral Nutrition Solutions. Nutr Clin Pract. 2016;31(5):654-658. doi:10.117…
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psnet.ahrq.gov/issue/threats-safety-during-sedation-outside-operating-room-and-death-michael-jackson
January 25, 2012 - Commentary
Threats to safety during sedation outside of the operating room and the death of Michael Jackson.
Citation Text:
Webster CS, Mason KP, Shafer SL. Threats to safety during sedation outside of the operating room and the death of Michael Jackson. Curr Opin Anaesthesiol. 2016;29 S…
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psnet.ahrq.gov/issue/medication-errors-use-allopurinol-and-colchicine-retrospective-study-national-anonymous
December 21, 2014 - Study
Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system.
Citation Text:
Mikuls TR, Curtis JR, Allison JJ, et al. Medication errors with the use of allopurinol and colchicine: a retrosp…
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psnet.ahrq.gov/issue/medication-errors-important-component-nonadherence-medication-outpatient-population-lung
June 23, 2021 - Study
Medication errors: an important component of nonadherence to medication in an outpatient population of lung transplant recipients.
Citation Text:
Irani S, Seba P, Speich R, et al. Medication errors: an important component of nonadherence to medication in an outpatient population …
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psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
December 10, 2014 - Study
Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study.
Citation Text:
March CA, Steiger D, Scholl G, et al. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open. 2013;3(4). d…
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psnet.ahrq.gov/issue/scope-drug-related-problems-home-care-setting
February 16, 2011 - Review
The scope of drug-related problems in the home care setting.
Citation Text:
Meyer-Massetti C, Meier CR, Guglielmo J. The scope of drug-related problems in the home care setting. Int J Clin Pharm. 2018;40(2):325-334. doi:10.1007/s11096-017-0581-9.
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psnet.ahrq.gov/issue/timely-follow-abnormal-outpatient-test-results-perceived-barriers-and-impact-patient-safety
August 02, 2010 - Study
Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety.
Citation Text:
Moore C, Saigh O, Trikha A, et al. Timely Follow-Up of Abnormal Outpatient Test Results. J Patient Saf. 2008;4(4):241-244. doi:10.1097/pts.0b013e31818d1ca4.
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psnet.ahrq.gov/issue/teamwork-communication-and-safety-climate-systematic-review-interventions-improve-surgical
May 26, 2016 - Review
Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture.
Citation Text:
Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Qua…
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psnet.ahrq.gov/issue/prospective-cohort-study-medication-reconciliation-using-pharmacy-technicians-emergency
July 01, 2019 - Study
A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients.
Citation Text:
Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using pharm…
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psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operating-room-personnel
January 09, 2014 - Study
Time-out and checklists: a survey of rural and urban operating room personnel.
Citation Text:
Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10.
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psnet.ahrq.gov/issue/uptake-technologies-designed-influence-medication-safety-canadian-hospitals
March 10, 2021 - Study
The uptake of technologies designed to influence medication safety in Canadian hospitals.
Citation Text:
Saginur M, Graham ID, Forster AJ, et al. The uptake of technologies designed to influence medication safety in Canadian hospitals. J Eval Clin Pract. 2008;14(1):27-35. doi:10.…
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psnet.ahrq.gov/issue/predictors-unit-level-medication-administration-accuracy-microsystem-impacts-medication
October 06, 2016 - Study
Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety.
Citation Text:
Donaldson N, Aydin C, Fridman M. Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. J Nurs Adm. 2014;44(6):353-6…
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psnet.ahrq.gov/issue/are-opioid-dependence-and-methadone-maintenance-treatment-mmt-documented-medical-record
August 15, 2018 - Study
Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.
Citation Text:
Walley AY, Farrar D, Cheng DM, et al. Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patie…
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psnet.ahrq.gov/issue/understanding-effect-resident-duty-hour-reform-qualitative-study
March 23, 2011 - Study
Understanding the effect of resident duty hour reform: a qualitative study.
Citation Text:
Pattani R, Wu PE, Dhalla IA. Resident duty hours in Canada: past, present and future. Can Med Assoc J. 2014;186(10). doi:10.1503/cmaj.131053.
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psnet.ahrq.gov/issue/cognitive-bias-and-dissonance-surgical-practice-narrative-review
June 25, 2018 - Review
Cognitive bias and dissonance in surgical practice: a narrative review.
Citation Text:
Richburg CE, Dossett LA, Hughes TM. Cognitive bias and dissonance in surgical practice: a narrative review. Surg Clin North Am. 2023;103(2):271-285. doi:10.1016/j.suc.2022.11.003.
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psnet.ahrq.gov/issue/patient-and-family-engagement-survey-us-hospital-practices
January 02, 2017 - Study
Patient and family engagement: a survey of US hospital practices.
Citation Text:
Herrin J, Harris KG, Kenward K, et al. Patient and family engagement: a survey of US hospital practices. BMJ Qual Saf. 2016;25(3):182-9. doi:10.1136/bmjqs-2015-004006.
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psnet.ahrq.gov/issue/response-appd-cops-and-aap-institute-medicine-report-resident-duty-hours
November 12, 2014 - Commentary
The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours.
Citation Text:
Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. Pediatrics. 2010;125(4…
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psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-ems-formulating-research-questions-and
March 14, 2018 - Study
Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes.
Citation Text:
Patterson D, Higgins S, Lang ES, et al. Evidence-Based Guidelines for Fatigue Risk Management in EMS: Formulating Research Questions and Selecting Out…