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February 27, 2019 - Impact of a pharmacist-directed pain management service
on inpatient opioid use, pain control, and patient safety.
February 27, 2019
Poirier RH; Brown CS; Baggenstos YT; Walden SG; Gann NY; Patty CM; Sandoval RA; McNulty JR.
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October 23, 2019 - Medication errors in the context of hematopoietic stem
cell transplantation: a systematic review.
October 23, 2019
Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell
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May 11, 2016 - Promoting patient safety: results of a TeamSTEPPS
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May 11, 2016
Gaston T, Short N, Ralyea C, et al. Promoting patient safety: results of a TeamSTEPPS initiative. J Nurs
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September 22, 2021 - Making Health Care Safer in Ambulatory Care Settings
and Long-term Care Facilities (R18).
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Rockville, MD: Agency for Healthcare Research and Quality; September 9, 2021. PA-21-267.
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January 22, 2016 - Interventions to reduce nurses' medication administration
errors in inpatient settings: a systematic review and meta-
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January 22, 2016
Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in
inpatient settings: A systematic review and meta-analysis. Int J…
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June 22, 2022 - Reducing pediatric emergency department prescription
errors.
June 22, 2022
Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors.
Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696.
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January 30, 2018 - A randomized controlled trial on the effect of a double
check on the detection of medication errors.
January 30, 2018
Douglass AM, Elder J, Watson R, et al. A Randomized Controlled Trial on the Effect of a Double Check on
the Detection of Medication Errors. Ann Emerg Med. 2018;71(1):74-82.e1.
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May 03, 2016 - Digital health and patient safety.
May 3, 2016
Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698.
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https://psnet.ahrq.gov/issue/digital-health-and-patient-safety
Patients, clinicians, and health care systems are increasingly adopting digital…
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August 02, 2015 - The preventive surgical site infection bundle in colorectal
surgery: an effective approach to surgical site infection
reduction and health care cost savings.
August 2, 2015
Keenan JE, Speicher PJ, Thacker JKM, et al. The preventive surgical site infection bundle in colorectal
surgery: an effective approach to surg…
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December 14, 2022 - ASHP Guidelines on Preventing Diversion of Controlled
Substances.
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Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am
J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.
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March 15, 2016 - Patient safety's missing link: using clinical expertise to
recognize, respond to and reduce risks at a population
level.
March 15, 2016
Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize,
respond to and reduce risks at a population level. Int J Qual Health C…
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June 05, 2024 - Improving communication of diagnostic uncertainty to
families of hospitalized children.
June 5, 2024
Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of
hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088.
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July 31, 2024 - Typology of solutions addressing diagnostic disparities:
gaps and opportunities.
July 31, 2024
Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps
and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026.
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March 10, 2011 - Can surveillance systems identify and avert adverse drug
events? A prospective evaluation of a commercial
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March 10, 2011
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May 30, 2018 - Innovative approach to reconstruct bedside handoff:
using simple rules of complexity science to promote
partnership with patients.
May 30, 2018
Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple
Rules of Complexity Science to Promote Partnership With Patients. J Nu…
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March 08, 2023 - Medication rounds: a tool to promote medication safety
for children with medical complexity.
March 8, 2023
Rojas CR, Moore A, Coffin A, et al. Medication rounds: a tool to promote medication safety for children with
medical complexity. Jt Comm J Qual Patient Saf. 2023;49(4):226-234. doi:10.1016/j.jcjq.2023.01.003.
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April 02, 2014 - Hamilton Acute Pain Service Safety Study: using root
cause analysis to reduce the incidence of adverse events.
April 2, 2014
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to reduce the incidence of adverse events. Anesthesiology. 2014;120(1):97-109.
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December 14, 2016 - The medication reconciliation process and classification
of discrepancies: a systematic review.
December 14, 2016
Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of
discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. doi:10.1111/bcp.13017.
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June 22, 2016 - The impact of surgical safety checklists on theatre
departments: a critical review of the literature.
June 22, 2016
Cadman V. The impact of surgical safety checklists on theatre departments: a critical review of the
literature. J Perioper Pract. 2016;26(4):62-71.
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October 02, 2024 - Report links Georgia's abortion ban to preventable
deaths.
October 2, 2024
Yang J, Surana K. Report links Georgia's abortion ban to preventable deaths. PBS News Hour. 2024.
https://psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
Poorly implemented and communicated policy can affect the a…