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psnet.ahrq.gov/issue/frequency-type-and-clinical-importance-medication-history-errors-admission-hospital
September 23, 2020 - Review
Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review.
Citation Text:
Tam VC. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Can Med Assoc J. 2005;17…
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psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
April 24, 2018 - Study
An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm.
Citation Text:
Olaiya A, Lurie B, Watt B, et al. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with pot…
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psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation
September 11, 2019 - Commentary
Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.
Citation Text:
Crane J, Crane FG. Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for…
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psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-trainees
July 29, 2020 - Study
Patient safety knowledge and its determinants in medical trainees.
Citation Text:
Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees. J Gen Intern Med. 2007;22(8):1150-4.
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psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice
March 24, 2021 - Review
Nature of human error: implications for surgical practice.
Citation Text:
Cuschieri A. Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8.
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psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
December 23, 2016 - Sentinel Event Alerts
Physical and verbal violence against health care workers.
Citation Text:
Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021).
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psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
December 04, 2019 - Commentary
Is it time for safeguards in the adoption of robotic surgery?
Citation Text:
Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA. 2019;321(20):1971-1972. doi:10.1001/jama.2019.3736.
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psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework
March 09, 2022 - Commentary
High reliability leadership: a conceptual framework.
Citation Text:
Martínez-Córcoles M. High reliability leadership: A conceptual framework. J Contingencies Crisis Manage. 2017;26(2):237-246. doi:10.1111/1468-5973.12187.
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psnet.ahrq.gov/issue/content-analysis-patient-complaints
January 18, 2023 - Study
Content analysis of patient complaints.
Citation Text:
Montini T, Noble AA, Stelfox HT. Content analysis of patient complaints. Int J Qual Health Care. 2008;20(6):412-20. doi:10.1093/intqhc/mzn041.
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psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help
March 31, 2021 - Commentary
Bending the patient safety curve: how much can AI help?
Citation Text:
Classen DC, Longhurst CA, Thomas EJ. Bending the patient safety curve: how much can AI help? NPJ Digit Med. 2023;6(1):2. doi:10.1038/s41746-022-00731-5.
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psnet.ahrq.gov/issue/fate-medicine-time-ai
September 04, 2024 - Commentary
Emerging Classic
The fate of medicine in the time of AI.
Citation Text:
Coiera E. The fate of medicine in the time of AI. Lancet. 2018;392(10162):2331-2332. doi:10.1016/S0140-6736(18)31925-1.
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psnet.ahrq.gov/issue/reduced-verification-medication-alerts-increases-prescribing-errors
January 09, 2019 - Study
Reduced verification of medication alerts increases prescribing errors.
Citation Text:
Lyell D, Magrabi F, Coiera E. Reduced Verification of Medication Alerts Increases Prescribing Errors. Appl Clin Inform. 2019;10(1):66-76. doi:10.1055/s-0038-1677009.
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psnet.ahrq.gov/issue/error-tracking-clinical-biochemistry-laboratory
June 10, 2020 - Study
Error tracking in a clinical biochemistry laboratory.
Citation Text:
Szecsi PB, Ødum L. Error tracking in a clinical biochemistry laboratory. Clin Chem Lab Med. 2009;47(10). doi:10.1515/cclm.2009.272.
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psnet.ahrq.gov/issue/how-medication-prescribing-ceased-systematic-review
June 14, 2019 - Review
How is medication prescribing ceased? A systematic review.
Citation Text:
Ostini R, Jackson C, Hegney D, et al. How is medication prescribing ceased? A systematic review. Med Care. 2011;49(1):24-36. doi:10.1097/MLR.0b013e3181ef9a7e.
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psnet.ahrq.gov/issue/predictive-combinations-monitor-alarms-preceding-hospital-code-blue-events
March 18, 2020 - Study
Predictive combinations of monitor alarms preceding in-hospital code blue events.
Citation Text:
Hu X, Sapo M, Nenov V, et al. Predictive combinations of monitor alarms preceding in-hospital code blue events. J Biomed Inform. 2012;45(5):913-21. doi:10.1016/j.jbi.2012.03.001.
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psnet.ahrq.gov/issue/making-healthcare-safer-understanding-designing-and-buying-better-it
February 20, 2019 - Commentary
Making healthcare safer by understanding, designing and buying better IT.
Citation Text:
Thimbleby H, Lewis A, Williams J. Making healthcare safer by understanding, designing and buying better IT. Clin Med (Lond). 2015;15(3):258-62. doi:10.7861/clinmedicine.15-3-258.
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psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-lead-patient-harm
October 17, 2018 - Newspaper/Magazine Article
Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm.
Citation Text:
Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. ISMP Medication Safety Alert! Acute Care Edition…
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psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-process-deprescribing
September 23, 2020 - Commentary
Reducing inappropriate polypharmacy: the process of deprescribing.
Citation Text:
Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324.
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psnet.ahrq.gov/issue/unified-model-patient-safety-or-who-froze-my-cheese
August 23, 2023 - Commentary
A unified model of patient safety (or "Who froze my cheese?").
Citation Text:
Coiera E, Collins S, Kuziemsky C. A unified model of patient safety (or "Who froze my cheese?"). BMJ. 2013;347:f7273. doi:10.1136/bmj.f7273.
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psnet.ahrq.gov/issue/automatic-errors-case-series-errors-inherent-electronic-prescribing
March 14, 2022 - Commentary
Automatic errors: a case series on the errors inherent in electronic prescribing.
Citation Text:
Lourenco LM, Bursua A, Groo VL. Automatic Errors: A Case Series on the Errors Inherent in Electronic Prescribing. J Gen Intern Med. 2016;31(7):808-811. doi:10.1007/s11606-016-3606-…