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psnet.ahrq.gov/issue/physician-ehr-adoption-and-potentially-preventable-hospital-admissions-among-medicare
February 14, 2024 - Study
Physician EHR adoption and potentially preventable hospital admissions among Medicare beneficiaries: panel data evidence, 2010–2013.
Citation Text:
Lammers EJ, McLaughlin CG, Barna M. Physician EHR Adoption and Potentially Preventable Hospital Admissions among Medicare Beneficiarie…
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psnet.ahrq.gov/issue/advance-care-planning-documentation-practices-and-accessibility-electronic-health-record
December 05, 2012 - Study
Emerging Classic
Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety.
Citation Text:
Walker E, McMahan R, Barnes D, et al. Advance Care Planning Documentation Practices and Access…
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psnet.ahrq.gov/issue/assessment-opioid-prescribing-practices-and-after-implementation-health-system-intervention
November 16, 2022 - Study
Emerging Classic
Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing.
Citation Text:
Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…
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psnet.ahrq.gov/issue/perceptions-and-attitudes-pediatricians-and-families-regard-pediatric-medication-errors-home
August 11, 2021 - Study
Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home.
Citation Text:
de Dios JG, Lopez-Pineda A, Juan GM-P, et al. Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. BMC P…
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psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
June 24, 2020 - Study
Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003.
Citation Text:
Cook RI, Wreathall J, Smith A, et al. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 200…
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psnet.ahrq.gov/issue/impact-drug-shortage-medication-errors-and-clinical-outcomes-pediatric-intensive-care-unit
November 16, 2022 - Study
Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit.
Citation Text:
Hughes KM, Goswami ES, Morris JL. Impact of a Drug Shortage on Medication Errors and Clinical Outcomes in the Pediatric Intensive Care Unit. J Pediatr Pharmacol…
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psnet.ahrq.gov/issue/health-care-quality-and-safety-correctional-system-creating-goals-and-performance-measures
May 18, 2022 - Commentary
Health care quality and safety in a correctional system: creating goals and performance measures for improvement.
Citation Text:
Neely J, Sampath R, Kirkbride G, et al. Health care quality and safety in a correctional system: creating goals and performance measures for improve…
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psnet.ahrq.gov/issue/surgeon-and-surgical-trainee-experiences-after-adverse-patient-events
January 09, 2019 - Study
Surgeon and surgical trainee experiences after adverse patient events.
Citation Text:
Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329.
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psnet.ahrq.gov/issue/outpatient-adverse-drug-events-identified-screening-electronic-health-records
June 08, 2016 - Study
Outpatient adverse drug events identified by screening electronic health records.
Citation Text:
Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06…
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psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-mortality-english-national-health-service-retrospective
December 12, 2014 - Study
Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study.
Citation Text:
Zaranko B, Sanford NJ, Kelly E, et al. Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study…
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-clinical-services-and-workforce-2021
September 30, 2020 - Study
ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021.
Citation Text:
Schneider PJ, Pedersen CA, Ganio MC, et al. ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce—2021. Am J Health Syst Ph…
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psnet.ahrq.gov/issue/economic-impact-medication-error-systematic-review
November 04, 2020 - Review
Economic impact of medication error: a systematic review.
Citation Text:
Walsh EK, Hansen CR, Sahm LJ, et al. Economic impact of medication error: a systematic review. Pharmacoepidemiol Drug Saf. 2017;26(5):481-497. doi:10.1002/pds.4188.
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
June 29, 2022 - Study
Medication errors in community pharmacies: evaluation of a standardized safety program.
Citation Text:
Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…
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psnet.ahrq.gov/issue/unveiling-hidden-struggle-healthcare-students-second-victims-through-systematic-review
September 06, 2023 - Review
Unveiling the hidden struggle of healthcare students as second victims through a systematic review.
Citation Text:
Mira JJ, Matarredona V, Tella S, et al. Unveiling the hidden struggle of healthcare students as second victims through a systematic review. BMC Med Educ. 2024;24(1):3…
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psnet.ahrq.gov/issue/pilot-implementation-perioperative-protocol-guide-operating-room-intensive-care-unit-patient
January 03, 2017 - Study
Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.
Citation Text:
Petrovic MA, Aboumatar HJ, Baumgartner WA, et al. Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patie…
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psnet.ahrq.gov/issue/where-are-my-instruments-hazards-delivery-surgical-instruments
September 25, 2008 - Study
Where are my instruments? Hazards in delivery of surgical instruments.
Citation Text:
Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7.
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psnet.ahrq.gov/issue/gender-biases-and-diagnostic-delay-inflammatory-bowel-disease-multicenter-observational-study
March 09, 2022 - Study
Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study.
Citation Text:
Sempere L, Bernabeu P, Cameo J, et al. Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Inflamm Bowel Dis. 2023;29(12)…
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psnet.ahrq.gov/issue/effect-implementing-bar-code-medication-administration-emergency-department-medication
December 01, 2021 - Study
The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction.
Citation Text:
Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in an emergency …
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psnet.ahrq.gov/issue/interdisciplinary-and-interprofessional-communication-intervention-how-psychological-safety
May 31, 2023 - Study
Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication and increases patient safety.
Citation Text:
Dietl JE, Derksen C, Keller FM, et al. Interdisciplinary and interprofessional communication intervention: how psychologic…
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psnet.ahrq.gov/issue/adverse-events-associated-patient-isolation-systematic-literature-review-and-meta-analysis
May 19, 2021 - Review
Adverse events associated with patient isolation: a systematic literature review and meta-analysis.
Citation Text:
Saliba R, Karam-Sarkis D, Zahar J-R, et al. Adverse events associated with patient isolation: a systematic literature review and meta-analysis. J Hosp Infect. 2022;11…