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Accuracy and safety of medication histories obtained at the time of intensive care unit admission of delirious or mechanically ventilated patients. | PSNet

psnet.ahrq.gov/issue/accuracy-and-safety-medication-histories-obtained-time-intensive-care-unit-admission

October 20, 2021 - Study Accuracy and safety of medication histories obtained at the time of intensive care unit admission of delirious or mechanically ventilated patients. Citation Text: Cicci CD, Fudzie SS, Campbell-Bright S, et al. Accuracy and safety of medication histories obtained at the time of inte…

Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. | PSNet

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June 01, 1989 - Study Classic Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. Citation Text: Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Advers…

Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study. | PSNet

psnet.ahrq.gov/issue/staffing-levels-and-nursing-sensitive-patient-outcomes-umbrella-review-and-qualitative-study

May 19, 2021 - Review Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study. Citation Text: Blume KS, Dietermann K, Kirchner‐Heklau U, et al. Staffing levels and nursing‐sensitive patient outcomes: umbrella review and qualitative study. Health Serv Res. 2021;56(5…

Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. | PSNet

psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac

June 01, 2022 - Study Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Citation Text: Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…

Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study. | PSNet

psnet.ahrq.gov/issue/patterns-opioid-administration-among-opioid-naive-inpatients-and-associations-postdischarge

November 05, 2008 - Study Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study. Citation Text: Donohue JM, Kennedy JN, Seymour CW, et al. Patterns of Opioid Administration Among Opioid-Naive Inpatients and Associations With Postdischa…

Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. | PSNet

psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription

February 02, 2022 - Book/Report Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. Citation Text: Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students …

State medical board regulation of compounding in physician offices. | PSNet

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July 13, 2022 - Study State medical board regulation of compounding in physician offices. Citation Text: Reynolds KA, Hellquist K, Ibrahim SA, et al. State medical board regulation of compounding in physician offices. Arch Dermatol Res. 2022;314(4):363-367. doi:10.1007/s00403-021-02237-8. Copy Citatio…

Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. | PSNet

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August 20, 2018 - Study Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. Citation Text: Hemmila MR, Cain-Nielsen AH, Jakubus JL, et al. Association of Hospital Participation in a Regional Trauma Quality Improvement Collaborative With Patie…

Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. | PSNet

psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety

April 01, 2020 - Commentary Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. Citation Text: Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;…

US emergency department visits attributed to medication harms, 2017-2019. | PSNet

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December 15, 2021 - Study US emergency department visits attributed to medication harms, 2017-2019. Citation Text: Budnitz DS, Shehab N, Lovegrove MC, et al. US emergency department visits attributed to medication harms, 2017-2019. JAMA. 2021;326(13):1299. doi:10.1001/jama.2021.13844. Copy Citation Fo…

The additional cost of perioperative medication errors | PSNet

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July 24, 2024 - Study The additional cost of perioperative medication errors Citation Text: Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136. Copy Citation Format: DOI Google…

Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. | PSNet

psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar

June 28, 2010 - Study Classic Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. Citation Text: Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events …

Pharmacy dispensing of electronically discontinued medications. | PSNet

psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-discontinued-medications

October 03, 2012 - Study Pharmacy dispensing of electronically discontinued medications. Citation Text: Allen AS, Sequist TD. Pharmacy dispensing of electronically discontinued medications. Ann Intern Med. 2012;157(10):700-705. doi:10.7326/0003-4819-157-10-201211200-00006. Copy Citation Format: …

Association of hospital public quality reporting with electronic health record medication safety performance. | PSNet

psnet.ahrq.gov/issue/association-hospital-public-quality-reporting-electronic-health-record-medication-safety

October 21, 2020 - Study Association of hospital public quality reporting with electronic health record medication safety performance. Citation Text: Holmgren AJ, Bates DW. Association of hospital public quality reporting with electronic health record medication safety performance. JAMA Netw Open. 2021;4(9…

How providers can optimize effective and safe scribe use: a qualitative study. | PSNet

psnet.ahrq.gov/issue/how-providers-can-optimize-effective-and-safe-scribe-use-qualitative-study

November 18, 2020 - Study How providers can optimize effective and safe scribe use: a qualitative study. Citation Text: Corby S, Ash JS, Florig ST, et al. How providers can optimize effective and safe scribe use: a qualitative study. J Gen Intern Med. 2023;38(9):2052-2058. doi:10.1007/s11606-022-07942-2. …

Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/perspectives-perioperative-team-based-morbidity-and-mortality-conferences-mixed-methods-study

October 11, 2023 - Study Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. Citation Text: Samost-Williams A, Rosen R, Cummins E, et al. Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. Jt Comm J Qual Pati…

Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. | PSNet

psnet.ahrq.gov/issue/psychological-safety-new-acgme-requirement-comprehensive-all-one-guide-radiology-residency

April 24, 2018 - Review Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. Citation Text: Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. A…

Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation. | PSNet

psnet.ahrq.gov/issue/medicares-hospital-acquired-condition-reduction-program-and-community-diversity-united-states

May 13, 2020 - Study Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation. Citation Text: Hamadi H, Tafili A, Apatu E, et al. Medicare' Hospital-Acquired Condition Reduction Program and Community Div…

Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. | PSNet

psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall

December 08, 2021 - Commentary Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. Citation Text: Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to …

Persistent opioid use among pediatric patients after surgery. | PSNet

psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-after-surgery

January 29, 2020 - Study Classic Persistent opioid use among pediatric patients after surgery. Citation Text: Harbaugh CM, Lee JS, Hu HM, et al. Persistent Opioid Use Among Pediatric Patients After Surgery. Pediatrics. 2018;141(1):e20172439. doi:10.1542/peds.2017-2439. Copy Cita…

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