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psnet.ahrq.gov/issue/discontinuation-outpatient-medications-implications-electronic-messaging-pharmacies-using
October 05, 2022 - Study
Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx.
Citation Text:
Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med I…
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psnet.ahrq.gov/issue/frequency-and-nature-prescribing-problems-general-practitioners-training-revisit
December 16, 2020 - Study
The frequency and nature of prescribing problems by general practitioners in training (REVISiT).
Citation Text:
Salema N-E, Bell BG, Marsden K, et al. The frequency and nature of prescribing problems by general practitioners in training (REVISiT). BJGP Open. 2022;6(3):BJGPO.2021.02…
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psnet.ahrq.gov/issue/stakeholder-perceptions-and-attitudes-towards-problematic-polypharmacy-and-prescribing
July 10, 2019 - Study
Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study.
Citation Text:
Jennings AA, Doherty AS, Clyne B, et al. Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qu…
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psnet.ahrq.gov/issue/systematic-review-association-shift-length-protected-sleep-time-and-night-float-patient-care
November 26, 2014 - Review
Classic
Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.
Citation Text:
Reed DA, Fletcher KE, Arora V. Systematic review: association of shift length, protected sl…
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psnet.ahrq.gov/issue/healthcare-fragmentation-multimorbidity-potentially-inappropriate-medication-and-mortality
April 12, 2019 - Study
Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study.
Citation Text:
Prior A, Vestergaard CH, Vedsted P, et al. Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: …
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psnet.ahrq.gov/issue/evaluation-adverse-drug-events-and-medication-discrepancies-transitions-care-between-hospital
June 07, 2023 - Study
Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up.
Citation Text:
Armor BL, Wight AJ, Carter SM. Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between H…
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psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
October 25, 2023 - Study
Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study.
Citation Text:
Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysi…
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psnet.ahrq.gov/issue/interventions-reduce-adverse-drug-event-related-outcomes-older-adults-systematic-review-and
July 19, 2023 - Review
Emerging Classic
Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta-analysis.
Citation Text:
Tecklenborg S, Byrne C, Cahir C, et al. Interventions to Reduce Adverse Drug Event-Related Outcomes in Olde…
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psnet.ahrq.gov/issue/exploring-how-ward-staff-engage-implementation-patient-safety-intervention-uk-based
December 21, 2016 - Study
Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-based qualitative process evaluation.
Citation Text:
Sheard L, Marsh C, O'Hara JK, et al. Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-ba…
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psnet.ahrq.gov/issue/errors-and-electronic-prescribing-controlled-laboratory-study-examine-task-complexity-and
September 24, 2016 - Study
Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects.
Citation Text:
Magrabi F, Li SYW, Day R, et al. Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects…
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psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
July 06, 2022 - Study
2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database.
Citation Text:
Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s l…
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psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care
November 18, 2020 - Study
Classic
Some unintended consequences of information technology in health care: the nature of patient care information system-related errors.
Citation Text:
Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: t…
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psnet.ahrq.gov/issue/challenges-and-potential-solutions-patient-safety-infectious-agent-isolation-environment
October 27, 2021 - Study
Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals
Citation Text:
Taylor M, Reynolds C, Jones RM. Challenges and potential solutions for patient safety in an infectiou…
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psnet.ahrq.gov/issue/patient-safety-measurement-tools-used-nursing-homes-systematic-literature-review
January 11, 2023 - Review
Patient safety measurement tools used in nursing homes: a systematic literature review.
Citation Text:
Kim K-A, Lee J, Kim D, et al. Patient safety measurement tools used in nursing homes: a systematic literature review. BMC Health Serv Res. 2022;22(1):1376. doi:10.1186/s12913-022…
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/annual-summary/2010
January 01, 2010 - Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - 2010
Project Name
Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors
Principal Investigator
Thomas, Eric
Organization
University of Texas Health Science Center - Houst…
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psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical
January 02, 2017 - Study
Classic
Incidence and characteristics of potential and actual retained foreign object events in surgical patients.
Citation Text:
Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object event…
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psnet.ahrq.gov/issue/quality-improvement-priorities-safer-out-hours-palliative-care-lessons-mixed-methods-analysis
July 03, 2016 - Study
Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database.
Citation Text:
Williams H, Donaldson SL, Noble S, et al. Quality improvement priorities for safer out-of-hours palliative care: Le…
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psnet.ahrq.gov/issue/teamwork-and-during-covid-19-good-same-and-ugly
September 14, 2022 - Study
Teamwork before and during COVID-19: the good, the same, and the ugly….
Citation Text:
Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070.
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psnet.ahrq.gov/issue/how-safe-do-dying-people-feel-home-patients-perception-safety-while-receiving-specialist
June 23, 2021 - Study
How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care.
Citation Text:
Pedrosa Carrasco AJ, Bezmenov A, Sibelius U, et al. How safe do dying people feel at home? Patients' perception of safety while receiving speci…
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psnet.ahrq.gov/issue/new-index-obstetrics-safety-and-quality-care-integrating-cesarean-delivery-rates-maternal-and
March 16, 2022 - Study
A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes.
Citation Text:
Ramani S, Halpern TA, Akerman M, et al. A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with mat…