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psnet.ahrq.gov/issue/systems-level-factors-affecting-registered-nurses-during-care-women-labor-experiencing
November 10, 2021 - Study
Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration.
Citation Text:
Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical de…
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psnet.ahrq.gov/issue/harm-prevalence-due-medication-errors-involving-high-alert-medications-systematic-review
June 19, 2024 - Study
Harm prevalence due to medication errors involving high-alert medications: a systematic review
Citation Text:
Sodré Alves BMC, de Andrade TNG, Cerqueira Santos S, et al. Harm prevalence due to medication errors involving high-alert medications: a systematic review. J Patient Saf. 2…
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psnet.ahrq.gov/issue/call-me-ishmael-addressing-white-whale-team-communication-operating-room-labelled-surgical
November 16, 2022 - Study
Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre.
Citation Text:
Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team communication in the ope…
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psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united-kingdom-hospitals
July 31, 2019 - Study
Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study.
Citation Text:
Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospectiv…
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psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england
November 16, 2022 - Study
The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.
Citation Text:
Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing harmful adverse drug events in Englan…
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psnet.ahrq.gov/issue/user-testing-guidelines-improve-safety-intravenous-medicines-administration-randomised-situ
November 16, 2022 - Study
User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study.
Citation Text:
Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised i…
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psnet.ahrq.gov/issue/awareness-diagnosis-and-follow-care-after-discharge-emergency-department
July 07, 2010 - Study
Awareness of diagnosis and follow up care after discharge from the emergency department
Citation Text:
Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec…
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psnet.ahrq.gov/issue/development-and-evaluation-i-pass-picu-standard-electronic-template-improve-referral
June 14, 2023 - Study
Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit.
Citation Text:
Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU:…
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psnet.ahrq.gov/issue/reasons-computerised-provider-order-entry-cpoe-based-inpatient-medication-ordering-errors
June 27, 2018 - Study
Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders.
Citation Text:
Abraham J, Kannampallil TG, Jarman A, et al. Reasons for computerised provider order entry (CPOE)-based inpatient medication orde…
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psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
May 18, 2022 - Study
High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing?
Citation Text:
Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65…
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psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective
November 12, 2014 - Study
Classic
Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis.
Citation Text:
Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association wit…
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psnet.ahrq.gov/issue/risk-factors-associated-medication-ordering-errors
December 02, 2020 - Study
Risk factors associated with medication ordering errors.
Citation Text:
Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264.
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psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led
February 17, 2021 - Study
Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care.
Citation Text:
Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system…
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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…