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psnet.ahrq.gov/issue/use-prescribing-safety-quality-improvement-reports-uk-general-practices-qualitative
December 08, 2021 - Study
Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment.
Citation Text:
Khan NF, Booth HP, Myles P, et al. Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. BMC Health Serv Res. 2…
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psnet.ahrq.gov/issue/missed-nursing-care-surgical-care-hazard-patient-safety-quantitative-study-within-incharge
July 12, 2023 - Study
Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme.
Citation Text:
Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE pr…
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psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment
March 02, 2016 - Study
Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011.
Citation Text:
Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® …
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psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing-preventable-adverse-drug
December 14, 2022 - Study
Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.
Citation Text:
Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration s…
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psnet.ahrq.gov/issue/developing-cancer-specific-trigger-tool-identify-treatment-related-adverse-events-using
May 20, 2020 - Study
Developing a cancer-specific trigger tool to identify treatment-related adverse events using administrative data.
Citation Text:
Weingart SN, Nelson J, Koethe B, et al. Developing a cancer‐specific trigger tool to identify treatment‐related adverse events using administrative data.…
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psnet.ahrq.gov/issue/national-survey-patient-safety-experiences-hospital-medicine-during-covid-19-pandemic
November 30, 2022 - Study
National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic.
Citation Text:
Carter D, Rosen A, Applebaum JR, et al. National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2024;…
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psnet.ahrq.gov/issue/incidence-and-predictors-opioid-prescription-discharge-after-traumatic-injury
July 02, 2019 - Study
Classic
Incidence and predictors of opioid prescription at discharge after traumatic injury.
Citation Text:
Chaudhary MA, Schoenfeld AJ, Harlow AF, et al. Incidence and Predictors of Opioid Prescription at Discharge After Traumatic Injury. JAMA Surg. 2017;…
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psnet.ahrq.gov/issue/impact-electronic-health-record-alert-inappropriate-prescribing-high-risk-medications
August 25, 2021 - Study
Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders.
Citation Text:
Smith K, Durant KM, Zimmerman C. Impact of an electronic health record alert on inappropriate prescribing of high-risk …
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psnet.ahrq.gov/issue/pharmacy-driven-performance-improvement-initiative-increase-compliance-intravenous-smart-pump
September 23, 2020 - Study
Pharmacy-driven performance improvement initiative to increase compliance with intravenous smart pump drug error reduction systems at a large urban academic medical center.
Citation Text:
Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to …
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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/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors
April 06, 2022 - Commentary
Weight and size descriptors for drug dosing: too many options and too many errors.
Citation Text:
Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…
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psnet.ahrq.gov/issue/habit-and-automaticity-medical-alert-override-cohort-study
October 05, 2022 - Study
Habit and automaticity in medical alert override: cohort study.
Citation Text:
Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med Internet Res. 2022;24(2):e23355. doi:10.2196/23355.
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psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management-magnetic-resonance
December 13, 2023 - Study
Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging settings: a mixed-methods exploration.
Citation Text:
Schroeck H, Whitty MA, Hatton B, et al. Team relations and role perceptions during anesthesia crisis management in magnetic-re…
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psnet.ahrq.gov/issue/report-information-technology-and-health-deficiencies-us-nursing-homes
October 28, 2020 - Study
A report of information technology and health deficiencies in U.S. nursing homes.
Citation Text:
Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390.
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psnet.ahrq.gov/issue/reducing-burden-surgical-harm-systematic-review-interventions-used-reduce-adverse-events
June 21, 2016 - Review
Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery.
Citation Text:
Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse eve…
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psnet.ahrq.gov/issue/preventing-hospital-acquired-infections-national-survey-practices-reported-us-hospitals-2005
July 03, 2014 - Study
Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009.
Citation Text:
Krein SL, Kowalski CP, Hofer TP, et al. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and…
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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/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
May 18, 2022 - Study
The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.
Citation Text:
Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication ad…
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psnet.ahrq.gov/issue/patient-comprehension-emergency-department-care-and-instructions-are-patients-aware-when-they
September 23, 2020 - Study
Classic
Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand?
Citation Text:
Engel KG, Heisler M, Smith DM, et al. Patient comprehension of emergency department care and instructions: are …
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - Study
Analysis of adverse events associated with adult moderate procedural sedation outside the operating room.
Citation Text:
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…