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psnet.ahrq.gov/node/852285/psn-pdf
August 09, 2023 - Risk Evaluation and Mitigation Strategy (REMS) Programs
and Medication Safety: Parts I and II.
August 9, 2023
ISMP Medication Safety Alert! Acute care edition. July 13, 2023;(4):1-3;July 27, 2023;(5):1-5.
https://psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-
part…
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psnet.ahrq.gov/node/38491/psn-pdf
January 31, 2011 - Diagnostic errors--The next frontier for patient safety.
January 31, 2011
Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA.
2009;301(10):1060-2. doi:10.1001/jama.2009.249.
https://psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
Studies from autopsy dat…
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psnet.ahrq.gov/node/45342/psn-pdf
October 19, 2016 - Attitudes and opinions of doctors of chiropractic
specializing in pediatric care toward patient safety: a
cross-sectional survey.
October 19, 2016
Pohlman KA, Carroll L, Hartling L, et al. Attitudes and Opinions of Doctors of Chiropractic Specializing in
Pediatric Care Toward Patient Safety: A Cross-sectional Surv…
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psnet.ahrq.gov/node/866279/psn-pdf
July 10, 2024 - Need to systematically identify and mitigate risks upon
hospitalisation for patients with chronic health
conditions.
July 10, 2024
Pronovost PJ, Carrington EM. Need to systematically identify and mitigate risks upon hospitalisation for
patients with chronic health conditions. BMJ Qual Saf. 2024;33(11):755-758. doi…
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psnet.ahrq.gov/node/74010/psn-pdf
October 27, 2021 - Purchase of prescription medicines via social media: a
survey-based study of prevalence, risk perceptions, and
motivations.
October 27, 2021
Moureaud C, Hertig JB, Dong Y, et al. Purchase of prescription medicines via social media: a survey-based
study of prevalence, risk perceptions, and motivations. Health Polic…
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psnet.ahrq.gov/node/50627/psn-pdf
November 06, 2019 - Change?of?shift nursing handoff interruptions:
implications for evidence?based practice.
November 6, 2019
Rhudy LM, Johnson MR, Krecke CA, et al. Change-of-Shift Nursing Handoff Interruptions: Implications for
Evidence-Based Practice. Worldviews Evid Based Nurs. 2019;16(5):362-370. doi:10.1111/wvn.12390.
https://p…
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psnet.ahrq.gov/node/43656/psn-pdf
September 01, 2016 - Optimization of drug–drug interaction alert rules in a
pediatric hospital's electronic health record system using
a visual analytics dashboard.
September 1, 2016
Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric
hospital's electronic health record system using…
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psnet.ahrq.gov/node/853070/psn-pdf
August 30, 2023 - Activating pharmacists to reduce the frequency of
medication-related problems (ACTMed): a stepped wedge
cluster randomised trial.
August 30, 2023
Spinks J, Violette R, Boyle DIR, et al. Activating pharmacists to reduce the frequency of medication?related
problems (ACTMed): a stepped wedge cluster randomised trial.…
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psnet.ahrq.gov/node/866596/psn-pdf
August 28, 2024 - Electronic Test Result Communication in the Era of the
21st Century Cures Act
August 28, 2024
Bradford A, Ehsan S, Shahid U, et al. Electronic Test Result Communication In The Era Of The 21St
Century Cures Act. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. AHRQ
Publication No. 24-0010-3-EF
…
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psnet.ahrq.gov/node/866852/psn-pdf
October 02, 2024 - Accuracy of a chatbot in answering questions that
patients should ask before taking a new medication.
October 2, 2024
Cornelison BR, Erstad BL, Edwards C. Accuracy of a chatbot in answering questions that patients should
ask before taking a new medication. J Am Pharm Assoc (2003). 2024;64(4):102110.
doi:10.1016/j.…
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psnet.ahrq.gov/node/37487/psn-pdf
May 26, 2011 - Predicting computerized physician order entry system
adoption in US hospitals: can the federal mandate be
met?
May 26, 2011
Ford EW, McAlearney AS, Phillips MT, et al. Predicting computerized physician order entry system
adoption in US hospitals: Can the federal mandate be met? Int J Med Inform. 2007;77(8).
doi:1…
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psnet.ahrq.gov/node/35404/psn-pdf
March 11, 2011 - Improving patient safety by identifying side effects from
introducing bar coding in medication administration.
March 11, 2011
Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar
coding in medication administration. J Am Med Inform Assoc. 2002;9(5):540-53.
htt…
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psnet.ahrq.gov/node/37784/psn-pdf
May 27, 2011 - A risk analysis method to evaluate the impact of a
Computerized Provider Order Entry system on patient
safety.
May 27, 2011
Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a
computerized provider order entry system on patient safety. J Am Med Inform Assoc. 2008;15(4):…
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psnet.ahrq.gov/node/837966/psn-pdf
September 01, 2022 - Barcode medication administration software technology
use in the emergency department and medication error
rates.
September 1, 2022
Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency
department and medication error rates. Comput Inform Nurs. 2022;40(6):382-388.
doi:10.1…
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psnet.ahrq.gov/node/73187/psn-pdf
April 28, 2021 - Improving handoff by deliberate cognitive processing:
results from a randomized controlled experimental study.
April 28, 2021
van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results
from a randomized controlled experimental study. Jt Comm J Qual Patient Saf. 2020;47(4…
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psnet.ahrq.gov/node/38334/psn-pdf
January 14, 2009 - Adverse Events in Hospitals: State Reporting Systems.
January 14, 2009
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; December 2008. Report No. OEI-06-07-00471.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
The Tax Relief an…
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psnet.ahrq.gov/node/45195/psn-pdf
September 14, 2016 - Adverse drug event reporting systems: a systematic
review.
September 14, 2016
Bailey C, Peddie D, Wickham ME, et al. Adverse drug event reporting systems: a systematic review. Br J
Clin Pharm. 2016;82(1):17-29. doi:10.1111/bcp.12944.
https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-revi…
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psnet.ahrq.gov/node/841787/psn-pdf
December 21, 2022 - Electronic prescribing systems in hospitals to improve
medication safety: a multi-methods research programme.
December 21, 2022
Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication
safety: a multimethods research programme. Programme Grants Appl Res. 2022;10(7):1-…
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psnet.ahrq.gov/node/34103/psn-pdf
February 24, 2011 - Measuring errors and adverse events in health care.
February 24, 2011
Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med.
2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x.
https://psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care
This article discusses t…
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psnet.ahrq.gov/node/60601/psn-pdf
June 17, 2020 - Prevalence, types, and sources of bullying reported by US
general surgery residents in 2019.
June 17, 2020
Zhang LM, Ellis RJ, Ma M, et al. Prevalence, types, and sources of bullying reported by US general surgery
residents in 2019. JAMA. 2020;323(20):2093-2095. doi:10.1001/jama.2020.2901.
https://psnet.ahrq.gov/i…