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psnet.ahrq.gov/issue/online-medication-error-graphic-reports-pilot-north-carolina-nursing-homes
March 24, 2011 - Study
Online medication error graphic reports: a pilot in North Carolina nursing homes.
Citation Text:
Greene SB, Williams CE, Pierson S, et al. Online medication error graphic reports: a pilot in North Carolina nursing homes. J Patient Saf. 2011;7(2):92-8. doi:10.1097/PTS.0b013e31821b4…
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psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
September 07, 2022 - Study
Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study.
Citation Text:
Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…
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psnet.ahrq.gov/issue/comprehensive-stroke-centers-overcome-weekend-versus-weekday-gap-stroke-treatment-and
July 13, 2010 - Study
Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality.
Citation Text:
McKinney JS, Deng Y, Kasner SE, et al. Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality. Stroke. 2011;42(9)…
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psnet.ahrq.gov/issue/safety-culture-integration-existing-models-and-framework-understanding-its-development
December 21, 2017 - Review
Classic
Safety culture: an integration of existing models and a framework for understanding its development.
Citation Text:
Bisbey TM, Kilcullen MP, Thomas EJ, et al. Safety culture: an integration of existing models and a framework for understanding its …
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psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions
March 23, 2022 - Review
Diagnostic errors in the neonatal intensive care unit: state of the science and new directions.
Citation Text:
Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…
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psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-individuals-hypertensive
October 19, 2022 - Study
Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy.
Citation Text:
Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with h…
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psnet.ahrq.gov/issue/pharmacist-work-stress-and-learning-quality-related-events
January 07, 2016 - Study
Pharmacist work stress and learning from quality related events.
Citation Text:
Boyle TA, Bishop A, Morrison B, et al. Pharmacist work stress and learning from quality related events. Res Social Adm Pharm. 2016;12(5):772-83. doi:10.1016/j.sapharm.2015.10.003.
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psnet.ahrq.gov/issue/electronic-intervention-improve-safety-pain-patients-co-prescribed-chronic-opioids-and
March 23, 2022 - Study
An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines.
Citation Text:
Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. Subs…
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psnet.ahrq.gov/issue/greatest-impact-safe-harbor-rule-may-be-improve-patient-safety-not-reduce-liability-claims
July 05, 2017 - Study
Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians.
Citation Text:
Kachalia A, Little A, Isavoran M, et al. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by p…
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psnet.ahrq.gov/issue/incidence-potentially-avoidable-urgent-readmissions-and-their-relation-all-cause-urgent
April 22, 2011 - Study
Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions.
Citation Text:
van Walraven C, Jennings A, Taljaard M, et al. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Ca…
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psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-destination-after-hospital-discharge
March 04, 2020 - Study
Risk of adverse drug events by patient destination after hospital discharge.
Citation Text:
Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9.
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psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
August 28, 2019 - Study
Infrequent physician use of implantable cardioverter-defibrillators risks patient safety.
Citation Text:
Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.2…
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psnet.ahrq.gov/issue/medication-errors-important-component-nonadherence-medication-outpatient-population-lung
June 23, 2021 - Study
Medication errors: an important component of nonadherence to medication in an outpatient population of lung transplant recipients.
Citation Text:
Irani S, Seba P, Speich R, et al. Medication errors: an important component of nonadherence to medication in an outpatient population …
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psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
December 10, 2014 - Study
Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study.
Citation Text:
March CA, Steiger D, Scholl G, et al. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open. 2013;3(4). d…
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psnet.ahrq.gov/issue/institute-safe-medication-practices-and-poison-control-centers-collaborating-prevent
April 22, 2017 - Commentary
The Institute for Safe Medication Practices and poison control centers: collaborating to prevent medication errors and unintentional poisonings.
Citation Text:
Vaida AJ. The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent Medication…
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psnet.ahrq.gov/issue/scope-drug-related-problems-home-care-setting
February 16, 2011 - Review
The scope of drug-related problems in the home care setting.
Citation Text:
Meyer-Massetti C, Meier CR, Guglielmo J. The scope of drug-related problems in the home care setting. Int J Clin Pharm. 2018;40(2):325-334. doi:10.1007/s11096-017-0581-9.
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psnet.ahrq.gov/issue/predictive-value-alert-triggers-identification-developing-adverse-drug-events
October 19, 2022 - Study
Predictive value of alert triggers for identification of developing adverse drug events.
Citation Text:
Moore C, Li J, Hung C-C, et al. Predictive Value of Alert Triggers for Identification of Developing Adverse Drug Events. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181bc0…
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psnet.ahrq.gov/issue/simulation-design-research-evaluating-safety-innovations-anaesthesia
February 25, 2009 - Study
A simulation design for research evaluating safety innovations in anaesthesia.
Citation Text:
Merry AF, Weller JM, Robinson BJ, et al. A simulation design for research evaluating safety innovations in anaesthesia*. Anaesthesia. 2008;63(12):1349-57. doi:10.1111/j.1365-2044.2008.…
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psnet.ahrq.gov/issue/teamwork-communication-and-safety-climate-systematic-review-interventions-improve-surgical
May 26, 2016 - Review
Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture.
Citation Text:
Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Qua…
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psnet.ahrq.gov/issue/opioid-prescribing-after-surgical-extraction-teeth-medicaid-patients-2000-2010
March 02, 2011 - Study
Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010.
Citation Text:
Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058.
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