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  1. 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…
  2. 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…
  3. 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)…
  4. 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 …
  5. 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…
  6. 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…
  7. 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. Copy Citation Fo…
  8. 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…
  9. 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…
  10. 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…
  11. 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. Copy Citation Format: …
  12. 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…
  13. 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 …
  14. 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…
  15. 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…
  16. 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. Copy Citation Format: …
  17. 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…
  18. 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.…
  19. 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…
  20. 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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