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psnet.ahrq.gov/issue/vulnerability-medical-product-supply-chain-wake-call-covid-19
December 02, 2020 - Commentary
Emerging Classic
Vulnerability of the medical product supply chain: the wake-up call of COVID-19.
Citation Text:
Miller FA, Young SB, Dobrow M, et al. Vulnerability of the medical product supply chain: the wake-up call of COVID-19. BMJ Qual Saf. 2020;…
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psnet.ahrq.gov/issue/covid-19-pandemic-resilient-organisational-response-low-chance-high-impact-event
October 07, 2020 - Commentary
The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event.
Citation Text:
Lloyd-Smith MK. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. BMJ Leader. 2020;4:109-112. doi:10.1136/leader-2020-000245. …
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psnet.ahrq.gov/issue/diagnostic-accuracy-pediatric-teledermatology-using-parent-submitted-photographs-randomized
November 16, 2022 - Study
Diagnostic accuracy of pediatric teledermatology using parent-submitted photographs: a randomized clinical trial.
Citation Text:
O'Connor DM, Jew OS, Perman MJ, et al. Diagnostic Accuracy of Pediatric Teledermatology Using Parent-Submitted Photographs: A Randomized Clinical Trial. …
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psnet.ahrq.gov/issue/patient-surgeon-and-health-care-worker-safety-during-covid-19-pandemic
August 25, 2021 - Commentary
Patient, surgeon, and health care worker safety during the COVID-19 pandemic.
Citation Text:
Hölscher AH. Patient, surgeon, and health care worker safety during the COVID-19 pandemic. Ann Surg. 2021;274(5):681-687. doi:10.1097/sla.0000000000005124.
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psnet.ahrq.gov/issue/web-application-involve-patients-medication-reconciliation-process-user-centered-usability
August 18, 2021 - Study
A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study.
Citation Text:
Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication reconciliation process: a user-centered usa…
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psnet.ahrq.gov/issue/validity-16-ahrq-patient-safety-indicators-identify-hospital-complications-medical-record
November 29, 2023 - Study
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals.
Citation Text:
Havranek MM, Rüter F, Bilger S, et al. Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a med…
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psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing-errors-resulting
August 05, 2020 - Press Release/Announcement
FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor).
Citation Text:
FDA Drug Safety Communication: FDA warns ab…
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psnet.ahrq.gov/issue/identifying-potential-medication-discrepancies-during-medication-reconciliation-post-acute
June 17, 2020 - Study
Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting.
Citation Text:
Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Sett…
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psnet.ahrq.gov/issue/identifying-boundary-spanning-reporter-roles-patient-safety-events
December 07, 2022 - Study
Identifying boundary spanning reporter roles in patient safety events.
Citation Text:
Hurley VB, Boxley C, Sloss EA, et al. Identifying boundary spanning reporter roles in patient safety events. J Patient Saf Risk Manag. 2022;27(4):181-187. doi:10.1177/25160435221103096.
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psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety
July 15, 2020 - Review
20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety.
Citation Text:
St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient …
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psnet.ahrq.gov/issue/sustainability-and-long-term-effectiveness-who-surgical-safety-checklist-combined-pulse
May 27, 2010 - Study
Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova.
Citation Text:
Kim RY, Kwakye G, Kwok AC, et al. Sustainability and long-term effectiveness of the WHO surgical …
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psnet.ahrq.gov/issue/pediatric-adverse-drug-events-outpatient-setting-11-year-national-analysis
September 09, 2010 - Study
Pediatric adverse drug events in the outpatient setting: an 11-year national analysis.
Citation Text:
Bourgeois FT, Mandl KD, Valim C, et al. Pediatric adverse drug events in the outpatient setting: an 11-year national analysis. Pediatrics. 2009;124(4):e744-e750. doi:10.1542/peds…
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psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analysis-diagnostic-errors
August 20, 2018 - Study
CT for suspected appendicitis in children: an analysis of diagnostic errors.
Citation Text:
Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of diagnostic errors. Pediatr Radiol. 2006;36(4):331-7.
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psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything
November 03, 2021 - Commentary
Incident reporting systems: what will it take to make them less frustrating and achieve anything useful?
Citation Text:
Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12)…
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psnet.ahrq.gov/issue/apotex-corp-issues-voluntary-nationwide-recall-enoxaparin-sodium-injection-usp-due
March 22, 2010 - Press Release/Announcement
Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection, USP due to mislabeling of syringe barrel measurement markings.
Citation Text:
Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection, USP due to mislabeling …
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psnet.ahrq.gov/issue/optimizing-medication-management-during-covid-19-pandemic-implementation-guide-post-acute-and
August 16, 2023 - Study
Optimizing Medication Management During the Covid-19 Pandemic: Implementation Guide for Post-acute and Long Term Care.
Citation Text:
Brandt N, Steinman MA. Optimizing Medication Management During the COVID‐19 Pandemic: An Implementation Guide for Post‐Acute and Long‐Term Care. J A…
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psnet.ahrq.gov/issue/technical-evaluation-testing-and-validation-usability-electronic-health-records-empirically
March 01, 2017 - Book/Report
Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization.
Citation Text:
Technical Evaluation, Testing, and Validation of the Usability …
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psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent
March 25, 2021 - Study
An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences.
Citation Text:
Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitativ…
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psnet.ahrq.gov/issue/chief-residents-quality-improvement-and-patient-safety-recipe-new-role-graduate-medical
August 13, 2014 - Commentary
Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education.
Citation Text:
Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medic…
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psnet.ahrq.gov/issue/controversies-diagnosis-contemporary-debates-diagnostic-safety-literature
December 21, 2018 - Review
Controversies in diagnosis: contemporary debates in the diagnostic safety literature.
Citation Text:
Bergl PA, Wijesekera TP, Nassery N, et al. Controversies in diagnosis: contemporary debates in the diagnostic safety literature. Diagnosis (Berl). 2020;7(1):3-9. doi:10.1515/dx-201…