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psnet.ahrq.gov/issue/new-unintended-adverse-consequences-electronic-health-records
March 20, 2019 - September 14, 2022
Workarounds to intended use of health information technology: a narrative
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psnet.ahrq.gov/issue/medication-reconciliation-qualitative-analysis-clinicians-perceptions
October 10, 2015 - December 31, 2014
Medication reconciliation accuracy and patient understanding of intended
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psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp
June 20, 2018 - Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended
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psnet.ahrq.gov/issue/not-another-safety-culture-survey-using-canadian-patient-safety-climate-survey-can-pscs
February 14, 2015 - February 2, 2011
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The intended and unintended
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psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway
November 06, 2015 - Related Resources
Impact of the WHO Surgical Safety Checklist relative to its design and intended
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psnet.ahrq.gov/issue/executive-leadership-and-physician-well-being-nine-organizational-strategies-promote
September 26, 2018 - October 26, 2022
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Workarounds to intended
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psnet.ahrq.gov/node/865661/psn-pdf
April 24, 2024 - Pay-for-performance and patient safety in acute care: a
systematic review.
April 24, 2024
Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a
systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051.
https://psnet.ahrq.gov/issue/pay-pe…
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psnet.ahrq.gov/node/49484/psn-pdf
June 01, 2005 - Pre-printed order forms and templates are in part intended to improve the completeness, accuracy, and … The intern may have intended to substitute
abacavir for stavudine in the original drug combination by
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psnet.ahrq.gov/node/60878/psn-pdf
January 01, 2021 - Intervention study for the reduction of medication errors
in elderly trauma patients.
September 2, 2020
Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of
medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(1):160-166. doi:10.1111/jep.134…
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psnet.ahrq.gov/node/49645/psn-pdf
February 01, 2012 - e-prescribing involves two-way
transmissions between the point of care and the pharmacy.(1) E-prescribing is intended … prescription for alprazolam, she inadvertently entered an additional medication, atenolol, a prescription
intended … Review all new medications and intended use with the patient.
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psnet.ahrq.gov/issue/exploratory-study-knowledge-brokering-hospital-settings-facilitating-knowledge-sharing-and
July 02, 2008 - June 10, 2018
The intended and unintended consequences of communication systems on general
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psnet.ahrq.gov/issue/reduction-opioid-prescribing-through-evidence-based-prescribing-guidelines
January 27, 2019 - March 8, 2023
Intended and unintended consequences: changes in opioid prescribing practices
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psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol-25-mg-tablets-and
June 20, 2018 - Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended
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psnet.ahrq.gov/issue/stigmatizing-language-expressed-towards-individuals-current-or-previous-oud-who-have-pain-and
January 09, 2011 - May 31, 2023
Intended and unintended consequences: changes in opioid prescribing practices
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psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists
July 25, 2011 - December 19, 2014
Compliance with a time-out procedure intended to prevent wrong surgery
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psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety
January 23, 2019 - July 9, 2018
Workarounds to intended use of health information technology: a narrative
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psnet.ahrq.gov/issue/effect-facility-complexity-perceptions-safety-climate-operating-room-size-matters
December 21, 2014 - Related Resources
Impact of the WHO Surgical Safety Checklist relative to its design and intended
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psnet.ahrq.gov/issue/medication-regimen-complexity-and-hospital-readmission-adverse-drug-event
December 03, 2014 - January 7, 2015
Medication reconciliation accuracy and patient understanding of intended
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psnet.ahrq.gov/issue/electronic-prescribing-ambulatory-care-setting-cluster-randomized-trial
October 31, 2011 - April 12, 2023
The intended and unintended consequences of communication systems on general
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-pediatric-intensive-care-means-improving-patient-safety
December 16, 2009 - August 18, 2021
Intended and unintended effects of large-scale adverse event disclosure