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psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system
September 08, 2010 - Study
Out-of-hospital medication errors: a 6-year analysis of the national poison data system.
Citation Text:
Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823…
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psnet.ahrq.gov/issue/pharmacists-interventions-prescribing-errors-hospital-discharge-observational-study-context
October 16, 2012 - Study
Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.
Citation Text:
Abdel-Qader DH, Harper L, Cantrill JA, et al. Pharmacists' interventions in prescribing erro…
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psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders-emergency-department
May 29, 2019 - Study
Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department.
Citation Text:
Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. J Am …
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psnet.ahrq.gov/issue/implementation-emergency-department-sign-out-checklist-improves-transfer-information-shift
October 30, 2019 - Study
Implementation of an emergency department sign-out checklist improves transfer of information at shift change.
Citation Text:
Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist improves transfer of information at shift change. J Emerg…
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psnet.ahrq.gov/issue/effect-checklist-quality-patient-handover-operating-room-intensive-care-unit-randomized
April 03, 2013 - Study
The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial.
Citation Text:
Salzwedel C, Mai V, Punke MA, et al. The effect of a checklist on the quality of patient handover from the operating room t…
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psnet.ahrq.gov/issue/improving-reliability-verbal-communication-between-primary-care-physicians-and-pediatric
November 16, 2015 - Study
Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge.
Citation Text:
Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediat…
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psnet.ahrq.gov/issue/patient-safety-issues-information-overload-electronic-medical-records
May 04, 2022 - Review
Patient safety issues from information overload in electronic medical records.
Citation Text:
Nijor S, Rallis G, Lad N, et al. Patient safety issues from information overload in electronic medical records. J Patient Saf. 2022;18(6):e999-e1003. doi:10.1097/pts.0000000000001002.
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psnet.ahrq.gov/issue/incidence-and-severity-medication-reconciliation-discrepancies-trauma-patients
October 19, 2022 - Study
Incidence and severity of medication reconciliation discrepancies in trauma patients.
Citation Text:
Dunbar EG, Massey AC, Lee YL, et al. Incidence and severity of medication reconciliation discrepancies in trauma patients. Am Surg. 2023;89(7):3272-3274. doi:10.1177/000313482311616…
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psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
March 21, 2017 - Study
Evaluation of the contributions of an electronic web-based reporting system: enabling action.
Citation Text:
Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…
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psnet.ahrq.gov/issue/factors-contributing-medication-errors-made-when-using-computerized-order-entry-pediatrics
May 08, 2017 - Review
Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review.
Citation Text:
Tolley CL, Forde NE, Coffey KL, et al. Factors contributing to medication errors made when using computerized order entry in pediatrics: a systemat…
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psnet.ahrq.gov/issue/unintended-consequences-computerized-provider-order-entry-findings-mixed-methods-exploration
May 27, 2011 - Study
The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.
Citation Text:
Ash JS, Sittig DF, Dykstra RH, et al. The unintended consequences of computerized provider order entry: Findings from a mixed methods exploration. Int J Med…
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psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care-systematic-scoping-review
August 29, 2018 - Review
Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review.
Citation Text:
Ensaldo-Carrasco E, Suarez-Ortegon MF, Carson-Stevens A, et al. Patient Safety Incidents and Adverse Events in Ambulatory Dental Care: A Systematic Scoping Review. J …
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psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing
November 03, 2021 - Study
Operational failures and interruptions in hospital nursing.
Citation Text:
Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41(3 Pt 1):643-662.
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psnet.ahrq.gov/issue/communication-failure-analysis-prescribers-use-internal-free-text-field-electronic
May 20, 2019 - Study
Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions.
Citation Text:
Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text field on electronic prescriptions. J Am Med Inf…
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psnet.ahrq.gov/issue/effective-program-reduce-malpractice-claims-and-payments-large-orthopaedic-practice
June 27, 2018 - Study
An effective program to reduce malpractice claims and payments in a large orthopaedic practice.
Citation Text:
Doub TW, Hickson GB, Casey VF, et al. An effective program to reduce malpractice claims and payments in a large orthopaedic practice. J Bone Joint Surg Am. 2024;106(14):12…
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psnet.ahrq.gov/issue/implementation-science-ambulatory-care-safety-novel-method-develop-context-sensitive
April 17, 2019 - Study
Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients.
Citation Text:
McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method…
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psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review
February 23, 2011 - Review
Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature.
Citation Text:
Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem, working to a solution: a systematic …
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psnet.ahrq.gov/issue/benefits-health-information-technology-review-recent-literature-shows-predominantly-positive
December 21, 2018 - Review
Classic
The benefits of health information technology: a review of the recent literature shows predominantly positive results.
Citation Text:
Buntin MB, Burke MF, Hoaglin MC, et al. The Benefits Of Health Information Technology: A Review Of The Recent Lit…
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psnet.ahrq.gov/issue/night-time-communication-stanford-university-hospital-perceptions-reality-and-solutions
March 24, 2019 - Study
Night-time communication at Stanford University Hospital: perceptions, reality and solutions.
Citation Text:
Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjq…
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psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
March 21, 2017 - Study
Voluntary electronic reporting of medical errors and adverse events.
Citation Text:
Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):1…