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psnet.ahrq.gov/issue/time-dependent-drug-drug-interaction-alerts-care-provider-order-entry-software-may-inhibit
March 10, 2011 - Study
Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.
Citation Text:
van der Sijs H, Lammers L, van den Tweel A, et al. Time-dependent drug-drug interaction alerts in care provider order entry: software may inh…
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psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us-insurance-claims-data
June 25, 2018 - Study
Classic
Early death after discharge from emergency departments: analysis of national US insurance claims data.
Citation Text:
Obermeyer Z, Cohn B, Wilson M, et al. Early death after discharge from emergency departments: analysis of national US insurance cl…
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psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case
March 30, 2022 - Study
Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies.
Citation Text:
Wright DJ, Gabbay J, Le May A. Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. BM…
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psnet.ahrq.gov/issue/systematic-review-effect-telepharmacy-services-community-pharmacy-setting-care-quality-and
October 27, 2021 - Review
A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety.
Citation Text:
Pathak S, Blanchard CM, Moreton E, et al. A systematic review of the effect of telepharmacy services in the community pharmacy setting on…
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psnet.ahrq.gov/issue/out-sight-out-mind-prospective-observational-study-estimate-duration-hawthorne-effect-hand
September 09, 2020 - Study
Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events.
Citation Text:
Vaisman A, Bannerman G, Matelski J, et al. Out of sight, out of mind: a prospective observational study to estimate the duration of t…
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psnet.ahrq.gov/issue/pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room
July 25, 2011 - Study
Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams.
Citation Text:
Arriaga AF, Gawande AA, Raemer D, et al. Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room t…
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psnet.ahrq.gov/issue/remember-patient-you-saw-last-week-characteristics-and-frequency-patients-experiencing
March 10, 2021 - Study
Remember that patient you saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death following ED discharge.
Citation Text:
Hoang R, Sampsel K, Willmore A, et al. Remember that patient you saw last week: characteristics and frequency o…
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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 - Press Release/Announcement
Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up.
Citation Text:
Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets…
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www.ahrq.gov/news/newsroom/case-studies/201714.html
September 01, 2019 - Medication Therapy Tools Help Pharmacists Educate Patients, Improve Adherence and Safety
Search All Impact Case Studies
November 2017
AHRQ’s Health Literacy Tools for Providers of Medication Therapy Management make it easier for pharmacists to help patients understand and correctly manage their medication…
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psnet.ahrq.gov/issue/purchase-prescription-medicines-social-media-survey-based-study-prevalence-risk-perceptions
May 19, 2021 - Study
Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions, and motivations.
Citation Text:
Moureaud C, Hertig JB, Dong Y, et al. Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions…
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psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
April 21, 2015 - Study
Classic
Relationship between occurrence of surgical complications and hospital finances.
Citation Text:
Eappen S, Lane BH, Rosenberg B, et al. Relationship between occurrence of surgical complications and hospital finances. JAMA. 2013;309(15):1599-606. doi…
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psnet.ahrq.gov/issue/claims-errors-and-compensation-payments-medical-malpractice-litigation
March 02, 2011 - Study
Classic
Claims, errors, and compensation payments in medical malpractice litigation.
Citation Text:
Studdert DM, Mello MM, Gawande AA, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024-33.…
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psnet.ahrq.gov/issue/inappropriate-prescribing-older-patients-nurse-practitioners-and-primary-care-physicians
September 23, 2020 - Study
Inappropriate prescribing to older patients by nurse practitioners and primary care physicians.
Citation Text:
Huynh J, Alim SA, Chan DC, et al. Inappropriate Prescribing to Older Patients by Nurse Practitioners and Primary Care Physicians. Ann Intern Med. 2023;176(11):1448-1455. d…
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psnet.ahrq.gov/issue/preventing-iatrogenic-overdose-review-emergency-department-opioid-related-adverse-drug-events
August 12, 2020 - Study
Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors.
Citation Text:
Beaudoin FL, Merchant RC, Janicki A, et al. Preventing iatrogenic overdose: a review of in-emergency department opioid-related adverse drug e…
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psnet.ahrq.gov/issue/effects-2011-duty-hour-reforms-interns-and-their-patients-prospective-longitudinal-cohort
October 19, 2022 - Study
Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study.
Citation Text:
Sen S, Kranzler HR, Didwania AK, et al. Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study. JAMA In…
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psnet.ahrq.gov/issue/impact-online-education-intern-behaviour-around-joint-commission-national-patient-safety
September 30, 2012 - Study
Impact of online education on intern behaviour around Joint Commission national patient safety goals: a randomised trial.
Citation Text:
Shaw T, Pernar LI, Peyre S, et al. Impact of online education on intern behaviour around joint commission national patient safety goals: a rand…
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psnet.ahrq.gov/issue/reducing-surgical-mortality-scotland-use-who-surgical-safety-checklist
February 09, 2011 - Study
Classic
Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist.
Citation Text:
Ramsay G, Haynes AB, Lipsitz SR, et al. Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. Br J Surg. 2019;106(8):…
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psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
May 18, 2022 - Study
High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing?
Citation Text:
Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65…
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psnet.ahrq.gov/issue/patient-handovers-within-hospital-translating-knowledge-motor-racing-healthcare
April 01, 2015 - Study
Classic
Patient handovers within the hospital: translating knowledge from motor racing to healthcare.
Citation Text:
Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Q…
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psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial
February 14, 2017 - Study
Patient education to prevent falls among older hospital inpatients: a randomized controlled trial.
Citation Text:
Haines TP, Hill A-M, Hill KD, et al. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Arch Intern Med. 2011;171(6):516…