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psnet.ahrq.gov/issue/checking-lists-systematic-review-electronic-checklist-use-health-care
August 08, 2018 - Review
Checking the lists: a systematic review of electronic checklist use in health care.
Citation Text:
Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006.
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psnet.ahrq.gov/node/36118/psn-pdf
September 24, 2010 - Implementing patient safety practices in small ambulatory
care settings.
September 24, 2010
Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt
Comm J Qual Patient Saf. 2006;32(8):419-425.
https://psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-amb…
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psnet.ahrq.gov/issue/patient-physician-medical-assistant-and-office-visit-factors-associated-medication-list
June 28, 2017 - Study
Patient, physician, medical assistant, and office visit factors associated with medication list agreement.
Citation Text:
Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors Associated With Medication List Agreement. J Patient Saf. 2…
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Establishing a Safety Culture: Thinking Small
December 1, 2006
Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
Perspective
Safety cultures are the holy grail in any risky industry. Like all holy grails, th…
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - Some specific examples of drug-related adverse events occurring after hospital discharge are listed in
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psnet.ahrq.gov/node/39368/psn-pdf
May 04, 2010 - Results of the Medications At Transitions and Clinical
Handoffs (MATCH) study: an analysis of medication
reconciliation errors and risk factors at hospital
admission.
May 4, 2010
Gleason KM, McDaniel MR, Feinglass J, et al. Results of the Medications At Transitions and Clinical
Handoffs (MATCH) Study: An Analysis…
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psnet.ahrq.gov/node/43202/psn-pdf
September 11, 2023 - ISMP Survey on High-Alert Medications in Acute Care
Settings.
September 11, 2023
Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023.
https://psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings
Experience from the sharp end helps to inform safety improvement initiatives. The…
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psnet.ahrq.gov/issue/identifying-list-healthcare-never-events-effect-system-change-systematic-review-and-narrative
April 24, 2019 - Review
Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis.
Citation Text:
Bowman CL, De Gorter R, Zaslow J, et al. Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative …
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psnet.ahrq.gov/issue/differences-donor-heart-acceptance-race-and-gender-patients-transplant-waiting-list
January 12, 2022 - Study
Differences in donor heart acceptance by race and gender of patients on the transplant waiting list.
Citation Text:
Breathett K, Knapp SM, Lewsey SC, et al. Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. JAMA. 2024;331(16):1379-…
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psnet.ahrq.gov/issue/estimating-information-gap-between-emergency-department-records-community-medication-compared
March 11, 2011 - Study
Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records.
Citation Text:
Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …
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psnet.ahrq.gov/node/41789/psn-pdf
September 01, 2016 - Drug–drug interactions that should be non-interruptive in
order to reduce alert fatigue in electronic health records.
September 1, 2016
Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in
order to reduce alert fatigue in electronic health records. J Am Med Infor…
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psnet.ahrq.gov/node/43224/psn-pdf
June 11, 2014 - Look alike/sound alike drugs: a literature review on
causes and solutions.
June 11, 2014
Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J
Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6.
https://psnet.ahrq.gov/issue/look-alikesound-alike-drugs-l…
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psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
October 01, 2003 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction
Citation Text:
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/node/867014/psn-pdf
October 23, 2024 - Secondary analysis of hand-offs in internal medicine
using the I-PASS mnemonic.
October 23, 2024
Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS
mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7.
https://psnet.ahrq.gov/issue/secondary-analys…
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psnet.ahrq.gov/node/866436/psn-pdf
August 07, 2024 - Using name overlap analysis to understand medication
name search safety.
August 7, 2024
Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search
safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048.
https://psnet.ahrq.gov/issue/using-name-overlap-analy…
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psnet.ahrq.gov/node/47779/psn-pdf
June 12, 2019 - Medication accuracy in electronic health records for
microbial keratitis.
June 12, 2019
Ashfaq HA, Lester CA, Ballouz D, et al. Medication Accuracy in Electronic Health Records for Microbial
Keratitis. JAMA Ophthalmal. 2019;137(8):929-931. doi:10.1001/jamaophthalmol.2019.1444.
https://psnet.ahrq.gov/issue/medicati…
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psnet.ahrq.gov/issue/why-engineers-are-working-build-better-pulse-oximeters
May 06, 2020 - Newspaper/Magazine Article
Why engineers are working to build better pulse oximeters.
Citation Text:
Why engineers are working to build better pulse oximeters. Willyard C. MIT Technology Review. February 9, 2024.
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psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information
May 07, 2019 - Book/Report
ISMP Guidelines for Safe Electronic Communication of Medication Information.
Citation Text:
ISMP Guidelines for Safe Electronic Communication of Medication Information. Horsham, PA: Institute for Safe Medication Practices; January 2019.
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…
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psnet.ahrq.gov/node/44180/psn-pdf
June 21, 2015 - "Never events" and the quest to reduce preventable harm.
June 21, 2015
Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient
Saf. 2015;41(6):279-288.
https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
The introduction of the term never event…
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psnet.ahrq.gov/issue/cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety
May 20, 2009 - Commentary
CMS's hospital-acquired condition lists link hospital payment, patient safety.
Citation Text:
Clancy CM. CMS's hospital-acquired condition lists link hospital payment, patient safety. Am J Med Qual. 2009;24(2):166-8. doi:10.1177/1062860608331241.
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