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5861. Making polypharmacy safer for children with medical complexity. | PSNet
      psnet.ahrq.gov/issue/making-polypharmacy-safer-children-medical-complexity
      May 11, 2019 - Commentary Making polypharmacy safer for children with medical complexity. Citation Text: Feinstein JA, Orth LE. Making polypharmacy safer for children with medical complexity. J Pediatr. 2023;254:4-10. doi:10.1016/j.jpeds.2022.10.012. Copy Citation Format: DOI Google Schol…

5862. Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience. | PSNet
      psnet.ahrq.gov/issue/pharmacist-outpatient-prescription-review-emergency-department-pediatric-tertiary-hospital
      March 15, 2016 - Study Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience. Citation Text: Shah D, Manzi S. Pharmacist Outpatient Prescription Review in the Emergency Department: A Pediatric Tertiary Hospital Experience. Pediatr Emerg Care. 2018…

5863. An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. | PSNet
      psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
      May 16, 2012 - Book/Report An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. Citation Text: An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…

5864. Injectable Opioid Shortages: Suggestions for Management and Conservation. | PSNet
      psnet.ahrq.gov/issue/injectable-opioid-shortages-suggestions-management-and-conservation
      May 20, 2020 - Fact Sheet/FAQs Injectable Opioid Shortages: Suggestions for Management and Conservation. Citation Text: Injectable Opioid Shortages: Suggestions for Management and Conservation. University of Utah Drug Information Service; ASHP; American Society of Health-System Pharmacists. Copy Cita…

5865. Hospital do-not-resuscitate orders: why they have failed and how to fix them. | PSNet
      psnet.ahrq.gov/issue/hospital-do-not-resuscitate-orders-why-they-have-failed-and-how-fix-them
      May 13, 2009 - Review Hospital do-not-resuscitate orders: why they have failed and how to fix them. Citation Text: Yuen JK, Reid C, Fetters MD. Hospital do-not-resuscitate orders: why they have failed and how to fix them. J Gen Intern Med. 2011;26(7):791-7. doi:10.1007/s11606-011-1632-x. Copy Citatio…

5866. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. | PSNet
      psnet.ahrq.gov/issue/sources-and-types-discrepancies-between-electronic-medical-records-and-actual-outpatient
      July 19, 2023 - Study Sources and types of discrepancies between electronic medical records and actual outpatient medication use. Citation Text: Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. J Manag Care Pharm. 2008;14(7):626-631…

5867. Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. | PSNet
      psnet.ahrq.gov/issue/mandatory-reporting-impaired-medical-practitioners-protecting-patients-supporting
      September 01, 2016 - Commentary Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. Citation Text: Bismark MM, Morris JM, Clarke C. Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. Intern Med J. 2014;44(12a…

5868. Factors associated with disclosure of medical errors by housestaff. | PSNet
      psnet.ahrq.gov/issue/factors-associated-disclosure-medical-errors-housestaff
      January 27, 2019 - Study Factors associated with disclosure of medical errors by housestaff. Citation Text: Kronman AC, Paasche-Orlow MK, Orlander JD. Factors associated with disclosure of medical errors by housestaff. BMJ Qual Saf. 2011;21(4). doi:10.1136/bmjqs-2011-000084. Copy Citation Format: …

5869. Medication reconciliation at hospital discharge: evaluating discrepancies. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
      July 08, 2008 - Study Medication reconciliation at hospital discharge: evaluating discrepancies. Citation Text: Wong JD, Bajcar J, Wong GG, et al. Medication reconciliation at hospital discharge: evaluating discrepancies. Ann Pharmacother. 2008;42(10):1373-9. doi:10.1345/aph.1L190. Copy Citation …

5870. Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. | PSNet
      psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease-2009
      June 14, 2017 - Newspaper/Magazine Article Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. Citation Text: Duffy J, Harris J, Gade L, et al. Mucormycosis outbreak associated with hospital linens. The Pediatric infectious disease journal. 2014;33(5):472-6. doi:10.1…

5871. Academic detailing to improve laboratory testing among outpatient medication users. | PSNet
      psnet.ahrq.gov/issue/academic-detailing-improve-laboratory-testing-among-outpatient-medication-users
      September 24, 2010 - Study Academic detailing to improve laboratory testing among outpatient medication users. Citation Text: Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient medication users. Med Care. 2007;45(10):966-72. Copy Citation Format: …

5872. Reducing warfarin medication interactions: an interrupted time series evaluation. | PSNet
      psnet.ahrq.gov/issue/reducing-warfarin-medication-interactions-interrupted-time-series-evaluation
      May 27, 2011 - Study Reducing warfarin medication interactions: an interrupted time series evaluation. Citation Text: Feldstein AC, Smith DH, Perrin N, et al. Reducing warfarin medication interactions: an interrupted time series evaluation. Arch Intern Med. 2006;166(9):1009-15. Copy Citation Fo…

5873. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. | PSNet
      psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population
      March 13, 2024 - Commentary Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. Citation Text: Byju AS, Mayo K. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. J Med Ethics. 2019;45(12):821…

5874. "It matters what I think, not what you say": scientific evidence for a medical error disclosure competence (MEDC) model. | PSNet
      psnet.ahrq.gov/issue/it-matters-what-i-think-not-what-you-say-scientific-evidence-medical-error-disclosure
      September 29, 2017 - Study "It matters what I think, not what you say": scientific evidence for a medical error disclosure competence (MEDC) model. Citation Text: Hannawa AF, Frankel RM. "It Matters What I Think, Not What You Say": Scientific Evidence for a Medical Error Disclosure Competence (MEDC) Model. J…

5875. Post-discharge medication reviews for patients with heart failure: a pilot study. | PSNet
      psnet.ahrq.gov/issue/post-discharge-medication-reviews-patients-heart-failure-pilot-study
      May 21, 2009 - Study Post-discharge medication reviews for patients with heart failure: a pilot study. Citation Text: Ponniah A, Shakib S, Doecke CJ, et al. Post-discharge medication reviews for patients with heart failure: a pilot study. Pharm World Sci. 2008;30(6):810-5. doi:10.1007/s11096-008-92…

5876. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. | PSNet
      psnet.ahrq.gov/issue/sentara-norfolk-general-hospital-accelerating-improvement-focusing-building-culture-safety
      June 08, 2010 - Commentary Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Citation Text: Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qu…

5877. The dangers of ignoring the Beers criteria—the prescribing cascade. | PSNet
      psnet.ahrq.gov/issue/dangers-ignoring-beers-criteria-prescribing-cascade
      October 10, 2018 - Commentary The dangers of ignoring the Beers criteria—the prescribing cascade. Citation Text: DeRhodes KH. The Dangers of Ignoring the Beers Criteria-The Prescribing Cascade. JAMA Intern Med. 2019;179(7):863-864. doi:10.1001/jamainternmed.2019.1288. Copy Citation Format: DO…

5878. Nursing and patient safety in the operating room. | PSNet
      psnet.ahrq.gov/issue/nursing-and-patient-safety-operating-room
      November 03, 2010 - Study Nursing and patient safety in the operating room. Citation Text: Alfredsdottir H, Bjornsdottir K. Nursing and patient safety in the operating room. J Adv Nurs. 2010;61(1):29-37. doi:10.1111/j.1365-2648.2007.04462.x. Copy Citation Format: DOI Google Scholar BibTeX En…

5879. SureScripts - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/SureScripts%20Final%20Report.pdf
      January 11, 2007 - Fifty-four percent wanted fill information on the active medication lists, 20% desired alerting messages … e-prescribing capabilities more frequently report discussions regarding adherence and updating medication lists … appreciable increases in frequency of reviewing medication history with patients to update active medication lists

5880. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide4.html
      October 01, 2017 - Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization Training Guide Module Aim The aim of this module is to support your efforts to implement the new prevention practices at the patient care level. Module Goals The goals of the Module 4 training are to have the Implem…