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psnet.ahrq.gov/node/47267/psn-pdf
September 05, 2018 - The national cost of adverse drug events resulting from
inappropriate medication-related alert overrides in the
United States.
September 5, 2018
Slight SP, Seger DL, Franz C, et al. The national cost of adverse drug events resulting from inappropriate
medication-related alert overrides in the United States. J Am M…
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psnet.ahrq.gov/issue/effect-hospital-electronic-health-record-adoption-nurse-assessed-quality-care-and-patient
March 28, 2012 - Related Resources
How effective are electronic medication systems in reducing medication … error rates and associated harm among hospital inpatients?
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psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety-incidents-descriptive
November 10, 2021 - May 22, 2024
Enhanced free-text search for aggregated medication error report analysis
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psnet.ahrq.gov/issue/implementing-patient-and-family-involvement-interventions-promoting-patient-safety-systematic
February 02, 2022 - February 10, 2021
How effective are electronic medication systems in reducing medication … error rates and associated harm among hospital inpatients?
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psnet.ahrq.gov/issue/listen-me-i-really-am-sick-patient-and-family-narratives-clinical-deterioration-and-during
June 25, 2018 - January 4, 2012
Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.
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psnet.ahrq.gov/node/34983/psn-pdf
July 14, 2010 - They conclude that the program improved safety culture and decreased length of stay, medication
errors
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psnet.ahrq.gov/node/35848/psn-pdf
July 21, 2010 - describe the development of a staff-driven reporting program to collect data on indicators such
as medication … errors, patient falls, and nurse overtime hours.
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psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
August 30, 2023 - October 21, 2015
Interventions to reduce medication errors in pediatric intensive care
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psnet.ahrq.gov/issue/theorizing-about-systems-ecological-task-patient-safety-research
August 20, 2008 - Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type of medication … errors and risk factors.
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psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-1
October 17, 2018 - January 9, 2008
Medication errors at hospital admission and discharge: risk factors and
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psnet.ahrq.gov/issue/relationship-between-physician-burnout-and-quality-and-cost-care-medicare-beneficiaries
August 12, 2020 - Study
Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex.
Citation Text:
Casalino LP, Li J, Peterson LE, et al. Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Health…
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psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm
May 17, 2023 - Study
Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care.
Citation Text:
Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high-performance triggers for identifying patient …
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psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident
May 05, 2021 - Study
Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care.
Citation Text:
Goh HS, Tan V, Chang J, et al. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident …
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psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review-and-meta
February 03, 2021 - Review
National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies.
Citation Text:
Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a sys…
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psnet.ahrq.gov/issue/smartphone-use-during-inpatient-attending-rounds-prevalence-patterns-and-potential
June 24, 2010 - Study
Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction.
Citation Text:
Katz-Sidlow RJ, Ludwig A, Miller S, et al. Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. J Hosp Med. 2012;7(8…
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psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
December 18, 2013 - Review
Classic
How safe is primary care? A systematic review.
Citation Text:
Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178.
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Format…
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psnet.ahrq.gov/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports-patient-safety
November 24, 2021 - Study
What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.
Citation Text:
Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety org…
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psnet.ahrq.gov/node/46340/psn-pdf
September 27, 2017 - A systematic review of the effectiveness of interruptive
medication prescribing alerts in hospital CPOE systems
to change prescriber behavior and improve patient safety.
September 27, 2017
Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medication
prescribing alerts in ho…
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psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause
June 22, 2022 - Hospital Readmissions and Improve Health Outcomes
March 29, 2023
Detectability of medication … errors with a STOPP/START-based medication review in older people prior to a potentially preventable
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psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice
April 06, 2011 - Commentary
Classic
Errors, incidents and accidents in anaesthetic practice.
Citation Text:
Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5…