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9821. Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients. | PSNet
      psnet.ahrq.gov/issue/impact-pharmacist-provided-medication-therapy-management-healthcare-quality-and-utilization
      November 16, 2022 - Study Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients. Citation Text: Haag JD, Davis AZ, Hoel RW, et al. Impact of Pharmacist-Provided Medication Therapy Management on Healthcare Quality and Utiliza…

9822. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/845971
      January 01, 2024 - Most research on computerized provider order entry (CPOE) has focused on its role in preventing medication … errors. … Most research on computerized provider order entry (CPOE) has focused on its role in preventing medication … errors.

9823. Four states with robust prescription drug monitoring programs reduced opioid dosages. | PSNet
      psnet.ahrq.gov/issue/four-states-robust-prescription-drug-monitoring-programs-reduced-opioid-dosages
      June 21, 2016 - June 23, 2021 ISMP medication error report analysis.

9824. Effect of different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute noncancer pain: a cluster randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/effect-different-interventions-help-primary-care-clinicians-avoid-unsafe-opioid-prescribing
      October 26, 2022 - June 22, 2022 ISMP medication error report analysis.

9825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38686/psn-pdf
      May 07, 2018 - Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 21, 2009;14:1-3. https://psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways- prevent-mix-ups This article shar…

9826. Piloting a patient safety and quality improvement co-curriculum. | PSNet
      psnet.ahrq.gov/issue/piloting-patient-safety-and-quality-improvement-co-curriculum
      March 22, 2023 - Commentary Piloting a patient safety and quality improvement co-curriculum. Citation Text: Kroker-Bode C, Whicker SA, Pline ER, et al. Piloting a patient safety and quality improvement co-curriculum. J Community Hosp Intern Med Perspect. 2017;7(6):351-357. doi:10.1080/20009666.2017.14038…

9827. Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. | PSNet
      psnet.ahrq.gov/issue/identifying-barriers-effective-use-clinical-reminders-bootstrapping-multiple-methods
      March 11, 2011 - Study Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. Citation Text: Patterson ES, Doebbeling BN, Fung CH, et al. Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. J Biomed Inform. 2005;38(3):…

9828. Interruptions and distractions in healthcare: review and reappraisal. | PSNet
      psnet.ahrq.gov/issue/interruptions-and-distractions-healthcare-review-and-reappraisal
      January 19, 2011 - Review Classic Interruptions and distractions in healthcare: review and reappraisal. Citation Text: Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2…

9829. Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport. | PSNet
      psnet.ahrq.gov/issue/pediatric-transport-safety-collaborative-adverse-events-parental-presence-during-pediatric
      December 09, 2020 - Study Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport. Citation Text: Ali A, Miller MR, Cameron S, et al. Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical car…

9830. The many faces of error disclosure: a common set of elements and a definition. | PSNet
      psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition
      December 16, 2009 - Study Classic The many faces of error disclosure: a common set of elements and a definition. Citation Text: Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):75…

9831. Apologies following an adverse medical event: the importance of focusing on the consumer's needs. | PSNet
      psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs
      June 27, 2011 - Study Apologies following an adverse medical event: the importance of focusing on the consumer's needs. Citation Text: Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):10…

9832. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. | PSNet
      psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post-acute-rehabilitation
      March 16, 2022 - Study New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Citation Text: Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-3…

9833. Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. | PSNet
      psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care
      February 18, 2009 - Study Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. Citation Text: Söderberg J, Grankvist K, Brulin C, et al. Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health …

9834. The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. | PSNet
      psnet.ahrq.gov/issue/doctor-was-rude-toilets-are-dirty-utilizing-soft-signals-regulation-patient-safety
      October 06, 2021 - Study The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. Citation Text: Kok J, Wallenburg I, Leistikow I, et al. The doctor was rude, the toilets are dirty. Utilizing ‘soft signals’ in the regulation of patient safety. Safety Sci. 20…

9835. Patterns of error in interpretive pathology. | PSNet
      psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
      April 07, 2021 - Study Patterns of error in interpretive pathology. Citation Text: Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

9836. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. | PSNet
      psnet.ahrq.gov/issue/safety-measurement-and-monitoring-healthcare-framework-guide-clinical-teams-and-healthcare
      September 24, 2018 - Review Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. Citation Text: Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and health…

9837. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. | PSNet
      psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance
      August 25, 2011 - Study Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Citation Text: Gallagher AG, Boyle E, Toner P, et al. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Arch Surg. 2011;146(4):419-26.…

9838. Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. | PSNet
      psnet.ahrq.gov/issue/missed-acute-coronary-syndrome-during-telephone-triage-out-hours-primary-care-lessons-case
      March 11, 2020 - Study Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. Citation Text: Erkelens DC, Rutten FH, Wouters LT, et al. Missed Acute Coronary Syndrome During Telephone Triage at Out-of-Hours Primary Care. J Patient Saf. 2022…

9839. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. | PSNet
      psnet.ahrq.gov/issue/use-appreciative-inquiry-approach-improve-resident-sign-out-era-multiple-shift-changes
      December 27, 2014 - Study Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. Citation Text: Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2…

9840. A comparative review of patient safety initiatives for national health information technology. | PSNet
      psnet.ahrq.gov/issue/comparative-review-patient-safety-initiatives-national-health-information-technology
      November 03, 2015 - Review A comparative review of patient safety initiatives for national health information technology. Citation Text: Magrabi F, Aarts J, Nohr C, et al. A comparative review of patient safety initiatives for national health information technology. Int J Med Inform. 2013;82(5):e139-48. d…