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8761. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36684/psn-pdf
      June 13, 2011 - Implementation of an electronic system for medication reconciliation. June 13, 2011 Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506. https://psnet.ahrq.gov/issue/implementation-elect…

8762. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44935/psn-pdf
      April 15, 2016 - Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta- analysis. April 15, 2016 Mekonnen AB, McLachlan AJ, Brien J-AE. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. J Clin Pharm Ther. 2016;41(2):12…

8763. Association of patient photographs and reduced retract-and-reorder events. | PSNet
      psnet.ahrq.gov/issue/association-patient-photographs-and-reduced-retract-and-reorder-events
      February 24, 2021 - Study Association of patient photographs and reduced retract-and-reorder events. Citation Text: Rzewnicki D, Kanvinde A, Gillespie S, et al. Association of patient photographs and reduced retract-and-reorder events. JAMIA Open. 2024;7(3):ooae042. doi:10.1093/jamiaopen/ooae042. Copy Cit…

8764. Blood sampling guidelines with focus on patient safety and identification—a review. | PSNet
      psnet.ahrq.gov/issue/blood-sampling-guidelines-focus-patient-safety-and-identification-review
      August 10, 2016 - Review Blood sampling guidelines with focus on patient safety and identification—a review. Citation Text: Cornes M, Ibarz M, Ivanov H, et al. Blood sampling guidelines with focus on patient safety and identification - a review. Diagnosis (Berl). 2019;6(1):33-37. doi:10.1515/dx-2018-0042.…

8765. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate. | PSNet
      psnet.ahrq.gov/issue/normal-neurologic-and-developmental-outcome-after-accidental-intravenous-infusion-expressed
      June 15, 2022 - Study Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate. Citation Text: Ryan A, Mohammad I, Murphy B. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk i…

8766. National efforts to improve health information system safety in Canada, the United States of America and England. | PSNet
      psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and
      July 14, 2009 - Review National efforts to improve health information system safety in Canada, the United States of America and England. Citation Text: Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and …

8767. The moderate success of quality of care improvement efforts: three observations on the situation. | PSNet
      psnet.ahrq.gov/issue/moderate-success-quality-care-improvement-efforts-three-observations-situation
      May 06, 2015 - Commentary The moderate success of quality of care improvement efforts: three observations on the situation. Citation Text: Katz-Navon T, Naveh E, Stern Z. The moderate success of quality of care improvement efforts: three observations on the situation. International Journal for Qualit…

8768. Impact of feeling responsible for adverse events on doctors' personal and professional lives: the importance of being open to criticism from colleagues. | PSNet
      psnet.ahrq.gov/issue/impact-feeling-responsible-adverse-events-doctors-personal-and-professional-lives-importance
      March 13, 2013 - Study Impact of feeling responsible for adverse events on doctors' personal and professional lives: the importance of being open to criticism from colleagues. Citation Text: Aasland OG, Førde R. Impact of feeling responsible for adverse events on doctors' personal and professional live…

8769. Deaths following prehospital safety incidents: an analysis of a national database. | PSNet
      psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database
      October 03, 2018 - Study Deaths following prehospital safety incidents: an analysis of a national database. Citation Text: Yardley I, Donaldson LJ. Deaths following prehospital safety incidents: an analysis of a national database. Emerg Med J. 2016;33(10):716-721. doi:10.1136/emermed-2015-204724. Copy Ci…

8770. Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. | PSNet
      psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
      December 20, 2023 - Study Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. Citation Text: Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;…

8771. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. | PSNet
      psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
      September 25, 2011 - Study Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Citation Text: Henderson KE, Recktenwald AJ, Reichley RM, et al. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Jt Comm J Qual Patient Saf.…

8772. Cognitive bias and dissonance in surgical practice: a narrative review. | PSNet
      psnet.ahrq.gov/issue/cognitive-bias-and-dissonance-surgical-practice-narrative-review
      June 25, 2018 - Review Cognitive bias and dissonance in surgical practice: a narrative review. Citation Text: Richburg CE, Dossett LA, Hughes TM. Cognitive bias and dissonance in surgical practice: a narrative review. Surg Clin North Am. 2023;103(2):271-285. doi:10.1016/j.suc.2022.11.003. Copy Citatio…

8773. Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. | PSNet
      psnet.ahrq.gov/issue/human-factors-and-quality-improvement-emergency-department-reducing-potential-errors-blood
      October 14, 2011 - Study Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. Citation Text: Bashkin O, Caspi S, Swissa A, et al. Human Factors and Quality Improvement in the Emergency Department: Reducing Potential Errors in Blood Collection. J …

8774. A system-wide hospital child maltreatment patient safety program. | PSNet
      psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
      September 15, 2021 - Study A system-wide hospital child maltreatment patient safety program. Citation Text: Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. Copy Citation Format: …

8775. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. | PSNet
      psnet.ahrq.gov/issue/real-malady-marcel-proust-and-what-it-reveals-about-diagnostic-errors-medicine
      September 27, 2022 - Commentary The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Citation Text: Douglas Y. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Med Hypotheses. 2016;90:14-8. doi:10.1016/j.mehy.2016.02.024. Copy Ci…

8776. Potentially inappropriate opioid prescribing, overdose, and mortality in Massachusetts, 2011–2015. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-opioid-prescribing-overdose-and-mortality-massachusetts-2011-2015
      January 23, 2019 - Study Potentially inappropriate opioid prescribing, overdose, and mortality in Massachusetts, 2011–2015. Citation Text: Rose AJ, Bernson D, Chui KKH, et al. Potentially Inappropriate Opioid Prescribing, Overdose, and Mortality in Massachusetts, 2011-2015. J Gen Intern Med. 2018;33(9):151…

8777. Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. | PSNet
      psnet.ahrq.gov/issue/financial-incentives-promote-health-care-quality-hospital-acquired-conditions-nonpayment
      November 08, 2023 - Commentary Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Citation Text: Kavanagh KT. Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Soc Work Public Health. 2011;26(5):52…

8778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38051/psn-pdf
      May 05, 2018 - Misprogramming PCA concentration leads to dosing errors. May 5, 2018 ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3. https://psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors This article describes dosing errors associated with improper concentration programming of…

8779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47127/psn-pdf
      June 05, 2018 - Incorporating medication indications into the prescribing process. June 5, 2018 Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.2146/ajhp170346. https://psnet.ahrq.gov/issue/incorporating-medication-indications-…

8780. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44533/psn-pdf
      April 25, 2016 - A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge. April 25, 2016 Caroff DA, Bittermann T, Leonard CE, et al. A Medical Resident-Pharmacist Collaboration Improves the Rate of Medication Reconciliation Verification at Discharge. Jt Comm J Qual Patie…