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psnet.ahrq.gov/node/857454/psn-pdf
January 01, 2024 - Identifying and mapping measures of medication safety
during transfer of care in a digital era: a scoping literature
review.
December 6, 2023
Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care
in a digital era: a scoping literature review. BMJ Qual Saf. 2024;33(…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shachak-et-al-2009
January 01, 2009 - Shachak A et al. 2009 "Primary care physicians' use of an electronic medical record system: a cognitive task analysis."
Reference
Shachak A, Hadas-Dayagi M, Ziv A, et al. Primary care physicians use of an electronic medical record system: a cognitive task analysis. J Gen Intern Med 2009;24(3):341-348.…
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psnet.ahrq.gov/node/73389/psn-pdf
June 16, 2021 - Estimating the economic cost of nurse sensitive adverse
events amongst patients in medical and surgical settings.
June 16, 2021
Murphy A, Griffiths P, Duffield C, et al. Estimating the economic cost of nurse sensitive adverse events
amongst patients in medical and surgical settings. J Adv Nurs. 2021;77(8):3379-3388…
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psnet.ahrq.gov/node/37980/psn-pdf
October 28, 2009 - practice of double checking medicines before administration did not appear to effectively prevent
medication … errors.
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psnet.ahrq.gov/node/41431/psn-pdf
June 06, 2012 - health care information technology implementation, problems such as hospital-acquired infections and
medication … errors persist.
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psnet.ahrq.gov/node/42268/psn-pdf
May 15, 2013 - clinical-pharmacy-interventions-paediatric-electronic-prescriptions
Pharmacists frequently had to intervene to prevent medication … errors in a children's hospital, despite the
presence of a computerized provider order entry system
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psnet.ahrq.gov/node/38162/psn-pdf
October 22, 2008 - standardized protocol for administering intravenous medications was associated with a
reduction in medication … errors in intensive care unit patients.
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psnet.ahrq.gov/node/36393/psn-pdf
May 20, 2024 - Medication
errors were the highest recorded sentinel event in the latest period.
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psnet.ahrq.gov/node/33653/psn-pdf
June 01, 2007 - In response to "Failure to Report" (March 2007)
June 1, 2007
Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/response-failure-report-march-2007
In response to "Failure to Report" (March 2007)
Letter
To the editors:
Dr. Sp…
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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.
Copy Citation
Format…
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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/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/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/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/node/37528/psn-pdf
February 13, 2008 - Computer-assisted bar-coding system significantly
reduces clinical laboratory specimen identification errors
in a pediatric oncology hospital.
February 13, 2008
Hayden RT, Patterson DJ, Jay DW, et al. Computer-assisted bar-coding system significantly reduces
clinical laboratory specimen identification errors in a …
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psnet.ahrq.gov/issue/medical-error-disclosure-training-evidence-values-based-ethical-environments
October 15, 2016 - January 26, 2022
Spike in fatal medication errors at the beginning of each month.
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psnet.ahrq.gov/issue/fatigue-radiology-fertile-area-future-research
August 29, 2018 - April 19, 2011
Spike in fatal medication errors at the beginning of each month.
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psnet.ahrq.gov/issue/not-just-getting-factors-influencing-providers-choice-interpreters
August 23, 2023 - The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medication … errors in pharmacists during the COVID-19 pandemic.