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psnet.ahrq.gov/issue/use-color-coded-patient-wristbands-creates-unnecessary-risk
November 28, 2018 - July 24, 2013
Perioperative medication errors: uncovering risk from behind the drapes
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psnet.ahrq.gov/issue/do-no-harm-hospital-care-las-vegas
October 02, 2013 - March 24, 2016
Successful remediation of patient safety incidents: a tale of two medication … errors.
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psnet.ahrq.gov/node/50630/psn-pdf
November 06, 2019 - Non-dispensing pharmacists' actions and solutions of
drug therapy problems among elderly polypharmacy
patients in primary care.
November 6, 2019
Hazen ACM, Zwart DLM, Poldervaart JM, et al. Non-dispensing pharmacists' actions and solutions of drug
therapy problems among elderly polypharmacy patients in primary car…
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psnet.ahrq.gov/node/35928/psn-pdf
June 09, 2011 - Clinical pharmacists and inpatient medical care: a
systematic review.
June 9, 2011
Kaboli PJ, Hoth AB, McClimon BJ, et al. Clinical pharmacists and inpatient medical care: a systematic
review. Arch Intern Med. 2006;166(9):955-64.
https://psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systemat…
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digital.ahrq.gov/location/usa-il-evanston
January 01, 2023 - USA, IL, Evanston
Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems
Description
This research implemented indication alerts, which occur when an ordered or prescribed medication lacks a corresponding problem on the patient’s problem list. Th…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - Patient Safety Primer: Medication Errors
https://psnet.ahrq.gov/primers/primer/23
A growing evidence … Strategies
Patient Safety Primer: Checklists
Patient Safety Primer: Culture of Safety
Patient Safety Primer: Medication … Errors
Patient Safety Primer: Missed Nursing Care
Patient Safety Primer: Voluntary Patient Safety Event
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digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
January 01, 2020 - The overall study goal is to improve medication administration workflow and reduce medication errors.
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psnet.ahrq.gov/issue/disclosing-medical-errors-views-united-states-and-united-kingdom
September 23, 2020 - September 28, 2017
Medication errors in neonatal and paediatric intensive-care units.
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psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm
January 15, 2020 - Study
Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital.
Citation Text:
Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in…
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psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
July 01, 2016 - Study
Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error?
Citation Text:
Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they wo…
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psnet.ahrq.gov/issue/associations-between-healthcare-environment-design-and-adverse-events-intensive-care-unit
August 17, 2022 - Study
Associations between healthcare environment design and adverse events in intensive care unit.
Citation Text:
Sundberg F, Fridh I, Lindahl B, et al. Associations between healthcare environment design and adverse events in intensive care unit. Nurs Crit Care. 2020;26(2):86-93. doi:1…
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psnet.ahrq.gov/issue/difficult-diagnosis-icu-making-right-call-beware-uncertainty-and-bias
May 19, 2021 - Review
Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias.
Citation Text:
Pisciotta W, Arina P, Hofmaenner D, et al. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Anaesthesia. 2023;78(4):501-509. doi:10.1111/anae…
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psnet.ahrq.gov/issue/nurses-experience-decision-making-processes-missed-nursing-care-qualitative-study
May 11, 2022 - Study
The nurse's experience of decision-making processes in missed nursing care: a qualitative study.
Citation Text:
Abdelhadi N, Drach‐Zahavy A, Srulovici E. The nurse’s experience of decision‐making processes in missed nursing care: a qualitative study. J Adv Nurs. 2020;76(8):2161-217…
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psnet.ahrq.gov/issue/patient-and-family-reporting-system-perceived-ambulatory-note-mistakes-experience-3-us
June 06, 2018 - Study
A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers.
Citation Text:
Bourgeois FC, Fossa A, Gerard M, et al. A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcar…
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psnet.ahrq.gov/issue/diagnostic-error-among-vulnerable-populations-presenting-emergency-department-cardiovascular
March 16, 2022 - Review
Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review.
Citation Text:
Herasevich S, Soleimani J, Huang C, et al. Diagnostic error among vulnerable populations prese…
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psnet.ahrq.gov/issue/how-does-audit-and-feedback-influence-intentions-health-professionals-improve-practice
February 14, 2024 - Study
How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation.
Citation Text:
Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence intentions of…
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psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
October 12, 2016 - Study
Safety incidents in the primary care office setting.
Citation Text:
Rees P, Edwards A, Panesar S, et al. Safety incidents in the primary care office setting. Pediatrics. 2015;135(6):1027-35. doi:10.1542/peds.2014-3259.
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Format:
DOI Google Scholar PubMed B…
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psnet.ahrq.gov/issue/measuring-experiences-and-outcomes-patient-safety-primary-care-systematic-review-available
April 25, 2018 - Review
Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments.
Citation Text:
Ricci-Cabello I, Gonçalves DC, Rojas-García A, et al. Measuring experiences and outcomes of patient safety in primary care: a systematic review of ava…
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psnet.ahrq.gov/issue/impact-electronic-health-record-alert-inappropriate-prescribing-high-risk-medications
August 25, 2021 - Study
Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders.
Citation Text:
Smith K, Durant KM, Zimmerman C. Impact of an electronic health record alert on inappropriate prescribing of high-risk …
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psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse
June 18, 2008 - Study
Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes.
Citation Text:
Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Arch Sur…