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  1. psnet.ahrq.gov/issue/evaluating-independent-double-checks-pediatric-intensive-care-unit-human-factors-engineering
    October 07, 2013 - Study Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. Citation Text: Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach…
  2. psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-overrides-intensive-care
    August 17, 2018 - Study Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit. Citation Text: Wong A, Rehr C, Seger DL, et al. Evaluation of Harm Associated with High Dose-Range Clinical Decision Support Overrides in the Intensive Care Unit. Drug…
  3. psnet.ahrq.gov/issue/clinical-and-safety-impact-inpatient-pharmacist-directed-anticoagulation-service
    September 23, 2020 - Study Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. Citation Text: Schillig J, Kaatz S, Hudson M, et al. Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. J Hosp Med. 2011;6(6):322-8. doi:10.1002/jhm.910. …
  4. psnet.ahrq.gov/issue/eliciting-willingness-pay-prevent-hospital-medication-administration-errors-uk-contingent
    March 28, 2012 - Study Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey. Citation Text: Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a continge…
  5. psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors
    April 06, 2022 - Commentary Weight and size descriptors for drug dosing: too many options and too many errors. Citation Text: Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…
  6. psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and
    June 05, 2018 - Study Emerging Classic Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation. Citation Text: Rozenblum R, Rodriguez-Monguio R, Volk LA, et al. Using a machine learning system to identify an…
  7. psnet.ahrq.gov/issue/assessing-safety-electronic-health-records-national-longitudinal-study-medication-related
    July 29, 2020 - Study Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. Citation Text: Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decisio…
  8. psnet.ahrq.gov/issue/intervention-pharmacist-included-multidisciplinary-team-reduce-adverse-drug-event-qualitative
    February 12, 2020 - Review Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a qualitative systematic review. Citation Text: Zaij S, Pereira Maia K, Leguelinel-Blache G, et al. Intervention of pharmacist included in multidisciplinary team to reduce adverse drug even…
  9. psnet.ahrq.gov/issue/evaluation-medication-related-clinical-decision-support-alert-overrides-intensive-care-unit
    July 02, 2019 - Study Evaluation of medication-related clinical decision support alert overrides in the intensive care unit. Citation Text: Wong A, Amato MG, Seger DL, et al. Evaluation of medication-related clinical decision support alert overrides in the intensive care unit. J Crit Care. 2017;39:156-1…
  10. psnet.ahrq.gov/issue/higher-ground-ethical-reasoning-and-its-relationship-error-disclosure
    July 08, 2020 - Study On higher ground: ethical reasoning and its relationship with error disclosure. Citation Text: Cole AP, Block L, Wu AW. On higher ground: ethical reasoning and its relationship with error disclosure. BMJ Qual Saf. 2013;22(7):580-585. doi:10.1136/bmjqs-2012-001496. Copy Citation…
  11. psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
    May 15, 2013 - Review The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. Citation Text: van Rosse F, Maat B, Rademaker CMA, et al. The effect of computerized physician order entry on medication …
  12. psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital-inpatients
    October 22, 2014 - Study Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals. Citation Text: Ashcroft DM, Lewis PJ, Tully MP, et al. Prevalence, Nature, Severity and Risk Factors for Prescribing Errors in Hospital Inpatients: Pro…
  13. psnet.ahrq.gov/issue/identifying-and-reducing-medication-errors-psychiatry-creating-culture-safety-through-use
    September 27, 2017 - Study Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism. Citation Text: Jayaram G, Doyle D, Steinwachs D, et al. Identifying and reducing medication errors in psychiatry: creating a culture of sa…
  14. psnet.ahrq.gov/issue/results-effort-integrate-quality-and-safety-medical-and-nursing-school-curricula-and-foster
    September 08, 2021 - Study Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. Citation Text: Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and nursing school curricula and fos…
  15. psnet.ahrq.gov/issue/medical-errors-during-training-how-do-residents-cope-descriptive-study
    October 13, 2021 - Study Medical errors during training: how do residents cope?: a descriptive study. Citation Text: Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1. Copy Cit…
  16. psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during-oncology
    October 30, 2024 - Study Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. Citation Text: Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implement…
  17. psnet.ahrq.gov/issue/physician-order-entry-or-nurse-order-entry-comparison-two-implementation-strategies
    February 23, 2009 - Study Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. Citation Text: Kazemi A, Fors UGH, Tofighi S, et al. Physician order entry or nurse order entry? Comparison of…
  18. psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals
    February 17, 2021 - Study Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Citation Text: Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Am J Health Syst Pharm. 2010;6…
  19. psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
    May 01, 2004 - Study Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill. Citation Text: Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovat…
  20. psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication
    March 17, 2021 - Study The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. Citation Text: Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…

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