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psnet.ahrq.gov/issue/improving-medication-administration-safety-using-naive-observation-assess-practice-and-guide
October 06, 2016 - Study
Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes.
Citation Text:
Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve observation to assess practice and g…
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psnet.ahrq.gov/issue/exploring-error-team-based-acute-care-scenarios-observational-study-united-kingdom
November 02, 2011 - Study
Exploring error in team-based acute care scenarios: an observational study from the United Kingdom.
Citation Text:
Tallentire VR, Smith SE, Skinner J, et al. Exploring error in team-based acute care scenarios: an observational study from the United kingdom. Acad Med. 2012;87(6):79…
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psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
October 19, 2022 - Commentary
A lethal hidden curriculum—death of a medical student from opioid use disorder.
Citation Text:
Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537.
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psnet.ahrq.gov/issue/medication-errors-prospective-cohort-study-hand-written-and-computerised-physician-order
March 06, 2013 - Study
Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit.
Citation Text:
Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order …
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psnet.ahrq.gov/issue/racism-pain-medicine-we-can-and-should-do-more
December 15, 2008 - Commentary
Racism in pain medicine: we can and should do more.
Citation Text:
Strand NH, Mariano ER, Goree JH, et al. Racism in pain medicine: we can and should do more. Mayo Clin Proc. 2021;96(6):1394-1400. doi:10.1016/j.mayocp.2021.02.030.
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psnet.ahrq.gov/issue/sustaining-and-spreading-reduction-adverse-drug-events-multicenter-collaborative
November 16, 2022 - Study
Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.
Citation Text:
Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Pediatrics. 2011;128(2):e438-45. doi:10.1542…
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psnet.ahrq.gov/issue/perceptions-nurses-towards-barriers-safe-administration-medicines-mental-health-settings
October 30, 2013 - Study
The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings.
Citation Text:
Hemingway S, McCann T, Baxter H, et al. The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings. Int J N…
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psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-reported-fda
May 01, 2019 - Study
More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA.
Citation Text:
Lyell D, Wang Y, Coiera E, et al. More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. J Am Med Inform…
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psnet.ahrq.gov/issue/computerised-provider-order-entry-combined-clinical-decision-support-systems-improve
March 20, 2013 - Review
Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review.
Citation Text:
Ranji SR, Rennke S, Wachter R. Computerised provider order entry combined with clinical decision support systems to improve medication…
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psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation
September 23, 2020 - Study
A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system.
Citation Text:
Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconcili…
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psnet.ahrq.gov/issue/nurse-leader-perspectives-and-experiences-caregiver-support-following-serious-medical-error
March 06, 2024 - Study
Nurse leader perspectives and experiences on caregiver support following a serious medical error.
Citation Text:
Prothero MM, Sorhus M, Huefner K. Nurse leader perspectives and experiences on caregiver support following a serious medical error. J Nurs Adm. 2024;54(12):664-669. doi:…
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psnet.ahrq.gov/issue/building-physician-work-hour-regulations-first-principles-and-best-evidence
April 24, 2018 - Commentary
Building physician work hour regulations from first principles and best evidence.
Citation Text:
Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence. JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197.
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psnet.ahrq.gov/issue/chemotherapy-errors-call-standardized-approach-measurement-and-reporting
October 28, 2020 - Commentary
Chemotherapy errors: a call for a standardized approach to measurement and reporting.
Citation Text:
Lennes IT, Bohlen N, Park ER, et al. Chemotherapy Errors: A Call for a Standardized Approach to Measurement and Reporting. J Oncol Pract. 2016;12(4):e495-501. doi:10.1200/JOP.2…
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2011
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration—2011. American Journal of H…
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psnet.ahrq.gov/issue/mature-rapid-response-system-and-potentially-avoidable-cardiopulmonary-arrests-hospital
July 20, 2022 - Study
Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital.
Citation Text:
Galhotra S, DeVita MA, Simmons RL, et al. Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. Qual Saf Health Care. 2007;16(4):260-26…
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psnet.ahrq.gov/issue/misuse-abuse-and-medication-errors-adverse-events-associated-opioids-systematic-review
January 15, 2025 - Review
Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review.
Citation Text:
Gustafsson M, Silva V, Valeiro C, et al. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Pharmaceuticals (Basel). 2024…
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psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system
April 19, 2023 - Book/Report
Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah.
Citation Text:
Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. Washington, DC: Department of Vet…
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psnet.ahrq.gov/issue/increasing-patient-clinician-concordance-about-medical-error-disclosure-through-patient-tips
November 28, 2016 - Study
Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model.
Citation Text:
Martinez W, Browning D, Varrin P, et al. Increasing Patient-Clinician Concordance About Medical Error Disclosure Through the Patient TIPS Model. J Patient Saf. 201…
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psnet.ahrq.gov/issue/enculturation-unsafe-attitudes-and-behaviors-student-perceptions-safety-culture
October 31, 2012 - Study
Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture.
Citation Text:
Bowman C, Neeman N, Sehgal NL. Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Acad Med. 2013;88(6):802-10. doi:10.1097/ACM.0b013e31828fd4f…
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psnet.ahrq.gov/issue/which-adverse-events-and-which-drugs-are-implicated-drug-related-hospital-admissions
August 11, 2021 - Review
Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis.
Citation Text:
Haerdtlein A, Debold E, Rottenkolber M, et al. Which adverse events and which drugs are implicated in drug-related hospital admissions? A …