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psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
April 01, 2015 - Study
Retrospective analysis of medication incidents reported using an on-line reporting system.
Citation Text:
Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-…
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psnet.ahrq.gov/issue/effect-multifaceted-clinical-pharmacist-intervention-medication-safety-after-hospitalization
April 28, 2021 - Study
Emerging Classic
Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.
Citation Text:
Gurwitz JH, Kapoor A, Garber L, et al. Effect of …
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psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
October 16, 2013 - Book/Report
National Action Plan for Adverse Drug Event Prevention.
Citation Text:
National Action Plan for Adverse Drug Event Prevention. Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health and Human Services; September 2014.
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psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams
April 08, 2020 - Press Release/Announcement
Wear face masks with no metal during MRI exams.
Citation Text:
Wear face masks with no metal during MRI exams. FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020.
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psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review
July 27, 2022 - Review
The impact of the built environment on patient falls in hospital rooms: an integrative review.
Citation Text:
Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi…
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psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
November 24, 2021 - Study
Intraoperative patient information handover between anesthesia providers.
Citation Text:
Choromanski D, Frederick J, McKelvey GM, et al. Intraoperative patient information handover between anesthesia providers. J Biomed Res. 2014;28(5):383-387. doi:10.7555/JBR.28.20140001.
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psnet.ahrq.gov/issue/preoperative-multidisciplinary-team-huddle-improves-communication-and-safety-unscheduled
October 19, 2022 - Study
Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science.
Citation Text:
Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication and …
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psnet.ahrq.gov/issue/maintaining-perioperative-safety-uncertain-times-covid-19-pandemic-response-strategies
December 23, 2020 - Commentary
Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies.
Citation Text:
Mazzola SM, Grous C. Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. AORN J. 2020;112(4):397-405. doi:10.1002/aorn.13195.
Co…
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psnet.ahrq.gov/issue/survival-hospital-cardiac-arrest-during-nights-and-weekends
February 18, 2011 - Study
Survival from in-hospital cardiac arrest during nights and weekends.
Citation Text:
Peberdy MA, Ornato JP, Larkin L, et al. Survival from in-hospital cardiac arrest during nights and weekends. JAMA. 2008;299(7):785-92. doi:10.1001/jama.299.7.785.
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psnet.ahrq.gov/issue/medication-safety-psychiatric-hospital
September 27, 2017 - Study
Medication safety in a psychiatric hospital.
Citation Text:
Rothschild JM, Mann K, Keohane C, et al. Medication safety in a psychiatric hospital. Gen Hosp Psychiatry. 2007;29(2):156-62.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…
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psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid
August 05, 2015 - Commentary
National Action Plan for Adverse Drug Event Prevention: recommendations for safer outpatient opioid use.
Citation Text:
Ducoffe AR, York A, Hu DJ, et al. National Action Plan for Adverse Drug Event Prevention: Recommendations for Safer Outpatient Opioid Use. Pain Med. 2016;17(…
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psnet.ahrq.gov/issue/patient-assessments-hypothetical-medical-error-effects-health-outcome-disclosure-and-staff
February 24, 2011 - Study
Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness.
Citation Text:
Cleopas A, Villaveces A, Charvet A, et al. Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff re…
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psnet.ahrq.gov/issue/beyond-prescription-medication-monitoring-and-adverse-drug-events-older-adults
August 04, 2021 - Commentary
Beyond the prescription: medication monitoring and adverse drug events in older adults.
Citation Text:
Steinman MA, Handler S, Gurwitz JH, et al. Beyond the prescription: medication monitoring and adverse drug events in older adults. J Am Geriatr Soc. 2011;59(8):1513-1520. d…
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psnet.ahrq.gov/issue/assessment-simulated-case-based-measurement-physician-diagnostic-performance
May 20, 2019 - Study
Assessment of a simulated case-based measurement of physician diagnostic performance.
Citation Text:
Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006. doi:10.1001/jamanetw…
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psnet.ahrq.gov/issue/value-assessment-deprescribing-interventions-suggestions-improvement
August 04, 2021 - Commentary
Value assessment of deprescribing interventions: suggestions for improvement.
Citation Text:
Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298.
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psnet.ahrq.gov/issue/overview-methicillin-resistant-staphylococcus-aureus-mrsa-related-adult-inpatient-stays-2016
December 11, 2024 - Book/Report
Overview of Methicillin-Resistant Staphylococcus aureus (MRSA)-Related Adult Inpatient Stays, 2016–2021. HCUP Statistical Brief #315.
Citation Text:
Miller MA, Owens P, Kim J, et al. Overview Of Methicillin-Resistant Staphylococcus Aureus (Mrsa)-Related Adult Inpatient Stays,…
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psnet.ahrq.gov/issue/sensemaking-and-learning-during-covid-19-pandemic-complex-adaptive-systems-perspective-policy
September 30, 2020 - Commentary
Sensemaking and learning during the Covid-19 pandemic: a complex adaptive systems perspective on policy decision-making.
Citation Text:
Angeli F, Montefusco A. Sensemaking and learning during the Covid-19 pandemic: a complex adaptive systems perspective on policy decision-maki…
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psnet.ahrq.gov/issue/using-situ-simulation-identify-latent-safety-threats-emergency-medicine-systematic-review
November 03, 2015 - Review
Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review.
Citation Text:
Grace MA, O'Malley R. Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. Simul Healthc. 2023;19(4):243-253. doi…
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psnet.ahrq.gov/node/867804/psn-pdf
February 26, 2025 - In the Harvard Medical Practice Study, nurses and medical records analysts screened
31,429 records from
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psnet.ahrq.gov/node/33817/psn-pdf
October 01, 2016 - A data analyst who is not comfortable seeking out nurses, pharmacists, or laboratory
technicians would