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psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol
October 19, 2022 - Study
Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors.
Citation Text:
MacMaster HW, Gonzalez S, Maruoka A, et al. Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning…
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psnet.ahrq.gov/issue/coronavirus-can-california-prison-save-itself-covid-19
July 01, 2020 - Newspaper/Magazine Article
Coronavirus: can this California prison save itself from Covid-19?
Citation Text:
Honderich H, Popat S. Coronavirus: Can this California prison save itself from Covid-19? BBC News, Washington. 2020;Jul 27.
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psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children
September 28, 2010 - Study
Preventable harm occurring to critically ill children.
Citation Text:
Larsen G, Donaldson AE, Parker HB, et al. Preventable harm occurring to critically ill children. Pediatr Crit Care Med. 2007;8(4):331-336.
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psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-prescribing-us-nursing-homes-2013-2017
March 27, 2024 - Study
Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017.
Citation Text:
Riester MR, Goyal P, Steinman MA, et al. Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. J Gen Intern Med. 2023;38(6):1563-15…
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psnet.ahrq.gov/issue/prospective-validation-classification-intraoperative-adverse-events-classintra-international
November 20, 2015 - Study
Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study.
Citation Text:
Dell-Kuster S, Gomes NV, Gawria L, et al. Prospective validation of classification of intraoperative adverse events (ClassIntra): internat…
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psnet.ahrq.gov/issue/honesty-and-transparency-indispensable-clinical-mission-parts-i-iii
November 11, 2020 - Commentary
Honesty and transparency, indispensable to the clinical mission--Parts I-III.
Citation Text:
Brenner MJ, Boothman RC, Rushton CH, et al. Honesty and Transparency, Indispensable to the Clinical Mission—Parts I - III. Otolaryngol Clin North Am. 2021;55(1):43-103. doi:10.1016/j.o…
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psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-maternal-event
December 15, 2021 - Organizational Policy/Guidelines
National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event.
Citation Text:
Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event…
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psnet.ahrq.gov/issue/frequency-and-nature-medication-errors-and-adverse-drug-events-mental-health-hospitals
August 11, 2021 - Review
Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review.
Citation Text:
Alshehri GH, Keers RN, Ashcroft DM. Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. …
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psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
July 29, 2015 - Study
Patient perceptions of mistakes in ambulatory care.
Citation Text:
Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288.
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psnet.ahrq.gov/issue/teamwork-climate-safety-climate-and-physician-burnout-national-cross-sectional-study
October 26, 2022 - Study
Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study.
Citation Text:
Rotenstein L, Wang H, West CP, et al. Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. Jt Comm J Qual Patient Saf. 2024;50(6):458-46…
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psnet.ahrq.gov/issue/influence-socioeconomic-bias-emergency-medicine-resident-decision-making-and-patient-care
March 02, 2022 - Study
Influence of socioeconomic bias on emergency medicine resident decision making and patient care.
Citation Text:
Fasano HT, McCarter MSJ, Simonis JM, et al. Influence of socioeconomic bias on emergency medicine resident decision making and patient care. Simul Healthc. 2021;6(2):85-9…
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psnet.ahrq.gov/issue/identifying-potential-medication-discrepancies-during-medication-reconciliation-post-acute
June 17, 2020 - Study
Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting.
Citation Text:
Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Sett…
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psnet.ahrq.gov/issue/design-and-implementation-application-and-associated-services-support-interdisciplinary
February 15, 2011 - Study
Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.
Citation Text:
Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and …
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psnet.ahrq.gov/issue/comprehensive-quality-assurance-program-personnel-and-procedures-radiation-oncology-value
November 18, 2020 - Study
A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists.
Citation Text:
Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and procedures in …
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psnet.ahrq.gov/issue/device-use-errors-among-patients-asthma-and-copd-and-role-training-real-life-study
June 22, 2022 - Study
Device use errors among patients with asthma and COPD and the role of training: a real-life study.
Citation Text:
Papaioannou AI, Bartziokas K, Hillas G, et al. Device use errors among patients with asthma and COPD and the role of training: a real-life study. Postgrad Med. 2021;133…
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psnet.ahrq.gov/issue/delivery-safe-and-effective-test-result-communication-management-and-follow
August 19, 2020 - Study
The delivery of safe and effective test result communication, management and follow-up.
Citation Text:
Georgiou A, Li J, Thomas J, et al. The delivery of safe and effective test result communication, management and follow-up. Public Health Res Pract. 2023;33(3):e3332324. doi:10.170…
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psnet.ahrq.gov/issue/quality-and-safety-implications-emergency-department-information-systems
November 30, 2012 - Commentary
Quality and safety implications of emergency department information systems.
Citation Text:
Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.201…
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psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge
April 24, 2018 - Study
The effect of a clinical decision support for pending laboratory results at emergency department discharge.
Citation Text:
Driver BE, Scharber SK, Fagerstrom ET, et al. The Effect of a Clinical Decision Support for Pending Laboratory Results at Emergency Department Discharge. J Eme…
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psnet.ahrq.gov/issue/measuring-rate-manual-transcription-error-outpatient-point-care-testing
August 20, 2018 - Study
Measuring the rate of manual transcription error in outpatient point-of-care testing.
Citation Text:
Mays JA, Mathias PC. Measuring the rate of manual transcription error in outpatient point-of-care testing. J Am Med Inform Assoc. 2019;26(3):269-272. doi:10.1093/jamia/ocy170.
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psnet.ahrq.gov/issue/psychological-safety-new-acgme-requirement-comprehensive-all-one-guide-radiology-residency
April 24, 2018 - Review
Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs.
Citation Text:
Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. A…