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  1. psnet.ahrq.gov/issue/large-language-models-preventing-medication-direction-errors-online-pharmacies
    February 27, 2019 - Study Large language models for preventing medication direction errors in online pharmacies. Citation Text: Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8.…
  2. psnet.ahrq.gov/issue/strengthening-use-artificial-intelligence-within-healthcare-delivery-organizations-balancing
    September 18, 2024 - Commentary Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. Citation Text: Sendak MP, Liu VX, Beecy A, et al. Strengthening the use of artificial intelligence within healthcare delivery organiza…
  3. psnet.ahrq.gov/issue/framing-family-conversation-after-early-diagnosis-iatrogenic-injury-and-incidental-findings
    November 14, 2011 - Study Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Citation Text: Barrios L, Tsuda S, Derevianko A, et al. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Surg Endosc. 2009;23(11):2535-42…
  4. psnet.ahrq.gov/issue/understanding-procedural-violations-using-safety-i-and-safety-ii-case-community-pharmacies
    February 06, 2019 - Study Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. Citation Text: Jones CEL, Phipps D, Ashcroft DM. Understanding procedural violations using Safety-I and Safety-II: The case of community pharmacies. Saf Sci. 2018;105:114-120. doi:10…
  5. psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort-study
    August 04, 2021 - Study Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. Citation Text: Hudson CCC, McDonald B, Hudson JKC, et al. Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. J Cardiothorac Vasc Anesth. 2015;29(1)…
  6. psnet.ahrq.gov/issue/combining-ratings-multiple-physician-reviewers-helped-overcome-uncertainty-associated-adverse
    December 22, 2010 - Study Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. Citation Text: Forster AJ, O'Rourke K, Shojania KG, et al. Combining ratings from multiple physician reviewers helped to overcome the uncertainty a…
  7. psnet.ahrq.gov/issue/medication-reconciliation-comparing-customized-medication-history-form-standard-medication
    September 23, 2020 - Study Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2). Citation Text: Ryan GJ, Caudle JM, Rhee MK, et al. Medication reconciliation: comparing a customized medication history form to a standard medi…
  8. psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
    August 31, 2011 - Study Classic Hospital workload and adverse events. Citation Text: Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…
  9. psnet.ahrq.gov/issue/medication-reconciliation-barriers-and-facilitators-perspectives-resident-physicians-and
    October 23, 2024 - Study Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. Citation Text: Boockvar KS, Santos SL, Kushniruk AW, et al. Medication reconciliation: Barriers and facilitators from the perspectives of resident physicians and pha…
  10. psnet.ahrq.gov/issue/mislabeled-units-umbilical-cord-blood-detected-quality-assurance-program-transplantation
    October 19, 2022 - Study Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center. Citation Text: McCullough JS, McKenna D, Kadidlo D, et al. Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation cente…
  11. psnet.ahrq.gov/issue/long-working-hours-safety-and-health-toward-national-research-agenda
    November 16, 2022 - Review Long working hours, safety, and health: toward a national research agenda. Citation Text: Caruso CC, Bushnell T, Eggerth D, et al. Long working hours, safety, and health: toward a National Research Agenda. Am J Ind Med. 2006;49(11):930-42. Copy Citation Format: Googl…
  12. psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability
    September 20, 2011 - Study Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Citation Text: Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…
  13. psnet.ahrq.gov/issue/patterns-disrespectful-physician-behavior-academic-medical-center-implications-training
    June 14, 2023 - Study Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention, and remediation. Citation Text: Hopkins J, Hedlin H, Weinacker A, et al. Patterns of Disrespectful Physician Behavior at an Academic Medical Center: Implications for T…
  14. psnet.ahrq.gov/issue/safe-day-call-reducing-silos-health-care-through-frontline-risk-assessment
    May 25, 2016 - Commentary The safe day call: reducing silos in health care through frontline risk assessment. Citation Text: Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481. Copy…
  15. psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant
    August 03, 2017 - Commentary Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. Citation Text: Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health care delivery system: you ca…
  16. psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers
    February 16, 2011 - Study Rapid response systems in adult academic medical centers. Citation Text: Wood KA, Ranji SR, Ide B, et al. Rapid response systems in adult academic medical centers. Jt Comm J Qual Patient Saf. 2009;35(9):475-82, 437. Copy Citation Format: Google Scholar PubMed BibTeX E…
  17. psnet.ahrq.gov/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient
    January 26, 2022 - Commentary Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. Citation Text: John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13…
  18. psnet.ahrq.gov/issue/diagnostic-challenges-primary-care-identifying-and-avoiding-cognitive-bias
    November 03, 2021 - Commentary Diagnostic challenges in primary care: identifying and avoiding cognitive bias. Citation Text: Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380. Copy Citati…
  19. psnet.ahrq.gov/issue/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically
    May 26, 2011 - Study Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. Citation Text: Malone DC, Abarca J, Skrepnek GH, et al. Pharmacist workload and pharmacy characteristics associated with the dispensing of p…
  20. psnet.ahrq.gov/issue/comprehensive-analysis-medication-dosing-error-related-cpoe
    June 01, 2005 - Commentary Comprehensive analysis of a medication dosing error related to CPOE. Citation Text: Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740. Copy Citation Fo…

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