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psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
April 24, 2018 - Study
Frequency of failure to inform patients of clinically significant outpatient test results.
Citation Text:
Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10…
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psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
February 15, 2023 - Study
Association of current opioid use with serious adverse events among older adult survivors of breast cancer.
Citation Text:
Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open.…
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psnet.ahrq.gov/issue/user-testing-guidelines-improve-safety-intravenous-medicines-administration-randomised-situ
November 16, 2022 - Study
User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study.
Citation Text:
Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised i…
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psnet.ahrq.gov/issue/exploring-role-guidelines-contributing-medication-errors-descriptive-analysis-national
November 16, 2022 - Study
Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data.
Citation Text:
Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of …
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psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
March 22, 2023 - Study
Duplicate medication order errors: safety gaps and recommendations for improvement.
Citation Text:
Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6.
Co…
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psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k
April 13, 2022 - Study
Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls.
Citation Text:
Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) …
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psnet.ahrq.gov/issue/promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles
July 31, 2019 - Study
Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan.
Citation Text:
Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication d…
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-among-older-persons-meta-analysis-observational-studies
May 27, 2020 - Review
Emerging Classic
Potentially inappropriate prescribing among older persons: a meta-analysis of observational studies.
Citation Text:
Liew TM, Lee CS, Shawn KLG, et al. Potentially Inappropriate Prescribing Among Older Persons: A Meta-Analysis of Observati…
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psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative
July 31, 2019 - Review
The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis.
Citation Text:
Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…
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psnet.ahrq.gov/issue/towards-understanding-and-improving-medication-safety-patients-mental-illness-primary-care
February 28, 2024 - Study
Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study.
Citation Text:
Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a…
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psnet.ahrq.gov/issue/determining-medication-errors-adult-intensive-care-unit
February 15, 2017 - Study
Determining medication errors in an adult intensive care unit.
Citation Text:
Castro R da NS de, Aguiar LB de, Volpe CRG, et al. Determining medication errors in an adult intensive care unit. Int J Environ Res Public Health. 2023;20(18):6788. doi:10.3390/ijerph20186788.
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psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
June 27, 2018 - Study
Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals.
Citation Text:
Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…
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psnet.ahrq.gov/issue/does-one-size-fit-all-developing-evaluation-strategy-assess-large-language-models-patient
December 07, 2022 - Study
Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis.
Citation Text:
Fong A, Adams KT, Boxley C, et al. Does one size fit all? Developing an evaluation strategy to assess large language models for patient …
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psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review-and-meta
February 03, 2021 - Review
National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies.
Citation Text:
Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a sys…
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psnet.ahrq.gov/issue/association-opioid-consumption-profiles-after-hospitalization-risk-adverse-health-care-events
May 05, 2021 - Study
Association of opioid consumption profiles after hospitalization with risk of adverse health care events.
Citation Text:
Kurteva S, Abrahamowicz M, Gomes T, et al. Association of opioid consumption profiles after hospitalization with risk of adverse health care events. JAMA Netw Op…
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psnet.ahrq.gov/issue/when-safety-event-reporting-seen-punitive-ive-been-psn-ed
September 02, 2020 - Study
When safety event reporting is seen as punitive: "I've been PSN-ed!"
Citation Text:
Feeser VR, Jackson AK, Savage NM, et al. When safety event reporting is seen as punitive: "I've been PSN-ed!". Ann Emerg Med. 2021;77(4):449-458. doi:10.1016/j.annemergmed.2020.06.048.
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psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
April 24, 2019 - Study
Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study.
Citation Text:
Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process a…
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psnet.ahrq.gov/issue/association-adverse-events-opioid-addiction-treatment-quality-measure-continuity
March 09, 2022 - Study
Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy.
Citation Text:
Liu Y, Becker A, Mattke S. Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy. J Health…
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psnet.ahrq.gov/issue/financial-incentives-reduce-hospital-acquired-infections-under-alternative-payment
September 29, 2017 - Study
Financial incentives to reduce hospital-acquired infections under alternative payment arrangements.
Citation Text:
Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 201…
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psnet.ahrq.gov/issue/patient-record-review-incidence-consequences-and-causes-diagnostic-adverse-events
July 02, 2014 - Study
Patient record review of the incidence, consequences, and causes of diagnostic adverse events.
Citation Text:
Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21…