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psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-observational-study
April 24, 2018 - Study
Hospital admission medication reconciliation in medically complex children: an observational study.
Citation Text:
Stone BL, Boehme S, Mundorff MB, et al. Hospital admission medication reconciliation in medically complex children: an observational study. Arch Dis Child. 2009. doi…
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psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments
June 01, 2021 - Commentary
Reducing the incidence of retained surgical instrument fragments.
Citation Text:
Reece M, Troeleman ND, McGowan JE, et al. Reducing the incidence of retained surgical instrument fragments. AORN J. 2011;94(3):301-4. doi:10.1016/j.aorn.2011.05.014.
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psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
January 13, 2021 - Study
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Cost of medication-related problems at a university hospital.
Citation Text:
Cost of medication-related problems at a university hospital. Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE
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psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
February 18, 2011 - Study
Weekend versus weekday admission and mortality from myocardial infarction.
Citation Text:
Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.…
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psnet.ahrq.gov/issue/assessing-clinical-handover-between-paramedics-and-trauma-team
January 19, 2011 - Study
Assessing clinical handover between paramedics and the trauma team.
Citation Text:
Evans S, Murray A, Patrick I, et al. Assessing clinical handover between paramedics and the trauma team. Injury. 2010;41(5):460-4. doi:10.1016/j.injury.2009.07.065.
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psnet.ahrq.gov/issue/admission-handoff-communications-clinicians-shared-understanding-patient-severity-illness-and
May 31, 2017 - Study
Admission handoff communications: clinician's shared understanding of patient severity of illness and problems.
Citation Text:
Brannen M, Cameron KA, Adler MD, et al. Admission Handoff Communications. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181c029e5.
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psnet.ahrq.gov/issue/high-fidelity-simulation-and-safety-integrative-review
September 09, 2015 - Review
High-fidelity simulation and safety: an integrative review.
Citation Text:
Shearer JE. High-fidelity simulation and safety: an integrative review. J Nurs Edu. 2013;52(1):39-45. doi:10.3928/01484834-20121121-01.
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psnet.ahrq.gov/issue/relationship-between-high-fidelity-simulation-and-patient-safety-prelicensure-nursing
October 19, 2022 - Review
Relationship between high-fidelity simulation and patient safety in prelicensure nursing education: a comprehensive review.
Citation Text:
Blum CA, Parcells DA. Relationship between high-fidelity simulation and patient safety in prelicensure nursing education: a comprehensive re…
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psnet.ahrq.gov/issue/primary-medication-non-adherence-analysis-195930-electronic-prescriptions
July 27, 2016 - Study
Primary medication non-adherence: analysis of 195,930 electronic prescriptions.
Citation Text:
Fischer MA, Stedman MR, Lii J, et al. Primary medication non-adherence: analysis of 195,930 electronic prescriptions. J Gen Intern Med. 2010;25(4):284-90. doi:10.1007/s11606-010-1253-9.…
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psnet.ahrq.gov/issue/promethazine-adverse-events-after-implementation-medication-shortage-interchange
October 26, 2010 - Study
Promethazine adverse events after implementation of a medication shortage interchange.
Citation Text:
Sheth HS, Verrico MM, Skledar S, et al. Promethazine adverse events after implementation of a medication shortage interchange. Ann Pharmacother. 2005;39(2):255-61.
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psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help-prevent-diagnostic-errors
December 02, 2020 - Commentary
Can electronic clinical documentation help prevent diagnostic errors?
Citation Text:
Schiff G, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? New Engl J Med. 2010;362(12):1066-1069. doi:10.1056/NEJMp0911734.
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psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
December 31, 2014 - Study
Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors.
Citation Text:
Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…
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psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions-among-health-care
September 27, 2017 - Study
Individual and team-based medical error disclosure: dialectical tensions among health care providers.
Citation Text:
Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;2…
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psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
July 02, 2019 - Commentary
Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model.
Citation Text:
Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J H…
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psnet.ahrq.gov/issue/using-plan-do-study-act-transform-simulation-center
March 13, 2024 - Commentary
Using Plan Do Study Act to transform a simulation center.
Citation Text:
Murphy JI. Using Plan Do Study Act to Transform a Simulation Center. Clin Simul Nurs. 2012;9(7). doi:10.1016/j.ecns.2012.03.002.
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psnet.ahrq.gov/issue/improving-communication-emergency-department
September 09, 2009 - Study
Improving communication in the emergency department.
Citation Text:
Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623.
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psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
March 13, 2024 - Commentary
Diagnostic overshadowing in dentistry.
Citation Text:
Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x.
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psnet.ahrq.gov/issue/epidemiology-prescribing-errors-potential-impact-computerized-prescriber-order-entry
May 04, 2010 - Study
The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry.
Citation Text:
Bobb A, Gleason KM, Husch M, et al. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Arch Intern Med. 2004;164(7…
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psnet.ahrq.gov/issue/evaluation-parenteral-nutrition-errors-era-drug-shortages
October 02, 2013 - Study
Evaluation of parenteral nutrition errors in an era of drug shortages.
Citation Text:
Storey MA, Weber RJ, Besco K, et al. Evaluation of Parenteral Nutrition Errors in an Era of Drug Shortages. Nutr Clin Pract. 2016;31(2):211-7. doi:10.1177/0884533615608820.
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psnet.ahrq.gov/issue/evaluating-physician-performance-individualizing-care-pilot-study-tracking-contextual-errors
September 20, 2011 - Study
Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in medical decision making.
Citation Text:
Weiner SJ, Schwartz A, Yudkowsky R, et al. Evaluating physician performance at individualizing care: a pilot study tracking contextual err…