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  1. Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet

    psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk-national-patient
    December 02, 2009 - Study Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. Citation Text: Thomas AN, Panchagnula U. Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety…

  2. The CARE approach to reducing diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors
    November 06, 2013 - Commentary The CARE approach to reducing diagnostic errors. Citation Text: Rush JL, Helms SE, Mostow EN. The CARE approach to reducing diagnostic errors. Int J Dermatol. 2017;56(6):669-673. doi:10.1111/ijd.13532. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  3. Rounding to influence. | PSNet

    psnet.ahrq.gov/issue/rounding-influence
    February 22, 2010 - Newspaper/Magazine Article Rounding to influence. Citation Text: Reinertsen JL, Johnson KM. Rounding to influence. Leadership method helps executives answer the "hows" in patient safety initiatives. Healthcare executive. 2010;25(5):72-5. Copy Citation Format: Google Schol…

  4. Potentially inappropriate medications and adverse drug effects in elders in the ED. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-adverse-drug-effects-elders-ed
    December 23, 2020 - Study Potentially inappropriate medications and adverse drug effects in elders in the ED. Citation Text: Nixdorff N, Hustey FM, Brady AK, et al. Potentially inappropriate medications and adverse drug effects in elders in the ED. Am J Emerg Med. 2008;26(6):697-700. doi:10.1016/j.ajem.20…

  5. Usability study of two common defibrillators reveals hazards. | PSNet

    psnet.ahrq.gov/issue/usability-study-two-common-defibrillators-reveals-hazards
    June 16, 2009 - Study Usability study of two common defibrillators reveals hazards. Citation Text: Fairbanks RJ, Caplan SH, Bishop PA, et al. Usability Study of Two Common Defibrillators Reveals Hazards. Ann Emerg Med. 2007;50(4):424-432. doi:10.1016/j.annemergmed.2007.03.029. Copy Citation Form…

  6. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
    October 28, 2020 - Commentary Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Citation Text: Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…

  7. Injectable Opioid Shortages: Suggestions for Management and Conservation. | PSNet

    psnet.ahrq.gov/issue/injectable-opioid-shortages-suggestions-management-and-conservation
    May 20, 2020 - Fact Sheet/FAQs Injectable Opioid Shortages: Suggestions for Management and Conservation. Citation Text: Injectable Opioid Shortages: Suggestions for Management and Conservation. University of Utah Drug Information Service; ASHP; American Society of Health-System Pharmacists. Copy Cita…

  8. Teamwork on inpatient medical units: assessing attitudes and barriers. | PSNet

    psnet.ahrq.gov/issue/teamwork-inpatient-medical-units-assessing-attitudes-and-barriers
    June 11, 2010 - Study Teamwork on inpatient medical units: assessing attitudes and barriers. Citation Text: O'Leary KJ, Ritter CD, Wheeler H, et al. Teamwork on inpatient medical units: assessing attitudes and barriers. Qual Saf Health Care. 2010;19(2):117-21. doi:10.1136/qshc.2008.028795. Copy Cita…

  9. The federal government's oversight of CT safety: regulatory possibilities. | PSNet

    psnet.ahrq.gov/issue/federal-governments-oversight-ct-safety-regulatory-possibilities
    February 13, 2019 - Commentary The federal government's oversight of CT safety: regulatory possibilities. Citation Text: Harvey B, Pandharipande P. The federal government's oversight of CT safety: regulatory possibilities. Radiology. 2012;262(2):391-8. doi:10.1148/radiol.11111032. Copy Citation Form…

  10. Effects of technological interventions on the safety of a medication-use system. | PSNet

    psnet.ahrq.gov/issue/effects-technological-interventions-safety-medication-use-system
    May 11, 2016 - Study Effects of technological interventions on the safety of a medication-use system. Citation Text: Skibinski K, White BA, Lin LI-K, et al. Effects of technological interventions on the safety of a medication-use system. Am J Health Syst Pharm. 2007;64(1):90-6. Copy Citation Fo…

  11. Hospital prescribing of opioids to Medicare beneficiaries. | PSNet

    psnet.ahrq.gov/issue/hospital-prescribing-opioids-medicare-beneficiaries
    December 04, 2016 - Study Hospital prescribing of opioids to Medicare beneficiaries. Citation Text: Jena AB, Goldman D, Karaca-Mandic P. Hospital Prescribing of Opioids to Medicare Beneficiaries. JAMA Intern Med. 2016;176(7):990-7. doi:10.1001/jamainternmed.2016.2737. Copy Citation Format: DOI…

  12. Diagnostic error as a result of drug-laboratory test interactions. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-result-drug-laboratory-test-interactions
    November 21, 2018 - Review Diagnostic error as a result of drug-laboratory test interactions. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug-laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098. Copy Ci…

  13. The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  | PSNet

    psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
    December 16, 2014 - Study The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  Citation Text: Greenwald JL, Denham CR, Jack BW. The Hospital Discharge. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12. Copy Citation For…

  14. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. | PSNet

    psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
    June 22, 2011 - Commentary Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Citation Text: Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J …

  15. An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. | PSNet

    psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
    May 16, 2012 - Book/Report An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. Citation Text: An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…

  16. Diagnostic errors that lead to inappropriate antimicrobial use. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-lead-inappropriate-antimicrobial-use
    October 19, 2022 - Study Diagnostic errors that lead to inappropriate antimicrobial use. Citation Text: Filice GA, Drekonja DM, Thurn JR, et al. Diagnostic Errors that Lead to Inappropriate Antimicrobial Use. Infect Control Hosp Epidemiol. 2015;36(8):949-56. doi:10.1017/ice.2015.113. Copy Citation Fo…

  17. Impact of drug shortages on U.S. health systems. | PSNet

    psnet.ahrq.gov/issue/impact-drug-shortages-us-health-systems
    September 02, 2016 - Study Impact of drug shortages on U.S. health systems. Citation Text: Kaakeh R, Sweet B, Reilly C, et al. Impact of drug shortages on U.S. health systems. Am J Health Syst Pharm. 2011;68(19):1811-9. doi:10.2146/ajhp110210. Copy Citation Format: DOI Google Scholar PubMed Bib…

  18. Language barriers and understanding of hospital discharge instructions. | PSNet

    psnet.ahrq.gov/issue/language-barriers-and-understanding-hospital-discharge-instructions
    July 07, 2010 - Study Language barriers and understanding of hospital discharge instructions. Citation Text: Karliner LS, Auerbach AD, Nápoles A, et al. Language barriers and understanding of hospital discharge instructions. Med Care. 2012;50(4):283-9. doi:10.1097/MLR.0b013e318249c949. Copy Citation…

  19. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-educators-academy-fulfilling-unmet-need-faculty-development
    January 15, 2020 - Commentary The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Citation Text: Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10…

  20. Primary care physician communication at hospital discharge reduces medication discrepancies. | PSNet

    psnet.ahrq.gov/issue/primary-care-physician-communication-hospital-discharge-reduces-medication-discrepancies
    May 04, 2010 - Study Primary care physician communication at hospital discharge reduces medication discrepancies. Citation Text: Lindquist LA, Yamahiro A, Garrett A, et al. Primary care physician communication at hospital discharge reduces medication discrepancies. J Hosp Med. 2013;8(12):672-7. doi:10…
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