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  1. Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. | PSNet

    psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation
    July 13, 2010 - Commentary Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. Citation Text: DeRienzo CM, Frush K, Barfield ME, et al. Handoffs in the era of duty hours reform…

  2. Development and implementation of an oral sign-out skills curriculum. | PSNet

    psnet.ahrq.gov/issue/development-and-implementation-oral-sign-out-skills-curriculum
    February 15, 2011 - Commentary Development and implementation of an oral sign-out skills curriculum. Citation Text: Horwitz LI, Moin T, Green M. Development and implementation of an oral sign-out skills curriculum. J Gen Intern Med. 2007;22(10):1470-4. Copy Citation Format: Google Scholar Pu…

  3. Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. | PSNet

    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…

  4. Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety. | PSNet

    psnet.ahrq.gov/issue/timely-follow-abnormal-outpatient-test-results-perceived-barriers-and-impact-patient-safety
    August 02, 2010 - Study Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety. Citation Text: Moore C, Saigh O, Trikha A, et al. Timely Follow-Up of Abnormal Outpatient Test Results. J Patient Saf. 2008;4(4):241-244. doi:10.1097/pts.0b013e31818d1ca4. Cop…

  5. Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system. | PSNet

    psnet.ahrq.gov/issue/medication-errors-use-allopurinol-and-colchicine-retrospective-study-national-anonymous
    December 21, 2014 - Study Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system. Citation Text: Mikuls TR, Curtis JR, Allison JJ, et al. Medication errors with the use of allopurinol and colchicine: a retrosp…

  6. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. | PSNet

    psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
    December 10, 2014 - Study Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. Citation Text: March CA, Steiger D, Scholl G, et al. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open. 2013;3(4). d…

  7. Risk of adverse drug events by patient destination after hospital discharge. | PSNet

    psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-destination-after-hospital-discharge
    March 04, 2020 - Study Risk of adverse drug events by patient destination after hospital discharge. Citation Text: Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9. Copy Citation Format: …

  8. Evaluation and certification of computerized physician order entry systems. | PSNet

    psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems
    May 27, 2011 - Review Evaluation and certification of computerized physician order entry systems. Citation Text: Classen D, Avery A, Bates DW. Evaluation and certification of computerized provider order entry systems. J Am Med Inform Assoc. 2007;14(1):48-55. Copy Citation Format: Google…

  9. Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error. | PSNet

    psnet.ahrq.gov/issue/using-spare-medication-vial-store-multiple-medications-potentially-fatal-home-medication
    June 24, 2020 - Commentary Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error. Citation Text: Leonard JB, Klein-Schwartz W. Using a spare medication vial to store multiple medications: A potentially fatal in-home medication error. Ame J Health-syst …

  10. The scope of drug-related problems in the home care setting. | PSNet

    psnet.ahrq.gov/issue/scope-drug-related-problems-home-care-setting
    February 16, 2011 - Review The scope of drug-related problems in the home care setting. Citation Text: Meyer-Massetti C, Meier CR, Guglielmo J. The scope of drug-related problems in the home care setting. Int J Clin Pharm. 2018;40(2):325-334. doi:10.1007/s11096-017-0581-9. Copy Citation Format: …

  11. Smartphone distraction during nursing care: systematic literature review. | PSNet

    psnet.ahrq.gov/issue/smartphone-distraction-during-nursing-care-systematic-literature-review
    February 09, 2022 - Review Smartphone distraction during nursing care: systematic literature review. Citation Text: Fiorinelli M, Di Mario S, Surace A, et al. Smartphone distraction during nursing care: systematic literature review. Appl Nurs Res. 2021;58:151405. doi:10.1016/j.apnr.2021.151405. Copy Citat…

  12. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. | PSNet

    psnet.ahrq.gov/issue/prospective-risk-assessment-informal-carers-medication-administration-errors-within
    February 08, 2017 - Study A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. Citation Text: Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setti…

  13. Pharmacist work stress and learning from quality related events. | PSNet

    psnet.ahrq.gov/issue/pharmacist-work-stress-and-learning-quality-related-events
    January 07, 2016 - Study Pharmacist work stress and learning from quality related events. Citation Text: Boyle TA, Bishop A, Morrison B, et al. Pharmacist work stress and learning from quality related events. Res Social Adm Pharm. 2016;12(5):772-83. doi:10.1016/j.sapharm.2015.10.003. Copy Citation Fo…

  14. Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-home-safety-educational-framework-healthcare-providers-patients-and
    January 25, 2023 - Review Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers. Citation Text: Huff C. Oral chemotherapy: A home safety educational framework for healthcare providers, patients, and caregivers. Clin J Oncol Nurs. 2020;24(1):22-30. doi:10.…

  15. Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. | PSNet

    psnet.ahrq.gov/issue/opioid-prescribing-after-surgical-extraction-teeth-medicaid-patients-2000-2010
    March 02, 2011 - Study Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. Citation Text: Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058. …

  16. Effect of social influences on pharmacists' intention to report adverse drug events. | PSNet

    psnet.ahrq.gov/issue/effect-social-influences-pharmacists-intention-report-adverse-drug-events
    November 13, 2019 - Study Effect of social influences on pharmacists' intention to report adverse drug events. Citation Text: Gavaza P, Brown CM, Lawson KA, et al. Effect of social influences on pharmacists' intention to report adverse drug events. J Am Pharm Assoc (2003). 2012;52(5):622-629. Copy Citat…

  17. Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams. | PSNet

    psnet.ahrq.gov/issue/exploring-varieties-knowledge-safe-work-practices-ethnographic-study-surgical-teams
    December 21, 2016 - Study Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams. Citation Text: Høyland S, Aase K, Hollund JG. Exploring varieties of knowledge in safe work practices - an ethnographic study of surgical teams. Patient Saf Surg. 2011;5:21. doi:10.11…

  18. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. | PSNet

    psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
    December 06, 2023 - Study Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Citation Text: Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Int J Qual Health C…

  19. ASHP Guidelines on Preventing Diversion of Controlled Substances. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-preventing-diversion-controlled-substances
    June 15, 2022 - Organizational Policy/Guidelines ASHP Guidelines on Preventing Diversion of Controlled Substances. Citation Text: Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.…

  20. Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. | PSNet

    psnet.ahrq.gov/issue/clinical-outcomes-use-medication-report-when-elderly-patients-are-discharged-hospital
    January 27, 2012 - Study Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. Citation Text: Midlöv P, Deierborg E, Holmdahl L, et al. Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. Pharm World S…
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