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psnet.ahrq.gov/issue/medicare-letters-curb-overprescribing-controlled-substances-had-no-detectable-effect
May 25, 2016 - Study
Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers.
Citation Text:
Sacarny A, Yokum D, Finkelstein A, et al. Medicare Letters To Curb Overprescribing Of Controlled Substances Had No Detectable Effect On Providers. Health Aff (Mil…
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psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care-medication-errors
October 28, 2020 - Study
Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.
Citation Text:
Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication erro…
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psnet.ahrq.gov/issue/medication-errors-hospital-admission-and-discharge-risk-factors-and-impact-medication
November 10, 2021 - Study
Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare.
Citation Text:
Breuker C, Macioce V, Mura T, et al. Medication errors at hospital admission and discharge: risk factors and impact of medicatio…
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psnet.ahrq.gov/issue/impact-smart-pump-electronic-health-record-interoperability-patient-safety-and-finances
September 23, 2020 - Study
Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital
Citation Text:
Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospit…
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psnet.ahrq.gov/issue/electronic-prescribing-subcutaneous-infusions-and-after-study-assessing-impact-upon-patient
July 06, 2022 - Study
The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency.
Citation Text:
Hindmarsh J, Holden K. The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact …
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psnet.ahrq.gov/issue/association-between-leapfrog-safe-practices-score-and-hospital-mortality-major-surgery
September 29, 2017 - Study
Association between Leapfrog safe practices score and hospital mortality in major surgery.
Citation Text:
Qian F, Lustik SJ, Diachun CA, et al. Association between Leapfrog safe practices score and hospital mortality in major surgery. Med Care. 2011;49(12):1082-1088. doi:10.1097/…
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psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions
March 20, 2024 - Study
Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions.
Citation Text:
Lester CA, Flynn AJ, Marshall VD, et al. Comparing the variability of ingredient, strength, and dose form information fro…
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psnet.ahrq.gov/issue/identifying-and-characterizing-preventable-adverse-drug-events-prioritizing-pharmacist
July 15, 2010 - Study
Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals.
Citation Text:
Jeon N, Staley B, Johns T, et al. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospital…
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psnet.ahrq.gov/issue/clinical-benefits-electronic-health-record-use-national-findings
November 16, 2022 - Study
Clinical benefits of electronic health record use: national findings.
Citation Text:
King J, Patel V, Jamoom EW, et al. Clinical benefits of electronic health record use: national findings. Health Serv Res. 2014;49(1 Pt 2):392-404. doi:10.1111/1475-6773.12135.
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F…
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psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
May 24, 2015 - Study
Medication errors involving patient-controlled analgesia.
Citation Text:
Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194.
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Format:
DOI G…
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psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals
February 17, 2021 - Study
Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals.
Citation Text:
Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Am J Health Syst Pharm. 2010;6…
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psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy
November 10, 2015 - Review
Emerging Classic
Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy.
Citation Text:
Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review…
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psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-barcode-medication-administration-nursing-staff-using
August 28, 2024 - Study
Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study.
Citation Text:
Grailey K, Hussain R, Wylleman E, et al. Understanding the facilitators and barriers to barcode medication a…
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psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration
October 25, 2010 - Study
Classic
Effect of bar-code technology on the safety of medication administration.
Citation Text:
Poon EG, Keohane C, Yoon CS, et al. Effect of bar-code technology on the safety of medication administration. New Engl J Med. 2010;362(18):1698-1707. doi:10.10…
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psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
May 27, 2011 - Study
Classic
The extent and importance of unintended consequences related to computerized provider order entry.
Citation Text:
Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry…
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psnet.ahrq.gov/issue/impact-pharmacist-led-admission-medication-reconciliation-patient-outcomes-large-health
March 17, 2010 - Study
Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system.
Citation Text:
Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. J Patie…
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psnet.ahrq.gov/node/49631/psn-pdf
July 01, 2011 - in care may be made safer by electronic data
sharing between physicians, health care centers, and pharmacies
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psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - Looking for Meds in All the Wrong Places
October 1, 2012
Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
The Case
A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She
went to t…
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psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
September 01, 2015 - Good Night's Sleep Gone Wrong
Citation Text:
Gillis CM, Degrado J, Anger KE. Good Night's Sleep Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/node/41863/psn-pdf
November 21, 2012 - compared the accuracy of patient-reported
medication lists with a "gold standard" list compiled from pharmacies