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psnet.ahrq.gov/node/49695/psn-pdf
October 01, 2013 - Lastly, the community pharmacy did not question the 500 mg
TID dosing regimen.
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psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - Coming Up Short: Maintaining Safety in the Face of Drug
Shortages
October 1, 2018
Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
The Case
A 1-month-old preterm infant in the ne…
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psnet.ahrq.gov/issue/staffing-teamwork-and-scope-practice-analysis-association-patient-safety-context
September 20, 2017 - Study
Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation.
Citation Text:
Jomaa C, Dubois C‐A, Caron I, et al. Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context o…
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psnet.ahrq.gov/issue/medication-errors-intensive-care-unit
October 12, 2022 - Study
Medication errors in an intensive care unit.
Citation Text:
Bohomol E, Ramos LH, D'Innocenzo M. Medication errors in an intensive care unit. J Adv Nurs. 2009;65(6):1259-67. doi:10.1111/j.1365-2648.2009.04979.x.
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psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture
September 23, 2020 - Newspaper/Magazine Article
The differences between human error, at-risk behavior, and reckless behavior are key to a just culture.
Citation Text:
The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. ISMP Medication Safety Alert! Acute Ca…
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psnet.ahrq.gov/issue/medication-reconciliation-during-internal-hospital-transfer-and-impact-computerized
October 15, 2008 - Study
Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.
Citation Text:
Lee JY, Leblanc K, Fernandes O, et al. Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. Ann …
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psnet.ahrq.gov/issue/do-drug-interaction-alerts-between-chemotherapy-order-entry-system-and-electronic-medical
March 21, 2017 - Study
Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior?
Citation Text:
Weingart SN, Zhu J, Young-Hong J, et al. Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical re…
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psnet.ahrq.gov/issue/prospective-daily-review-discharge-medications-pharmacists-effects-measures-safety-and
July 14, 2010 - Commentary
Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency.
Citation Text:
Craynon R, Hager DR, Reed M, et al. Prospective daily review of discharge medications by pharmacists: Effects on measures of safety and efficiency. Am…
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psnet.ahrq.gov/issue/preventable-closed-claims-aana-foundation-closed-malpractice-claims-database
March 11, 2020 - Study
Preventable closed claims in the AANA Foundation closed malpractice claims database.
Citation Text:
Kremer MJ, Hirsch M, Geisz-Everson M, et al. Preventable Closed Claims in the AANA Foundation Closed Malpractice Claims Database. AANA J. 2019;87(6).
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…
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psnet.ahrq.gov/issue/assessment-safety-enhancement-hospital-medication-reconciliation-process-elderly-patients
August 04, 2021 - Study
Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients.
Citation Text:
Gizzi LA, Slain D, Hare JT, et al. Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Am J Geriatr Phar…
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psnet.ahrq.gov/issue/receptionist-input-quality-and-safety-repeat-prescribing-uk-general-practice-ethnographic
March 23, 2022 - Study
Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study.
Citation Text:
Swinglehurst D, Greenhalgh T, Russell J, et al. Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case …
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psnet.ahrq.gov/issue/impact-cancelrx-discontinuation-controlled-substance-prescriptions-interrupted-time-series
September 01, 2021 - Study
Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis.
Citation Text:
Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis…
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-experience-and-treatment-noncancer-pain
June 01, 2022 - Review
Emerging Classic
Racial and ethnic differences in the experience and treatment of noncancer pain.
Citation Text:
Meints SM, Cortes A, Morais CA, et al. Racial and ethnic differences in the experience and treatment of noncancer pain. Pain Manag. 2019;9(3):…
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psnet.ahrq.gov/issue/fda-requires-label-warnings-prohibit-sharing-multi-dose-diabetes-pen-devices-among-patients
March 04, 2015 - Press Release/Announcement
FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients.
Citation Text:
FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. FDA Safety Communication. Silver Spring, MD: US …
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psnet.ahrq.gov/issue/severity-and-probability-harm-medication-errors-intercepted-emergency-department-pharmacist
May 04, 2012 - Study
Severity and probability of harm of medication errors intercepted by an emergency department pharmacist.
Citation Text:
Patanwala AE, Hays DP, Sanders AB, et al. Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Int J Pharm P…
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psnet.ahrq.gov/issue/comparing-errors-ed-computer-assisted-vs-conventional-pediatric-drug-dosing-and
November 22, 2017 - Study
Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.
Citation Text:
Yamamoto LG, Kanemori J. Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. Am J Emerg Med. 2010;28(5):588-92. doi:10.…
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psnet.ahrq.gov/issue/usability-evaluation-order-sets-computerized-provider-order-entry-system
May 04, 2011 - Study
Usability evaluation of order sets in a computerized provider order entry system.
Citation Text:
Chan J, Shojania KG, Easty AC, et al. Usability evaluation of order sets in a computerised provider order entry system. BMJ Qual Saf. 2011;20(11):932-40. doi:10.1136/bmjqs.2010.050021…
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psnet.ahrq.gov/issue/implementation-second-victim-program-pediatric-hospital
December 18, 2013 - Study
Implementation of a "second victim" program in a pediatric hospital.
Citation Text:
Krzan KD, Merandi J, Morvay S, et al. Implementation of a "second victim" program in a pediatric hospital. Am J Health Syst Pharm. 2015;72(7):563-7. doi:10.2146/ajhp140650.
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Forma…
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psnet.ahrq.gov/issue/antiretroviral-medication-prescribing-errors-are-common-hospitalization-hiv-infected-patients
September 08, 2016 - Study
Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients.
Citation Text:
Commers T, Swindells S, Sayles H, et al. Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. J Antimicrob Chemo…
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psnet.ahrq.gov/issue/consensus-building-development-outpatient-adverse-drug-event-triggers
November 10, 2010 - Study
Consensus building for development of outpatient adverse drug event triggers.
Citation Text:
Mull HJ, Nebeker JR, Shimada SL, et al. Consensus building for development of outpatient adverse drug event triggers. J Patient Saf. 2011;7(2):66-71. doi:10.1097/PTS.0b013e31820c98ba.
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