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psnet.ahrq.gov/node/865585/psn-pdf
April 17, 2024 - Estimating the impact on patient safety of enabling the
digital transfer of patients' prescription information in the
English NHS.
April 17, 2024
Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital
transfer of patients’ prescription information in the English NHS. …
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psnet.ahrq.gov/node/40477/psn-pdf
March 23, 2012 - Adverse drug events in U.S. adult ambulatory medical
care.
March 23, 2012
Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health
Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x.
https://psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulator…
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psnet.ahrq.gov/node/843080/psn-pdf
January 25, 2023 - Bad things can happen: are medical students aware of
patient centered care and safety?
January 25, 2023
Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient
centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/dx-2022-0072.
https://psnet.ahr…
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psnet.ahrq.gov/node/73682/psn-pdf
September 08, 2021 - Massive open online course (MOOC) learning builds
capacity and improves competence for patient safety
among global learners: a prospective cohort study.
September 8, 2021
Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds
capacity and improves competence for patient saf…
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psnet.ahrq.gov/issue/safe-rx-awards
August 02, 2023 - Award Recipient
The Safe RX Awards.
Citation Text:
The Safe RX Awards. SureScripts
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April 27, 2009
Su…
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psnet.ahrq.gov/node/47537/psn-pdf
November 14, 2018 - Developing a learning health system: insights from a
qualitative process evaluation of a pharmacist-led
electronic audit and feedback intervention to improve
medication safety in primary care.
November 14, 2018
Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system: Insights from a qualitative
…
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psnet.ahrq.gov/node/36753/psn-pdf
April 30, 2014 - Medication errors in the outpatient setting: classification
and root cause analysis.
April 30, 2014
Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification
and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284.
https://psnet.ahrq.gov/issue/medicatio…
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psnet.ahrq.gov/node/49743/psn-pdf
September 01, 2015 - Dual Therapy Debacle
September 1, 2015
Kayser SR. Dual Therapy Debacle. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/dual-therapy-debacle
The Case
An elderly man with a history of arthritis, benign prostatic hypertrophy with urinary obstruction,
hyperlipidemia, obesity, and a long history of tobacco use …
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psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
November 01, 2012 - Coming Up Short: Maintaining Safety in the Face of Drug Shortages
Citation Text:
Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/49518/psn-pdf
August 01, 2006 - It's All in the Syringe
August 1, 2006
Weingart SN. It's All in the Syringe. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/its-all-syringe
The Case
A 33-year-old man with type 2 diabetes presented to his physician's office to discuss his diabetes
management. The patient admitted not taking his medications…
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - Medication event huddles: a tool for reducing adverse
drug events.
March 20, 2014
Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt
Comm J Qual Patient Saf. 2014;40(1):39-45.
https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…
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psnet.ahrq.gov/node/60029/psn-pdf
March 11, 2020 - Prevalence, nature and predictors of omitted medication
doses in mental health hospitals: a multi-centre study.
March 11, 2020
Keers RN, Hann M, Alshehri GH, et al. Prevalence, nature and predictors of omitted medication doses in
mental health hospitals: A multi-centre study. PLoS One. 2020;15(2):e0228868.
doi:10.…
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psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
April 26, 2023 - Newspaper/Magazine Article
Neuromuscular blocking agents: reducing associated wrong-drug errors.
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April 16, 2018
This article discu…
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psnet.ahrq.gov/issue/shakespeare-was-target-dont-be-borrower-or-lender
May 11, 2022 - Newspaper/Magazine Article
Shakespeare was on target—don't be a borrower or lender.
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June 10, 2018
This piece describes the dangers…
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psnet.ahrq.gov/node/38205/psn-pdf
November 12, 2008 - Characteristics of medication errors and adverse drug
events in hospitals participating in the California Pediatric
Patient Safety Initiative.
November 12, 2008
Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in
hospitals participating in the California Pediatri…
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psnet.ahrq.gov/node/61117/psn-pdf
November 11, 2020 - Impact of the COVID-19 pandemic on cancer care: a
global collaborative study.
November 11, 2020
Jazieh AR, Akbulut H, Curigliano G, et al. Impact of the COVID-19 pandemic on cancer care: a global
collaborative study. JCO Glob Oncol. 2020;6)(6):1428-1438. doi:10.1200/go.20.00351.
https://psnet.ahrq.gov/issue/impact…
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - Most importantly, a lack of efficient two-way communication between physician offices and pharmacies
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psnet.ahrq.gov/issue/safety-medication-use-primary-care
March 04, 2011 - March 4, 2011
Mapping the resilience performance of community pharmacy to maintain patient
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psnet.ahrq.gov/issue/critical-need-nursing-education-address-diagnostic-process
June 08, 2022 - June 8, 2022
Mapping the resilience performance of community pharmacy to maintain patient
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psnet.ahrq.gov/issue/prevalence-burnout-among-surgical-residents-and-surgeons-switzerland
December 21, 2014 - failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community … pharmacy setting.