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psnet.ahrq.gov/issue/detection-potential-look-alikesound-alike-medication-errors-using-veterans-affairs
October 04, 2011 - Study
Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases.
Citation Text:
Zacher JM, Cunningham FE, Zhao X, et al. Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. …
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psnet.ahrq.gov/issue/potential-preanalytical-and-analytical-vulnerabilities-laboratory-diagnosis-coronavirus
August 10, 2016 - Commentary
Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19).
Citation Text:
Lippi G, Simundic A-M, Plebani M. Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease…
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psnet.ahrq.gov/issue/peer-review-comments-augment-diagnostic-error-characterization-and-departmental-quality
September 02, 2020 - Study
Peer review comments augment diagnostic error characterization and departmental quality assurance: 1-year experience from a children's hospital.
Citation Text:
Iyer RS, Swanson JO, Otto RK, et al. Peer review comments augment diagnostic error characterization and departmental quali…
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psnet.ahrq.gov/issue/practice-advisory-prevention-and-management-operating-room-fires
December 14, 2010 - Commentary
Practice advisory for the prevention and management of operating room fires.
Citation Text:
Fires AS of ATF on OR, Caplan RA, Barker SJ, et al. Practice advisory for the prevention and management of operating room fires. Anesthesiology. 2008;108(5):786-801; quiz 971-2. doi:10…
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psnet.ahrq.gov/issue/stopping-error-cascade-report-ameliorators-asips-collaborative
February 03, 2011 - Study
Stopping the error cascade: a report on ameliorators from the ASIPS collaborative.
Citation Text:
Parnes B, Fernald D, Quintela J, et al. Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. Qual Saf Health Care. 2007;16(1):12-6.
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psnet.ahrq.gov/issue/beyond-clinical-team-evaluating-human-factors-oriented-training-non-clinical-professionals
March 12, 2025 - Study
Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts.
Citation Text:
Lavelle M, Reedy GB, Attoe C, et al. Beyond the clinical team: evaluating the human factors-oriented training of non-clinical profes…
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psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug-event-reporting
September 27, 2010 - Study
Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS.
Citation Text:
Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System--MEADERS. Ann Fam M…
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psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-systematic-review
January 30, 2019 - Review
The influence of bullying on nursing practice errors: a systematic review.
Citation Text:
Johnson AH, Benham‐Hutchins M. The Influence of Bullying on Nursing Practice Errors: A Systematic Review. AORN J. 2020;111(2). doi:10.1002/aorn.12923.
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psnet.ahrq.gov/issue/bridging-gap-framework-and-strategies-integrating-quality-and-safety-mission-teaching
April 24, 2018 - Commentary
Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education.
Citation Text:
Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Saf…
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psnet.ahrq.gov/issue/long-working-hours-safety-and-health-toward-national-research-agenda
November 16, 2022 - Review
Long working hours, safety, and health: toward a national research agenda.
Citation Text:
Caruso CC, Bushnell T, Eggerth D, et al. Long working hours, safety, and health: toward a National Research Agenda. Am J Ind Med. 2006;49(11):930-42.
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psnet.ahrq.gov/issue/medication-reconciliation-comparing-customized-medication-history-form-standard-medication
September 23, 2020 - Study
Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2).
Citation Text:
Ryan GJ, Caudle JM, Rhee MK, et al. Medication reconciliation: comparing a customized medication history form to a standard medi…
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psnet.ahrq.gov/issue/connected-care-reducing-errors-through-automated-vital-signs-data-upload
September 01, 2018 - Study
Connected care: reducing errors through automated vital signs data upload.
Citation Text:
Smith LB, Banner L, Lozano D, et al. Connected care: reducing errors through automated vital signs data upload. Comput Inform Nurs. 2009;27(5):318-23. doi:10.1097/NCN.0b013e3181b21d65.
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psnet.ahrq.gov/issue/opioid-prescribing-and-potential-overdose-errors-among-children-0-36-months-old
March 23, 2016 - Study
Opioid prescribing and potential overdose errors among children 0 to 36 months old.
Citation Text:
Basco WT, Ebeling M, Garner SS, et al. Opioid Prescribing and Potential Overdose Errors Among Children 0 to 36 Months Old. Clin Pediatr (Phila). 2015;54(8):738-44. doi:10.1177/0009922…
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psnet.ahrq.gov/issue/adverse-events-among-hospital-medicare-patients-2021-and-2022
November 20, 2024 - Book/Report
Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022.
Citation Text:
Rodrick D, Timashenka A, Umscheid C. Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication no. …
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psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns
December 21, 2022 - Review
Prescribing in 2019: what are the safety concerns?
Citation Text:
Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038.
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psnet.ahrq.gov/issue/comparative-cross-sectional-study-format-content-and-timing-medication-safety-letters-issued
March 21, 2012 - Study
Comparative, cross-sectional study of the format, content and timing of medication safety letters issued in Canada, the USA and the UK.
Citation Text:
Bjerre LM, Parlow S, de Launay D, et al. Comparative, cross-sectional study of the format, content and timing of medication safety …
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psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication-administration-errors
January 23, 2019 - Study
The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study.
Citation Text:
Schimmel AM, Becker ML, van den Bout T, et al. The impact of type of manual medication cart filling method on the f…
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psnet.ahrq.gov/issue/medication-errors-critical-care-risk-factors-prevention-and-disclosure
November 30, 2016 - Review
Medication errors in critical care: risk factors, prevention and disclosure.
Citation Text:
Camiré E, Moyen E, Stelfox HT. Medication errors in critical care: risk factors, prevention and disclosure. CMAJ. 2009;180(9):936-43. doi:10.1503/cmaj.080869.
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psnet.ahrq.gov/issue/medication-complexity-medication-number-and-their-relationships-medication-discrepancies
November 16, 2022 - Study
Medication complexity, medication number, and their relationships to medication discrepancies.
Citation Text:
Patel CH, Zimmerman KM, Fonda JR, et al. Medication Complexity, Medication Number, and Their Relationships to Medication Discrepancies. Ann Pharmacother. 2016;50(7):534-40.…
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psnet.ahrq.gov/issue/therapeutic-errors-involving-adults-community-setting-nature-causes-and-outcomes
May 24, 2009 - Study
Therapeutic errors involving adults in the community setting: nature, causes and outcomes.
Citation Text:
Taylor D, Robinson J, MacLeod D, et al. Therapeutic errors involving adults in the community setting: nature, causes and outcomes. Aust N Z J Public Health. 2009;33(4):388-94…