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psnet.ahrq.gov/issue/reducing-high-risk-medication-use-through-pharmacist-led-interventions-outpatient-setting
September 23, 2020 - Study
Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting.
Citation Text:
Deyo JC, Smith BH, Biola H, et al. Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. J Am Pharm Assoc. 2020. doi:10.1016/j.…
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psnet.ahrq.gov/issue/consistency-between-coded-poison-center-data-and-fatality-abstract-narratives-therapeutic
June 11, 2008 - Study
Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.
Citation Text:
Hayes BD, Klein-Schwartz W. Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in old…
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psnet.ahrq.gov/issue/new-persistent-opioid-use-after-postoperative-intensive-care-us-veterans
July 10, 2024 - Study
New persistent opioid use after postoperative intensive care in US veterans.
Citation Text:
Karamchandani K, Pyati S, Bryan W, et al. New Persistent Opioid Use After Postoperative Intensive Care in US Veterans. JAMA Surg. 2019;154(8):778-780. doi:10.1001/jamasurg.2019.0899.
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psnet.ahrq.gov/issue/comparison-methods-identifying-patients-risk-medication-related-harm
March 04, 2011 - Study
Comparison of methods for identifying patients at risk of medication-related harm.
Citation Text:
van Doormaal J, Rommers MK, Kosterink JGW, et al. Comparison of methods for identifying patients at risk of medication-related harm. Qual Saf Health Care. 2010;19(6):e26. doi:10.1136…
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psnet.ahrq.gov/issue/outpatient-adverse-drug-events-identified-screening-electronic-health-records
June 08, 2016 - Study
Outpatient adverse drug events identified by screening electronic health records.
Citation Text:
Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06…
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psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive
February 19, 2014 - Study
Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries.
Citation Text:
Anthes AM, Harinstein LM, Smithburger PL, et al. Improving adverse drug event detection in critically ill patients through screening intensive…
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psnet.ahrq.gov/issue/hospital-organisation-management-and-structure-prevention-health-care-associated-infection
January 22, 2014 - Review
Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus.
Citation Text:
Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention of health-care-ass…
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psnet.ahrq.gov/issue/planning-pandemic-mitigating-risk-radiation-therapy-service-delivery-covid-19-era
November 11, 2020 - Commentary
Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era.
Citation Text:
Anderson N, Thompson K, Andrews J, et al. Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID‐19 era. J Med Radiat Sci. 20…
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psnet.ahrq.gov/issue/uptake-pharmacist-recommendations-patients-after-discharge-implementation-study-patient
December 14, 2016 - Study
Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service.
Citation Text:
Basger BJ, Moles RJ, Chen TF. Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-ce…
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psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case-study
April 03, 2024 - Commentary
Technology-related safety event analysis in community clinical informatics: a case study.
Citation Text:
Recsky C, Stowe M, Rush KL, et al. Technology-related safety event analysis in community clinical informatics: a case study. Stud Health Technol Inform. 2024;315:452-457. d…
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psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events
August 30, 2017 - Review
The cost of opioid–related adverse drug events.
Citation Text:
Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889.
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psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
September 15, 2021 - Study
Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action.
Citation Text:
Harris CK, Chen Y, Yarsky B, et al. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Acad Pathol. 2022…
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psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings
March 03, 2021 - Commentary
How to do no harm: empowering local leaders to make care safer in low-resource settings.
Citation Text:
Vincent CA, Mboga M, Gathara D, et al. How to do no harm: empowering local leaders to make care safer in low-resource settings. Arch Dis Child. 2021;106(4):333-337. doi:10.1…
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psnet.ahrq.gov/issue/effect-computer-order-entry-prevention-serious-medication-errors-hospitalized-children
May 27, 2011 - Study
Classic
Effect of computer order entry on prevention of serious medication errors in hospitalized children.
Citation Text:
Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious medication errors in hospitalized …
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psnet.ahrq.gov/issue/impact-internal-service-quality-preventable-adverse-events-hospitals
September 24, 2016 - Study
The impact of internal service quality on preventable adverse events in hospitals.
Citation Text:
Zheng S, Tucker AL, Ren ZJ, et al. The Impact of Internal Service Quality on Preventable Adverse Events in Hospitals. Production Operations Manag. 2017;27(12):2201-2212. doi:10.1111/po…
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psnet.ahrq.gov/issue/effects-computerized-physician-order-entry-and-clinical-decision-support-systems-medication
May 27, 2011 - Review
Classic
Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.
Citation Text:
Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision s…
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psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
March 04, 2011 - Study
Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.
Citation Text:
Kozer E, Scolnik D, MacPherson A, et al. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency departme…
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psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists
September 21, 2022 - Study
Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists.
Citation Text:
Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097…
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psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination
April 03, 2019 - Study
Improving safety in the operating room: medication icon labels increase visibility and discrimination.
Citation Text:
Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:1…
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psnet.ahrq.gov/issue/wake-call-night-shifts-adversely-affect-nurse-health-and-retention-patient-and-public-safety
April 24, 2018 - Review
Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs.
Citation Text:
Imes CC, Tucker SJ, Trinkoff AM, et al. Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Nurs A…