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Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial | PSNet

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April 29, 2018 - Study Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial Citation Text: Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomi…

Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. | PSNet

psnet.ahrq.gov/issue/analysis-academic-medical-centers-corrective-action-plan-response-fatal-medication-error

February 21, 2018 - Commentary Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. Citation Text: Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s co…

Underdiagnosis of dementia: an observational study of patterns in diagnosis and awareness in US older adults. | PSNet

psnet.ahrq.gov/issue/underdiagnosis-dementia-observational-study-patterns-diagnosis-and-awareness-us-older-adults

October 14, 2016 - Study Classic Underdiagnosis of dementia: an observational study of patterns in diagnosis and awareness in US older adults. Citation Text: Amjad H, Roth DL, Sheehan OC, et al. Underdiagnosis of Dementia: an Observational Study of Patterns in Diagnosis and Awaren…

Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences. | PSNet

psnet.ahrq.gov/issue/medication-double-checking-procedures-clinical-practice-cross-sectional-survey-oncology

March 21, 2018 - Study Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences. Citation Text: Schwappach DLB, Pfeiffer Y, Taxis K. Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experie…

Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. | PSNet

psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors

August 15, 2013 - Study Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. Citation Text: Armada ER, Villamañán E, López-de-Sá E, et al. Computerized physician order entry in the cardiac intensive care unit: effects on prescriptio…

The effect of clinical experience on the error rate of emergency physicians. | PSNet

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November 16, 2022 - Study The effect of clinical experience on the error rate of emergency physicians. Citation Text: Berk WA, Welch RD, Levy PD, et al. The effect of clinical experience on the error rate of emergency physicians. Ann Emerg Med. 2008;52(5):497-501. doi:10.1016/j.annemergmed.2008.01.329. …

Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. | PSNet

psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability

April 24, 2017 - Study Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. Citation Text: Jha V, Winterbottom A, Symons J, et al. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability …

The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled before and after study. | PSNet

psnet.ahrq.gov/issue/effect-clinical-pharmacist-led-training-programme-intravenous-medication-errors-controlled

March 04, 2011 - Study The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled before and after study. Citation Text: Nguyen H-T, Pham H-T, Vo D-K, et al. The effect of a clinical pharmacist-led training programme on intravenous medication errors: a cont…

The effect of a residential care pharmacist on medication administration practices in aged care: a controlled trial. | PSNet

psnet.ahrq.gov/issue/effect-residential-care-pharmacist-medication-administration-practices-aged-care-controlled

August 31, 2016 - Study The effect of a residential care pharmacist on medication administration practices in aged care: a controlled trial. Citation Text: McDerby N, Kosari S, Bail K, et al. The effect of a residential care pharmacist on medication administration practices in aged care: A controlled tria…

Crisis checklists in emergency medicine: another step forward for cognitive aids. | PSNet

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April 21, 2021 - Commentary Crisis checklists in emergency medicine: another step forward for cognitive aids. Citation Text: Chen Y-YK, Arriaga AF. Crisis checklists in emergency medicine: another step forward for cognitive aids. BMJ Qual Saf. 2021;30(9):689-693. doi:10.1136/bmjqs-2021-013203. Copy Cit…

Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database. | PSNet

psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event-reporting-system-2006

December 15, 2010 - Study Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database. Citation Text: Sonawane KB, Cheng N, Hansen RA. Serious Adverse Drug Events Reported to the FDA: Analysis of the FDA Adverse Event Reporting System 2006-2014 Data…

Approaches for improving continuity of care in medication management: a systematic review. | PSNet

psnet.ahrq.gov/issue/approaches-improving-continuity-care-medication-management-systematic-review

April 13, 2022 - Review Approaches for improving continuity of care in medication management: a systematic review. Citation Text: Spinewine A, Claeys C, Foulon V, et al. Approaches for improving continuity of care in medication management: a systematic review. Int J Qual Health Care. 2013;25(4):403-17. d…

Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone. | PSNet

psnet.ahrq.gov/issue/medication-errors-antituberculosis-therapy-inpatient-academic-setting-forgotten-not-gone

April 27, 2016 - Study Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone. Citation Text: Jen SP, Zucker J, Buczynski P, et al. Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone. J Clin Pharm Th…

Inappropriate prescribing defined by STOPP and START criteria and its association with adverse drug events among hospitalized older patients: a multicentre, prospective study. | PSNet

psnet.ahrq.gov/issue/inappropriate-prescribing-defined-stopp-and-start-criteria-and-its-association-adverse-drug

July 05, 2023 - Study Inappropriate prescribing defined by STOPP and START criteria and its association with adverse drug events among hospitalized older patients: a multicentre, prospective study. Citation Text: Fahrni ML, Azmy MT, Usir E, et al. Inappropriate prescribing defined by STOPP and START cri…

What happens to the medication regimens of older adults during and after an acute hospitalization? | PSNet

psnet.ahrq.gov/issue/what-happens-medication-regimens-older-adults-during-and-after-acute-hospitalization

May 19, 2021 - Study What happens to the medication regimens of older adults during and after an acute hospitalization? Citation Text: Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during and after an acute hospitalization? J Patient Saf. 2013;9(3):15…

Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. | PSNet

psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system

April 19, 2023 - Book/Report Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. Citation Text: Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. Washington, DC: Department of Vet…

The state of the evidence for computerized provider order entry: a systematic review and analysis of the quality of the literature. | PSNet

psnet.ahrq.gov/issue/state-evidence-computerized-provider-order-entry-systematic-review-and-analysis-quality

August 04, 2021 - Review The state of the evidence for computerized provider order entry: a systematic review and analysis of the quality of the literature. Citation Text: Weir C, Staggers N, Phansalkar S. The state of the evidence for computerized provider order entry: a systematic review and analysis …

System planning for modern-day Just Culture to mitigate worker distress and second victim response. | PSNet

psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response

July 19, 2023 - Commentary System planning for modern-day Just Culture to mitigate worker distress and second victim response. Citation Text: Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker distress and second victim response. BMJ Lead. 2024;8(2):1…

Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. | PSNet

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January 11, 2023 - Review Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. Citation Text: Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(…

Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. | PSNet

psnet.ahrq.gov/issue/addressing-adultification-black-pediatric-patients-emergency-department-framework-decrease

October 27, 2021 - Commentary Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. Citation Text: Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. He…

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