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psnet.ahrq.gov/issue/effect-electronic-prescribing-medication-errors-and-adverse-drug-events-systematic-review
October 30, 2013 - Review
The effect of electronic prescribing on medication errors and adverse drug events: a systematic review.
Citation Text:
Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am M…
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psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions
April 12, 2011 - Study
Department of anesthesiology skilled peer support program outcomes: second victim perceptions.
Citation Text:
Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):44…
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psnet.ahrq.gov/issue/medication-errors-prospective-cohort-study-hand-written-and-computerised-physician-order
March 06, 2013 - Study
Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit.
Citation Text:
Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order …
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psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system
July 14, 2018 - Study
Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project.
Citation Text:
Sawyer AM, Thiyarajan S, Essen KE, et al. Implementation of a high-reliability organization framework in a…
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psnet.ahrq.gov/issue/call-action-next-steps-advance-diagnosis-education-health-professions
November 25, 2020 - Commentary
A call to action: next steps to advance diagnosis education in the health professions.
Citation Text:
Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.151…
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psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm-study
April 27, 2022 - Study
Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study.
Citation Text:
Leendertse AJ, van den Bemt PMLA, Poolman JB, et al. Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. Value Health. 2011;14(1)…
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psnet.ahrq.gov/issue/use-therapeutic-outcomes-monitoring-method-performing-pharmaceutical-care-oncology-patients
April 21, 2021 - Study
Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients.
Citation Text:
Cataldo RRV, Manaças LAR, Figueira PHM, et al. Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. J Oncol …
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psnet.ahrq.gov/issue/theres-no-place-home-integrating-pharmacist-hospital-home-model
November 04, 2020 - Study
There's no place like home--integrating a pharmacist into the hospital-in-home model.
Citation Text:
Emonds EE, Pietruszka BL, Hawley CE, et al. There’s no place like home—integrating a pharmacist into the hospital-in-home model. J Am Pharm Assoc (2003). 2021;61(3):e143-e151. doi:1…
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psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety
June 07, 2017 - Study
Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department.
Citation Text:
OʼConnell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric P…
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psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature
February 12, 2020 - Review
The role of organizational and professional cultures in medication safety: a scoping review of the literature.
Citation Text:
Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety: a scoping review of the literature. Int J Hea…
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psnet.ahrq.gov/issue/effects-clinical-pharmacist-service-health-related-quality-life-and-prescribing-drugs
December 14, 2022 - Study
Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled trial.
Citation Text:
Bladh L, Ottosson E, Karlsson J, et al. Effects of a clinical pharmacist service on health-related quality of life and prescribing of…
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psnet.ahrq.gov/issue/potential-leveraging-machine-learning-filter-medication-alerts
July 22, 2020 - Study
The potential for leveraging machine learning to filter medication alerts.
Citation Text:
Liu S, Kawamoto K, Del Fiol G, et al. The potential for leveraging machine learning to filter medication alerts. J Am Med Inform Assoc. 2022;29(5):891-899. doi:10.1093/jamia/ocab292.
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psnet.ahrq.gov/issue/inappropriate-dosing-direct-oral-anticoagulants-patients-atrial-fibrillation
August 04, 2021 - Study
Emerging Classic
Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation.
Citation Text:
Sugrue A, Sanborn D, Amin M, et al. Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. Am J Cardi…
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psnet.ahrq.gov/issue/qualitative-study-why-general-practitioners-may-participate-significant-event-analysis-and
October 29, 2008 - Study
A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment.
Citation Text:
Bowie P, McKay J, Dalgetty E, et al. A qualitative study of why general practitioners may participate in significant event analysis and e…
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psnet.ahrq.gov/issue/active-surveillance-using-electronic-triggers-detect-adverse-events-hospitalized-patients
October 03, 2017 - Study
Active surveillance using electronic triggers to detect adverse events in hospitalized patients.
Citation Text:
Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15(3…
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psnet.ahrq.gov/issue/does-perception-severity-medical-error-differ-between-varying-levels-clinical-seniority
August 31, 2022 - Study
Does the perception of severity of medical error differ between varying levels of clinical seniority?
Citation Text:
Khan I, Arsanious M. Does the perception of severity of medical error differ between varying levels of clinical seniority? Adv Med Educ Pract. 2018;9:443-452. doi:10…
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psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists-interventions-hospital
January 12, 2022 - Study
Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory.
Citation Text:
Haque H, Alrowily A, Jalal Z, et al. Direct oral anticoagulant-related medication incidents and pharmac…
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psnet.ahrq.gov/issue/racism-health-services-adolescents-scoping-review
July 19, 2023 - Review
Racism in health services for adolescents: a scoping review.
Citation Text:
Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560.
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psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-practices
October 19, 2011 - Study
Deaths among opioid users: impact of potential inappropriate prescribing practices.
Citation Text:
Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate prescribing practices. Am J Manag Care. 2019;25(4):e98-e103.
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psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge
January 17, 2012 - Study
Classic
Patient safety concerns arising from test results that return after hospital discharge.
Citation Text:
Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;…