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psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-facilities-costs
March 29, 2010 - Review
Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders.
Citation Text:
Subramanian S, Hoover S, Gilman BH, et al. Computerized physician order entry with clinical decision support in long-term care fac…
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psnet.ahrq.gov/issue/prevalence-causes-and-severity-medication-administration-errors-neonatal-intensive-care-unit
January 17, 2024 - Review
Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis.
Citation Text:
Henry Basil J, Premakumar CM, Mhd Ali A, et al. Prevalence, causes and severity of medication administration errors in the…
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
April 22, 2015 - Study
Classic
Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients.
Citation Text:
Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP crit…
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psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
March 22, 2023 - Study
Duplicate medication order errors: safety gaps and recommendations for improvement.
Citation Text:
Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6.
Co…
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psnet.ahrq.gov/issue/are-we-heeding-warning-signs-examining-providers-overrides-computerized-drug-drug-interaction
September 01, 2016 - Study
Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care.
Citation Text:
Slight SP, Seger DL, Nanji KC, et al. Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction…
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psnet.ahrq.gov/issue/mixed-results-safety-performance-computerized-physician-order-entry
May 04, 2022 - Study
Classic
Mixed results in the safety performance of computerized physician order entry.
Citation Text:
Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician order entry. Health Aff (Millwood). 2010;29(4):65…
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psnet.ahrq.gov/issue/free-text-computerized-provider-order-entry-orders-used-workaround-communicating-medication
July 29, 2020 - Study
Free-text computerized provider order entry orders used as workaround for communicating medication information.
Citation Text:
Kandaswamy S, Grimes J, Hoffman D, et al. Free-text computerized provider order entry orders used as workaround for communicating medication information. J…
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psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care
April 13, 2022 - Study
Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care.
Citation Text:
de Vos MS, Hamming JF, Marang-van de Mheen PJ. Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. J Patient …
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psnet.ahrq.gov/issue/identifying-and-encouraging-high-quality-healthcare-analysis-content-and-aims-patient-letters
September 14, 2022 - Study
Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment.
Citation Text:
Gillespie A, Reader TW. Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of complimen…
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psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
September 23, 2020 - Study
Classic
Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.
Citation Text:
Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commerciall…
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psnet.ahrq.gov/issue/intervention-pharmacist-included-multidisciplinary-team-reduce-adverse-drug-event-qualitative
February 12, 2020 - Review
Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a qualitative systematic review.
Citation Text:
Zaij S, Pereira Maia K, Leguelinel-Blache G, et al. Intervention of pharmacist included in multidisciplinary team to reduce adverse drug even…
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psnet.ahrq.gov/issue/linking-transformational-leadership-patient-safety-culture-and-work-engagement-home-care
October 09, 2024 - Study
Emerging Classic
Linking transformational leadership, patient safety culture and work engagement in home care services.
Citation Text:
Ree E, Wiig S. Linking transformational leadership, patient safety culture and work engagement in home care services. Nu…
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psnet.ahrq.gov/issue/what-extent-world-health-organizations-medication-safety-challenge-being-addressed-english
November 02, 2022 - Study
To what extent is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations? A descriptive study.
Citation Text:
Garfield S, Teo V, Chan L, et al. To what extent is the World Health Organization's Medication Safety Challenge being…
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psnet.ahrq.gov/issue/mixed-methods-study-challenges-experienced-clinical-teams-measuring-improvement
February 20, 2019 - Study
A mixed-methods study of challenges experienced by clinical teams in measuring improvement.
Citation Text:
Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.11…
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psnet.ahrq.gov/issue/patient-awake-and-we-need-stay-calm-reconsidering-indirect-communication-face-medical-error
October 11, 2023 - Study
"The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses.
Citation Text:
Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication…
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psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
April 12, 2011 - Study
Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system.
Citation Text:
Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication safety: lesson…
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psnet.ahrq.gov/issue/paediatric-medication-incident-reporting-multicentre-comparison-study-medication-errors
January 18, 2023 - Study
Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system.
Citation Text:
Li L, Badgery-Parker T, Merchant A, et al. Paediatric medication incident reporting: a multicentre…
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psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-methods
December 07, 2022 - Study
Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations.
Citation Text:
Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital practice: a mixed-methods observational…
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psnet.ahrq.gov/issue/telemedicine-vs-telephone-consultations-and-medication-prescribing-errors-among-referring
September 23, 2020 - Study
Telemedicine vs telephone consultations and medication prescribing errors among referring physicians: a cluster randomized crossover trial.
Citation Text:
Marcin JP, Lieng MK, Mouzoon J, et al. Telemedicine vs telephone consultations and medication prescribing errors among referrin…
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psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study
October 16, 2013 - Study
Medication-related emergency department visits in pediatrics: a prospective observational study.
Citation Text:
Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43.…