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FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. | PSNet

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April 07, 2019 - Press Release/Announcement FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. Citation Text: FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctio…

Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting. | PSNet

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March 23, 2022 - Study Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting. Citation Text: van der Nat DJ, Taks M, Huiskes VJB, et al. Risk factors for clinically relevant deviation…

Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use. | PSNet

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March 17, 2021 - Study Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use. Citation Text: Rapp T, Sicsic J, Tavassoli N, et al. Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing…

Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. | PSNet

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October 19, 2022 - Review Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. Citation Text: Wahr JA, Prager RL, Abernathy JH, et al. Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork. Circulation. 20…

What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review. | PSNet

psnet.ahrq.gov/issue/what-quality-and-safety-care-patients-admitted-clinically-inappropriate-wards-systematic

February 15, 2023 - Review What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review. Citation Text: La Regina M, Guarneri F, Romano E, et al. What Quality and Safety of Care for Patients Admitted to Clinically Inappropriate Wards: a Systematic Review. J Ge…

Indication alerts intercept drug name confusion errors during computerized entry of medication orders. | PSNet

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August 28, 2019 - Study Indication alerts intercept drug name confusion errors during computerized entry of medication orders. Citation Text: Galanter W, Bryson M, Falck S, et al. Indication alerts intercept drug name confusion errors during computerized entry of medication orders. PLoS One. 2014;9(7):e10…

Utilising improvement science methods to optimise medication reconciliation. | PSNet

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July 24, 2017 - Study Utilising improvement science methods to optimise medication reconciliation. Citation Text: White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845. Co…

Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. | PSNet

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July 31, 2019 - Study Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Citation Text: Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication d…

Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. | PSNet

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May 18, 2016 - Study Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. Citation Text: Entwistle VA, McCaughan D, Watt I, et al. Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. Qual Saf Health C…

Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. | PSNet

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March 09, 2022 - Review Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. Citation Text: Nguyen OT, Kunta AR, Katoju SV, et al. Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. JAMA Netw Ope…

Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure. | PSNet

psnet.ahrq.gov/issue/perceptions-hospital-electronic-health-record-ehr-training-support-and-patient-safety-staff

October 03, 2018 - Study Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure. Citation Text: Campione JR, Liu H. Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure. B…

The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome

May 15, 2013 - Review The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. Citation Text: van Rosse F, Maat B, Rademaker CMA, et al. The effect of computerized physician order entry on medication …

Medication errors in the outpatient setting: classification and root cause analysis. | PSNet

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December 16, 2020 - Study Medication errors in the outpatient setting: classification and root cause analysis. Citation Text: Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284. Cop…

Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. | PSNet

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November 16, 2022 - Commentary Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. Citation Text: Cohen SP, Baber ZB, Buvanendran A, et al. Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Pu…

Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches. | PSNet

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December 21, 2017 - Study Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches. Citation Text: Classen DC, Phansalkar S, Bates DW. Critical Drug-Drug Interactions for Use in Electronic Health Records Systems With…

Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study. | PSNet

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September 29, 2021 - Study Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study. Citation Text: Dunbar NM, Kaufman RM. Factors associated with wrong blood in tube errors: an international case series – The BEST collaborative study. Transfusion (Paris…

Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism. | PSNet

psnet.ahrq.gov/issue/identifying-and-reducing-medication-errors-psychiatry-creating-culture-safety-through-use

September 27, 2017 - Study Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism. Citation Text: Jayaram G, Doyle D, Steinwachs D, et al. Identifying and reducing medication errors in psychiatry: creating a culture of sa…

The health care cost of drug-related morbidity and mortality in nursing facilities. | PSNet

psnet.ahrq.gov/issue/health-care-cost-drug-related-morbidity-and-mortality-nursing-facilities

September 19, 2016 - Study Classic The health care cost of drug-related morbidity and mortality in nursing facilities. Citation Text: Bootman JL, Harrison DL, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med. 1997;157(18):2…

Protocolization of analgesia and sedation through smart technology in intensive care: improving patient safety. | PSNet

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March 09, 2022 - Study Protocolization of analgesia and sedation through smart technology in intensive care: improving patient safety. Citation Text: Ojeda IM, Sánchez-Cuervo M, Candela-Toha Á, et al. Protocolization of Analgesia and Sedation Through Smart Technology in Intensive Care: Improving Patient …

Criteria for the selection of paediatric patients susceptible to reconciliation error. | PSNet

psnet.ahrq.gov/issue/criteria-selection-paediatric-patients-susceptible-reconciliation-error

December 12, 2021 - Study Criteria for the selection of paediatric patients susceptible to reconciliation error. Citation Text: Iturgoyen Fuentes DP, Meneses Mangas C, Cuervas Mons Vendrell M. Criteria for the selection of paediatric patients susceptible to reconciliation error. Eur J Hosp Pharm. 2024;31(3…

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