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psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-intensive-care-unit
June 30, 2021 - Study
Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit.
Citation Text:
Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. Jt Comm J Qual Patient …
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psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct
August 17, 2022 - Study
The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants.
Citation Text:
Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…
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psnet.ahrq.gov/issue/high-priority-drug-drug-interaction-clinical-decision-support-overrides-newly-implemented
March 09, 2022 - Study
High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events.
Citation Text:
Edrees H, Amato MG, Wong A, et al. High-priority drug-drug interactio…
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psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
May 18, 2022 - Study
The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis.
Citation Text:
van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical…
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psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among
October 27, 2021 - Study
Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects.
Citation Text:
Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvemen…
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psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge
August 11, 2021 - Review
Classic
Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review.
Citation Text:
Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and me…
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psnet.ahrq.gov/issue/repurposing-clinical-decision-support-system-data-measure-dosing-errors-and-clinician-level
October 21, 2020 - Study
Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care.
Citation Text:
Chin DL, Wilson MH, Trask AS, et al. Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. J Med …
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psnet.ahrq.gov/issue/interventions-designed-improve-safety-and-quality-therapeutic-anticoagulation-inpatient
March 27, 2024 - Review
Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record.
Citation Text:
Austin J, Barras M, Sullivan C. Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient…
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psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care
June 21, 2010 - Study
Classic
Adverse drug events in U.S. adult ambulatory medical care.
Citation Text:
Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x…
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psnet.ahrq.gov/issue/impact-pharmacist-led-multidisciplinary-medication-review-safety-and-medication-cost-elderly
May 25, 2022 - Study
Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.
Citation Text:
Leguelinel-Blache G, Castelli C, Rolain J, et al. Impact of pharmacist-led multidisciplinary medicatio…
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psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error-rates-and
August 26, 2020 - Review
Emerging Classic
How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis.
Citation Text:
Gates PJ, Hardie R-A, Raban MZ, et al. How effective a…
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-3
January 12, 2022 - Commentary
STOPP/START criteria for potentially inappropriate prescribing in older people: version 3.
Citation Text:
O’Mahony D, Cherubini A, Guiteras AR, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 3. Eur Geriatr Med. 2023;14(4):625-632…
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psnet.ahrq.gov/issue/impact-rudeness-medical-team-performance-randomized-trial
April 24, 2018 - Study
Classic
The impact of rudeness on medical team performance: a randomized trial.
Citation Text:
Riskin A, Erez A, Foulk T, et al. The impact of rudeness on medical team performance: a randomized trial. Pediatrics. 2015;136(3):487-495. doi:10.1542/peds.2015-…
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psnet.ahrq.gov/issue/sex-bias-pain-management-decisions
June 07, 2023 - Study
Sex bias in pain management decisions.
Citation Text:
Guzikevits M, Gordon-Hecker T, Rekhtman D, et al. Sex bias in pain management decisions. Proc Natl Acad Sci U S A. 2024;121(33):e2401331121. doi:10.1073/pnas.2401331121.
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psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
July 06, 2011 - Study
Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens.
Citation Text:
Tong EY, Roman C, Mitra B, et al. Partnered pharmacist charting on admission in the Gen…
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psnet.ahrq.gov/issue/drug-drug-interactions-should-be-non-interruptive-order-reduce-alert-fatigue-electronic
December 31, 2014 - Study
Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records.
Citation Text:
Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic…
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psnet.ahrq.gov/issue/impact-rapid-response-system-delayed-emergency-team-activation-patient-characteristics-and
November 03, 2008 - Study
The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—a follow-up study.
Citation Text:
Calzavacca P, Licari E, Tee A, et al. The impact of Rapid Response System on delayed emergency team activation patient characteristics a…
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psnet.ahrq.gov/issue/clinical-practice-guideline-safe-medication-use-icu
February 19, 2014 - Review
Clinical practice guideline: safe medication use in the ICU.
Citation Text:
Kane-Gill SL, Dasta JF, Buckley MS, et al. Clinical Practice Guideline: Safe Medication Use in the ICU. Crit Care Med. 2017;45(9):e877-e915. doi:10.1097/CCM.0000000000002533.
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psnet.ahrq.gov/issue/overall-performance-drug-drug-interaction-clinical-decision-support-system-quantitative
August 10, 2022 - Study
Overall performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey.
Citation Text:
Van De Sijpe G, Quintens C, Walgraeve K, et al. Overall performance of a drug–drug interaction clinical decision support system: quantitative…
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psnet.ahrq.gov/issue/systematic-biases-group-decision-making-implications-patient-safety
July 24, 2024 - Study
Systematic biases in group decision-making: implications for patient safety.
Citation Text:
Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083.
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