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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - Assessment Med Guide (GRAM™), evaluated the effectiveness of a
clinical software program in long-term care pharmacies … The investigators concluded that using health
information technology in long-term care pharmacies to
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digital.ahrq.gov/principal-investigator/davison-rod
January 01, 2023 - Davison, Rod
Evaluating success. Strategies and challenges for understanding IT implementation in a rural hospital.
Citation
Spetz J, Keane D. Evaluating success. Strategies and challenges for understanding IT implementation in a rural hospital. J Healthc Inf Manag 2009 Winte…
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psnet.ahrq.gov/node/867440/psn-pdf
January 08, 2025 - How can specialist investigation agencies inform system-
wide learning for patient safety? A qualitative study of
perspectives on the early years of the English Healthcare
Safety Investigation Branch.
January 8, 2025
Crompton A, Waring J, Macrae C, et al. How can specialist investigation agencies inform system-wid…
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hcup-us.ahrq.gov/datainnovations/MNAbstractFinal.pdf
September 29, 2013 - Title:
State: Minnesota
Title: Using Clinically Enhanced Claims Data to Guide Treatment of
Acute Heart Failure
Principal Investigator: Mark Sonneborn
Organization: Minnesota Hospital Association
Project Dates: September 30, 2010, to September 29, 2013
Grant Number: R01 HS20043-01
The long-term objec…
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psnet.ahrq.gov/node/40477/psn-pdf
March 23, 2012 - Adverse drug events in U.S. adult ambulatory medical
care.
March 23, 2012
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.
https://psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulator…
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psnet.ahrq.gov/node/36753/psn-pdf
April 30, 2014 - Medication errors in the outpatient setting: classification
and root cause analysis.
April 30, 2014
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.
https://psnet.ahrq.gov/issue/medicatio…
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psnet.ahrq.gov/node/39579/psn-pdf
June 11, 2014 - Outpatient adverse drug events identified by screening
electronic health records.
June 11, 2014
Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic
health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06.
https://psnet.ahrq.gov/issue/out…
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psnet.ahrq.gov/node/72792/psn-pdf
March 03, 2021 - Avoiding a Med-Wreck: a structured medication
reconciliation framework and standardized auditing tool
utilized to optimize patient safety and reallocate hospital
resources.
March 3, 2021
Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication
reconciliation framework and stan…
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psnet.ahrq.gov/node/72530/psn-pdf
January 01, 2021 - A realist synthesis of pharmacist-conducted medication
reviews in primary care after leaving hospital: what works
for whom and why?
December 2, 2020
Luetsch K, Rowett D, Twigg MJ. A realist synthesis of pharmacist-conducted medication reviews in primary
care after leaving hospital: what works for whom and why? BMJ…
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psnet.ahrq.gov/node/36222/psn-pdf
March 10, 2011 - Impact of a computerized clinical decision support
system on reducing inappropriate antimicrobial use: a
randomized controlled trial.
March 10, 2011
McGregor JC, Weekes E, Forrest GN, et al. Impact of a computerized clinical decision support system on
reducing inappropriate antimicrobial use: a randomized controll…
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psnet.ahrq.gov/node/865585/psn-pdf
April 17, 2024 - Estimating the impact on patient safety of enabling the
digital transfer of patients' prescription information in the
English NHS.
April 17, 2024
Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital
transfer of patients’ prescription information in the English NHS. …
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psnet.ahrq.gov/node/47537/psn-pdf
November 14, 2018 - Developing a learning health system: insights from a
qualitative process evaluation of a pharmacist-led
electronic audit and feedback intervention to improve
medication safety in primary care.
November 14, 2018
Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system: Insights from a qualitative
…
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psnet.ahrq.gov/node/44580/psn-pdf
January 13, 2016 - Computerized Prescriber Order Entry Medication Safety
(CPOEMS): Uncovering and Learning From Issues and
Errors.
January 13, 2016
Brigham and Women's Hospital, Harvard Medical School, Partners HealthCare. Silver Spring, MD: US
Food and Drug Administration; December 15, 2015.
https://psnet.ahrq.gov/issue/computeriz…
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psnet.ahrq.gov/issue/safe-rx-awards
August 02, 2023 - Award Recipient
The Safe RX Awards.
Citation Text:
The Safe RX Awards. SureScripts
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April 27, 2009
Su…
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psnet.ahrq.gov/node/853620/psn-pdf
September 20, 2023 - Impact of pharmacist-led admission medication
reconciliation on patient outcomes in a large health
system.
September 20, 2023
Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication
reconciliation on patient outcomes in a large health system. J Patient Saf Risk Manag. 2023;28(6)…
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psnet.ahrq.gov/node/73682/psn-pdf
September 08, 2021 - Massive open online course (MOOC) learning builds
capacity and improves competence for patient safety
among global learners: a prospective cohort study.
September 8, 2021
Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds
capacity and improves competence for patient saf…
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psnet.ahrq.gov/node/867225/psn-pdf
December 04, 2024 - Characterization of interventions to reduce the frequency
of critical medication doses missed or delayed during
perioperative and unit-to-unit patient transfers.
December 4, 2024
Cole E, Duncan R, Grucz T, et al. Characterization of interventions to reduce the frequency of critical
medication doses missed or delay…
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psnet.ahrq.gov/node/843080/psn-pdf
January 25, 2023 - Bad things can happen: are medical students aware of
patient centered care and safety?
January 25, 2023
Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient
centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/dx-2022-0072.
https://psnet.ahr…
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psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-ambulatory-surgery-center-survey-user-database-report
February 28, 2024 - February 20, 2019
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative
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psnet.ahrq.gov/issue/2012-user-comparative-database-report-medical-office-survey-patient-safety-culture
November 30, 2016 - May 11, 2016
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative