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psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events
August 30, 2017 - Review
The cost of opioid–related adverse drug events.
Citation Text:
Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889.
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psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
September 15, 2021 - Study
Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action.
Citation Text:
Harris CK, Chen Y, Yarsky B, et al. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Acad Pathol. 2022…
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psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings
March 03, 2021 - Commentary
How to do no harm: empowering local leaders to make care safer in low-resource settings.
Citation Text:
Vincent CA, Mboga M, Gathara D, et al. How to do no harm: empowering local leaders to make care safer in low-resource settings. Arch Dis Child. 2021;106(4):333-337. doi:10.1…
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psnet.ahrq.gov/issue/effect-computer-order-entry-prevention-serious-medication-errors-hospitalized-children
May 27, 2011 - Study
Classic
Effect of computer order entry on prevention of serious medication errors in hospitalized children.
Citation Text:
Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious medication errors in hospitalized …
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psnet.ahrq.gov/issue/impact-internal-service-quality-preventable-adverse-events-hospitals
September 24, 2016 - Study
The impact of internal service quality on preventable adverse events in hospitals.
Citation Text:
Zheng S, Tucker AL, Ren ZJ, et al. The Impact of Internal Service Quality on Preventable Adverse Events in Hospitals. Production Operations Manag. 2017;27(12):2201-2212. doi:10.1111/po…
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psnet.ahrq.gov/issue/effects-computerized-physician-order-entry-and-clinical-decision-support-systems-medication
May 27, 2011 - Review
Classic
Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.
Citation Text:
Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision s…
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psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
March 04, 2011 - Study
Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.
Citation Text:
Kozer E, Scolnik D, MacPherson A, et al. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency departme…
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psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists
September 21, 2022 - Study
Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists.
Citation Text:
Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097…
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psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination
April 03, 2019 - Study
Improving safety in the operating room: medication icon labels increase visibility and discrimination.
Citation Text:
Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:1…
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psnet.ahrq.gov/issue/wake-call-night-shifts-adversely-affect-nurse-health-and-retention-patient-and-public-safety
April 24, 2018 - Review
Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs.
Citation Text:
Imes CC, Tucker SJ, Trinkoff AM, et al. Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Nurs A…
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psnet.ahrq.gov/issue/impact-nursing-skill-mix-adverse-events-intensive-care-single-centre-cohort-study
November 21, 2021 - Study
The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study.
Citation Text:
Ross P, Hodgson CL, Ilic D, et al. The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study. Contemp Nurse. 2023;59(1):3-15. do…
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psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
December 31, 2014 - Review
Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review.
Citation Text:
Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry s…
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psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
January 23, 2019 - Commentary
Implementing online medication reconciliation at a large academic medical center.
Citation Text:
Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508.
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psnet.ahrq.gov/issue/how-useful-are-medication-patient-information-leaflets-older-adults-content-readability-and
November 11, 2020 - Study
How useful are medication patient information leaflets to older adults? A content, readability and layout analysis.
Citation Text:
Liu F, Abdul-Hussain S, Mahboob S, et al. How useful are medication patient information leaflets to older adults? A content, readability and layout ana…
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psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-against-medical-oncologists-national-database
July 02, 2019 - Study
An analysis of medical malpractice claims against medical oncologists from a national database: implications for safer practice.
Citation Text:
Doolin JW, Schaffer AC, Tishler RB, et al. An analysis of medical malpractice claims against medical oncologists from a national database:…
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psnet.ahrq.gov/issue/communication-and-collaboration-its-about-pharmacists-well-physicians-and-nurses
November 25, 2009 - Study
Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.
Citation Text:
Holden LM, Watts DD, Walker PH. Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. Qual Saf Health Care. 2010;19(3):16…
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psnet.ahrq.gov/issue/diagramming-patients-views-root-causes-adverse-drug-events-ambulatory-care-online-tool
April 27, 2010 - Study
Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research.
Citation Text:
Brown M, Frost R, Ko Y, et al. Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online …
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psnet.ahrq.gov/issue/electronic-medication-reconciliation-and-medication-errors
November 16, 2022 - Study
Electronic medication reconciliation and medication errors.
Citation Text:
Hron JD, Manzi S, Dionne R, et al. Electronic medication reconciliation and medication errors. Int J Qual Health Care. 2015;27(4):314-9. doi:10.1093/intqhc/mzv046.
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psnet.ahrq.gov/issue/errors-medication-history-hospital-admission-prevalence-and-predicting-factors
October 14, 2020 - Study
Errors in medication history at hospital admission: prevalence and predicting factors.
Citation Text:
Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission: prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/…
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psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review
January 12, 2022 - Review
Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.
Citation Text:
Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…