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psnet.ahrq.gov/issue/scoping-review-legibility-hand-written-prescriptions-and-drug-orders-writing-wall
January 12, 2022 - Review
A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall.
Citation Text:
Ariaga A, Balzan D, Falzon S, et al. A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. Expert Rev Clin Pharmac…
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psnet.ahrq.gov/issue/characteristics-pediatric-chemotherapy-medication-errors-national-error-reporting-database
September 21, 2008 - Study
Characteristics of pediatric chemotherapy medication errors in a national error reporting database.
Citation Text:
Rinke ML, Shore AD, Morlock L, et al. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Cancer. 2007;110(1):186-95.…
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psnet.ahrq.gov/issue/medication-safety-alert-fatigue-may-be-reduced-interaction-design-and-clinical-role-tailoring
December 31, 2014 - Review
Emerging Classic
Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review.
Citation Text:
Hussain MI, Reynolds TL, Zheng K. Medication safety alert fatigue may be reduced via interaction design…
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psnet.ahrq.gov/issue/quality-indicators-implementation-safety-promotion-towards-valid-and-reliable-global
February 03, 2010 - Study
Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes.
Citation Text:
Timpka T, Nordqvist C, Festin K, et al. Quality indicators for implementation of safety promotion: towards valid and reliable global cert…
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psnet.ahrq.gov/issue/aspen-survey-parenteral-nutrition-access-issues-how-system-fails-patients
October 02, 2013 - Study
ASPEN survey of parenteral nutrition access issues: how the system fails the patients.
Citation Text:
Mirtallo JM, Allen P, Book WM, et al. ASPEN survey of parenteral nutrition access issues: how the system fails the patient. Nutr Clin Pract. 2024;39(5):1164-1181. doi:10.1002/ncp.1…
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psnet.ahrq.gov/issue/avoiding-unintended-consequences-growth-medical-care-how-might-more-be-worse
April 24, 2018 - Commentary
Classic
Avoiding the unintended consequences of growth in medical care: how might more be worse?
Citation Text:
Fisher ES, Welch HG. Avoiding the unintended consequences of growth in medical care: how might more be worse? JAMA. 1999;281(5):446-53.
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
October 19, 2022 - Study
Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.
Citation Text:
Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.…
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psnet.ahrq.gov/issue/war-two-fronts-cancer-care-time-covid-19
March 12, 2025 - Commentary
A war on two fronts: cancer care in the time of COVID-19.
Citation Text:
Kutikov A, Weinberg DS, Edelman MJ, et al. A war on two fronts: cancer care in the time of COVID-19. Ann Intern Med. 2020;172(11):756-758. doi:10.7326/m20-1133.
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psnet.ahrq.gov/issue/influence-surgeon-behavior-trainee-willingness-speak-randomized-controlled-trial
February 22, 2019 - Study
Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial.
Citation Text:
Salazar MJB, Minkoff H, Bayya J, et al. Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. J Am Coll Surg. 2014;219(5):1001-…
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-attitudes-and-practices-physicians-and-trainees
February 15, 2011 - Study
Disclosing medical errors to patients: attitudes and practices of physicians and trainees.
Citation Text:
Kaldjian LC, Jones EW, Wu BJ, et al. Disclosing medical errors to patients: attitudes and practices of physicians and trainees. J Gen Intern Med. 2007;22(7):988-96.
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psnet.ahrq.gov/issue/using-patient-safety-morbidity-and-mortality-conferences-promote-transparency-and-culture
March 28, 2011 - Study
Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety.
Citation Text:
Szekendi MK, Barnard C, Creamer J, et al. Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. Jt Comm J Qua…
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psnet.ahrq.gov/issue/reduction-preventable-time-critical-dose-omissions-impact-electronic-medication-management
February 03, 2016 - Study
Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients.
Citation Text:
Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems …
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psnet.ahrq.gov/issue/results-national-neurosurgery-resident-survey-duty-hour-regulations
September 29, 2017 - Study
Results of a national neurosurgery resident survey on duty hour regulations.
Citation Text:
Fargen KM, Chakraborty A, Friedman WA. Results of a national neurosurgery resident survey on duty hour regulations. Neurosurgery. 2011;69(6):1162-70. doi:10.1227/NEU.0b013e3182245989.
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psnet.ahrq.gov/issue/medication-regimen-complexity-and-hospital-readmission-adverse-drug-event
December 03, 2014 - Study
Medication regimen complexity and hospital readmission for an adverse drug event.
Citation Text:
Willson MN, Greer CL, Weeks DL. Medication regimen complexity and hospital readmission for an adverse drug event. Ann Pharmacother. 2014;48(1):26-32. doi:10.1177/1060028013510898.
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psnet.ahrq.gov/issue/using-name-overlap-analysis-understand-medication-name-search-safety
August 31, 2022 - Study
Using name overlap analysis to understand medication name search safety.
Citation Text:
Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048.
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psnet.ahrq.gov/issue/evaluation-web-based-education-program-reducing-medication-dosing-error-multicenter
May 18, 2022 - Study
Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.
Citation Text:
Frush K, Hohenhaus S, Luo X, et al. Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomiz…
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psnet.ahrq.gov/issue/improving-medication-safety-during-hospital-based-transitions-care
May 08, 2017 - Commentary
Improving medication safety during hospital-based transitions of care.
Citation Text:
Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care. Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025.
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psnet.ahrq.gov/issue/predicting-avoidable-hospital-events-maryland
April 06, 2022 - Study
Predicting avoidable hospital events in Maryland.
Citation Text:
Henderson M, Han F, Perman C, et al. Predicting avoidable hospital events in Maryland. Health Serv Res. 2022;57(1):192-199. doi:10.1111/1475-6773.13891.
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psnet.ahrq.gov/issue/costs-adverse-events-intensive-care-units
July 23, 2008 - Study
Classic
Costs of adverse events in intensive care units.
Citation Text:
Kaushal R, Bates DW, Franz C, et al. Costs of adverse events in intensive care units. Crit Care Med. 2007;35(11):2479-83.
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psnet.ahrq.gov/issue/adapting-cognitive-task-analysis-investigate-clinical-decision-making-and-medication-safety
March 10, 2021 - Study
Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents.
Citation Text:
Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Sa…