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psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
April 29, 2018 - Study
Analysis of clinical decision support system malfunctions: a case series and survey.
Citation Text:
Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…
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psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site-using-failure
September 16, 2020 - Commentary
Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation.
Citation Text:
Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate ca…
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psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
May 05, 2021 - Study
Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.
Citation Text:
Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a common…
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psnet.ahrq.gov/issue/description-role-pharmacist-independent-double-checks-during-cognitive-order-verification
March 10, 2021 - Study
Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy.
Citation Text:
Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive …
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psnet.ahrq.gov/issue/hospital-prescribing-opioids-medicare-beneficiaries
December 04, 2016 - Study
Hospital prescribing of opioids to Medicare beneficiaries.
Citation Text:
Jena AB, Goldman D, Karaca-Mandic P. Hospital Prescribing of Opioids to Medicare Beneficiaries. JAMA Intern Med. 2016;176(7):990-7. doi:10.1001/jamainternmed.2016.2737.
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psnet.ahrq.gov/issue/incorporating-medication-indications-prescribing-process
May 01, 2019 - Commentary
Emerging Classic
Incorporating medication indications into the prescribing process.
Citation Text:
Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.…
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psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
August 20, 2018 - Review
Emerging Classic
Postoperative opioid prescribing: Getting it RIGHTT.
Citation Text:
Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707-711. doi:10.1016/j.amjsurg.2018.02.001.
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psnet.ahrq.gov/issue/time-day-and-decision-prescribe-antibiotics
September 29, 2017 - Study
Time of day and the decision to prescribe antibiotics.
Citation Text:
Linder JA, Doctor JN, Friedberg MW, et al. Time of day and the decision to prescribe antibiotics. JAMA Intern Med. 2014;174(12):2029-31. doi:10.1001/jamainternmed.2014.5225.
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
December 23, 2008 - Study
Classic
Medication prescribing errors in a teaching hospital.
Citation Text:
Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34.
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psnet.ahrq.gov/issue/prescribing-errors-pediatric-emergency-department
December 04, 2016 - Study
Prescribing errors in a pediatric emergency department.
Citation Text:
Rinke ML, Moon M, Clark J, et al. Prescribing errors in a pediatric emergency department. Pediatr Emerg Care. 2008;24(1):1-8. doi:10.1097/pec.0b013e31815f6f6c.
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psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics
March 05, 2010 - Study
What constitutes a prescribing error in paediatrics?
Citation Text:
Ghaleb MA, Barber N, Franklin D, et al. What constitutes a prescribing error in paediatrics? Qual Saf Health Care. 2005;14(5):352-7.
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psnet.ahrq.gov/issue/seven-potentially-deadly-prescribing-errors
June 12, 2013 - Newspaper/Magazine Article
Seven (potentially) deadly prescribing errors.
Citation Text:
Seven (potentially) deadly prescribing errors. Graham LR, Scudder L, Stokowski L. Medscape. October 22, 2015.
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psnet.ahrq.gov/issue/nurse-prescribing-reflections-safety-practice
June 21, 2017 - Study
Nurse prescribing: reflections on safety in practice.
Citation Text:
Bradley E, Hynam B, Nolan P. Nurse prescribing: reflections on safety in practice. Soc Sci Med. 2007;65(3):599-609.
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psnet.ahrq.gov/node/49695/psn-pdf
October 01, 2013 - When a phenytoin dose much greater than normal is prescribed, the EMR triggers an alert for the
clinician … Although the patient was inadvertently prescribed excessive phenytoin and
experienced temporary toxicity
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psnet.ahrq.gov/node/33824/psn-pdf
January 01, 2016 - Recent literature also indicates that the manner in which opioids are prescribed and used by patients … demonstrated that more than 90% of patients who
experienced a nonfatal opioid overdose continued to be prescribed
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psnet.ahrq.gov/issue/establishing-multi-institutional-quality-and-patient-safety-consortium-collaboration-across
June 24, 2009 - multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed
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psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement
August 11, 2010 - multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed
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psnet.ahrq.gov/issue/infusional-chemotherapy-and-medication-errors-tertiary-care-pediatric-cancer-unit-resource
October 29, 2012 - multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed
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psnet.ahrq.gov/node/49645/psn-pdf
February 01, 2012 - Providers need to continue to inform their patients of the name and appropriate use of medications when
prescribed … If a patient is not sure why a particular medication was prescribed, they should be encouraged
to talk
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psnet.ahrq.gov/issue/effects-two-commercial-electronic-prescribing-systems-prescribing-error-rates-hospital
September 01, 2016 - Study
Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.
Citation Text:
Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hos…