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psnet.ahrq.gov/issue/medication-sharing-storage-and-disposal-practices-opioid-medications-among-us-adults
March 30, 2022 - Study
Medication sharing, storage, and disposal practices for opioid medications among US adults.
Citation Text:
Kennedy-Hendricks A, Gielen A, McDonald E, et al. Medication Sharing, Storage, and Disposal Practices for Opioid Medications Among US Adults. JAMA Intern Med. 2016;176(7):1027…
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psnet.ahrq.gov/issue/acting-wisely-complex-clinical-situations-mutual-safety-clinicians-well-patients
June 16, 2021 - Study
Acting wisely in complex clinical situations: 'Mutual safety' for clinicians as well as patients.
Citation Text:
Dornan T, Lee C, Findlay-White F, et al. Acting wisely in complex clinical situations: ‘Mutual safety’ for clinicians as well as patients. Med Teach. 2021;43(12):1419-14…
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psnet.ahrq.gov/issue/incidents-and-errors-neonatal-intensive-care-review-literature
June 15, 2011 - Review
Incidents and errors in neonatal intensive care: a review of the literature.
Citation Text:
Snijders C, van Lingen RA, Molendijk A, et al. Incidents and errors in neonatal intensive care: a review of the literature. Arch Dis Child Fetal Neonatal Ed. 2007;92(5):F391-8.
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psnet.ahrq.gov/issue/medication-errors-use-allopurinol-and-colchicine-retrospective-study-national-anonymous
December 21, 2014 - Study
Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system.
Citation Text:
Mikuls TR, Curtis JR, Allison JJ, et al. Medication errors with the use of allopurinol and colchicine: a retrosp…
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psnet.ahrq.gov/issue/factors-associated-medication-errors-pediatric-emergency-department
March 09, 2022 - Study
Factors associated with medication errors in the pediatric emergency department.
Citation Text:
Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, et al. Factors associated with medication errors in the pediatric emergency department. Pediatr Emerg Care. 2011;27(4):290-294. doi:…
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-and-healthcare-expenditures-us-community-dwelling
April 08, 2020 - Study
Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly.
Citation Text:
Fu AZ, Jiang JZ, Reeves JH, et al. Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly. Med Care. 2007;4…
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psnet.ahrq.gov/issue/nurses-satisfaction-medication-administration-point-care-technology
January 09, 2008 - Study
Nurses' satisfaction with medication administration point-of-care technology.
Citation Text:
Hurley A, Bane A, Fotakis S, et al. Nurses' satisfaction with medication administration point-of-care technology. J Nurs Adm. 2007;37(7-8):343-349.
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psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-2-review-strategies-and
January 04, 2010 - Review
Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
Citation Text:
Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a review of stra…
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psnet.ahrq.gov/issue/reducing-accidental-extubation-neonates
September 09, 2011 - Study
Reducing accidental extubation in neonates.
Citation Text:
Loughead JL, Brennan RA, DeJuilio P, et al. Reducing accidental extubation in neonates. Jt Comm J Qual Patient Saf. 2008;34(3):164-170, 125.
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psnet.ahrq.gov/issue/fda-requiring-color-changes-duragesic-fentanyl-pain-patches-aid-safety-emphasizing-accidental
August 05, 2020 - Press Release/Announcement
FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death.
Citation Text:
FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that…
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psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
March 24, 2019 - Study
Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions?
Citation Text:
Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon…
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psnet.ahrq.gov/issue/el-camino-hospital-using-health-information-technology-promote-patient-safety
March 06, 2013 - Award Recipient
El Camino Hospital: using health information technology to promote patient safety.
Citation Text:
Bukunt S, Hunter C, Perkins S, et al. El Camino Hospital: Using Health Information Technology to Promote Patient Safety. Jt Comm J Qual Patient Saf. 2016;31(10):561-565. doi:…
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psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pumps-intrathecal-administration-medicines
June 20, 2018 - Press Release/Announcement
FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management.
Citation Text:
FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management…
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psnet.ahrq.gov/issue/measuring-hospital-acquired-complications-associated-low-value-care
August 11, 2021 - Study
Emerging Classic
Measuring hospital-acquired complications associated with low-value care.
Citation Text:
Badgery-Parker T, Pearson S-A, Dunn S, et al. Measuring Hospital-Acquired Complications Associated With Low-Value Care. JAMA Intern Med. 2019;179(4):4…
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psnet.ahrq.gov/issue/medication-safety-messages-patients-web-portal-medcheck-intervention
September 11, 2013 - Study
Medication safety messages for patients via the web portal: the MedCheck intervention.
Citation Text:
Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168.
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psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage-7
July 17, 2019 - Commentary
Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report.
Citation Text:
Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. Sulkers H, Tajirian T, Paterson …
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psnet.ahrq.gov/issue/significant-and-sustained-reduction-chemotherapy-errors-through-improvement-science
October 19, 2022 - Study
Significant and sustained reduction in chemotherapy errors through improvement science.
Citation Text:
Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.20…
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psnet.ahrq.gov/issue/effectiveness-nurse-education-and-training-clinical-alarm-response-and-management-systematic
February 22, 2017 - Review
The effectiveness of nurse education and training for clinical alarm response and management: a systematic review.
Citation Text:
Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. J Clin Nu…
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psnet.ahrq.gov/issue/speaking-about-dangers-hidden-curriculum
September 30, 2020 - Commentary
Speaking up about the dangers of the hidden curriculum.
Citation Text:
Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff (Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018648-atlas-final-report-2014.pdf
January 01, 2014 - The analytic cohort of patients consisted of those
individuals who were prescribed medications used … When one of these study medications was prescribed, the intervention
physician had the opportunity … Prescribed study medications by participating PCPs were
obtained from the EHR. … Over the 12-‐month study period, 3022 eligible study
medications were prescribed for 2049 patients … Table 1: Patient characteristics by intervention and control group (3655 unique patients
prescribed