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psnet.ahrq.gov/issue/30-day-potentially-avoidable-readmissions-due-adverse-drug-events
June 14, 2017 - Study
30-day potentially avoidable readmissions due to adverse drug events.
Citation Text:
Dalleur O, Beeler PE, Schnipper JL, et al. 30-Day Potentially Avoidable Readmissions Due to Adverse Drug Events. J Patient Saf. 2021;17(5):e379-e386. doi:10.1097/pts.0000000000000346.
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psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors
February 18, 2011 - Study
Classic
Role of computerized physician order entry systems in facilitating medication errors.
Citation Text:
Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):119…
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-increase-patient-safety-cancer-chemotherapy
August 18, 2021 - Study
Using failure mode and effects analysis to increase patient safety in cancer chemotherapy.
Citation Text:
Weber L, Schulze I, Jaehde U. Using Failure Mode and Effects Analysis to increase patient safety in cancer chemotherapy. Res Social Adm Pharm. 2022;18(8):3386-3393. doi:10.1016…
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psnet.ahrq.gov/issue/improving-our-understanding-multi-tasking-healthcare-drawing-together-cognitive-psychology
July 19, 2018 - Review
Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature.
Citation Text:
Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare: Drawing together the cognitive psycho…
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psnet.ahrq.gov/issue/effectiveness-checklists-and-error-reporting-systems-enhancing-patient-safety-and-reducing
August 03, 2017 - Review
The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review.
Citation Text:
Chance EA, Florence D, Sardi Abdoul I. The effectiveness of checklists and error reporting systems in enhanc…
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psnet.ahrq.gov/issue/technological-distractions-part-1-and-part-2
April 24, 2018 - Review
Technological distractions—part 1 and part 2.
Citation Text:
Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. Crit Care …
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psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine
November 09, 2022 - Study
Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients.
Citation Text:
Bloomer A, Wally M, Bailey G, et al. Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescr…
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psnet.ahrq.gov/issue/operationalizing-occupational-fatigue-pharmacists-exploratory-factor-analysis
March 23, 2022 - Study
Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis.
Citation Text:
Watterson TL, Look KA, Steege LM, et al. Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. Res Social Adm Pharm. 2021;17(7):1282-1287. doi:10.101…
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psnet.ahrq.gov/issue/stard-2015-guidelines-reporting-diagnostic-accuracy-studies-explanation-and-elaboration
February 14, 2006 - Commentary
STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration.
Citation Text:
Cohen JF, Korevaar DA, Altman DG, et al. STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. BMJ Open. 2016;6(11):e012799. doi…
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psnet.ahrq.gov/issue/i-am-not-doctor-you-physicians-attitudes-about-caring-people-disabilities
February 10, 2015 - Study
‘I am not the doctor for you’: physicians’ attitudes about caring for people with disabilities.
Citation Text:
Lagu T, Haywood C, Reimold KE, et al. ‘I am not the doctor for you’: physicians’ attitudes about caring for people with disabilities. Health Aff (Millwood). 2022;41(10):13…
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psnet.ahrq.gov/issue/does-simulation-training-acute-care-nurses-improve-patient-safety-outcomes-systematic-review
January 12, 2022 - Review
Emerging Classic
Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice.
Citation Text:
Lewis KA, Ricks TN, Rowin A, et al. Does Simulation Training for Acute Care Nurses Impr…
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psnet.ahrq.gov/issue/uptake-pharmacist-recommendations-patients-after-discharge-implementation-study-patient
December 14, 2016 - Study
Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service.
Citation Text:
Basger BJ, Moles RJ, Chen TF. Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-ce…
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psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
January 06, 2017 - Study
Process of care failures in breast cancer diagnosis.
Citation Text:
Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0.
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psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case-study
April 03, 2024 - Commentary
Technology-related safety event analysis in community clinical informatics: a case study.
Citation Text:
Recsky C, Stowe M, Rush KL, et al. Technology-related safety event analysis in community clinical informatics: a case study. Stud Health Technol Inform. 2024;315:452-457. d…
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psnet.ahrq.gov/issue/medication-errors-related-computerized-order-entry-children
May 26, 2011 - Study
Medication errors related to computerized order entry for children.
Citation Text:
Walsh KE, Adams WG, Bauchner H, et al. Medication errors related to computerized order entry for children. Pediatrics. 2006;118(5):1872-1879.
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psnet.ahrq.gov/issue/electronic-surveillance-and-pharmacist-intervention-vulnerable-older-inpatients-high-risk
March 21, 2017 - Study
Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medication regimens.
Citation Text:
Peterson JF, Kripalani S, Danciu I, et al. Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medicatio…
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psnet.ahrq.gov/issue/association-hospital-quality-ratings-adverse-events
April 30, 2014 - Study
The association of hospital quality ratings with adverse events.
Citation Text:
Weissman JS, López L, Schneider EC, et al. The association of hospital quality ratings with adverse events. Int J Qual Health Care. 2014;26(2):129-35. doi:10.1093/intqhc/mzt092.
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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-artificial-intelligence-versus-clinicians-skin-cancer
January 22, 2014 - Review
A systematic review and meta-analysis of artificial intelligence versus clinicians for skin cancer diagnosis.
Citation Text:
Salinas MP, Sepúlveda J, Hidalgo L, et al. A systematic review and meta-analysis of artificial intelligence versus clinicians for skin cancer diagnosis. NPJ…
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psnet.ahrq.gov/issue/policy-and-practice-use-root-cause-analysis-investigate-clinical-adverse-events-mind-gap
December 09, 2020 - Study
Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap.
Citation Text:
Nicolini D, Waring J, Mengis J. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Soc Sci Med. 2011…
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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