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psnet.ahrq.gov/issue/potential-role-pharmacogenomics-reducing-adverse-drug-reactions-systematic-review
August 04, 2021 - Review
Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review.
Citation Text:
Phillips KA, Veenstra DL, Oren E, et al. Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. JAMA. 2001;286(18):2270-9.
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psnet.ahrq.gov/issue/framework-patient-safety-part-1-and-part-2
September 07, 2016 - Commentary
Framework for patient safety—part 1 and part 2.
Citation Text:
Blouin AS, McDonagh KJ. Framework for patient safety, part 1: culture as an imperative. J Nurs Adm. 2011;41(10):397-400. doi:10.1097/NNA.0b013e31822edb4d.
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psnet.ahrq.gov/issue/ashp-statement-pharmacists-role-medication-reconciliation
June 30, 2021 - Commentary
ASHP statement on the pharmacist's role in medication reconciliation.
Citation Text:
ASHP Statement on the Pharmacist’s Role in Medication Reconciliation. Am J Health Syst Pharm. 2013;70(5):453-456. doi:10.2146/sp120009.
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psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-leads-error-prone-use
September 14, 2016 - Newspaper/Magazine Article
What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers.
Citation Text:
What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-p…
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psnet.ahrq.gov/issue/concepts-development-customizable-checklist-use-patients
June 04, 2014 - Commentary
Concepts for the development of a customizable checklist for use by patients.
Citation Text:
Fernando RJ, Shapiro FE, Rosenberg NM, et al. Concepts for the Development of a Customizable Checklist for Use by Patients. J Patient Saf. 2019;15(1):18-23. doi:10.1097/PTS.00000000000…
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psnet.ahrq.gov/issue/impact-medication-reviews-delivered-community-pharmacist-elderly-patients-polypharmacy-meta
May 19, 2021 - Review
Impact of medication reviews delivered by community pharmacist to elderly patients on polypharmacy: a meta-analysis of randomized controlled trials.
Citation Text:
Tasai S, Kumpat N, Dilokthornsakul P, et al. Impact of Medication Reviews Delivered by Community Pharmacist to Elderl…
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psnet.ahrq.gov/issue/patients-view-2004-isqsh-national-survey
July 20, 2022 - Book/Report
The Patients' View: 2004 ISQSH National Survey.
Citation Text:
The Patients' View: 2004 ISQSH National Survey. Dublin: Irish Society for Quality and Safety in Healthcare; 2004.
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psnet.ahrq.gov/issue/do-panels-vary-when-assessing-intrapartum-adverse-events-reproducibility-assessments-hospital
July 07, 2021 - Study
Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups.
Citation Text:
Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups. Kerna…
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psnet.ahrq.gov/issue/saying-im-sorry-error-disclosure-ophthalmologists
November 20, 2019 - Commentary
Saying "I'm sorry": error disclosure for ophthalmologists.
Citation Text:
Lee BS, Gallagher TH. Saying "I'm sorry": error disclosure for ophthalmologists. Am J Ophthalmol. 2014;158(6):1108-1110.e2. doi:10.1016/j.ajo.2014.09.010.
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psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
December 23, 2012 - Congressional Testimony
Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm.
Citation Text:
Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. US House of Representatives Committee on Veterans Affairs Subco…
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psnet.ahrq.gov/issue/morphine-overdose-error-propagation-acute-pain-service-une-surdose-de-morphine-resultant-de
January 13, 2016 - Commentary
Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue].
Citation Text:
Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant …
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection
October 08, 2024 - Press Release/Announcement
Common Formats for Patient Safety Data Collection.
Citation Text:
Common Formats for Patient Safety Data Collection. Agency for Healthcare Research and Quality. Fed Register. Mar 6, 2024;89(45);15992.
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psnet.ahrq.gov/issue/answers-improved-medication-reconciliation-lie-pharmacists
June 13, 2011 - Newspaper/Magazine Article
Answers to improved medication reconciliation lie with pharmacists.
Citation Text:
Answers to improved medication reconciliation lie with pharmacists. Barbella M. Drug Topics. November 19, 2007.
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psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
December 07, 2022 - Study
Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis.
Citation Text:
Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. Jørgensen IF, Brunak S. NPJ Digital Med. 2021;4(1):12.
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psnet.ahrq.gov/issue/medication-error-reduction-and-use-pda-technology
August 28, 2024 - Study
Medication error reduction and the use of PDA technology.
Citation Text:
Greenfield S. Medication error reduction and the use of PDA technology. J Nurs Educ. 2007;46(3):127-31. doi:10.3928/01484834-20070301-07.
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psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
October 08, 2016 - Review
Safety-II and resilience: the way ahead in patient safety in anaesthesiology.
Citation Text:
Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252.
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psnet.ahrq.gov/issue/designing-strategy-promote-safe-innovative-label-use-medications
May 06, 2009 - Commentary
Designing a strategy to promote safe, innovative off-label use of medications.
Citation Text:
Ansani N, Sirio CA, Smitherman T, et al. Designing a strategy to promote safe, innovative off-label use of medications. Am J Med Qual. 2006;21(4):255-261.
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psnet.ahrq.gov/issue/poor-physician-patient-communication-and-medical-error
August 23, 2023 - Commentary
Poor physician-patient communication and medical error.
Citation Text:
Poor physician-patient communication and medical error. Lazris A, Roth AR, Haskell H, et al. Am Fam Physician. 2021;103(12):757-759.
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psnet.ahrq.gov/issue/pediatric-quality-and-safety
August 01, 2018 - Newsletter/Journal
Pediatric Quality and Safety.
Citation Text:
Pediatric Quality and Safety. Brilli RJ, McClead RE Jr, eds. Alphen aan den Rijn, The Netherlands: Wolters Kluwer. ISSN: 2472-0054.
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psnet.ahrq.gov/issue/are-you-well-positioned-resolve-conflicts-safety-order-learning-physicians-homicide-trial-and
May 18, 2022 - Newspaper/Magazine Article
Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers.
Citation Text:
Are you well positioned to resolve conflicts with the safety of an order? Learning…