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psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and
March 05, 2008 - Study
Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study.
Citation Text:
de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug e…
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psnet.ahrq.gov/issue/burden-opioid-related-adverse-drug-events-hospitalized-previously-opioid-free-surgical
March 24, 2021 - Study
Emerging Classic
The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.
Citation Text:
Urman RD, Seger DL, Fiskio JM, et al. The burden of opioid-related adverse drug events on hospitalized previously opi…
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psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions
September 28, 2022 - Review
Look alike/sound alike drugs: a literature review on causes and solutions.
Citation Text:
Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6.
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psnet.ahrq.gov/issue/impact-automated-dispensing-cabinets-medication-selection-and-preparation-error-rates
January 24, 2018 - Study
Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study.
Citation Text:
Fanning L, Jones N, Manias E. Impact of automated dispensing cabinets on medication …
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psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-use-older-adults-living-nursing-homes
May 04, 2022 - Review
Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review.
Citation Text:
Morin L, Laroche M-L, Texier G, et al. Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic r…
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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/keeping-patients-risk-self-harm-safe-emergency-department-protocolized-approach
December 02, 2020 - Study
Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach.
Citation Text:
Donovan AL, Aaronson EL, Black L, et al. Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. Jt Comm J Qual Patient Saf. 20…
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psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness
May 26, 2021 - Study
Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices.
Citation Text:
Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by exampl…
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psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers
June 06, 2018 - Study
Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers.
Citation Text:
Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother.…
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psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident
May 05, 2021 - Study
Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care.
Citation Text:
Goh HS, Tan V, Chang J, et al. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident …
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psnet.ahrq.gov/issue/compensation-claims-danish-emergency-care-identifying-hot-spots-and-blind-spots-quality-care
November 03, 2021 - Study
Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care.
Citation Text:
Morsø L, Birkeland S, Walløe S, et al. Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. Jt Comm J Qu…
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psnet.ahrq.gov/issue/patient-and-family-engagement-catheter-associated-urinary-tract-infection-cauti-prevention
February 07, 2022 - Review
Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review.
Citation Text:
Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic revie…
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psnet.ahrq.gov/issue/finnish-emergency-medical-services-managers-and-medical-directors-perceptions-collaborating
December 02, 2020 - Study
Finnish emergency medical services managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues: a qualitative study.
Citation Text:
Venesoja A, Tella S, Castrén M, et al. Finnish emergency medical services managers’ and medical direc…
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psnet.ahrq.gov/issue/healthcare-associated-infections-veterans-affairs-acute-care-and-long-term-healthcare
February 07, 2022 - Study
Healthcare-associated infections in Veterans Affairs acute-care and long-term healthcare facilities during the coronavirus disease 2019 (COVID-19) pandemic.
Citation Text:
Evans ME, Simbartl LA, Kralovic SM, et al. Healthcare-associated infections in Veterans Affairs acute-care and…
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psnet.ahrq.gov/issue/health-care-safety-during-pandemic-and-beyond-building-system-ensures-resilience
July 20, 2022 - Commentary
Health care safety during the pandemic and beyond--building a system that ensures resilience.
Citation Text:
Fleisher LA, Schreiber M, Cardo D, et al. Health care safety during the pandemic and beyond--building a system that ensures resilience. N Engl J Med. 2022;386(7):609-61…
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psnet.ahrq.gov/issue/nosocomial-sars-cov-2-infections-and-mortality-during-unique-covid-19-epidemic-waves
February 14, 2024 - Study
Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves.
Citation Text:
Dave N, Sjöholm D, Hedberg P, et al. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. JAMA Netw Open. 2023;6(11):e2341936. doi:10.1001/jamanetwo…
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psnet.ahrq.gov/issue/urgent-referrals-primary-care-dermatology-lesions-suspicious-skin-cancer-patterns-outcomes
November 02, 2022 - Study
Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement.
Citation Text:
Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions suspicious for skin ca…
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psnet.ahrq.gov/issue/reducing-medication-errors-adults-hospital-settings
March 09, 2022 - Review
Reducing medication errors for adults in hospital settings.
Citation Text:
Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings. Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2.
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psnet.ahrq.gov/issue/improving-medication-appropriateness-nursing-homes-structured-interprofessional-medication
January 27, 2021 - Study
Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non-randomized controlled study.
Citation Text:
Dellinger JK, Pitzer S, Schaffler-Schaden D, et al. Improving medication appropriat…
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psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks
July 20, 2022 - Study
Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention.
Citation Text:
McVey L, Alvarado N, Healey F, et al. Talking about falls: a qualitative exploration of spok…