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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - October 25, 2023
Safer prescribing for hospitalized older adults with an electronic health … records‐based prescribing context.
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - replace it with
errors associated with picking the wrong item in a drop-down list, which may result in prescribing … the wrong
drug, dose, or route of a medication; prescribing to the wrong patient; or selecting the
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - Protocol-driven and evidence-based order sets for specific clinical scenarios can
help standardize insulin prescribing … In addition, the commentary described building a
mechanism (presumably electronically) where the prescribing
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - i.e., a medication history, or pre-admission medication
list [PAML]) and comparing that list to the prescribing … Comparing the PAML to the prescribing clinician’s admission,
transfer, and discharge orders would have
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - prior data on changes in adverse drug event rates both before and after implementation of electronic prescribing … These data support further implementation of electronic prescribing, despite concerns about introducing
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psnet.ahrq.gov/issue/equipped-overcoming-barriers-change-improve-quality-care-theories-change
May 23, 2018 - Commentary
Equipped: overcoming barriers to change to improve quality of care (theories of change).
Citation Text:
Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):1…
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psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
October 16, 2013 - Study
The effect of an organizational network for patient safety on safety event reporting.
Citation Text:
Jeffs L, Hayes C, Smith O, et al. The effect of an organizational network for patient safety on safety event reporting. Eval Health Prof. 2014;37(3):366-78. doi:10.1177/016327871349…
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psnet.ahrq.gov/issue/effect-diagnostic-accuracy-cognitive-reasoning-tools-workplace-setting-systematic-review-and
February 02, 2022 - Review
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.
Citation Text:
Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review…
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psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
November 30, 2016 - Study
Provider perspectives on partnering with parents of hospitalized children to improve safety.
Citation Text:
Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. …
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psnet.ahrq.gov/issue/potentially-unintended-discontinuation-long-term-medication-use-after-elective-surgical
October 16, 2012 - Study
Potentially unintended discontinuation of long-term medication use after elective surgical procedures.
Citation Text:
Bell CM, Bajcar J, Bierman AS, et al. Potentially unintended discontinuation of long-term medication use after elective surgical procedures. Arch Intern Med. 2006…
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psnet.ahrq.gov/issue/outcomes-after-out-hospital-endotracheal-intubation-errors
July 20, 2010 - Study
Outcomes after out-of-hospital endotracheal intubation errors.
Citation Text:
Wang HE, Cook LJ, Chang C-CH, et al. Outcomes after out-of-hospital endotracheal intubation errors. Resuscitation. 2009;80(1):50-5. doi:10.1016/j.resuscitation.2008.08.016.
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Format…
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psnet.ahrq.gov/issue/seips-101-and-seven-simple-seips-tools
October 03, 2013 - Commentary
SEIPS 101 and seven simple SEIPS tools.
Citation Text:
Holden RJ, Carayon P. SEIPS 101 and seven simple SEIPS tools. BMJ Qual Saf. 2021;30(11):901-910. doi:10.1136/bmjqs-2020-012538.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/issue/patient-safety-event-reporting-critical-care-study-three-intensive-care-units
September 22, 2010 - Study
Patient safety event reporting in critical care: a study of three intensive care units.
Citation Text:
Harris CB, Krauss MJ, Coopersmith CM, et al. Patient safety event reporting in critical care: a study of three intensive care units. Crit Care Med. 2007;35(4):1068-76.
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psnet.ahrq.gov/issue/health-care-information-technology-vendors-hold-harmless-clause-implications-patients-and
October 13, 2018 - Commentary
Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians.
Citation Text:
Koppel R, Kreda D. Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. JAMA. 2009;301(12):12…
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psnet.ahrq.gov/issue/global-drug-shortages-due-covid-19-impact-patient-care-and-mitigation-strategies
November 04, 2020 - Commentary
Global drug shortages due to COVID-19: impact on patient care and mitigation strategies.
Citation Text:
Badreldin HA, Atallah B. Global drug shortages due to COVID-19: Impact on patient care and mitigation strategies. Res Social Adm Pharm. 2020;17(1):1946-1949. doi:10.1016/j.s…
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psnet.ahrq.gov/issue/parents-perspectives-keeping-their-children-safe-hospital
June 27, 2018 - Study
Parents' perspectives on "keeping their children safe" in the hospital.
Citation Text:
Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193.
Cop…
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psnet.ahrq.gov/issue/patient-pharmacist-communication-during-post-discharge-pharmacist-home-visit
May 28, 2015 - Study
Patient–pharmacist communication during a post-discharge pharmacist home visit.
Citation Text:
Ensing HT, Vervloet M, van Dooren AA, et al. Patient-pharmacist communication during a post-discharge pharmacist home visit. Int J Clin Pharm. 2018;40(3):712-720. doi:10.1007/s11096-018-0…
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psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error
February 06, 2019 - EMERGING INNOVATIONS
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).
Citation Text:
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…
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psnet.ahrq.gov/issue/systematic-review-patient-safety-interventions-dentistry
April 25, 2018 - Review
Systematic review of patient safety interventions in dentistry.
Citation Text:
Bailey E, Tickle M, Campbell S, et al. Systematic review of patient safety interventions in dentistry. BMC Oral Health. 2015;15:152. doi:10.1186/s12903-015-0136-1.
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DO…
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psnet.ahrq.gov/issue/interventions-promote-safety-culture-cancer-care-systematic-review
August 09, 2023 - Review
Interventions to promote safety culture in cancer care: a systematic review.
Citation Text:
Le D, Lim CH, Fazelzad R, et al. Interventions to promote safety culture in cancer care: a systematic review. J Patient Saf. 2024;20(1):48-56. doi:10.1097/pts.0000000000001181.
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