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psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry
June 16, 2010 - Review
Narrative review: do state laws make it easier to say "I'm sorry"?
Citation Text:
McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern Med. 2008;149(11):811-816.
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psnet.ahrq.gov/issue/disclosure-medical-errors-what-factors-influence-how-patients-respond
December 23, 2008 - Study
Classic
Disclosure of medical errors: what factors influence how patients respond?
Citation Text:
Mazor KM, Reed G, Yood RA, et al. Disclosure of medical errors: what factors influence how patients respond? J Gen Intern Med. 2006;21(7):704-10.
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psnet.ahrq.gov/issue/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician
June 25, 2014 - Study
Classic
Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients.
Citation Text:
Network WG for the CHECKLIST-ICUI and the BR in IC, Cavalcanti AB, Bozza FA, et …
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psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
April 29, 2018 - Study
Analysis of clinical decision support system malfunctions: a case series and survey.
Citation Text:
Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - Antibiotic prescribing for adults with acute bronchitis in the United States, 1996–2010. … Selling more requires doctors to use more of their products in surgeries, tests, and prescribing practices
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psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
September 01, 2014 - Selling more requires doctors to use more of their products in surgeries, tests, and prescribing practices … Antibiotic prescribing for adults with acute bronchitis in the United States, 1996–2010.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
May 01, 2013 - Review clinical information and select regimen
Treatment planning and informed consent
Ordering or prescribing
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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
June 15, 2024 - residents until March 1984, when 18-year-old Libby Zion died at New York Hospital due to a medication-prescribing
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - Spotlight Case July 2008
Spotlight Case
Adolescent Diabetes:
A Routine Visit?
Source and Credits
This presentation is based on the February 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Gail B. Slap, MD, MSc, Children’s Hospital of P…
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx
Spotlight
When the Indications for Drug
Administration Blur
Source and Credits
• This presentation is based on the June 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Julia Munsch,…
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psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
January 05, 2017 - Resources
Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - December 22, 2010
The impact of independent chemotherapy prescribing by advanced practice
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - The Topic
Operating Room
Quality and Safety Professionals
Hospital Medicine
Ordering/Prescribing
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psnet.ahrq.gov/web-mm/challenging-case-multiple-suicide-attempts-complex-patient-psychiatric-comorbidities
September 27, 2023 - SPOTLIGHT CASE
Challenging Case of Multiple Suicide Attempts in a Complex Patient with Psychiatric Comorbidities.
Citation Text:
Bourgeois JA, Xiong G. Challenging Case of Multiple Suicide Attempts in a Complex Patient with Psychiatric Comorbidities.. PSNet [internet]. Rockville (MD): Agency for …
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psnet.ahrq.gov/innovation/clinician-collaboration-improve-clinical-decision-support-clickbusters-initiative
October 21, 2020 - EMERGING INNOVATIONS
Clinician collaboration to improve clinical decision support: the Clickbusters initiative.
Citation Text:
Clinician collaboration to improve clinical decision support: the Clickbusters initiative. Mc Coy AB, Russo EM, Johnson KB, et al. Clinician collaboration to improve clini…
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psnet.ahrq.gov/issue/detectability-medication-errors-stoppstart-based-medication-review-older-people-prior
August 18, 2021 - Study
Detectability of medication errors with a STOPP/START-based medication review in older people prior to a potentially preventable drug-related hospital admission.
Citation Text:
Sallevelt BTGM, Egberts TCG, Huibers CJA, et al. Detectability of medication errors with a STOPP/START-ba…
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psnet.ahrq.gov/issue/costs-intravenous-adverse-drug-events-academic-and-nonacademic-intensive-care-units
August 11, 2021 - Study
Costs of intravenous adverse drug events in academic and nonacademic intensive care units.
Citation Text:
Nuckols TK, Paddock SM, Bower AG, et al. Costs of intravenous adverse drug events in academic and nonacademic intensive care units. Med Care. 2009;46(1):17-24. doi:10.1097/m…
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psnet.ahrq.gov/issue/interdisciplinary-collaboration-across-secondary-and-primary-care-improve-medication-safety
December 21, 2022 - Study
Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial.
Citation Text:
Johansen JS, Halvorsen KH, Svendsen K, et al. Interdisciplinary collaboration across secondary and prima…
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psnet.ahrq.gov/issue/primary-care-relevant-interventions-prevent-falling-older-adults-systematic-evidence-review
May 27, 2020 - Review
Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force.
Citation Text:
Michael YL, Whitlock EP, Lin JS, et al. Primary care-relevant interventions to prevent falling in older adults: a syst…
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psnet.ahrq.gov/node/49841/psn-pdf
September 01, 2018 - Computerized physician order entry of injectable antineoplastic
drugs: an epidemiologic study of prescribing