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The costs associated with adverse drug events among older adults in the ambulatory setting. | PSNet

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May 20, 2020 - Study The costs associated with adverse drug events among older adults in the ambulatory setting. Citation Text: Field T, Gilman BH, Subramanian S, et al. The costs associated with adverse drug events among older adults in the ambulatory setting. Med Care. 2005;43(12):1171-1176. Copy…

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. | PSNet

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October 07, 2020 - Study Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Citation Text: Shen L, Levie A, Singh H, et al. Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2022;48(2):71-80. doi:10.1016/…

Global oncology pharmacy response to COVID-19 pandemic: medication access and safety. | PSNet

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January 23, 2017 - Commentary Global oncology pharmacy response to COVID-19 pandemic: medication access and safety. Citation Text: Alexander M, Jupp J, Chazan G, et al. Global oncology pharmacy response to COVID-19 pandemic: medication access and safety. J Oncol Pharm Pract. 2020;26(5):1225-1229. doi:10.11…

Assessing experiences of racism among Black and White patients in the emergency department. | PSNet

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December 14, 2022 - Study Assessing experiences of racism among Black and White patients in the emergency department. Citation Text: Agarwal AK, Sagan C, Gonzales R, et al. Assessing experiences of racism among Black and White patients in the emergency department. J Am Coll Emerg Physicians Open. 2022;3(6):…

Habit and automaticity in medical alert override: cohort study. | PSNet

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October 05, 2022 - Study Habit and automaticity in medical alert override: cohort study. Citation Text: Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med Internet Res. 2022;24(2):e23355. doi:10.2196/23355. Copy Citation Format: DOI Google Sch…

Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. | PSNet

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September 09, 2020 - Study Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. Citation Text: Chew MM, Rivas S, Chesser M, et al. Improving administration and documen…

Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. | PSNet

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April 12, 2023 - Study Emerging Classic Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. Citation Text: Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconcil…

A mixed-methods study of challenges experienced by clinical teams in measuring improvement. | PSNet

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February 20, 2019 - Study A mixed-methods study of challenges experienced by clinical teams in measuring improvement. Citation Text: Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.11…

High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. | PSNet

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December 02, 2020 - Study High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Citation Text: Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emer…

Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics. | PSNet

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January 18, 2023 - Study Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics. Citation Text: Raban MZ, Fitzpatrick E, Merchant A, et al. Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics.…

Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. | PSNet

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May 08, 2017 - Study Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. Citation Text: Yang Y, Ward-Charlerie S, Dhavle AA, et al. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Car…

CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008. | PSNet

psnet.ahrq.gov/issue/cdc-central-line-bloodstream-infection-prevention-efforts-produced-net-benefits-least-640

October 31, 2014 - Study CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008. Citation Text: Scott D, Sinkowitz-Cochran R, Wise ME, et al. CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 M…

Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. | PSNet

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June 02, 2021 - Study Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. Citation Text: Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19…

Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. | PSNet

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May 18, 2022 - Study Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. Citation Text: Baartmans MC, van Schoten SM, Smit BJ, et al. Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospe…

Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review. | PSNet

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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…

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. | PSNet

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November 16, 2022 - Study The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. Citation Text: Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing harmful adverse drug events in Englan…

Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. | PSNet

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January 12, 2022 - Study Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. Citation Text: Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients …

Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. | PSNet

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December 05, 2018 - Study Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. Citation Text: Huth K, Stack AM, Hatoun J, et al. Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. BMJ Qual Saf. 2021;30(3):208-215. doi:10.113…

Risk factors associated with medication ordering errors. | PSNet

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December 02, 2020 - Study Risk factors associated with medication ordering errors. Citation Text: Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264. Copy Citation Format: DOI …

Implementation and evaluation of a prototype consumer reporting system for patient safety events. | PSNet

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February 12, 2020 - Study Implementation and evaluation of a prototype consumer reporting system for patient safety events. Citation Text: Weingart SN, Weissman JS, Zimmer KP, et al. Implementation and evaluation of a prototype consumer reporting system for patient safety events. Int J Qual Health Care. 201…

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