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psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
February 12, 2020 - Commentary
Shaping systems for better behavioral choices: lessons learned from a fatal medication error.
Citation Text:
Smetzer JL, Baker C, Byrne FD, et al. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Jt Comm J Qual Patient Saf. 2010;36(…
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psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and
May 08, 2017 - Study
Classic
Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems.
Citation Text:
Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication error…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention
February 10, 2011 - Study
Classic
Incidence of adverse drug events and potential adverse drug events: implications for prevention.
Citation Text:
Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. …
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psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
August 15, 2012 - Book/Report
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis.
Citation Text:
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Add…
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psnet.ahrq.gov/issue/opportunities-and-challenges-quality-and-safety-applications-icd-11-international-survey
February 17, 2017 - Study
Opportunities and challenges for quality and safety applications in ICD-11: an international survey of users of coded health data.
Citation Text:
Southern DA, Hall M, White DE, et al. Opportunities and challenges for quality and safety applications in ICD-11: an international surve…
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psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error-rates-and
August 26, 2020 - Review
Emerging Classic
How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis.
Citation Text:
Gates PJ, Hardie R-A, Raban MZ, et al. How effective a…
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psnet.ahrq.gov/issue/cost-implications-reduced-work-hours-and-workloads-resident-physicians
August 05, 2015 - Study
Cost implications of reduced work hours and workloads for resident physicians.
Citation Text:
Nuckols TK, Bhattacharya J, Wolman DM, et al. Cost implications of reduced work hours and workloads for resident physicians. N Engl J Med. 2009;360(21):2202-15. doi:10.1056/NEJMsa0810251…
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psnet.ahrq.gov/issue/effective-implementation-work-hour-limits-and-systemic-improvements
September 28, 2010 - Study
Classic
Effective implementation of work-hour limits and systemic improvements.
Citation Text:
Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl…
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psnet.ahrq.gov/issue/interventions-promoting-employee-speaking-within-healthcare-workplaces-systematic-narrative
May 19, 2021 - Review
Classic
Interventions promoting employee "speaking-up" within healthcare workplaces: a systematic narrative review of the international literature.
Citation Text:
Jones A, Blake J, Adams M, et al. Interventions promoting employee “speaking-up” within heal…
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psnet.ahrq.gov/issue/recommendations-safe-effective-use-adaptive-cds-us-healthcare-system-amia-position-paper
March 24, 2021 - Commentary
Emerging Classic
Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.
Citation Text:
Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in th…
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psnet.ahrq.gov/issue/doing-detective-work-find-cancer-how-are-non-specific-symptom-pathways-cancer-investigation
April 05, 2023 - Commentary
Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach.
Citation Text:
Black GB, Nicholson BD, Moreland J-A, et al. Doing …
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psnet.ahrq.gov/issue/are-operating-room-distractions-interruptions-and-disruptions-associated-performance-and
December 02, 2020 - Review
Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis.
Citation Text:
Mcmullan RD, Urwin R, Gates PJ, et al. Are operating room distractions, interruptions and disruptions associated wi…
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psnet.ahrq.gov/issue/national-drug-shortages-worsen-during-covid-19-crisis-proposal-comprehensive-model-monitor
April 06, 2022 - Commentary
National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address critical drug shortages.
Citation Text:
Piatek OI, Ning JC-min, Touchette DR. National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive mo…
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psnet.ahrq.gov/issue/comparison-health-care-worker-satisfaction-vs-after-implementation-communication-and-optimal
December 09, 2020 - Study
Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals.
Citation Text:
Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after implementa…
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psnet.ahrq.gov/issue/patient-safety-culture-and-second-victim-phenomenon-connecting-culture-staff-distress-nurses
December 21, 2016 - Study
Patient safety culture and the second victim phenomenon: connecting culture to staff distress in nurses.
Citation Text:
Quillivan RR, Burlison JD, Browne EK, et al. Patient Safety Culture and the Second Victim Phenomenon: Connecting Culture to Staff Distress in Nurses. Jt Comm J Qu…
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psnet.ahrq.gov/print/pdf/node/867658
January 26, 2022 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Opioid Stewardship
Curated Library
Primers
Pharmacist's Role in Medication Safety
UC Davis PSNet Editorial Team | December, 15 2024
Pharmacists in all settings play a crucial role in medication safety.
Opioid Safety
UC Davis PSNet Editoria…
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psnet.ahrq.gov/issue/effects-interdisciplinary-team-care-interventions-general-medical-wards-systematic-review
April 24, 2018 - Review
Classic
Effects of interdisciplinary team care interventions on general medical wards: a systematic review.
Citation Text:
Pannick S, Davis R, Ashrafian H, et al. Effects of Interdisciplinary Team Care Interventions on General Medical Wards: A Systematic …
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psnet.ahrq.gov/issue/understanding-teamwork-rapidly-deployed-interprofessional-teams-intensive-and-acute-care
September 07, 2022 - Review
Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews.
Citation Text:
Schilling S, Armaou M, Morrison Z, et al. Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: …
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psnet.ahrq.gov/issue/ensuring-effective-care-transition-communication-implementation-electronic-medical-record
July 12, 2023 - Study
Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses.
Citation Text:
Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communica…
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psnet.ahrq.gov/issue/frequency-type-and-degree-potential-harm-adverse-safety-events-among-pediatric-emergency
October 19, 2022 - Study
Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters.
Citation Text:
Cicero MX, Baird J, Brown L, et al. Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical …