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Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey. | PSNet

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January 29, 2020 - Study Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey. Citation Text: Lee JS, Hu HM, Brummett CM, et al. Postoperative Opioid Prescribing and the Pain Scores on Hospital Consumer Assessment of Healthcare Prov…

Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. | PSNet

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March 20, 2019 - Study Emerging Classic Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. Citation Text: Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentine…

Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. | PSNet

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November 16, 2022 - Study Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Citation Text: Condren M, Honey BL, Carter SM, et al. Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Acad Pediatr. 2014;14(5):485-90. doi:10.1016…

Prescribing decision making by medical residents on night shifts: a qualitative study. | PSNet

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April 14, 2021 - Study Prescribing decision making by medical residents on night shifts: a qualitative study. Citation Text: Lauffenburger JC, Coll MD, Kim E, et al. Prescribing decision making by medical residents on night shifts: a qualitative study. Med Educ. 2022;56(10):1032-1041. doi:10.1111/medu.14…

The evolution of procedural competency in internal medicine training. | PSNet

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December 15, 2021 - Commentary The evolution of procedural competency in internal medicine training. Citation Text: Sacks CA, Alba GA, Miloslavsky EM. The Evolution of Procedural Competency in Internal Medicine Training. JAMA Intern Med. 2017;177(12):1713-1714. doi:10.1001/jamainternmed.2017.5014. Copy Ci…

Critical events in the lives of interns. | PSNet

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November 16, 2022 - Study Critical events in the lives of interns. Citation Text: Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. | PSNet

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July 14, 2021 - Study Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. Citation Text: Foster CB, Ackerman K, Hupertz V, et al. Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. Pediatrics. 2020;146(4):e20192057.…

The threat within: mitigating the risk of medical error. | PSNet

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July 15, 2020 - Book/Report The threat within: mitigating the risk of medical error. Citation Text: Bennett S. The Threat Within: Mitigating The Risk Of Medical Error. Springer International Publishing; 2020. doi:10.1007/978-3-030-23491-1_3. Copy Citation Format: DOI Google Scholar BibTeX…

Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. | PSNet

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October 19, 2022 - Review Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. Citation Text: Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. …

E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. | PSNet

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September 30, 2015 - Study E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. Citation Text: Gabriel MH, Powers C, Encinosa W, et al. E-Prescribing and Adverse Drug Events: An Observational Study of the Medicare Part D Population With Diabetes. Med …

Recovery from medical errors: the critical care nursing safety net. | PSNet

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February 18, 2011 - Study Recovery from medical errors: the critical care nursing safety net. Citation Text: Rothschild JM, Hurley A, Landrigan CP, et al. Recovery from medical errors: the critical care nursing safety net. Jt Comm J Qual Patient Saf. 2006;32(2):63-72. Copy Citation Format: G…

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. | PSNet

psnet.ahrq.gov/issue/acceptance-recommendations-inpatient-pharmacy-case-managers-unintended-consequences

November 16, 2022 - Study Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. Citation Text: Anderegg S, Demik DE, Carter BL, et al. Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hosp…

Effect of clinical pharmacists on care in the emergency department: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-clinical-pharmacists-care-emergency-department-systematic-review

January 16, 2008 - Review Classic Effect of clinical pharmacists on care in the emergency department: a systematic review. Citation Text: Cohen V, Jellinek SP, Hatch A, et al. Effect of clinical pharmacists on care in the emergency department: a systematic review. Am J Health Sy…

Development of an instrument to measure the unintended consequences of EHRs. | PSNet

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June 22, 2011 - Commentary Development of an instrument to measure the unintended consequences of EHRs. Citation Text: Carrington JM, Gephart SM, Verran JA, et al. Development of an Instrument to Measure the Unintended Consequences of EHRs. West J Nurs Res. 2015;37(7):842-58. doi:10.1177/019394591557608…

Comprehensive analysis of a medication dosing error related to CPOE. | PSNet

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June 01, 2005 - Commentary Comprehensive analysis of a medication dosing error related to CPOE. Citation Text: Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740. Copy Citation Fo…

Healthcare personnel attire in non–operating-room settings. | PSNet

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January 04, 2019 - Commentary Healthcare personnel attire in non–operating-room settings. Citation Text: Bearman G, Bryant K, Leekha S, et al. Healthcare personnel attire in non-operating-room settings. Infect Control Hosp Epidemiol. 2014;35(2):107-21. doi:10.1086/675066. Copy Citation Format: …

Intensive care units, communication between nurses and physicians, and patients' outcomes. | PSNet

psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes

May 28, 2008 - Study Intensive care units, communication between nurses and physicians, and patients' outcomes. Citation Text: Manojlovich M, Antonakos CL, Ronis DL. Intensive care units, communication between nurses and physicians, and patients' outcomes. Am J Crit Care. 2009;18(1):21-30. doi:10.403…

Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-system-detecting-medication-errors-antineoplastic-chemotherapy

March 09, 2022 - Study Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. Citation Text: Serrano-Fabiá A, Albert-Marí A, Almenar-Cubells D, et al. Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. J Oncol Pharm Pract. 2010;16(…

Advancement toward High Reliability in Healthcare Awards. | PSNet

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June 08, 2011 - January 21, 2009 Teamwork is associated with reduced hospital staff burnout at military

Fatal drug mix-up exposes hospital flaws. | PSNet

psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws

March 02, 2016 - July 10, 2018 Teamwork is associated with reduced hospital staff burnout at military

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