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psnet.ahrq.gov/issue/multidisciplinary-approach-adverse-drug-events-pediatric-trauma-patients-adult-trauma-center
April 07, 2019 - Study
A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.
Citation Text:
Kalina M, Tinkoff G, Gleason W, et al. A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center. Ped Emerg …
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psnet.ahrq.gov/issue/adverse-drug-events-incidence-and-risk-reduction-across-care-continuum
April 12, 2019 - Image/Poster
ADVERSE drug events: incidence and risk reduction across the care continuum.
Citation Text:
Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03.
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psnet.ahrq.gov/issue/using-smart-pumps-understand-and-evaluate-clinician-practice-patterns-ensure-patient-safety
September 01, 2016 - Study
Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety.
Citation Text:
Mansfield J, Jarrett S. Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. Hosp Pharm. 2013;48(11):942-950. doi:10.1310…
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psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate
December 11, 2024 - Review
Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate.
Citation Text:
Feinstein MM, Pannunzio AE, Castro P. Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate. Paediatr Anaesth. 2018…
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psnet.ahrq.gov/issue/what-new-paediatric-medication-safety
June 28, 2017 - Review
What is new in paediatric medication safety?
Citation Text:
Kahn S, Abramson EL. What is new in paediatric medication safety? Arch Dis Child. 2019;104(6):596-599. doi:10.1136/archdischild-2018-315175.
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psnet.ahrq.gov/issue/jcaho-patient-safety-event-taxonomy-standardized-terminology-and-classification-schema-near
June 04, 2014 - Commentary
Classic
The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events.
Citation Text:
Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized t…
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psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety
August 23, 2023 - Study
Wake Up Safe in the USA & international patient safety.
Citation Text:
Iyer RS, Dave N, Du T, et al. Wake Up Safe in the USA & international patient safety. Paediatr Anaesth. 2024;34(9):958-969. doi:10.1111/pan.14920.
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psnet.ahrq.gov/issue/medication-related-clinical-decision-support-computerized-provider-order-entry-systems-review
March 11, 2011 - Review
Medication-related clinical decision support in computerized provider order entry systems: a review.
Citation Text:
Kuperman GJ, Bobb A, Payne TH, et al. Medication-related clinical decision support in computerized provider order entry systems: a review. J Am Med Inform Assoc. 2…
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psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
March 09, 2022 - Review
"First, know thyself": cognition and error in medicine.
Citation Text:
Elia F, Aprà F, Verhovez A, et al. "First, know thyself": cognition and error in medicine. Acta Diabetol. 2016;53(2):169-175. doi:10.1007/s00592-015-0762-8.
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psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
June 21, 2016 - Book/Report
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm.
Citation Text:
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015.
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psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
May 07, 2014 - Government Resource
AHRQ Health Information Technology Research: 2018 Year in Review.
Citation Text:
AHRQ Health Information Technology Research: 2018 Year in Review. AHRQ Health Information Technology Research: 2018 Year in Review. (Prepared by John Snow, Inc. Under Contract No. HHSN316…
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-nonverbal-involvement
June 14, 2017 - Study
Disclosing medical errors to patients: effects of nonverbal involvement.
Citation Text:
Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns. 2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007.
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psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
February 15, 2017 - Book/Report
IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events.
Citation Text:
IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015.
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psnet.ahrq.gov/issue/beyond-communication-role-standardized-protocols-changing-health-care-environment
October 12, 2011 - Study
Beyond communication: the role of standardized protocols in a changing health care environment.
Citation Text:
Vardaman JM, Cornell P, Gondo MB, et al. Beyond communication: the role of standardized protocols in a changing health care environment. Health Care Manage Rev. 2012;37…
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psnet.ahrq.gov/issue/towards-high-reliability-organising-healthcare-strategy-building-organisational-capacity
January 06, 2016 - Commentary
Towards high-reliability organising in healthcare: a strategy for building organisational capacity.
Citation Text:
Aboumatar HJ, Weaver SJ, Rees D, et al. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. BMJ Qual Saf. 2017;26(…
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psnet.ahrq.gov/issue/patient-safety-perioperative-medication-through-lens-digital-health-and-artificial
September 02, 2020 - Commentary
Patient safety of perioperative medication through the lens of digital health and artificial intelligence.
Citation Text:
Ye J. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. JMIR Periop Med. 2023;6:e34453. doi:10.219…
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psnet.ahrq.gov/issue/improving-medication-administration-safety-community-hospital-setting-using-lean-methodology
September 23, 2020 - Commentary
Improving medication administration safety in a community hospital setting using Lean methodology.
Citation Text:
Critchley S. Improving medication administration safety in a community hospital setting using Lean methodology. J Nurs Care Qual. 2015;30(4):345-351. doi:10.1097/N…
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psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
May 28, 2015 - Commentary
Application of lean thinking to health care: issues and observations.
Citation Text:
Joosten T, Bongers I, Janssen R. Application of lean thinking to health care: issues and observations. International Journal for Quality in Health Care. 2009;21(5). doi:10.1093/intqhc/mzp036…
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psnet.ahrq.gov/issue/use-beers-criteria-predict-adverse-drug-reactions-among-first-visit-elderly-outpatients
October 27, 2016 - Study
Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients.
Citation Text:
Chang C-M, Liu P-YY, Yang Y-HK, et al. Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Pharmacotherapy. 2005;25(6):…
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psnet.ahrq.gov/issue/emergency-department-visits-outpatient-adverse-drug-events-demonstration-national
February 14, 2017 - Study
Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system.
Citation Text:
Budnitz DS, Pollock DA, Mendelsohn AB, et al. Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance …