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psnet.ahrq.gov/issue/optimizing-use-dose-error-reduction-software-intravenous-infusion-pumps
August 02, 2015 - Study
Optimizing the use of dose error reduction software on intravenous infusion pumps.
Citation Text:
Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385.
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psnet.ahrq.gov/issue/reducing-drug-prescription-errors-and-adverse-drug-events-application-probabilistic-machine
March 12, 2025 - Study
Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting.
Citation Text:
Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by…
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psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary
November 07, 2018 - Commentary
Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance
Citation Text:
Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood o…
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psnet.ahrq.gov/issue/implementation-online-reporting-system-identify-unprofessional-behaviors-and-mistreatment
July 13, 2022 - Study
Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center.
Citation Text:
Leitman IM, Muller D, Miller S, et al. Implementation of an online reporting system to identify unprofessional behav…
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psnet.ahrq.gov/issue/tracking-progress-improving-diagnosis-framework-defining-undesirable-diagnostic-events
September 01, 2021 - Commentary
Classic
Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events.
Citation Text:
Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J G…
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psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance
August 25, 2011 - Study
Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance.
Citation Text:
Gallagher AG, Boyle E, Toner P, et al. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Arch Surg. 2011;146(4):419-26.…
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psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
September 29, 2017 - Commentary
The medical liability climate and prospects for reform.
Citation Text:
Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA. 2014;312(20):2146-55. doi:10.1001/jama.2014.10705.
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psnet.ahrq.gov/issue/internet-things-healthcare-patient-safety-empirical-study
March 18, 2020 - Study
Internet of things in healthcare for patient safety: an empirical study.
Citation Text:
Yesmin T, Carter MW, Gladman AS. Internet of things in healthcare for patient safety: an empirical study. BMC Health Serv Res. 2022;22(1):278. doi:10.1186/s12913-022-07620-3.
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psnet.ahrq.gov/issue/effect-prescriber-education-medication-related-patient-harm-hospital-systematic-review
January 07, 2015 - Review
The effect of prescriber education on medication-related patient harm in the hospital: a systematic review.
Citation Text:
Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. Br…
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psnet.ahrq.gov/issue/improving-ambulatory-prescribing-safety-handheld-decision-support-system-randomized
July 30, 2014 - Study
Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.
Citation Text:
Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. J A…
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psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through-simultaneous-cultural
April 24, 2018 - Study
Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.
Citation Text:
Abstoss KM, Shaw BE, Owens TA, et al. Increasing medication error reporting rates while reducing harm through sim…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-intensive-care-units-prospective
March 29, 2012 - Study
Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter study.
Citation Text:
Benkirane RR, Abouqal R, R-Abouqal R, et al. Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter s…
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psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-departments
August 17, 2016 - Study
The nature and causes of unintended events reported at 10 internal medicine departments.
Citation Text:
Lubberding S, Zwaan L, Timmermans D, et al. The nature and causes of unintended events reported at 10 internal medicine departments. J Patient Saf. 2011;7(4):224-31. doi:10.109…
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psnet.ahrq.gov/issue/dynamic-pocket-card-implementing-isbar-shift-handover-communication
July 10, 2024 - Study
Dynamic pocket card for implementing ISBAR in shift handover communication.
Citation Text:
Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831.
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psnet.ahrq.gov/issue/preventive-surgical-site-infection-bundle-colorectal-surgery-effective-approach-surgical-site
November 16, 2022 - Study
The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings.
Citation Text:
Keenan JE, Speicher PJ, Thacker JKM, et al. The preventive surgical site infection bundle in colorectal surge…
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psnet.ahrq.gov/issue/real-time-clinical-alerting-effect-automated-paging-system-response-time-critical-laboratory
October 31, 2011 - Study
Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory values—a randomised controlled trial.
Citation Text:
Etchells E, Adhikari NKJ, Cheung C, et al. Real-time clinical alerting: effect of an automated paging system on response …
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psnet.ahrq.gov/issue/shape-matters-neglected-feature-medication-safety-why-regulating-shape-medication-containers
December 09, 2020 - Commentary
Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety.
Citation Text:
Bitan Y, Nunnally M. Shape matters: a neglected feature of medication safety: why regulating the shape of medication contain…
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psnet.ahrq.gov/issue/drug-calculation-ability-qualified-paramedics-pilot-study
June 25, 2018 - Study
Drug calculation ability of qualified paramedics: a pilot study.
Citation Text:
Boyle MJ, Eastwood K. Drug calculation ability of qualified paramedics: A pilot study. World J Emerg Med. 2018;9(1):41-45. doi:10.5847/wjem.j.1920-8642.2018.01.006.
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psnet.ahrq.gov/issue/systematic-video-game-training-surgical-novices-improves-performance-virtual-reality
January 18, 2011 - Study
Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators: a prospective randomized study.
Citation Text:
Schlickum MK, Hedman L, Enochsson L, et al. Systematic video game training in surgical novices improves perfor…
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psnet.ahrq.gov/issue/patient-misidentifications-caused-errors-standard-barcode-technology
June 13, 2012 - Study
Patient misidentifications caused by errors in standard barcode technology.
Citation Text:
Snyder ML, Carter A, Jenkins K, et al. Patient misidentifications caused by errors in standard bar code technology. Clin Chem. 2010;56(10):1554-60. doi:10.1373/clinchem.2010.150094.
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