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Improving medication-related clinical decision support. | PSNet

psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-support

July 01, 2017 - Review Emerging Classic Improving medication-related clinical decision support. Citation Text: Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830. …

Responding to health information technology reported safety events: insights from patient safety event reports. | PSNet

psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-patient-safety-event

June 30, 2019 - Study Responding to health information technology reported safety events: insights from patient safety event reports. Citation Text: Responding to health information technology reported safety events: insights from patient safety event reports. Adams KT, Kim TC, Fong A, et al. J Patient …

Mitigating patient and consumer safety risks when using conversational assistants for medical information: exploratory mixed methods experiment. | PSNet

psnet.ahrq.gov/issue/mitigating-patient-and-consumer-safety-risks-when-using-conversational-assistants-medical

September 19, 2018 - Study Mitigating patient and consumer safety risks when using conversational assistants for medical information: exploratory mixed methods experiment. Citation Text: Bickmore TW, Olafsson S, O'Leary TK. Mitigating patient and consumer safety risks when using conversational assistants for…

Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. | PSNet

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May 21, 2014 - Special or Theme Issue Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. Citation Text: Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395…

Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? | PSNet

psnet.ahrq.gov/issue/standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care

March 20, 2019 - Commentary Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? Citation Text: Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):5…

Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. | PSNet

psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective

April 06, 2022 - Study Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. Citation Text: Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observa…

An examination of opportunities for the active patient in improving patient safety. | PSNet

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October 04, 2011 - Review An examination of opportunities for the active patient in improving patient safety. Citation Text: Davis R, Sevdalis N, Jacklin R, et al. An examination of opportunities for the active patient in improving patient safety. J Patient Saf. 2012;8(1):36-43. doi:10.1097/PTS.0b013e318…

Developing perioperative Covid-19 testing protocols to restore surgical services. | PSNet

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February 12, 2020 - Commentary Developing perioperative Covid-19 testing protocols to restore surgical services. Citation Text: Hamilton BCS, Kratz JR, Sosa JA, et al. Developing perioperative Covid-19 testing protocols to restore surgical services. NEJM Catalyst. 2020;June 19. Copy Citation Format: …

Are temporary staff associated with more severe emergency department medication errors? | PSNet

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June 29, 2011 - Study Are temporary staff associated with more severe emergency department medication errors? Citation Text: Pham JC, Andrawis M, Shore AD, et al. Are temporary staff associated with more severe emergency department medication errors? J Healthc Qual. 2011;33(4):9-18. doi:10.1111/j.1945…

Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety. | PSNet

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December 05, 2012 - Study Emerging Classic Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety. Citation Text: Walker E, McMahan R, Barnes D, et al. Advance Care Planning Documentation Practices and Access…

Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. | PSNet

psnet.ahrq.gov/issue/effect-pharmacist-counseling-intervention-health-care-utilization-following-hospital

November 26, 2014 - Study Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. Citation Text: Bell SP, Schnipper JL, Goggins K, et al. Effect of Pharmacist Counseling Intervention on Health Care Utilization Following Hospital Disch…

Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing home residents. | PSNet

psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing

July 23, 2008 - Review Classic Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing home residents. Citation Text: Ferrah N, Lovell JJ, Ibrahim JE. Systematic Review of the Prevalence of Medication Errors Resulting in Hospit…

Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/association-between-clinic-opioid-administration-and-discharge-opioid-prescription-urgent

May 19, 2021 - Study Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study. Citation Text: Calcaterra SL, Lou Y, Everhart RM, et al. Association between in-clinic opioid administration and discharge opioid prescription in urge…

Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian

May 11, 2022 - Study Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study. Citation Text: Redley B, Raggatt M. Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mix…

Important factors for effective patient safety governance auditing: a questionnaire survey. | PSNet

psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey

December 04, 2015 - Study Important factors for effective patient safety governance auditing: a questionnaire survey. Citation Text: van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…

Interventions and measurements of highly reliable/resilient organization implementations: a literature review. | PSNet

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July 21, 2021 - Review Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Citation Text: Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon…

Unintended medication discrepancies at the time of hospital admission. | PSNet

psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospital-admission

March 18, 2015 - Study Classic Unintended medication discrepancies at the time of hospital admission. Citation Text: Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9. Copy Cit…

Hospital COVID-19 burden and adverse event rates. | PSNet

psnet.ahrq.gov/issue/hospital-covid-19-burden-and-adverse-event-rates

June 22, 2022 - Study Hospital COVID-19 burden and adverse event rates. Citation Text: Metersky ML, Rodrick D, Ho S-Y, et al. Hospital COVID-19 burden and adverse event rates. JAMA Netw Open. 2024;7(11):e2442936. doi:10.1001/jamanetworkopen.2024.42936. Copy Citation Format: DOI Google Scho…

Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. | PSNet

psnet.ahrq.gov/issue/minor-flow-disruptions-traffic-related-factors-and-their-effect-major-flow-disruptions

August 19, 2020 - Study Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. Citation Text: Joseph A, Khoshkenar A, Taaffe KM, et al. Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating roo…

Initiatives to identify and mitigate medication errors in England. | PSNet

psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-medication-errors-england

July 22, 2020 - Commentary Initiatives to identify and mitigate medication errors in England. Citation Text: Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England. Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3. Copy Citation Format…

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