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Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months: a randomized clinical trial. | PSNet

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October 06, 2021 - Study Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months: a randomized clinical trial. Citation Text: Doctor JN, Stewart E, Lev R, et al. Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 mo…

A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement. | PSNet

psnet.ahrq.gov/issue/cross-sectional-observational-study-high-override-rates-drug-allergy-alerts-inpatient-and

July 02, 2019 - Study A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement. Citation Text: Slight SP, Beeler PE, Seger DL, et al. A cross-sectional observational study of high override rates of drug al…

Effect of medication reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical trial. | PSNet

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September 15, 2021 - Study Effect of medication reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical trial. Citation Text: Ceschi A, Noseda R, Pironi M, et al. Effect of medication reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical t…

Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. | PSNet

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December 02, 2020 - Study Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. Citation Text: Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am …

Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety. | PSNet

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October 18, 2018 - Study Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety. Citation Text: Blandford A, Dykes PC, Franklin BD, et al. Intravenous Infusion Administration: A Comparative Study of Pr…

Fall prevention in acute care hospitals: a randomized trial. | PSNet

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February 01, 2023 - Study Classic Fall prevention in acute care hospitals: a randomized trial. Citation Text: Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010;304(17):1912-1918. doi:10.1001/jama.2010.1567. Copy Citat…

Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. | PSNet

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March 23, 2022 - Commentary Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. Citation Text: Kasda EM, Robson C, Saunders J, et al. Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic.…

How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? | PSNet

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October 09, 2024 - Study How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? Citation Text: Aunger JA, Abrams R, Mannion R, et al. How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? BMJ Open Qual. 2…

Communication practices on 4 Harvard surgical services: a surgical safety collaborative. | PSNet

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September 29, 2017 - Study Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Citation Text: Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.…

Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. | PSNet

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January 12, 2022 - Review Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. Citation Text: Farhat A, Al‐Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4)…

Adverse events related to accidental unintentional ingestions from cough and cold medications in children. | PSNet

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May 06, 2020 - Study Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Citation Text: Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Pediatr Emerg …

The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. | PSNet

psnet.ahrq.gov/issue/collective-leadership-safety-culture-co-lead-team-intervention-promote-teamwork-and-patient

March 18, 2020 - Study The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. Citation Text: De Brún A, Anjara S, Cunningham U, et al. The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety.…

Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge

August 11, 2021 - Review Classic Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. Citation Text: Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and me…

Medication discrepancies in resident sign-outs and their potential to harm. | PSNet

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March 28, 2011 - Study Medication discrepancies in resident sign-outs and their potential to harm. Citation Text: Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5. Copy Citation Format: Goog…

Incidence of adverse drug events and potential adverse drug events: implications for prevention. | PSNet

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. …

The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. | PSNet

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February 02, 2022 - Review The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. Citation Text: Cerqueira O, Gill M, Swar B, et al. The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and …

Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. | PSNet

psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes

December 15, 2011 - Study Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Citation Text: Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6. Copy Citation Format…

Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety. | PSNet

psnet.ahrq.gov/issue/effects-accreditation-council-graduate-medical-education-duty-hour-limits-sleep-work-hours

March 03, 2011 - Study Classic Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety. Citation Text: Landrigan CP, Fahrenkopf AM, Lewin D, et al. Effects of the accreditation council for graduate medical education…

Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study. | PSNet

psnet.ahrq.gov/issue/association-between-sleep-health-and-rates-self-reported-medical-errors-intern-physicians

February 07, 2024 - Study Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study. Citation Text: Hassinger AB, Velez C, Wang J, et al. Association between sleep health and rates of self-reported medical errors in inte…

Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals | PSNet

psnet.ahrq.gov/issue/association-safety-program-improving-antibiotic-use-antibiotic-use-and-hospital-onset

July 20, 2022 - Study Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals Citation Text: Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with an…

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