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psnet.ahrq.gov/issue/eye-storm-role-pharmacist-medication-safety-during-covid-19-pandemic-urban-teaching-hospital
June 02, 2021 - Commentary
In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching hospital.
Citation Text:
Kanaan AO, Sullivan KM, Seed SM, et al. In the eye of the storm: the role of the pharmacist in medication safety during the COVID…
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psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
March 10, 2021 - Study
An analysis of incident reports related to electronic medication management: how they change over time.
Citation Text:
Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(…
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psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
May 26, 2021 - Study
Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients.
Citation Text:
Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthe…
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psnet.ahrq.gov/issue/patients-willingness-and-ability-identify-and-respond-errors-their-personal-health-records
March 10, 2021 - Study
Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data.
Citation Text:
Lear R, Freise L, Kybert M, et al. Patients' willingness and ability to identify and respond to errors in thei…
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psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address
October 17, 2018 - Study
We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care.
Citation Text:
Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detec…
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psnet.ahrq.gov/issue/indication-documentation-and-indication-based-prescribing-within-electronic-prescribing
December 18, 2019 - Review
Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis.
Citation Text:
Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within electronic prescrib…
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psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and
May 04, 2022 - Study
Collaborative case review: a systems-based approach to patient safety event investigation and analysis.
Citation Text:
Lacson R, Khorasani R, Fiumara K, et al. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. J Patient Saf. 202…
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psnet.ahrq.gov/issue/adverse-events-among-children-canadian-hospitals-canadian-paediatric-adverse-events-study
April 22, 2011 - Study
Classic
Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study.
Citation Text:
Matlow A, Baker R, Flintoft V, et al. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Stud…
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psnet.ahrq.gov/issue/indication-alerts-intercept-drug-name-confusion-errors-during-computerized-entry-medication
August 28, 2019 - Study
Indication alerts intercept drug name confusion errors during computerized entry of medication orders.
Citation Text:
Galanter W, Bryson M, Falck S, et al. Indication alerts intercept drug name confusion errors during computerized entry of medication orders. PLoS One. 2014;9(7):e10…
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psnet.ahrq.gov/issue/strategies-safe-interhospital-transfer-intubated-patient-or-where-readiness-intubation-needed
July 31, 2013 - Study
Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study.
Citation Text:
Almqvist D, Norberg D, Larsson F, et al. Strategies for a safe interhospital transfer with an intubated patient or where re…
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psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-application-and-process-redesign-potential
June 09, 2011 - Study
Classic
Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.
Citation Text:
Schnipper JL, Hamann C, Ndumele CD, et al. Effect of an electronic medication reconcil…
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psnet.ahrq.gov/issue/engaging-patients-and-informal-caregivers-improve-safety-and-facilitate-person-and-family
March 08, 2023 - Study
Engaging patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital to home: a qualitative descriptive study.
Citation Text:
Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety …
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psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison
May 24, 2012 - Study
Safety culture in cardiac surgical teams: data from five programs and national surgical comparison.
Citation Text:
Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…
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psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
June 22, 2016 - Study
Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study.
Citation Text:
Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…
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psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients
June 11, 2008 - Study
Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network.
Citation Text:
Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: R…
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psnet.ahrq.gov/issue/mental-health-staff-working-intensive-care-during-covid-19
June 02, 2021 - Study
Classic
Mental health of staff working in intensive care during COVID-19.
Citation Text:
Greenberg N, Weston D, Hall C, et al. Mental health of staff working in intensive care during COVID-19. Occup Med (Lond). 2020;71(2):62-67. doi:10.1093/occmed/kqaa220.…
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psnet.ahrq.gov/issue/novel-study-situational-awareness-among-out-hospital-providers-during-online-clinical
June 08, 2022 - Study
A novel study of situational awareness among out-of-hospital providers during an online clinical simulation.
Citation Text:
Hunter J, Porter M, Williams B. A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. Australas Emerg C…
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psnet.ahrq.gov/issue/national-trends-hospital-acquired-preventable-adverse-events-after-major-cancer-surgery-usa
September 12, 2016 - Study
National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA.
Citation Text:
Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6)…
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psnet.ahrq.gov/issue/exploring-role-guidelines-contributing-medication-errors-descriptive-analysis-national
November 16, 2022 - Study
Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data.
Citation Text:
Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of …
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psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest
April 12, 2023 - Study
Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival.
Citation Text:
McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…