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psnet.ahrq.gov/issue/impact-cancelrx-discontinuation-controlled-substance-prescriptions-interrupted-time-series
September 01, 2021 - Study
Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis.
Citation Text:
Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis…
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psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-versus-draining-swamp
January 31, 2024 - Commentary
Root-cause analysis: swatting at mosquitoes versus draining the swamp.
Citation Text:
Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229.
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psnet.ahrq.gov/issue/longitudinal-trends-us-drug-shortages-medications-used-emergency-departments-2001-2014
July 19, 2023 - Study
Longitudinal trends in U.S. drug shortages for medications used in emergency departments (2001–2014).
Citation Text:
Hawley KL, Mazer-Amirshahi M, Zocchi MS, et al. Longitudinal Trends in U.S. Drug Shortages for Medications Used in Emergency Departments (2001-2014). Acad Emerg Med.…
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psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim
June 06, 2018 - Commentary
The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better.
Citation Text:
Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…
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psnet.ahrq.gov/issue/design-safety-dashboard-patients
March 16, 2022 - Study
Design of a safety dashboard for patients.
Citation Text:
Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns. 2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021.
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psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-high-reliability-culture
July 05, 2017 - Commentary
Decreasing surgical site infections by developing a high reliability culture.
Citation Text:
Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416.
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psnet.ahrq.gov/issue/medical-harm-patient-perceptions-and-follow-actions
September 27, 2017 - Study
Medical harm: patient perceptions and follow-up actions.
Citation Text:
Lyu HG, Cooper M, Mayer-Blackwell B, et al. Medical Harm: Patient Perceptions and Follow-up Actions. J Patient Saf. 2017;13(4):199-201. doi:10.1097/PTS.0000000000000136.
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psnet.ahrq.gov/issue/gap-electronic-drug-information-resources-systematic-review
January 24, 2024 - Review
The gap in electronic drug information resources: a systematic review.
Citation Text:
Rambaran KA, Huynh HA, Zhang Z, et al. The Gap in Electronic Drug Information Resources: A Systematic Review. Cureus. 2018;10(6):e2860. doi:10.7759/cureus.2860.
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psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
October 12, 2022 - Review
The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety.
Citation Text:
Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patien…
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psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-estimates-cost-savings-and-deaths-averted
May 01, 2017 - Book/Report
Classic
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013.
Citation Text:
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. R…
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psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns
June 30, 2011 - Study
Medication safety in older adults: home-based practice patterns.
Citation Text:
Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc. 2005;53(6):976-982.
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psnet.ahrq.gov/issue/doctors-experiences-adverse-events-secondary-care-professional-and-personal-impact
April 10, 2019 - Study
Doctors' experiences of adverse events in secondary care: the professional and personal impact.
Citation Text:
Harrison R, Lawton R, Stewart K. Doctors' experiences of adverse events in secondary care: the professional and personal impact. Clin Med (Lond). 2014;14(6):585-90. doi:10…
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psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk
August 06, 2014 - Study
Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives.
Citation Text:
Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through safe…
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psnet.ahrq.gov/issue/speak-addressing-paradox-plaguing-patient-centered-care
October 17, 2018 - Commentary
Speak up! Addressing the paradox plaguing patient-centered care.
Citation Text:
Mazor KM, Smith KM, Fisher K, et al. Speak Up! Addressing the Paradox Plaguing Patient-Centered Care. Ann Intern Med. 2016;164(9):618-9. doi:10.7326/M15-2416.
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psnet.ahrq.gov/issue/misdiagnosis-acute-myocardial-infarction-systematic-review-literature
July 28, 2021 - Review
Misdiagnosis of acute myocardial infarction: a systematic review of the literature.
Citation Text:
Kwok CS, Bennett S, Azam Z, et al. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Crit Pathw Cardiol. 2021;20(3):155-162. doi:10.1097/hpc.0000000…
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psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-financial-liabilities-medicare-patients
November 26, 2014 - Study
Impact of hospital-acquired conditions on financial liabilities for Medicare patients.
Citation Text:
Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.…
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psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-safety
January 22, 2025 - Review
Towards a more patient-centered approach to medication safety.
Citation Text:
Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532.
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psnet.ahrq.gov/issue/using-spare-medication-vial-store-multiple-medications-potentially-fatal-home-medication
June 24, 2020 - Commentary
Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error.
Citation Text:
Leonard JB, Klein-Schwartz W. Using a spare medication vial to store multiple medications: A potentially fatal in-home medication error. Ame J Health-syst …
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psnet.ahrq.gov/issue/comparison-adverse-events-during-procedural-sedation-between-specially-trained-pediatric
August 21, 2008 - Study
Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel.
Citation Text:
Shavit I, Steiner IP, Idelman S, et al. Comparison of adverse events during procedural sedation between specially tra…
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psnet.ahrq.gov/issue/medication-reconciliation-admission-and-discharge-analysis-prevalence-and-associated-risk
December 02, 2020 - Study
Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors.
Citation Text:
Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission and discharge: an analysis of prevalence and associate…