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psnet.ahrq.gov/node/47122/psn-pdf
June 13, 2018 - Intravenous chemotherapy compounding errors in a
follow-up pan-Canadian observational study.
June 13, 2018
Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up
Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:10.1200/JOP.17.00007.
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July 23, 2014 - Incidence of adverse events in an integrated US
healthcare system: a retrospective observational study of
82,784 surgical hospitalizations.
July 23, 2014
Zeeshan MF, Dembe AE, Seiber EE, et al. Incidence of adverse events in an integrated US healthcare
system: a retrospective observational study of 82,784 surgical…
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psnet.ahrq.gov/node/47998/psn-pdf
May 08, 2019 - An organization-specific and modifiable inpatient safety
composite measure.
May 8, 2019
Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt
Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005.
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psnet.ahrq.gov/node/47852/psn-pdf
May 08, 2019 - Impact of time pressure on dentists' diagnostic
performance.
May 8, 2019
Plessas A, Nasser M, Hanoch Y, et al. Impact of time pressure on dentists' diagnostic performance. J Dent.
2019;82:38-44. doi:10.1016/j.jdent.2019.01.011.
https://psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance
This…
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June 30, 2011 - Personal digital assistant-based drug information
sources: potential to improve medication safety.
June 30, 2011
Galt K, Rule AM, Houghton B, et al. Personal digital assistant-based drug information sources: potential to
improve medication safety. J Med Libr Assoc. 2005;93(2):229-36.
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January 02, 2017 - Labeling solutions and medications in sterile procedural
settings.
January 2, 2017
Sheridan DJ. Labeling solutions and medications in sterile procedural settings. Jt Comm J Qual Patient
Saf. 2006;32(5):276-82.
https://psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings
In response …
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October 06, 2021 - Misdiagnosis of acute myocardial infarction: a systematic
review of the literature.
October 6, 2021
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.0000000000000256.
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July 12, 2018 - Towards a more patient-centered approach to medication
safety.
July 12, 2018
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/node/44777/psn-pdf
April 05, 2016 - Predictors of warfarin-associated adverse events in
hospitalized patients: opportunities to prevent patient
harm.
April 5, 2016
Metersky M, Eldridge N, Wang Y, et al. Predictors of warfarin-associated adverse events in hospitalized
patients: Opportunities to prevent patient harm. J Hosp Med. 2016;11(4):276-82. doi…
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July 11, 2017 - The frequency of inappropriate nonformulary medication
alert overrides in the inpatient setting.
July 11, 2017
Her QL, Amato MG, Seger DL, et al. The frequency of inappropriate nonformulary medication alert
overrides in the inpatient setting. J Am Med Inform Assoc. 2016;23(5):924-33. doi:10.1093/jamia/ocv181.
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August 07, 2019 - Dental patient safety in the military health system: joining
medicine in the journey to high reliability.
August 7, 2019
Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in
the Journey to High Reliability. Mil Med. 2019. doi:10.1093/milmed/usz154.
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June 22, 2009 - Reduction in warfarin adverse events requiring patient
hospitalization after implementation of a pharmacist-
managed anticoagulation service.
June 22, 2009
Locke C, Ravnan SL, Patel R, et al. Reduction in warfarin adverse events requiring patient hospitalization
after implementation of a pharmacist-managed anticoa…
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psnet.ahrq.gov/node/45018/psn-pdf
November 18, 2016 - Identifying risk in the use of tumor markers to improve
patient safety.
November 18, 2016
Moreno-Campoy EE, De la Torre FJM-, Martos-Crespo F, et al. Identifying risk in the use of tumor markers
to improve patient safety. Clin Chem Lab Med. 2016;54(12):1947-1953. doi:10.1515/cclm-2015-0760.
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psnet.ahrq.gov/node/74693/psn-pdf
January 26, 2022 - Including the reason for use on prescriptions sent to
pharmacists: scoping review.
January 26, 2022
Mercer K, Carter C, Burns C, et al. Including the reason for use on prescriptions sent to pharmacists:
scoping review. JMIR Hum Factors. 2021;8(4):e22325. doi:10.2196/22325.
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psnet.ahrq.gov/node/47009/psn-pdf
December 21, 2018 - Perceptions of rounding checklists in the intensive care
unit: a qualitative study.
December 21, 2018
Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a
qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218.
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October 25, 2017 - Creating a culture of caregiver support.
October 25, 2017
Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my
record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General
Hospital Psychiatry. 2016;43. doi:10.1016/j.genhosppsych.2…
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psnet.ahrq.gov/node/46392/psn-pdf
October 13, 2018 - The clinical and medicolegal implications of radiology
results communication.
October 13, 2018
Aryal B, Khorsand DA, Dubinsky TJ. The Clinical and Medicolegal Implications of Radiology Results
Communication. Curr Probl Diagn Radiol. 2018;47(5):287-289. doi:10.1067/j.cpradiol.2017.09.009.
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May 27, 2011 - Computerized physician order entry, a factor in
medication errors: descriptive analysis of events in the
intensive care unit safety reporting system.
May 27, 2011
Thompson DA; Duling L; Holzmueller CG; et al. JCOM. 2(8):407-412
https://psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-error…
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August 05, 2020 - Classification of opioid dependence, abuse, or overdose
in opioid-naive patients as a "Never Event".
August 5, 2020
Barth RJ, Waljee JF. Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a
"Never Event". JAMA Surg. 2020;155(7):543-544. doi:10.1001/jamasurg.2020.0432.
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January 27, 2019 - Association of opioid prescribing with opioid
consumption after surgery in Michigan.
January 27, 2019
Howard R, Fry B, Gunaseelan V, et al. Association of Opioid Prescribing With Opioid Consumption After
Surgery in Michigan. JAMA Surg. 2019;154(1):e184234. doi:10.1001/jamasurg.2018.4234.
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