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Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients. | PSNet

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August 26, 2020 - Study Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients. Citation Text: Cornu P, Steurbaut S, Leysen T, et al. Effect of medication reconciliation at hospital admission on medication disc…

A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. | PSNet

psnet.ahrq.gov/issue/systematic-review-literature-evaluation-handoff-tools-implications-research-and-practice

May 23, 2012 - Review A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. Citation Text: Abraham J, Kannampallil TG, Patel VL. A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. …

A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. | PSNet

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May 12, 2021 - Review A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. Citation Text: Kelly D, Koay A, Mineva G, et al. A scoping review of non-professional medication practices and medication safety outcomes during public health…

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

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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…

Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. | PSNet

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October 21, 2020 - Study Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Citation Text: Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…

Medication-related clinical decision support alert overrides in inpatients. | PSNet

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July 16, 2019 - Study Medication-related clinical decision support alert overrides in inpatients. Citation Text: Nanji KC, Seger DL, Slight SP, et al. Medication-related clinical decision support alert overrides in inpatients. J Am Med Inform Assoc. 2018;25(5):476-481. doi:10.1093/jamia/ocx115. Copy C…

Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. | PSNet

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October 20, 2021 - Study Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. Citation Text: Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors:…

Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. | PSNet

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September 07, 2011 - Study Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. Citation Text: Berner ES, Ray MN, Panjamapirom A, et al. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med.…

The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. | PSNet

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February 16, 2022 - Review The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Citation Text: Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…

Healing our own: a randomized trial to assess benefits of peer support. | PSNet

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May 19, 2021 - Study Healing our own: a randomized trial to assess benefits of peer support. Citation Text: Rivera-Chiauzzi EY, Smith HA, Moore-Murray T, et al. Healing our own: a randomized trial to assess benefits of peer support. J Patient Saf. 2022;18(1):e308-e314. doi:10.1097/pts.0000000000000771.…

Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. | PSNet

psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic

August 24, 2022 - Study Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. Citation Text: Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report system data in a large academic hos…

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. | PSNet

psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary

January 18, 2013 - Study Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. Citation Text: Staggers N, Clark L, Blaz JW, et al. Why patient summaries in electronic…

Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. | PSNet

psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned

January 08, 2020 - Study Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. Citation Text: Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency departme…

Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. | PSNet

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November 25, 2020 - Study Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. Citation Text: Dekker - van Doorn C, Wauben LSGL, van Wijngaarden JDH, et al. Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-…

Patient safety indicators during the initial COVID-19 pandemic surge in the United States. | PSNet

psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states

August 03, 2022 - Study Patient safety indicators during the initial COVID-19 pandemic surge in the United States. Citation Text: Rodriguez JA, Samal L, Ganesan S, et al. Patient safety indicators during the initial COVID-19 pandemic surge in the United States. J Patient Saf. 2024;20(4):247-251. doi:10.10…

Analysis of clinical decision support system malfunctions: a case series and survey. | PSNet

psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey

April 29, 2018 - Study Analysis of clinical decision support system malfunctions: a case series and survey. Citation Text: Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…

The extent and importance of unintended consequences related to computerized provider order entry. | PSNet

psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry

May 27, 2011 - Study Classic The extent and importance of unintended consequences related to computerized provider order entry. Citation Text: Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry…

Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effects-multimodal-transitional-care-intervention-patients-high-risk-readmission-target-read

August 18, 2021 - Study Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial. Citation Text: Donzé JD, John G, Genné D, et al. Effects of a multimodal transitional care intervention in patients at high risk of readmission…

Principles of conservative prescribing. | PSNet

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April 22, 2017 - Review Classic Principles of conservative prescribing. Citation Text: Schiff G, Galanter W, Duhig J, et al. Principles of conservative prescribing. Arch Intern Med. 2011;171(16):1433-1440. doi:10.1001/archinternmed.2011.256. Copy Citation Format: …

Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. | PSNet

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July 17, 2013 - Study Classic Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. Citation Text: Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of ala…

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