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psnet.ahrq.gov/issue/vestibular-syndromes-diagnosis-and-diagnostic-errors-patients-dizziness-presenting-emergency
May 17, 2023 - Study
Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department: a cross-sectional study.
Citation Text:
Comolli L, Korda A, Zamaro E, et al. Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness pre…
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psnet.ahrq.gov/issue/human-factors-analysis-latent-safety-threats-pediatric-critical-care-unit
April 28, 2021 - Study
Human factors analysis of latent safety threats in a pediatric critical care unit.
Citation Text:
Trbovich PL, Tomasi JN, Kolodzey L, et al. Human factors analysis of latent safety threats in a pediatric critical care unit. Pediatr Crit Care Med. 2022;23(3):151-159. doi:10.1097/pcc…
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psnet.ahrq.gov/issue/polypharmacy-hospitalized-older-adult-cancer-patients-experience-prospective-observational
July 19, 2023 - Study
Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.
Citation Text:
Flood KL, Carroll MB, Le C, et al. Polypharmacy in hospitalized older adult cancer patients: experience from a …
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psnet.ahrq.gov/issue/systematic-review-computerized-prescriber-order-entry-and-clinical-decision-support
August 23, 2017 - Review
Systematic review of computerized prescriber order entry and clinical decision support.
Citation Text:
Vélez-Díaz-Pallarés M, Pérez-Menéndez-Conde C, Bermejo-Vicedo T. Systematic review of computerized prescriber order entry and clinical decision support. Am J Health Syst Pharm. 2…
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psnet.ahrq.gov/issue/evaluation-patient-safety-programme-surgical-safety-checklist-compliance-prospective
March 23, 2016 - Study
Evaluation of a patient safety programme on Surgical Safety Checklist compliance: a prospective longitudinal study.
Citation Text:
Gillespie BM, Harbeck EL, Lavin J, et al. Evaluation of a patient safety programme on Surgical Safety Checklist Compliance: a prospective longitudinal …
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psnet.ahrq.gov/issue/screening-adverse-drug-events-randomized-trial-automated-calls-coupled-phone-based-pharmacist
June 05, 2018 - Study
Screening for adverse drug events: a randomized trial of automated calls coupled with phone-based pharmacist counseling.
Citation Text:
Schiff G, Klinger E, Salazar A, et al. Screening for Adverse Drug Events: a Randomized Trial of Automated Calls Coupled with Phone-Based Pharmacis…
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psnet.ahrq.gov/issue/healthcare-worker-serious-safety-events-applying-concepts-patient-safety-improve-healthcare
July 06, 2022 - Study
Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety.
Citation Text:
Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety…
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psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug
August 23, 2017 - Study
Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients.
Citation Text:
Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, et al. Using Healthcare Failure Mo…
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psnet.ahrq.gov/issue/high-risk-prescribing-primary-care-patients-particularly-vulnerable-adverse-drug-events-cross
February 15, 2017 - Study
High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice.
Citation Text:
Guthrie B, McCowan C, Davey P, et al. High risk prescribing in primary care patients particular…
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psnet.ahrq.gov/issue/chemotherapy-errors-call-standardized-approach-measurement-and-reporting
October 28, 2020 - Commentary
Chemotherapy errors: a call for a standardized approach to measurement and reporting.
Citation Text:
Lennes IT, Bohlen N, Park ER, et al. Chemotherapy Errors: A Call for a Standardized Approach to Measurement and Reporting. J Oncol Pract. 2016;12(4):e495-501. doi:10.1200/JOP.2…
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-opportunities-enhancing-patient-safety
March 17, 2021 - Commentary
The morbidity and mortality conference: opportunities for enhancing patient safety.
Citation Text:
Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pt…
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psnet.ahrq.gov/issue/bundle-interventions-used-reduce-prescribing-and-administration-errors-hospitalized-children
September 09, 2015 - Review
Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review.
Citation Text:
Bannan DF, Tully MP. Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. J C…
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psnet.ahrq.gov/issue/association-hospital-public-quality-reporting-electronic-health-record-medication-safety
October 21, 2020 - Study
Association of hospital public quality reporting with electronic health record medication safety performance.
Citation Text:
Holmgren AJ, Bates DW. Association of hospital public quality reporting with electronic health record medication safety performance. JAMA Netw Open. 2021;4(9…
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psnet.ahrq.gov/issue/dichotomy-application-systems-approach-uk-healthcare-challenges-and-priorities-implementation
January 09, 2018 - Commentary
The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation.
Citation Text:
Pickup L, Lang A, Atkinson S, et al. The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities f…
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psnet.ahrq.gov/issue/economic-outcomes-associated-safety-interventions-pharmacist-adjudicated-prior-authorization
September 23, 2020 - Study
Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service.
Citation Text:
Jacob S, Britt RB, Bryan WE, et al. Economic Outcomes Associated with Safety Interventions by a Pharmacist-Adjudicated Prior Authorization Consult …
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psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
October 04, 2023 - Review
Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions.
Citation Text:
Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduct…
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psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
July 07, 2021 - Review
Root cause analysis for hospital-acquired pressure injury.
Citation Text:
Black JM. Root cause analysis for hospital-acquired pressure injury. J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546.
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psnet.ahrq.gov/issue/unit-based-clinical-pharmacists-prevention-serious-medication-errors-pediatric-inpatients
March 04, 2015 - Study
Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients.
Citation Text:
Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;…
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psnet.ahrq.gov/issue/relationship-between-culture-safety-and-rate-adverse-events-long-term-care-facilities
June 09, 2021 - Study
The relationship between culture of safety and rate of adverse events in long-term care facilities.
Citation Text:
Abusalem S, Polivka B, Coty M-B, et al. The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities. J Patient Saf. 2021;17(4):2…
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psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
April 07, 2021 - Study
Patterns of error in interpretive pathology.
Citation Text:
Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190.
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