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  1. Detection and prevention of medication misadventures in general practice. | PSNet

    psnet.ahrq.gov/issue/detection-and-prevention-medication-misadventures-general-practice
    May 13, 2020 - Study Detection and prevention of medication misadventures in general practice. Citation Text: Tam KWT, Kwok KH, Fan YMC, et al. Detection and prevention of medication misadventures in general practice. Int J Qual Health Care. 2008;20(3):192-9. doi:10.1093/intqhc/mzn002. Copy Citatio…

  2. Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. | PSNet

    psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents
    June 14, 2023 - Study Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. Citation Text: Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:…

  3. Clinical clerkship students' perceptions of (un)safe transitions for every patient. | PSNet

    psnet.ahrq.gov/issue/clinical-clerkship-students-perceptions-unsafe-transitions-every-patient
    October 19, 2022 - Study Clinical clerkship students' perceptions of (un)safe transitions for every patient. Citation Text: Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153.…

  4. Adverse event rates as measures of hospital performance. | PSNet

    psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
    July 29, 2020 - Study Adverse event rates as measures of hospital performance. Citation Text: Hauck K, Zhao X, Jackson T. Adverse event rates as measures of hospital performance. Health Policy (New York). 2012;104(2):146-154. doi:10.1016/j.healthpol.2011.06.010. Copy Citation Format: DOI…

  5. Understanding complaints made about surgical departments in a UK district general hospital. | PSNet

    psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital
    September 23, 2020 - Study Understanding complaints made about surgical departments in a UK district general hospital. Citation Text: Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…

  6. Experiences of physicians investigated for professionalism concerns: a narrative review. | PSNet

    psnet.ahrq.gov/issue/experiences-physicians-investigated-professionalism-concerns-narrative-review
    August 04, 2021 - Review Experiences of physicians investigated for professionalism concerns: a narrative review. Citation Text: Im DS, Tamarelli CM, Shen MR. Experiences of physicians investigated for professionalism concerns: a narrative review. J Gen Intern Med. 2024;39(2):283-300. doi:10.1007/s11606-0…

  7. STAMP: a 5-year project to reduce paediatric prescribing errors. | PSNet

    psnet.ahrq.gov/issue/stamp-5-year-project-reduce-paediatric-prescribing-errors
    June 26, 2019 - Study STAMP: a 5-year project to reduce paediatric prescribing errors. Citation Text: Trivedi A, Ajitsaria R, Bate T. STAMP: a 5-year project to reduce paediatric prescribing errors. Arch Dis Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192. Copy Citation …

  8. Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-reducing-risk-medication-misadventure-during-transition-hospital
    April 24, 2018 - Study Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. Citation Text: Fitzgibbon M, Lorenz R, Lach H. Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted…

  9. The effect of medication reconciliation in elderly patients at hospital discharge. | PSNet

    psnet.ahrq.gov/issue/effect-medication-reconciliation-elderly-patients-hospital-discharge
    February 04, 2009 - Study The effect of medication reconciliation in elderly patients at hospital discharge. Citation Text: Midlöv P, Bahrani L, Seyfali M, et al. The effect of medication reconciliation in elderly patients at hospital discharge. Int J Clin Pharm. 2012;34(1):113-9. doi:10.1007/s11096-011-9…

  10. Dispensing error rate in a highly automated mail-service pharmacy practice. | PSNet

    psnet.ahrq.gov/issue/dispensing-error-rate-highly-automated-mail-service-pharmacy-practice
    November 16, 2022 - Study Dispensing error rate in a highly automated mail-service pharmacy practice. Citation Text: Teagarden R, Nagle B, Aubert RE, et al. Dispensing error rate in a highly automated mail-service pharmacy practice. Pharmacotherapy. 2005;25(11):1629-35. Copy Citation Format: …

  11. Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. | PSNet

    psnet.ahrq.gov/issue/drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and
    September 15, 2011 - Study Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. Citation Text: Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project,…

  12. Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. | PSNet

    psnet.ahrq.gov/issue/transmitting-and-processing-electronic-prescriptions-experiences-physician-practices-and
    July 02, 2019 - Study Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. Citation Text: Grossman JM, Cross DA, Boukus ER, et al. Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. J Am Med Inform …

  13. Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. | PSNet

    psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
    June 02, 2021 - Study Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Citation Text: Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Peard LM, Teplitsky S, Annabathula A, et al. Ca…

  14. The alarming reality of medication error: a patient case and review of Pennsylvania and national data. | PSNet

    psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
    June 28, 2017 - Commentary The alarming reality of medication error: a patient case and review of Pennsylvania and national data. Citation Text: da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Me…

  15. Summary of USPSTF Draft Recommendation: Behavioral Counseling Interventions to Support Breastfeeding (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/QH2JxjAo7FmcfCBy8c_65Y
    November 18, 2024 - Summary of USPSTF Draft Recommendation: Behavioral Counseling Interventions to Support Breastfeeding 1 The Task Force is an independent, volunteer panel of national experts in prevention and evidence-based medicine that works to improve the health of people nationwide by m…

  16. Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report. | PSNet

    psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2009-comparative-database-report
    November 30, 2016 - Book/Report Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report. Sorra J, Famloaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Qualit…

  17. Medication safety messages for patients via the web portal: the MedCheck intervention. | PSNet

    psnet.ahrq.gov/issue/medication-safety-messages-patients-web-portal-medcheck-intervention
    September 11, 2013 - Study Medication safety messages for patients via the web portal: the MedCheck intervention. Citation Text: Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168. Copy Cit…

  18. Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. | PSNet

    psnet.ahrq.gov/issue/learning-collaboratives-insights-and-new-taxonomy-ahrqs-two-decades-experience
    April 27, 2019 - Commentary Emerging Classic Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. Citation Text: Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience…

  19. The wicked problem of patient misidentification: how could the technological revolution help address patient safety? | PSNet

    psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
    July 10, 2024 - Commentary The wicked problem of patient misidentification: how could the technological revolution help address patient safety? Citation Text: Ferguson C, Hickman L, Macbean C, et al. The wicked problem of patient misidentification: How could the technological revolution help address pat…

  20. Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review. | PSNet

    psnet.ahrq.gov/issue/perioperative-handoff-enhancement-opportunities-through-technology-and-artificial
    March 20, 2019 - Review Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review. Citation Text: Sparling J, Hong Mershon B, Abraham J. Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative rev…
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