AHRQ Patient Safety Network

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1 - 20 of 45

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NEWSPAPER/MAGAZINE ARTICLE

Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.

ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.

REVIEW

How is medication prescribing ceased? A systematic review.

Ostini R, Jackson C, Hegney D, Tett SE. Med Care. 2011;49:24-36.

COMMENTARY

On the Other Hand

Henneman EA. AHRQ WebM&M [serial online]. May 2007.

PRESS RELEASE/ANNOUNCEMENT

Relenza (zanamivir) inhalation powder.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 9, 2009.

COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

REVIEW

Effect of point-of-care computer reminders on physician behaviour: a systematic review.

Shojania KG, Jennings A, Mayhew A, Ramsay C, Eccles M, Grimshaw J. CMAJ. 2010;182:E216-E25.

REVIEW

The effects of on-screen, point of care computer reminders on processes and outcomes of care.

Shojania KG, Jennings A, Mayhew A, Ramsay CR, Eccles MP, Grimshaw J. Cochrane Database Syst Rev. 2009;(3):CD001096.

COMMENTARY

Shake Well.

Flynn EA. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

In Conversation with…Sanjay Saint, MD, MPH

AHRQ WebM&M [serial online]. November 2008.

COMMENTARY

Safe medication prescribing and monitoring in the outpatient setting.

Shojania KG. CMAJ. 2006;174:1257-1258.

STUDY

Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge.

Schnipper JL, Liang CL, Hamann C, et al. J Am Med Inform Assoc. 2011;18:309-313.

COMMENTARY

Incomplete care—on the trail of flaws in the system.

Gandhi TK, Zuccotti G, Lee TH. N Engl J Med. 2011;365:486-488.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

COMMENTARY

The Dangerous Detour.

Gibson J, Taylor D. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

Introducing the patient safety professional: why, what, who, how, and where?

Saint S, Krein SL, Manojlovich M, Kowalski CP, Zawol D, Shojania KG. J Patient Saf. 2011;7:175-180.

STUDY

Protocol-based computer reminders, the quality of care and the non-perfectability of man.

McDonald CJ. N Engl J Med. 1976;295:1351-1355.

NEWSPAPER/MAGAZINE ARTICLE

CPOE: it don't come easy.

Anderson HJ. Health Data Manag. January 1, 2009;17:18.

STUDY

Family-identified barriers to medication reconciliation.

Riley-Lawless K. J Spec Pediatr Nurs. 2009;14:94-101.

COMMENTARY

Flying Object Hits MRI.

Gosbee J, Gosbee LL. AHRQ WebM&M [serial online]. February 2003.

MEETING/CONFERENCE PROCEEDINGS

Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report.

Rockville, MD: Agency for Healthcare Research and Quality; February 2009. AHRQ Publication No. 090003.

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