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psnet.ahrq.gov/node/73913/psn-pdf
January 01, 2022 - A standardized formulary to reduce pediatric medication
dosing errors: a mixed methods study.
October 6, 2021
Bosson N, Kaji AH, Gausche-Hill M. A standardized formulary to reduce pediatric medication dosing errors:
a mixed methods study. Prehosp Emerg Care. 2022;26(4):492-502. doi:10.1080/10903127.2021.1955058.
h…
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psnet.ahrq.gov/node/50851/psn-pdf
January 29, 2020 - International evaluation of an AI system for breast cancer
screening.
January 29, 2020
McKinney SM, Sieniek M, Godbole V, et al. International evaluation of an AI system for breast cancer
screening. Nature. 2020;577(7788):89-94. doi:10.1038/s41586-019-1799-6.
https://psnet.ahrq.gov/issue/international-evaluation-a…
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psnet.ahrq.gov/node/837423/psn-pdf
June 15, 2022 - Evaluation and comparison of errors on nursing notes
created by online and offline speech recognition
technology and handwritten: an interventional study.
June 15, 2022
Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes
created by online and offline speech recogniti…
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psnet.ahrq.gov/node/47515/psn-pdf
February 25, 2019 - Blood sampling guidelines with focus on patient safety
and identification—a review.
February 25, 2019
Cornes M, Ibarz M, Ivanov H, et al. Blood sampling guidelines with focus on patient safety and identification
- a review. Diagnosis (Berl). 2019;6(1):33-37. doi:10.1515/dx-2018-0042.
https://psnet.ahrq.gov/issue/b…
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psnet.ahrq.gov/node/837890/psn-pdf
August 24, 2022 - Accuracy of pressure ulcer events in US nursing home
ratings.
August 24, 2022
Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Med
Care. 2022;60(10):775-783. doi:10.1097/mlr.0000000000001763.
https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ra…
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psnet.ahrq.gov/node/47498/psn-pdf
March 05, 2019 - Data omission by physician trainees on ICU rounds.
March 5, 2019
Artis KA, Bordley J, Mohan V, et al. Data Omission by Physician Trainees on ICU Rounds. Crit Care Med.
2019;47(3):403-409. doi:10.1097/CCM.0000000000003557.
https://psnet.ahrq.gov/issue/data-omission-physician-trainees-icu-rounds
Reporting complete p…
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psnet.ahrq.gov/node/47592/psn-pdf
July 17, 2019 - Identifying potential medication discrepancies during
medication reconciliation in the post-acute long-term care
setting.
July 17, 2019
Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication
Reconciliation in the Post-Acute Long-Term Care Setting. J Gerontol Nurs. 2019;45(7):5…
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psnet.ahrq.gov/node/47388/psn-pdf
March 13, 2019 - Artificial intelligence systems for complex decision-
making in acute care medicine: a review.
March 13, 2019
Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review.
Patient Saf Surg. 2019;13:6. doi:10.1186/s13037-019-0188-2.
https://psnet.ahrq.gov/issue/artificial-in…
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psnet.ahrq.gov/node/836821/psn-pdf
March 30, 2022 - Biasing influence of 'mental shortcuts' on diagnostic
decision-making: radiologists can overlook breast cancer
in mamograms when prior diagnostic information is
available.
March 30, 2022
Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-making:
radiologists can overlook …
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psnet.ahrq.gov/node/42739/psn-pdf
May 29, 2014 - An evaluation of a collaborative, safety focused,
nurse–pharmacist intervention for improving the
accuracy of the medication history.
May 29, 2014
Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-
pharmacist intervention for improving the accuracy of the medicat…
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psnet.ahrq.gov/node/45949/psn-pdf
July 11, 2017 - Beyond medication reconciliation: the correct medication
list.
July 11, 2017
Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List.
JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628.
https://psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medicati…
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psnet.ahrq.gov/node/40327/psn-pdf
September 29, 2017 - The use of "lives saved" measures in nurse staffing and
patient safety research: statistical considerations.
September 29, 2017
Diya L, Van den Heede K, Sermeus W, et al. The use of "lives saved" measures in nurse staffing and
patient safety research: statistical considerations. Nurs Res. 2011;60(2):100-6.
doi:10.…
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psnet.ahrq.gov/node/43249/psn-pdf
June 18, 2014 - Automated and electronically assisted hand hygiene
monitoring systems: a systematic review.
June 18, 2014
Ward MA, Schweizer ML, Polgreen PM, et al. Automated and electronically assisted hand hygiene
monitoring systems: a systematic review. Am J Infect Control. 2014;42(5):472-8.
doi:10.1016/j.ajic.2014.01.002.
ht…
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psnet.ahrq.gov/node/34870/psn-pdf
April 18, 2016 - Unintended medication discrepancies at the time of
hospital admission.
April 18, 2016
Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital
admission. Arch Intern Med. 2005;165(4):424-9.
https://psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospita…
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psnet.ahrq.gov/node/35376/psn-pdf
April 11, 2011 - Comparing the utility of a standard pediatric resuscitation
cart with a pediatric resuscitation cart based on the
Broselow tape: a randomized, controlled, crossover trial
involving simulated resuscitation scenarios.
April 11, 2011
Agarwal S, Swanson S, Murphy A, et al. Comparing the utility of a standard pediatric…
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psnet.ahrq.gov/node/38114/psn-pdf
June 29, 2011 - Analysis of overridden alerts in a drug–drug interaction
detection system.
June 29, 2011
Mille F, Schwartz C, Brion F, et al. Analysis of overridden alerts in a drug-drug interaction detection system.
Int J Qual Health Care. 2008;20(6):400-5. doi:10.1093/intqhc/mzn038.
https://psnet.ahrq.gov/issue/analysis-overrid…
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psnet.ahrq.gov/node/44940/psn-pdf
September 20, 2016 - Dual-process cognitive interventions to enhance
diagnostic reasoning: a systematic review.
September 20, 2016
Lambe KA, O'Reilly G, Kelly BD, et al. Dual-process cognitive interventions to enhance diagnostic
reasoning: a systematic review. BMJ Qual Saf. 2016;25(10):808-820. doi:10.1136/bmjqs-2015-004417.
https://p…
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psnet.ahrq.gov/node/45507/psn-pdf
November 02, 2016 - Information handoff and outcomes of critically ill patients
transferred between hospitals.
November 2, 2016
Usher MG, Fanning C, Wu D, et al. Information handoff and outcomes of critically ill patients transferred
between hospitals. J Crit Care. 2016;36:240-245. doi:10.1016/j.jcrc.2016.08.006.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/43478/psn-pdf
August 27, 2014 - Is it time to move beyond errors in clinical reasoning and
discuss accuracy?
August 27, 2014
Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ
Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4.
https://psnet.ahrq.gov/issue/it-time-move-beyond-er…
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psnet.ahrq.gov/node/45178/psn-pdf
December 04, 2016 - Do physicians clean their hands? Insights from a covert
observational study.
December 4, 2016
Kovacs-Litman A, Wong K, Shojania KG, et al. Do physicians clean their hands? Insights from a covert
observational study. J Hosp Med. 2016;11(12):862-864. doi:10.1002/jhm.2632.
https://psnet.ahrq.gov/issue/do-physicians-c…