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psnet.ahrq.gov/node/72474/psn-pdf
January 01, 2021 - Associations of physicians’ prescribing experience, work
hours, and workload with prescription errors.
November 18, 2020
Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work
hours, and workload with prescription errors. J Am Med Inform Assoc. 2021;28(6):1074-1080.
do…
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psnet.ahrq.gov/node/843079/psn-pdf
January 25, 2023 - Electronic health record use issues and diagnostic error:
a scoping review and framework.
January 25, 2023
Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping
review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/pts.0000000000001081.
https://psn…
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psnet.ahrq.gov/node/45501/psn-pdf
October 28, 2016 - Effectiveness of continuous or intermittent vital signs
monitoring in preventing adverse events on general
wards: a systematic review and meta-analysis.
October 28, 2016
Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs
monitoring in preventing adverse events o…
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psnet.ahrq.gov/node/850932/psn-pdf
June 21, 2023 - Evaluation of detected medication errors within the
operating room at an academic medical center.
June 21, 2023
Wolf M, Rolf J, Nelson D, et al. Evaluation of detected medication errors within the operating room at an
academic medical center. Hosp Pharm. 2023;58(3):309-314. doi:10.1177/00185787221145110.
https://p…
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psnet.ahrq.gov/node/60900/psn-pdf
September 09, 2020 - State policies for prescription drug monitoring programs
and adverse opioid-related hospital events.
September 9, 2020
Wen K, Johnson P, Jeng PJ, et al. State policies for prescription drug monitoring programs and adverse
opioid-related hospital events. Med Care. 2020;58(7):610-616.
doi:http://doi.org/10.1097/mlr.…
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psnet.ahrq.gov/node/838252/psn-pdf
October 05, 2022 - A longitudinal study of a multifaceted intervention to
reduce newborn falls while preserving rooming-in on a
mother-baby unit.
October 5, 2022
Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce
newborn falls while preserving rooming-in on a mother-baby unit. Jt Co…
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psnet.ahrq.gov/node/50735/psn-pdf
December 11, 2019 - Never events in UK general practice: A survey of the
views of general practitioners on their frequency and
acceptability as a safety improvement approach
December 11, 2019
Stocks SJ, Alam R, Bowie P, et al. Never Events in UK General Practice: A Survey of the Views of General
Practitioners on Their Frequency and A…
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psnet.ahrq.gov/node/61059/psn-pdf
October 28, 2020 - Long-term effects of teamwork training on
communication and teamwork climate in ambulatory
reproductive health care.
October 28, 2020
Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and
teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
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psnet.ahrq.gov/node/850159/psn-pdf
June 07, 2023 - Underreporting of quality measures and associated
facility characteristics and racial disparities in US nursing
home ratings.
June 7, 2023
Sanghavi P, Chen Z. Underreporting of quality measures and associated facility characteristics and racial
disparities in US nursing home ratings. JAMA Netw Open. 2023;6(5):e231…
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psnet.ahrq.gov/node/50942/psn-pdf
February 26, 2020 - Understanding the roles of three academic communities
in a prospective learning health ecosystem for diagnostic
excellence.
February 26, 2020
Satterfield K, Rubin JC, Yang D, et al. Understanding the roles of three academic communities in a
prospective learning health ecosystem for diagnostic excellence. Learn Hea…
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psnet.ahrq.gov/node/867593/psn-pdf
January 22, 2025 - Becoming Hand Hygiene Heroes: implementation of an
infection prevention and control campaign for patient and
family hospital safety.
January 22, 2025
Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection
prevention and control campaign for patient and family hospital s…
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psnet.ahrq.gov/node/60530/psn-pdf
January 01, 2022 - A systematic review of patient-report safety climate
measures in health care.
May 27, 2020
Madden C, Lydon S, O’Dowd E, et al. A systematic review of patient-report safety climate measures in
health care. J Patient Saf. 2022;18(1):e51-e60. doi:10.1097/pts.0000000000000705.
https://psnet.ahrq.gov/issue/systematic-r…
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psnet.ahrq.gov/node/60967/psn-pdf
September 30, 2020 - Electronic medical record-based interventions to
encourage opioid prescribing best practices in the
emergency department.
September 30, 2020
Smalley CM, Willner MA, Muir MKR, et al. Electronic medical record-based interventions to encourage
opioid prescribing best practices in the emergency department. Am J Emerg …
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psnet.ahrq.gov/node/42238/psn-pdf
July 02, 2014 - Teaching medical error disclosure to physicians-in-
training: a scoping review.
July 2, 2014
Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a
scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f.
https://psnet.ahrq.gov/issue/teaching-me…
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psnet.ahrq.gov/issue/hospitals-bid-heal-selves-saves-thousands
February 26, 2025 - Newspaper/Magazine Article
Hospitals' bid to heal selves saves thousands.
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June 28, 2006
This article article reports on the resul…
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psnet.ahrq.gov/node/837896/psn-pdf
January 01, 2023 - Helping healthcare teams to debrief effectively:
associations of debriefers' actions and participants'
reflections during team debriefings.
August 24, 2022
Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively:
associations of debriefers’ actions and participants’ reflect…
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psnet.ahrq.gov/node/72799/psn-pdf
March 03, 2021 - Measuring and improving diagnostic safety in primary
care: addressing the “twin” pandemics of diagnostic error
and clinician burnout.
March 3, 2021
Olson APJ, Linzer M, Schiff GD. Measuring and Improving Diagnostic Safety in Primary Care: Addressing
the “Twin” Pandemics of Diagnostic Error and Clinician Burnout. J…
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psnet.ahrq.gov/node/74855/psn-pdf
February 23, 2022 - Patient safety when receiving telephone advice in primary
care - a Swedish qualitative interview study.
February 23, 2022
Berntsson K, Eliasson M, Beckman L. Patient safety when receiving telephone advice in primary care – a
Swedish qualitative interview study. BMC Nurs. 2022;21(1):24. doi:10.1186/s12912-021-00796-…
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psnet.ahrq.gov/node/36186/psn-pdf
September 30, 2010 - Findings of the first consensus conference on medical
emergency teams.
September 30, 2010
DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical
Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e.
https://psnet.ahrq.gov/issue/findings-first-c…
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psnet.ahrq.gov/node/866589/psn-pdf
August 28, 2024 - Developing a process to measure actual harm from
medication errors in paediatric inpatients: from design to
implementation.
August 28, 2024
Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in
paediatric inpatients: from design to implementation. Br J Clin Pharmac…