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psnet.ahrq.gov/node/45895/psn-pdf
February 22, 2017 - Opioids for pain management in older adults: strategies
for safe prescribing.
February 22, 2017
Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2).
doi:10.1097/01.npr.0000511772.62176.10.
https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing
Use…
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psnet.ahrq.gov/node/40381/psn-pdf
May 25, 2011 - Medication errors in the homes of children with chronic
conditions.
May 25, 2011
Walsh KE, Mazor KM, Stille CJ, et al. Medication errors in the homes of children with chronic conditions.
Arch Dis Child. 2011;96(6):581-6. doi:10.1136/adc.2010.204479.
https://psnet.ahrq.gov/issue/medication-errors-homes-children-chr…
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psnet.ahrq.gov/node/46485/psn-pdf
October 18, 2017 - Medical team training improves team performance: AOA
critical issues.
October 18, 2017
Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA
Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290.
https://psnet.ahrq.gov/issue/medical-team-t…
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psnet.ahrq.gov/node/45029/psn-pdf
April 20, 2016 - Threats to safety during sedation outside of the operating
room and the death of Michael Jackson.
April 20, 2016
Webster CS, Mason KP, Shafer SL. Threats to safety during sedation outside of the operating room and
the death of Michael Jackson. Curr Opin Anaesthesiol. 2016;29 Suppl 1:S36-47.
doi:10.1097/ACO.0000000…
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psnet.ahrq.gov/node/45763/psn-pdf
December 19, 2017 - Expanded pharmacy technician roles: accepting verbal
prescriptions and communicating prescription transfers.
December 19, 2017
Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and
communicating prescription transfers. Res Social Adm Pharm. 2017;13(6):1191-1195.
doi:10.1016/j.s…
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psnet.ahrq.gov/node/35726/psn-pdf
February 09, 2011 - Sleep deprivation and clinical performance.
February 9, 2011
Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287(8):955-7.
https://psnet.ahrq.gov/issue/sleep-deprivation-and-clinical-performance
This review discusses evidence for the role sleep deprivation plays on performance in…
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psnet.ahrq.gov/node/34639/psn-pdf
March 02, 2011 - Preventable deaths: who, how often, and why?
March 2, 2011
Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9.
https://psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
One of the first studies to examine the link between quality of care and hospital deat…
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psnet.ahrq.gov/node/45622/psn-pdf
December 07, 2016 - National Partnership for Maternal Safety: Consensus
Bundle on Venous Thromboembolism.
December 7, 2016
D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle
on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-717.
doi:10.1016/j.jogn.2016.07.001.…
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psnet.ahrq.gov/node/60341/psn-pdf
May 20, 2020 - Annals Clinical Decision Making: avoiding cognitive
errors in clinical decision making.
May 20, 2020
Restrepo D, Armstrong KA, Metlay JP. Annals Clinical Decision Making: avoiding cognitive errors in clinical
decision making. Ann Intern Med. 2020;172(11):747-751. doi:10.7326/m19-3692.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/837314/psn-pdf
June 01, 2022 - CMS proposal to suppress hospital safety data angers
advocates — agency says COVID disruptions, staff
shortages hamper ability to fairly score poor performers.
June 1, 2022
Clark C. MedPage Today. May 20, 2022.
https://psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-
c…
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psnet.ahrq.gov/node/45041/psn-pdf
September 28, 2016 - Structure and outcomes of interdisciplinary rounds in
hospitalized medicine patients: a systematic review and
suggested taxonomy.
September 28, 2016
Bhamidipati S, Elliott DJ, Justice EM, et al. Structure and outcomes of interdisciplinary rounds in
hospitalized medicine patients: A systematic review and suggested …
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psnet.ahrq.gov/node/848378/psn-pdf
May 04, 2023 - Ensuring competency and safety when onboarding newly
hired professional staff.
May 3, 2023
ISMP Medication Safety Alert! Acute care edition. April 20, 2023;28(8):1-4; May 4, 2023;23(9):1-3.
https://psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional-
staff
Psychological sa…
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psnet.ahrq.gov/node/48071/psn-pdf
June 12, 2019 - Doctors were alarmed: would I have my children have
surgery here?
June 12, 2019
Gabler E. New York Times. May 31, 2019.
https://psnet.ahrq.gov/issue/doctors-were-alarmed-would-i-have-my-children-have-surgery-here
Pediatric cardiac surgery is highly technical and risky. This newspaper article reports on a poorly
p…
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psnet.ahrq.gov/node/46654/psn-pdf
December 13, 2017 - Organisational paradoxes in speaking up for safety:
implications for the interprofessional field.
December 13, 2017
Rowland P. Organisational paradoxes in speaking up for safety: Implications for the interprofessional field.
J Interprof Care. 2017;31(5):553-556. doi:10.1080/13561820.2017.1321305.
https://psnet.ahr…
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psnet.ahrq.gov/node/859354/psn-pdf
December 20, 2023 - Millions of people used tainted breathing machines. The
FDA failed to use its power to protect them.
December 20, 2023
Cenziper D, Sallah MD, Korsh M. ProPublica. December 7, 2023.
https://psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power-
protect-them
Systemic regulato…
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psnet.ahrq.gov/node/41042/psn-pdf
September 29, 2017 - Research in Ambulatory Patient Safety 2000-2010: A 10-
Year Review.
September 29, 2017
Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011.
https://psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
Although traditionally the majority of patient safe…
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psnet.ahrq.gov/node/837313/psn-pdf
June 01, 2022 - Are you well positioned to resolve conflicts with the
safety of an order? Learning from a physician’s homicide
trial and the firing of multiple healthcare workers.
June 1, 2022
ISMP Medication Safety Alert! Acute care edition. May 19, 2022;27(10):1-5.
https://psnet.ahrq.gov/issue/are-you-well-positioned-resolve-co…
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psnet.ahrq.gov/node/60927/psn-pdf
September 16, 2020 - Amid COVID-19, discipline against bad doctors plummets;
more medical errors may slip through cracks.
September 16, 2020
O'Donnell J. USA Today. September 8, 2020
https://psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors-
may-slip-through
Management and clinical functio…
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psnet.ahrq.gov/node/852797/psn-pdf
August 23, 2023 - Anaesthesia and patient safety in the socio-technical
operating theatre: a narrative review spanning a century.
August 23, 2023
Webster CS, Mahajan R, Weller JM. Anaesthesia and patient safety in the socio-technical operating
theatre: a narrative review spanning a century. Br J Anaesth. 2023;131(2):397-406.
doi:10…
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psnet.ahrq.gov/node/837674/psn-pdf
July 13, 2022 - Differences between managers’ and safety professionals’
perceptions of upwards influence attempts within safety
practice.
July 13, 2022
Madigan C, Way KA, Johnstone K, et al. Differences between managers’ and safety professionals’
perceptions of upwards influence attempts within safety practice. J Safety Res. 2022…