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psnet.ahrq.gov/node/40279/psn-pdf
May 25, 2011 - Inadequate health literacy among paid caregivers of
seniors.
May 25, 2011
Lindquist LA, Jain N, Tam K, et al. Inadequate health literacy among paid caregivers of seniors. J Gen
Intern Med. 2011;26(5):474-9. doi:10.1007/s11606-010-1596-2.
https://psnet.ahrq.gov/issue/inadequate-health-literacy-among-paid-caregivers…
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psnet.ahrq.gov/node/47148/psn-pdf
June 25, 2018 - Necessity for a pathway for "high-alert" patients.
June 25, 2018
Shane R, Amer K, Noh L, et al. Necessity for a pathway for "high-alert" patients. Am J Health Syst Pharm.
2018;75(13):993-997. doi:10.2146/ajhp170397.
https://psnet.ahrq.gov/issue/necessity-pathway-high-alert-patients
Medication errors can contribute…
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psnet.ahrq.gov/node/47761/psn-pdf
May 22, 2019 - Clinicians' perceptions of opioid error–contributing
factors in inpatient palliative care services: a qualitative
study.
May 22, 2019
Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient
palliative care services: A qualitative study. Palliat Med. 2019;33(4…
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psnet.ahrq.gov/node/44668/psn-pdf
January 22, 2016 - Medication safety at the interface: evaluating risks
associated with discharge prescriptions from mental
health hospitals.
January 22, 2016
Keers RN, Williams SD, Vattakatuchery JJ, et al. Medication safety at the interface: evaluating risks
associated with discharge prescriptions from mental health hospitals. J C…
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psnet.ahrq.gov/node/43311/psn-pdf
July 02, 2014 - Some IV medications are diluted unnecessarily in patient
care areas, creating undue risk.
July 2, 2014
ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19:1-5.
https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-
undue-risk
This newsletter article …
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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/48116/psn-pdf
July 17, 2019 - Patient safety superheroes in training: using a comic
book to teach patient safety to residents.
July 17, 2019
Maatman TC, Prigmore H, Williams JS, et al. Patient safety superheroes in training: using a comic book to
teach patient safety to residents. BMJ Qual Saf. 2019;28(11):934-938. doi:10.1136/bmjqs-2018-009094…
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psnet.ahrq.gov/node/73082/psn-pdf
March 31, 2021 - The potential of artificial intelligence to improve patient
safety: a scoping review.
March 31, 2021
Bates DW, Levine DM, Syrowatka A, et al. The potential of artificial intelligence to improve patient safety: a
scoping review. NPJ Digit Med. 2021;4(1):54. doi:10.1038/s41746-021-00423-6.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/45346/psn-pdf
November 18, 2016 - How do simulated error experiences impact attitudes
related to error prevention?
November 18, 2016
Breitkreuz KR, Dougal RL, Wright MC. How Do Simulated Error Experiences Impact Attitudes Related to
Error Prevention? Simul Healthc. 2016;11(5):323-333.
https://psnet.ahrq.gov/issue/how-do-simulated-error-experiences…
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psnet.ahrq.gov/node/46145/psn-pdf
September 23, 2017 - Medication errors by caregivers at home in neonates
discharged from the neonatal intensive care unit.
September 23, 2017
Solanki R, Mondal N, Mahalakshmy T, et al. Medication errors by caregivers at home in neonates
discharged from the neonatal intensive care unit. Arch Dis Child. 2017;102(7):651-654.
doi:10.1136/…
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psnet.ahrq.gov/node/45653/psn-pdf
January 25, 2017 - Opioid prescribing after surgical extraction of teeth in
Medicaid patients, 2000–2010.
January 25, 2017
Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid
Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058.
https://psnet.ahrq.gov/issue/opio…
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psnet.ahrq.gov/node/47600/psn-pdf
December 03, 2018 - Effect of a pharmacist-led educational intervention on
inappropriate medication prescriptions in older adults:
the D-PRESCRIBE randomized clinical trial.
December 3, 2018
Martin P, Tamblyn R, Benedetti A, et al. Effect of a Pharmacist-Led Educational Intervention on
Inappropriate Medication Prescriptions in Older …
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psnet.ahrq.gov/node/44568/psn-pdf
October 21, 2015 - Developing and deploying a patient safety program in a
large health care delivery system: you can't fix what you
don't know about.
October 21, 2015
Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health
care delivery system: you can't fix what you don't know about. J…
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psnet.ahrq.gov/node/43288/psn-pdf
June 25, 2014 - Impact of interventions designed to reduce medication
administration errors in hospitals: a systematic review.
June 25, 2014
Keers RN, Williams SD, Cooke J, et al. Impact of interventions designed to reduce medication
administration errors in hospitals: a systematic review. Drug Saf. 2014;37(5):317-32. doi:10.1007/…
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psnet.ahrq.gov/node/841146/psn-pdf
December 07, 2022 - Exploring the intersection of structural racism and
ageism in healthcare.
December 7, 2022
Farrell TW, Hung WW, Unroe KT, et al. Exploring the intersection of structural racism and ageism in
healthcare. J Am Geriatr Soc. 2022;70(12):3366-3377. doi:10.1111/jgs.18105.
https://psnet.ahrq.gov/issue/exploring-intersect…
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psnet.ahrq.gov/node/45304/psn-pdf
June 28, 2017 - Nurses' perceived skills and attitudes about updated
safety concepts: impact on medication administration
errors and practices.
June 28, 2017
Armstrong GE, Dietrich M, Norman L, et al. Nurses? Perceived Skills and Attitudes About Updated Safety
Concepts. J Nurs Care Qual. 2016;32(3):226-233. doi:10.1097/ncq.000000…
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psnet.ahrq.gov/node/46722/psn-pdf
March 20, 2018 - Nurses' clinical reasoning practices that support safe
medication administration: an integrative review of the
literature.
March 20, 2018
Rohde E, Domm E. Nurses' clinical reasoning practices that support safe medication administration: An
integrative review of the literature. J Clin Nurs. 2018;27(3-4):e402-e411. …
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psnet.ahrq.gov/node/844989/psn-pdf
February 22, 2023 - Defining and enhancing collaboration between
community pharmacists and primary care providers to
improve medication safety.
February 22, 2023
White A, Fulda KG, Blythe R, et al. Defining and enhancing collaboration between community pharmacists
and primary care providers to improve medication safety. Expert Opin D…
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psnet.ahrq.gov/node/60019/psn-pdf
March 04, 2020 - Chronic pain diagnoses and opioid dispensings among
insured individuals with serious mental illness.
March 4, 2020
Owen-Smith A, Stewart C, Sesay MM, et al. Chronic pain diagnoses and opioid dispensings among insured
individuals with serious mental illness. BMC Psych. 2020;20(1):40. doi:10.1186/s12888-020-2456-1.
…
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psnet.ahrq.gov/node/46184/psn-pdf
January 01, 2018 - A prospective risk assessment of informal carers'
medication administration errors within the domiciliary
setting.
December 19, 2017
Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication
administration errors within the domiciliary setting. Ergonomics. 2018;61(1):104…