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psnet.ahrq.gov/node/862602/psn-pdf
February 14, 2024 - Prevalence, contributing factors, and interventions to
reduce medication errors in outpatient and ambulatory
settings: a systematic review.
February 14, 2024
Naseralallah L, Stewart D, Price M, et al. Prevalence, contributing factors, and interventions to reduce
medication errors in outpatient and ambulatory setti…
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psnet.ahrq.gov/node/45827/psn-pdf
January 24, 2018 - Using failure mode and effects analysis to reduce patient
safety risks related to the dispensing process in the
community pharmacy setting.
January 24, 2018
Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient
safety risks related to the dispensing process in the co…
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psnet.ahrq.gov/node/46858/psn-pdf
May 11, 2019 - Evidence review conducted for the Agency for Healthcare
Research and Quality Safety Program for Improving
Surgical Care and Recovery: focus on anesthesiology for
colorectal surgery.
May 11, 2019
Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Healthcare Research
and Quality Safety …
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psnet.ahrq.gov/node/50748/psn-pdf
December 18, 2019 - Systematic review of interventions to improve safety and
quality of anticoagulant prescribing for therapeutic
indications for hospital inpatients
December 18, 2019
Frazer A, Rowland J, Mudge A, et al. Eur J Clin Pharmacol. 2019;75(12):1645-1657.
https://psnet.ahrq.gov/issue/systematic-review-interventions-imp…
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psnet.ahrq.gov/node/43098/psn-pdf
August 25, 2015 - Who do hospital physicians and nurses go to for advice
about medications? A social network analysis and
examination of prescribing error rates.
August 25, 2015
Creswick N, Westbrook JI. Who Do Hospital Physicians and Nurses Go to for Advice About Medications? A
Social Network Analysis and Examination of Prescribin…
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psnet.ahrq.gov/node/72650/psn-pdf
January 20, 2021 - A roadmap to advance patient safety in ambulatory care.
January 20, 2021
Singh H, Carayon P. A roadmap to advance patient safety in ambulatory care. JAMA. 2020;324(24):2481-
2482. doi:10.1001/jama.2020.18551.
https://psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
Preventable harm, such as diag…
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psnet.ahrq.gov/node/45636/psn-pdf
September 26, 2018 - Pharmacist outpatient prescription review in the
emergency department: a pediatric tertiary hospital
experience.
September 26, 2018
Shah D, Manzi S. Pharmacist Outpatient Prescription Review in the Emergency Department: A Pediatric
Tertiary Hospital Experience. Pediatr Emerg Care. 2018;34(7):497-500.
doi:10.1097/…
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psnet.ahrq.gov/node/45408/psn-pdf
September 07, 2016 - Effect of warning symbols in combination with education
on the frequency of erroneously crushing medication in
nursing homes: an uncontrolled before and after study.
September 7, 2016
van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on the
frequency of erroneously cru…
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psnet.ahrq.gov/node/47405/psn-pdf
January 27, 2019 - Robotic dispensing improves patient safety, inventory
management, and staff satisfaction in an outpatient
hospital pharmacy.
January 27, 2019
Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves
patient safety, inventory management, and staff satisfaction in an outpatie…
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psnet.ahrq.gov/node/45515/psn-pdf
November 16, 2016 - The alarming reality of medication error: a patient case
and review of Pennsylvania and national data.
November 16, 2016
da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of
Pennsylvania and National data. J Community Hosp Intern Med Perspect. 2016;6(4):31758.
doi:10…
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psnet.ahrq.gov/node/43722/psn-pdf
November 26, 2014 - Reporting medication errors: residents with diabetes.
November 26, 2014
Milligan F, Gadsby R, Ghaleb MA, et al. Reporting medication errors: residents with diabetes. Nursing and
Residential Care. 2014;16(11). doi:10.12968/nrec.2014.16.11.617.
https://psnet.ahrq.gov/issue/reporting-medication-errors-residents-diabet…
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psnet.ahrq.gov/node/44628/psn-pdf
September 12, 2016 - Rates of safety incident reporting in MRI in a large
academic medical center.
September 12, 2016
Mansouri M, Aran S, Harvey HB, et al. Rates of safety incident reporting in MRI in a large academic
medical center. J Magn Reson Imaging. 2016;43(4):998-1007. doi:10.1002/jmri.25055.
https://psnet.ahrq.gov/issue/rates-…
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psnet.ahrq.gov/node/45104/psn-pdf
June 08, 2016 - Implementing a distraction-free practice with the Red
Zone Medication Safety initiative.
June 8, 2016
Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone
Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24.
doi:10.1097/DCC.0000000000000179.
https:/…
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psnet.ahrq.gov/node/45733/psn-pdf
December 07, 2016 - Global patient outcomes after elective surgery:
prospective cohort study in 27 low-, middle- and high-
income countries.
December 7, 2016
group ISOS. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle-
and high-income countries. Br J Anaesth. 2016;117(5):601-609. doi:10.109…
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psnet.ahrq.gov/node/72802/psn-pdf
March 03, 2021 - What does safety in mental healthcare transitions mean
for service users and other stakeholder groups: an open-
ended questionnaire study.
March 3, 2021
Tyler N, Wright N, Panagioti M, et al. What does safety in mental healthcare transitions mean for service
users and other stakeholder groups: an open?ended questi…
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psnet.ahrq.gov/node/867396/psn-pdf
December 18, 2024 - Mental Health Inpatient Settings: Creating Conditions for
the Delivery of Safe and Therapeutic Care to Adults.
December 18, 2024
Mental Health Inpatient Settings: Creating Conditions For The Delivery Of Safe And Therapeutic Care To
Adults. Health Services Safety Investigations Body; October 2024.
https://psnet.ahr…
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psnet.ahrq.gov/node/44202/psn-pdf
June 10, 2015 - Medication reconciliation to facilitate transitions of care
after hospitalization.
June 10, 2015
Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J
Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133.
https://psnet.ahrq.gov/issue/medication-reconci…
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psnet.ahrq.gov/node/46294/psn-pdf
October 29, 2017 - Reporting of perioperative adverse events by pediatric
anesthesiologists at a tertiary children's hospital:
targeted interventions to increase the rate of reporting.
October 29, 2017
Williams GD, Muffly MK, Mendoza JM, et al. Reporting of Perioperative Adverse Events by Pediatric
Anesthesiologists at a Tertiary Ch…
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psnet.ahrq.gov/node/866071/psn-pdf
June 05, 2024 - Strengthening the use of artificial intelligence within
healthcare delivery organizations: balancing regulatory
compliance and patient safety.
June 5, 2024
Sendak MP, Liu VX, Beecy A, et al. Strengthening the use of artificial intelligence within healthcare delivery
organizations: balancing regulatory compliance a…
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psnet.ahrq.gov/node/42449/psn-pdf
July 31, 2013 - The epidemiology of malpractice claims in primary care: a
systematic review.
July 31, 2013
Wallace E, Lowry J, Smith SM, et al. The epidemiology of malpractice claims in primary care: a systematic
review. BMJ Open. 2013;3(7). doi:10.1136/bmjopen-2013-002929.
https://psnet.ahrq.gov/issue/epidemiology-malpractice-cl…