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psnet.ahrq.gov/node/44739/psn-pdf
January 13, 2016 - Missed opportunities for diagnosis: lessons learned from
diagnostic errors in primary care.
January 13, 2016
Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from
diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-e844. doi:10.3399/bjgp15X687889.
https…
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psnet.ahrq.gov/node/43153/psn-pdf
May 07, 2014 - Is oral chemotherapy prescription safe for patients? A
cross-sectional survey.
May 7, 2014
Bourmaud A, Pacaut C, Melis A, et al. Is oral chemotherapy prescription safe for patients? A cross-
sectional survey. Ann Oncol. 2014;25(2):500-504. doi:10.1093/annonc/mdt553.
https://psnet.ahrq.gov/issue/oral-chemotherapy-p…
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psnet.ahrq.gov/node/44943/psn-pdf
April 15, 2016 - Evaluation of frequency of paediatric oral liquid
medication dosing errors by caregivers: amoxicillin and
josamycin.
April 15, 2016
Berthe-Aucejo A, Girard D, Lorrot M, et al. Evaluation of frequency of paediatric oral liquid medication
dosing errors by caregivers: amoxicillin and josamycin. Arch Dis Child. 2016;1…
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psnet.ahrq.gov/node/846761/psn-pdf
September 29, 2018 - Using clinical simulation to study how to improve quality
and safety in healthcare.
September 29, 2018
Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in
healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/43986/psn-pdf
September 26, 2016 - The effect of a safe zone on nurse interruptions,
distractions, and medication administration errors.
September 26, 2016
Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and
medication administration errors. J Infus Nurs. 2015;38(2):140-51. doi:10.1097/NAN.000000000…
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psnet.ahrq.gov/node/72584/psn-pdf
December 16, 2020 - Hidden medication loss when using a primary
administration set for small-volume intermittent infusions.
December 16, 2020
ISMP Medication Safety Alert! Acute care edition. December 3, 2020;25(24).
https://psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-
intermittent
…
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psnet.ahrq.gov/node/47950/psn-pdf
August 21, 2019 - Safety of care by caregivers of cancer patients.
August 21, 2019
Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379.
doi:10.1016/j.soncn.2019.06.011.
https://psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
Cancer patients often rely on family members or paid…
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psnet.ahrq.gov/node/50558/psn-pdf
October 16, 2019 - Multidisciplinary simulation activity effectively prepares
residents for participation in patient safety activities.
October 16, 2019
Weis JJ, Croft CL, Bhoja R, et al. Multidisciplinary simulation activity effectively prepares residents for
participation in patient safety activities. J Surg Educ. 2019;76(6):e232-e…
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psnet.ahrq.gov/node/45422/psn-pdf
October 12, 2016 - Maths anxiety and medication dosage calculation errors:
a scoping review.
October 12, 2016
Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse
Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005.
https://psnet.ahrq.gov/issue/maths-anxiety-and-medication-dosag…
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psnet.ahrq.gov/node/47130/psn-pdf
October 10, 2018 - Are clinical instructors preventing or provoking adverse
events involving students: a contemporary issue.
October 10, 2018
Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A
contemporary issue. Nurse Educ Today. 2018;70:121-123. doi:10.1016/j.nedt.2018.08.024.
http…
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psnet.ahrq.gov/node/47850/psn-pdf
March 27, 2019 - Medicines-related harm in the elderly post-hospital
discharge.
March 27, 2019
Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34.
https://psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge
Geriatric patients are particularly vulnerable to medication-related harm. This articl…
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - The relationship between inpatient cardiac surgery mortality and nurse numbers and educational
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - disclose relevant financial relationships with commercial interests related to the subject matter of this educational
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - disclose relevant financial relationships with commercial interests related to the subject matter of this educational
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psnet.ahrq.gov/node/33839/psn-pdf
August 01, 2017 - created a trials group of
these 119 programs across the country to test a new duty hour policy or a new educational
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psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
June 29, 2022 - EMERGING INNOVATIONS
Reducing hospital harm: establishing a command centre to foster situational awareness.
Citation Text:
Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885.
Copy Citation
…
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psnet.ahrq.gov/issue/tackling-ambulatory-safety-risks-through-patient-engagement-what-10000-patients-and-families
March 20, 2017 - Study
Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes.
Citation Text:
Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Pati…
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psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-falls-children-physical-and
September 14, 2022 - EMERGING INNOVATIONS
The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments.
Citation Text:
The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments. Mullen JB,&nbs…
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psnet.ahrq.gov/issue/how-intervention-studies-measure-effectiveness-medication-safety-related-clinical-decision
December 14, 2022 - Review
How intervention studies measure the effectiveness of medication safety-related clinical decision support systems in primary and long-term care: a systematic review.
Citation Text:
Lampe D, Grosser J, Grothe D, et al. How intervention studies measure the effectiveness of medicatio…
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psnet.ahrq.gov/issue/simulation-based-assessment-management-critical-events-board-certified-anesthesiologists
February 19, 2010 - Study
Simulation-based assessment of the management of critical events by board-certified anesthesiologists.
Citation Text:
Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 201…