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psnet.ahrq.gov/node/37032/psn-pdf
May 27, 2011 - Effects of computerized physician order entry and clinical
decision support systems on medication safety: a
systematic review.
May 27, 2011
Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision
support systems on medication safety: a systematic review. Arch Intern Me…
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psnet.ahrq.gov/node/42575/psn-pdf
September 26, 2016 - Are interventions to reduce interruptions and errors
during medication administration effective?: a systematic
review.
September 26, 2016
Raban MZ, Westbrook JI. Are interventions to reduce interruptions and errors during medication
administration effective?: a systematic review. BMJ Qual Saf. 2014;23(5):414-21. d…
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psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
September 27, 2017 - Study
Applying HFMEA to prevent chemotherapy errors.
Citation Text:
Cheng C-H, Chou C-J, Wang P-C, et al. Applying HFMEA to prevent chemotherapy errors. J Med Syst. 2012;36(3):1543-51. doi:10.1007/s10916-010-9616-7.
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psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric
June 13, 2011 - Study
Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward.
Citation Text:
van Tilburg CM, Leistikow IP, Rademaker CMA, et al. Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology w…
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-empirical-comparison-failure-mode-scoring-procedures
January 03, 2017 - Study
Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures.
Citation Text:
Ashley L, Armitage G. Failure Mode and Effects Analysis. J Patient Saf. 2010;6(4):210-215. doi:10.1097/pts.0b013e3181fc98d7.
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psnet.ahrq.gov/node/45717/psn-pdf
July 21, 2017 - What have we learnt after 15 years of research into the
'weekend effect'?
July 21, 2017
Bray BD, Steventon A. What have we learnt after 15 years of research into the 'weekend effect'? BMJ Qual
Saf. 2017;26(8):607-610. doi:10.1136/bmjqs-2016-005793.
https://psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-re…
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psnet.ahrq.gov/node/47641/psn-pdf
March 20, 2019 - Guided reflection interventions show no effect on
diagnostic accuracy in medical students.
March 20, 2019
Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in
Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297.
https://psnet.ahrq.gov/issue/gu…
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psnet.ahrq.gov/node/43565/psn-pdf
March 22, 2016 - The role of failure mode and effects analysis in health
care.
March 22, 2016
Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec.
2014;40(4):28-32.
https://psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
Failure mode and effects analysis (FMEA) h…
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psnet.ahrq.gov/node/40690/psn-pdf
August 17, 2011 - Designing a safer process to prevent retained surgical
sponges: a healthcare failure mode and effect analysis.
August 17, 2011
Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare
failure mode and effect analysis. AORN J. 2011;94(2):132-41. doi:10.1016/j.aorn.2010.09.…
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psnet.ahrq.gov/node/39064/psn-pdf
October 28, 2009 - Use of failure mode and effects analysis for proactive
identification of communication and handoff failures from
organ procurement to transplantation.
October 28, 2009
Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive
identification of communication and handoff failur…
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psnet.ahrq.gov/node/42329/psn-pdf
December 18, 2014 - Health care failure mode and effect analysis to reduce
NICU line–associated bloodstream infections.
December 18, 2014
Chandonnet CJ, Kahlon PS, Rachh P, et al. Health care failure mode and effect analysis to reduce NICU
line-associated bloodstream infections. Pediatrics. 2013;131(6):e1961-9. doi:10.1542/peds.2012-3…
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psnet.ahrq.gov/node/41117/psn-pdf
March 04, 2015 - The effectiveness of integrated health information
technologies across the phases of medication
management: a systematic review of randomized
controlled trials.
March 4, 2015
McKibbon A, Lokker C, Handler S, et al. The effectiveness of integrated health information technologies
across the phases of medication man…
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psnet.ahrq.gov/node/37622/psn-pdf
May 26, 2011 - Effect of computer order entry on prevention of serious
medication errors in hospitalized children.
May 26, 2011
Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious
medication errors in hospitalized children. Pediatrics. 2008;121(3):e421-e427. doi:10.1542/peds.2007-
022…
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psnet.ahrq.gov/node/44064/psn-pdf
November 03, 2015 - The July effect: an analysis of never events in the
nationwide inpatient sample.
November 3, 2015
Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient
sample. J Hosp Med. 2015;10(7):432-438. doi:10.1002/jhm.2352.
https://psnet.ahrq.gov/issue/july-effect-analysi…
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psnet.ahrq.gov/node/844790/psn-pdf
January 01, 2020 - Effectiveness of double checking to reduce medication
administration errors: a systematic review.
September 18, 2019
Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication
administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603. doi:10.1136/bmjqs-2019-
00955…
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psnet.ahrq.gov/node/37363/psn-pdf
February 03, 2011 - Effect of a rapid response team on hospital-wide mortality
and code rates outside the ICU in a children’s hospital.
February 3, 2011
Sharek PJ, Parast L, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code
rates outside the ICU in a Children's Hospital. JAMA. 2007;298(19):2267-74.
h…
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psnet.ahrq.gov/node/41456/psn-pdf
September 26, 2016 - Paradoxical effects of a hospital-based, multi-intervention
programme aimed at reducing medication round
interruptions.
September 26, 2016
Tomietto M, Sartor A, Mazzocoli E, et al. Paradoxical effects of a hospital-based, multi-intervention
programme aimed at reducing medication round interruptions. J Nurs Manag. …
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psnet.ahrq.gov/node/47584/psn-pdf
February 20, 2019 - Patient involvement in evaluation of safety in oral
antineoplastic treatment: a failure mode and effects
analysis in patients and health care professionals.
February 20, 2019
Mattsson TO, Lipczak H, Pottegård A. Patient Involvement in Evaluation of Safety in Oral Antineoplastic
Treatment: A Failure Mode and Effect…
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psnet.ahrq.gov/node/42003/psn-pdf
May 10, 2013 - The effects of computerized provider order entry
implementation on communication in intensive care units.
May 10, 2013
Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry
implementation on communication in Intensive Care Units. Int J Med Inform. 2013;82(5):e107-17.
doi:10.101…
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psnet.ahrq.gov/node/44398/psn-pdf
August 19, 2015 - Effect of a ward-based pharmacy team on preventable
adverse drug events in surgical patients (SUREPILL
study).
August 19, 2015
Group S and P in LS. Effect of a ward-based pharmacy team on preventable adverse drug events in
surgical patients (SUREPILL study). Br J Surg. 2015;102(10):1204-12. doi:10.1002/bjs.9876.
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