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psnet.ahrq.gov/node/43336/psn-pdf
July 09, 2014 - Pharmacists in pharmacovigilance: can increased
diagnostic opportunity in community settings translate to
better vigilance?
July 9, 2014
Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic
opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…
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psnet.ahrq.gov/node/844802/psn-pdf
September 18, 2019 - Using proactive risk assessment (HFMEA) to improve
patient safety and quality associated with intraocular lens
selection and implantation in cataract surgery.
September 18, 2019
DeRosier JM, Hansemann BK, Smith-Wheelock MW, et al. Using Proactive Risk Assessment (HFMEA) to
Improve Patient Safety and Quality Associ…
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psnet.ahrq.gov/node/44981/psn-pdf
June 07, 2016 - Simulation-based training: the missing link to lastingly
improved patient safety and health?
June 7, 2016
Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety
and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/postgradmedj-2015-133732.
https://psnet.…
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psnet.ahrq.gov/node/44801/psn-pdf
June 22, 2016 - Safety for all: integrated design for inpatient units.
June 22, 2016
Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28.
https://psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
Design is emerging as an important tactic to augment safe care delivery. Hospitals that provide care for
…
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psnet.ahrq.gov/node/45426/psn-pdf
August 24, 2016 - Handoffs, safety culture, and practices: evidence from the
hospital survey on patient safety culture.
August 24, 2016
Lee S-H, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital
survey on patient safety culture. BMC Health Serv Res. 2016;16:254. doi:10.1186/s12913-016-1502…
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psnet.ahrq.gov/node/47287/psn-pdf
December 19, 2018 - Shifting and sharing: academic physicians' strategies for
navigating underperformance and failure.
December 19, 2018
LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating
Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. doi:10.1097/ACM.0000000000002292…
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psnet.ahrq.gov/node/45170/psn-pdf
August 03, 2016 - Radiologist-initiated double reading of abdominal CT:
retrospective analysis of the clinical importance of
changes to radiology reports.
August 3, 2016
Lauritzen PM, Andersen JG, Stokke MV, et al. Radiologist-initiated double reading of abdominal CT:
retrospective analysis of the clinical importance of changes to …
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psnet.ahrq.gov/node/50569/psn-pdf
October 23, 2019 - Design and implementation of a tool for pharmacists to
register potential errors in prescribed medication.
October 23, 2019
Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register
Potential Errors in Prescribed Medication. Stud Health Technol Inform. 2019;264:581-585.
d…
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psnet.ahrq.gov/node/47790/psn-pdf
April 08, 2019 - The "hemolyzed" physical examination—situational
challenges to accurate bedside diagnosis.
April 8, 2019
Sargsyan Z. The "Hemolyzed" Physical Examination-Situational Challenges to Accurate Bedside
Diagnosis. JAMA Intern Med. 2019;179(4):465-466. doi:10.1001/jamainternmed.2018.8753.
https://psnet.ahrq.gov/issue/hem…
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psnet.ahrq.gov/node/46811/psn-pdf
May 17, 2018 - A surgical procedure grid for safety and operating room
communication in multisite surgery.
May 17, 2018
Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in
Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.1001/jamafacial.2017.2049.
https://psnet.a…
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psnet.ahrq.gov/node/46926/psn-pdf
March 07, 2018 - A comprehensive program to reduce rates of hospital-
acquired pressure ulcers in a system of community
hospitals.
March 7, 2018
Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital-
Acquired Pressure Ulcers in a System of Community Hospitals. J Patient Saf. 2018;14(1):54…
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psnet.ahrq.gov/node/47874/psn-pdf
April 10, 2019 - Evaluating the effect of data standardization and
validation on patient matching accuracy.
April 10, 2019
Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient
matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1093/jamia/ocy191.
https://psnet.a…
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psnet.ahrq.gov/node/47308/psn-pdf
December 21, 2018 - Improving pediatric electronic health record usability and
safety through certification: seize the day.
December 21, 2018
Ratwani RM, Moscovitch B, Rising JP. Improving Pediatric Electronic Health Record Usability and Safety
Through Certification: Seize the Day. JAMA Pediatr. 2018;172(11):1007-1008.
doi:10.1001/ja…
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psnet.ahrq.gov/node/43127/psn-pdf
April 23, 2014 - An interprofessional qualitative study of barriers and
potential solutions for the safe use of insulin in the
hospital setting.
April 23, 2014
Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and
potential solutions for the safe use of insulin in the hospital settin…
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psnet.ahrq.gov/node/74847/psn-pdf
February 16, 2022 - Guidelines for US hospitals and clinicians on assessment
of electronic health record safety using SAFER Guides.
February 16, 2022
Sittig DF, Sengstack P, Singh H. Guidelines for US hospitals and clinicians on assessment of electronic
health record safety using SAFER Guides. JAMA. 2022;327(8):719-720. doi:10.1001/ja…
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psnet.ahrq.gov/node/866645/psn-pdf
September 04, 2024 - Technology-related safety event analysis in community
clinical informatics: a case study.
September 4, 2024
Recsky C, Stowe M, Rush KL, et al. Technology-related safety event analysis in community clinical
informatics: a case study. Stud Health Technol Inform. 2024;315:452-457. doi:10.3233/shti240189.
https://psne…
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psnet.ahrq.gov/node/50688/psn-pdf
November 20, 2019 - Roles and role ambiguity in patient- and caregiver-
performed outpatient parenteral antimicrobial therapy.
November 20, 2019
Keller SC, Cosgrove SE, Arbaje AI, et al. Roles and Role Ambiguity in Patient- and Caregiver-Performed
Outpatient Parenteral Antimicrobial Therapy. Jt Comm J Qual Patient Saf. 2019;45(11):763…
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psnet.ahrq.gov/node/46792/psn-pdf
February 14, 2018 - Emerging trends in perinatal quality and risk with
recommendations for patient safety.
February 14, 2018
Simpson KR. Emerging Trends in Perinatal Quality and Risk With Recommendations for Patient Safety. J
Perinat Neonatal Nurs. 2018;32(1). doi:10.1097/jpn.0000000000000294.
https://psnet.ahrq.gov/issue/emerging-tr…
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psnet.ahrq.gov/node/849123/psn-pdf
May 17, 2023 - Maximizing student potential: lessons for pharmacy
programs from the patient safety movement.
May 17, 2023
Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the
patient safety movement. Explor Res Clin Soc Pharm. 2023;9:100216. doi:10.1016/j.rcsop.2022.100216.
htt…
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psnet.ahrq.gov/node/44771/psn-pdf
January 06, 2016 - Could it be done safely? Pharmacists views on safety and
clinical outcomes from the introduction of an advanced
role for technicians.
January 6, 2016
Napier P, Norris P, Braund R. Could it be done safely? Pharmacists views on safety and clinical outcomes
from the introduction of an advanced role for technicians. R…