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psnet.ahrq.gov/node/61077/psn-pdf
October 28, 2020 - Investigation into the Role of Clinical Pharmacy Services
in Helping to Identify and Reduce High-risk Prescribing
Errors in Hospital.
October 28, 2020
Farnborough, UK: Healthcare Safety Investigation Branch; September 24, 2020.
https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-servi…
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psnet.ahrq.gov/node/837675/psn-pdf
July 13, 2022 - Dashboard design to identify and balance competing risk
of multiple hospital-acquired conditions.
July 13, 2022
Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of
multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):621-631. doi:10.1055/s-0042-1749598.
…
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psnet.ahrq.gov/node/46761/psn-pdf
February 14, 2018 - Development of a theoretical framework of factors
affecting patient safety incident reporting: a theoretical
review of the literature.
February 14, 2018
Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety
incident reporting: a theoretical review of the lite…
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psnet.ahrq.gov/node/47693/psn-pdf
January 23, 2019 - Solving alarm fatigue with smartphone technology.
January 23, 2019
Short K, Chung YJ. Solving alarm fatigue with smartphone technology. Nursing (Brux). 2019;49(1):52-57.
doi:10.1097/01.NURSE.0000549728.37810.d9.
https://psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology
Alarm fatigue contributes to d…
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psnet.ahrq.gov/node/40263/psn-pdf
March 02, 2011 - Trauma resuscitation errors and computer-assisted
decision support.
March 2, 2011
FitzGerald M, Cameron P, Mackenzie CF, et al. Trauma resuscitation errors and computer-assisted
decision support. Arch Surg. 2011;146(2):218-25. doi:10.1001/archsurg.2010.333.
https://psnet.ahrq.gov/issue/trauma-resuscitation-errors-…
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psnet.ahrq.gov/node/837073/psn-pdf
May 11, 2022 - Clinical progress note: situation awareness for clinical
deterioration in hospitalized children.
May 11, 2022
Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in
hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:10.1002/jhm.2774.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/47542/psn-pdf
January 16, 2019 - Utilizing a Systems and Design Thinking Approach for
Improving Well-Being Within Health Professional
Education and Health Care.
January 16, 2019
Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of
Medicine; 2019.
https://psnet.ahrq.gov/issue/utilizing-systems-and-design-…
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psnet.ahrq.gov/node/34907/psn-pdf
August 03, 2009 - Physicians' views of interventions to reduce medical
errors: does evidence of effectiveness matter?
August 3, 2009
Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors:
does evidence of effectiveness matter? Acad Med. 2005;80(2):189-92.
https://psnet.ahrq.gov/issue…
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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/47224/psn-pdf
June 27, 2018 - Managing Alarms in Acute Care Across the Life Span:
Electrocardiography and Pulse Oximetry.
June 27, 2018
Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Crit Care
Nurse. 2018;38(2):e16-e20. doi:10.4037/ccn2018468.
https://psnet.ahrq.gov/issue/managing-alarms-acute-care-…
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psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - Repeat prescribing of medications: a system-centred risk
management model for primary care organisations.
November 8, 2017
Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management
model for primary care organisations. J Eval Clin Pract. 2017;23(4):779-796. doi:10.1111/…
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psnet.ahrq.gov/node/46215/psn-pdf
June 14, 2017 - The role of informal dimensions of safety in high-volume
organisational routines: an ethnographic study of test
results handling in UK general practice.
June 14, 2017
Grant S, Checkland K, Bowie P, et al. The role of informal dimensions of safety in high-volume
organisational routines: an ethnographic study of tes…
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psnet.ahrq.gov/node/852283/psn-pdf
January 01, 2024 - Physician engagement in organisational patient safety
through the implementation of a Medical Safety Huddle
initiative: a qualitative study.
August 9, 2023
Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety
through the implementation of a Medical Safety Huddle initiat…
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psnet.ahrq.gov/node/44730/psn-pdf
December 08, 2015 - Why studying human behavior is a critical component of
patient safety.
December 8, 2015
Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc
Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004.
https://psnet.ahrq.gov/issue/why-studying-human-behavior-…
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psnet.ahrq.gov/node/47839/psn-pdf
May 01, 2019 - Comparison of a prototype for indications-based
prescribing with 2 commercial prescribing systems.
May 1, 2019
Garabedian PM, Wright A, Newbury I, et al. Comparison of a Prototype for Indications-Based Prescribing
With 2 Commercial Prescribing Systems. JAMA Netw Open. 2019;2(3):e191514.
doi:10.1001/jamanetworkopen…
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psnet.ahrq.gov/node/45357/psn-pdf
October 09, 2016 - Leading article: how can I optimise my role as a leader
within the surgical team?
October 9, 2016
Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the
surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j.bjoms.2016.05.035.
https://psnet…
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psnet.ahrq.gov/node/47848/psn-pdf
May 08, 2019 - A mixed-method study of practitioners' perspectives on
issues related to EHR medication reconciliation at a
health system.
May 8, 2019
Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on
Issues Related to EHR Medication Reconciliation at a Health System. Qual Manag…
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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - said, the onus is not on the patient to prevent mistakes; rather, patients can play an active part in enhancing … March 14, 2022
Enhancing implementation of the I-PASS handoff tool using a provider handoff
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit … Secondary to Home Parenteral Nutrition Error
May 26, 2021
"Good catch, Kiddo"--enhancing
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - April 3, 2013
Enhancing healthcare process design with human factors engineering and … January 10, 2017
Enhancing healthcare process design with human factors engineering and