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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing
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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - Health Literacy in the United States: Enhancing Assessments and
Reducing Disparities.
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psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - A prescription for enhancing electronic
prescribing safety.
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psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - Life-Threatening Infant Overdose of Sodium Chloride
May 27, 2020
"Good catch, Kiddo"--enhancing
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - human factors, such as illegible handwriting and imprecise
recollection of dosing recommendations, and enhancing
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - human factors, such as illegible handwriting and imprecise recollection of dosing recommendations, and enhancing
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - July 15, 2020
Learning environments, reliability enhancing work practices, employee engagement
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - These findings highlight the need to
continue enhancing patient safety indicators to strengthen their
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psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
February 26, 2025 - April 26, 2023
Patient Safety Innovations
Enhancing
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - April 24, 2018
Enhancing implementation of the I-PASS handoff tool using a provider handoff
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psnet.ahrq.gov/node/49419/psn-pdf
October 01, 2003 - Enhancing patient safety. London: BMJ Publications; 2001:461-79.
15.
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - tiered-daily-huddles-power-teamwork-managing-large-healthcare-organisations
https://www.mededportal.org/doi/10.15766/mep_2374-8265.10736
https://psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care
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psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
April 01, 2013 - the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing … September 16, 2009
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.
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psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error
October 25, 2023 - Commentary
Disclosure programmes in the US--an inadequate response to medical error.
Citation Text:
Handley GM. Disclosure programmes in the US—an inadequate response to medical error. BMJ. 2024;385:q1318. doi:10.1136/bmj.q1318.
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psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
August 01, 2018 - Commentary
Changing smart pump vendors: lessons learned.
Citation Text:
Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789.
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psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
December 02, 2020 - Review
Alarm fatigue: impacts on patient safety.
Citation Text:
Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260.
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psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights
November 18, 2016 - Commentary
Towards a new paradigm in laboratory medicine: the five rights.
Citation Text:
Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med. 2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848.
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psnet.ahrq.gov/issue/clinical-impact-associated-corrected-results-clinical-microbiology-testing
December 03, 2008 - Study
Clinical impact associated with corrected results in clinical microbiology testing.
Citation Text:
Yuan S, Astion ML, Schapiro J, et al. Clinical impact associated with corrected results in clinical microbiology testing. J Clin Microbiol. 2005;43(5):2188-93.
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psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples
September 02, 2009 - Commentary
Patient experience must move beyond bad apples.
Citation Text:
Hamedani A, Safdar B, Aaronson E, et al. Patient Experience Must Move Beyond Bad Apples. Ann Intern Med. 2016;165(12):869-870. doi:10.7326/M16-1725.
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psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present-use-and-future
October 27, 2021 - Review
Emerging Classic
The application of system dynamics modelling to system safety improvement: present use and future potential.
Citation Text:
The application of system dynamics modelling to system safety improvement: present use and future potential. Ibrah…