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psnet.ahrq.gov/node/73194/psn-pdf
April 28, 2021 - CLER Report of Findings 2021: Subprotocol for Operative
and Procedural Areas.
April 28, 2021
Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER
Operative and Procedural Subprotocol National Advisory Group, and the CLER Program. Chicago, IL:
Accreditation Council for Gradua…
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psnet.ahrq.gov/node/44438/psn-pdf
August 26, 2015 - Reducing errors through discharge medication
reconciliation by pharmacy services.
August 26, 2015
Bishop MA, Cohen BA, Billings LK, et al. Reducing errors through discharge medication reconciliation by
pharmacy services. Am J Health Syst Pharm. 2015;72(17 Suppl 2):S120-6. doi:10.2146/sp150021.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/41305/psn-pdf
April 18, 2012 - Is computer-assisted telephone triage safe? A
prospective surveillance study in walk-in patients with
non-life-threatening medical conditions.
April 18, 2012
Meer A, Gwerder T, Duembgen L, et al. Is computer-assisted telephone triage safe? A prospective
surveillance study in walk-in patients with non-life-threaten…
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psnet.ahrq.gov/node/74761/psn-pdf
February 09, 2022 - Did the Hospital Readmissions Reduction Program
reduce readmissions? An assessment of prior evidence
and new estimates.
February 9, 2022
Ziedan E, Kaestner R. Did the Hospital Readmissions Reduction Program reduce readmissions? An
assessment of prior evidence and new estimates. Eval Rev. 2021;45(6):359-411.
doi:1…
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psnet.ahrq.gov/node/45690/psn-pdf
June 28, 2017 - The impact of critical event checklists on medical
management and teamwork during simulated crises in a
surgical daycare facility.
June 28, 2017
Everett TC, Morgan PJ, Brydges R, et al. The impact of critical event checklists on medical management
and teamwork during simulated crises in a surgical daycare facility…
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psnet.ahrq.gov/node/45819/psn-pdf
March 15, 2017 - How doctors think: common diagnostic errors in clinical
judgment--lessons from an undiagnosed and rare disease
program.
March 15, 2017
Kliegman RM, Bordini BJ, Basel D, et al. How Doctors Think: Common Diagnostic Errors in Clinical
Judgment-Lessons from an Undiagnosed and Rare Disease Program. Pediatr Clin North A…
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psnet.ahrq.gov/node/47816/psn-pdf
June 26, 2019 - Clinical reasoning assessment methods: a scoping
review and practical guidance.
June 26, 2019
Daniel M, Rencic J, Durning SJ, et al. Clinical Reasoning Assessment Methods: A Scoping Review and
Practical Guidance. Acad Med. 2019;94(6):902-912. doi:10.1097/ACM.0000000000002618.
https://psnet.ahrq.gov/issue/clinical-…
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psnet.ahrq.gov/node/43660/psn-pdf
November 12, 2014 - Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for Disease
Control and Prevention–convened meeting.
November 12, 2014
Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for …
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psnet.ahrq.gov/node/39088/psn-pdf
September 01, 2015 - Laboratory session to improve first-year pharmacy
students' knowledge and confidence concerning the
prevention of medication errors.
September 1, 2015
Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students'
knowledge and confidence concerning the prevention of medica…
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psnet.ahrq.gov/node/45823/psn-pdf
May 09, 2017 - The effect of prescriber education on medication-related
patient harm in the hospital: a systematic review.
May 9, 2017
Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication-
related patient harm in the hospital: a systematic review. Br J Clin Pharmacol. 2017;83(5):953-961…
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psnet.ahrq.gov/node/847051/psn-pdf
April 05, 2023 - Distractions in the operating room: a survey of the
healthcare team.
April 5, 2023
Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare
team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8.
https://psnet.ahrq.gov/issue/distractions-operating-ro…
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psnet.ahrq.gov/node/74097/psn-pdf
November 24, 2021 - Inattentional blindness in anesthesiology: a gorilla is
worth one thousand words.
November 24, 2021
De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one
thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.0257508.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/838930/psn-pdf
October 26, 2022 - Artificial Intelligence in Health Care: Benefits and
Challenges of Machine Learning Technologies for Medical
Diagnostics.
October 26, 2022
Washington DC: United States Government Accountability Office and National Academy of
Medicine; September 2022. Report no. GAO-22-104629.
https://psnet.ahrq.gov/issue/ar…
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psnet.ahrq.gov/node/841760/psn-pdf
December 21, 2022 - Pursuit of "endpoint diagnoses" as a cognitive forcing
strategy to avoid premature diagnostic closure.
December 21, 2022
Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to
avoid premature diagnostic closure. Diagnosis (Berl). 2022;9(4):421-429. doi:10.1515/dx-202…
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psnet.ahrq.gov/node/36496/psn-pdf
February 28, 2011 - Literacy and misunderstanding prescription drug labels.
February 28, 2011
Davis TC, Wolf MS, Bass PF, et al. Literacy and misunderstanding prescription drug labels. Ann Intern
Med. 2006;145(12):887-94.
https://psnet.ahrq.gov/issue/literacy-and-misunderstanding-prescription-drug-labels
Poor health literacy has been…
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psnet.ahrq.gov/node/74102/psn-pdf
January 01, 2022 - Workforce planning and safe workload in sterile
compounding hospital pharmacy services.
November 24, 2021
Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding
hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379.
https://psnet…
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psnet.ahrq.gov/node/867077/psn-pdf
November 20, 2023 - Interprofessional Education Collaborative Core
Competencies for Interprofessional Collaborative Practice
November 20, 2023
Interprofessional Education Collaborative Core Competencies For Interprofessional Collaborative Practice.
Washington DC: Interprofessional Education Collaborative; 2023.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/34787/psn-pdf
March 28, 2005 - Medication misadventures resulting in emergency
department visits at an HMO medical center.
March 28, 2005
Schneitman-McIntire O, Farnen TA, Gordon N, et al. Am J Health Syst Pharm. 1996;53(12):1416-1422.
https://psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-
medical-cente…
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psnet.ahrq.gov/node/866951/psn-pdf
October 16, 2024 - Toward a responsible future: recommendations for AI-
enabled clinical decision support.
October 16, 2024
Labkoff S, Oladimeji B, Kannry J, et al. Toward a responsible future: recommendations for AI-enabled
clinical decision support. J Am Med Inform Assoc. 2024;31(11):2730-2739. doi:10.1093/jamia/ocae209.
https://p…
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psnet.ahrq.gov/node/44528/psn-pdf
January 22, 2016 - Consumer participation in early detection of the
deteriorating patient and call activation to rapid response
systems: a literature review.
January 22, 2016
Vorwerk J, King L. Consumer participation in early detection of the deteriorating patient and call activation
to rapid response systems: a literature review. J…