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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/39298/psn-pdf
June 11, 2010 - Medication error reporting in nursing homes: identifying
targets for patient safety improvement.
June 11, 2010
Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets
for patient safety improvement. Qual Saf Health Care. 2010;19(3):218-22. doi:10.1136/qshc.2008.031…
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psnet.ahrq.gov/node/43021/psn-pdf
November 04, 2014 - Patient safety culture transformation in a children's
hospital: an interprofessional approach.
November 4, 2014
Nagelkerk J, Peterson T, Pawl BL, et al. Patient safety culture transformation in a children's hospital: an
interprofessional approach. J Interprof Care. 2014;28(4):358-64. doi:10.3109/13561820.2014.88593…
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psnet.ahrq.gov/node/44839/psn-pdf
February 03, 2016 - Engaging frontline staff in performance improvement: the
American Organization of Nurse Executives
implementation of Transforming Care at the Bedside
collaborative.
February 3, 2016
Needleman J, Pearson ML, Upenieks V, et al. Engaging Frontline Staff in Performance Improvement: The
American Organization of Nurse …
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psnet.ahrq.gov/node/39600/psn-pdf
June 16, 2010 - Developing a patient safety surveillance system to
identify adverse events in the intensive care unit.
June 16, 2010
Stockwell DC, Kane-Gill SL. Developing a patient safety surveillance system to identify adverse events in
the intensive care unit. Crit Care Med. 2010;38(6 Suppl):S117-25. doi:10.1097/CCM.0b013e3181d…
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psnet.ahrq.gov/node/73611/psn-pdf
August 18, 2021 - Racial disparities in diagnostic delay among women with
breast cancer.
August 18, 2021
Miller-Kleinhenz JM, Collin LJ, Seidel R, et al. Racial disparities in diagnostic delay among women with
breast cancer. J Am Coll Radiol. 2021;18(10):1384-1393. doi:10.1016/j.jacr.2021.06.019.
https://psnet.ahrq.gov/issue/racial…
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psnet.ahrq.gov/node/60736/psn-pdf
July 29, 2020 - Use of an electronic decision support tool to reduce
polypharmacy in elderly people with chronic diseases:
cluster randomised controlled trial.
July 29, 2020
Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support tool to reduce polypharmacy in
elderly people with chronic diseases: cluster ra…
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psnet.ahrq.gov/node/44723/psn-pdf
December 16, 2015 - Situation, background, assessment, and
recommendation–guided huddles improve
communication and teamwork in the emergency
department.
December 16, 2015
Martin HA, Ciurzynski SM. Situation, Background, Assessment, and Recommendation-Guided Huddles
Improve Communication and Teamwork in the Emergency Department. Jour…
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psnet.ahrq.gov/node/73164/psn-pdf
April 21, 2021 - Effectiveness of communication interventions in
obstetrics--a systematic review.
April 21, 2021
Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a
systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/47160/psn-pdf
August 08, 2018 - Preventing dispensing errors by alerting for drug
confusions in the pharmacy information system—a
survey of users.
August 8, 2018
Campmans Z, van Rhijn A, Dull RM, et al. Preventing dispensing errors by alerting for drug confusions in
the pharmacy information system-A survey of users. PLoS One. 2018;13(5):e0197469…
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psnet.ahrq.gov/node/837901/psn-pdf
August 24, 2022 - Trial and error: learning from malpractice claims in
childhood surgery.
August 24, 2022
Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood
surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033.
https://psnet.ahrq.gov/issue/trial-and-error-learning-…
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psnet.ahrq.gov/node/73987/psn-pdf
October 20, 2021 - Impact of clinical decision support therapeutic
interchanges on hospital discharge medication omissions
and duplications.
October 20, 2021
Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on
hospital discharge medication omissions and duplications. Am J Health Sy…
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psnet.ahrq.gov/node/43194/psn-pdf
May 21, 2014 - Communicating doses of pediatric liquid medicines to
parents/caregivers: a comparison of written dosing
directions on prescriptions with labels applied by
dispensed pharmacy.
May 21, 2014
Shah R, Blustein L, Kuffner E, et al. Communicating doses of pediatric liquid medicines to
parents/caregivers: a comparison of…
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psnet.ahrq.gov/node/35365/psn-pdf
February 17, 2011 - Accidental deaths, saved lives, and improved quality.
February 17, 2011
Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New
England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157.
https://psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-qua…
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psnet.ahrq.gov/node/37797/psn-pdf
February 03, 2010 - Predictors of adverse events in patients after discharge
from the intensive care unit.
February 3, 2010
Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the
intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264.
https://psnet.ahrq.gov/issue/predictors-…
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psnet.ahrq.gov/node/46376/psn-pdf
December 07, 2017 - User-centered collaborative design and development of
an inpatient safety dashboard.
December 7, 2017
Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an
Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685.
doi:10.1016/j.jcjq.2017.05.010.
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