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psnet.ahrq.gov/node/46911/psn-pdf
May 02, 2018 - Errors in electronic health record–based data query of
statin prescriptions in patients with coronary artery
disease in a large, academic, multispecialty clinic
practice.
May 2, 2018
Shin EY, Ochuko P, Bhatt K, et al. Errors in Electronic Health Record-Based Data Query of Statin
Prescriptions in Patients With Cor…
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psnet.ahrq.gov/node/46858/psn-pdf
May 11, 2019 - Evidence review conducted for the Agency for Healthcare
Research and Quality Safety Program for Improving
Surgical Care and Recovery: focus on anesthesiology for
colorectal surgery.
May 11, 2019
Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Healthcare Research
and Quality Safety …
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psnet.ahrq.gov/node/47732/psn-pdf
February 06, 2019 - Surgical safety checklists in children's surgery: surgeons'
attitudes and review of the literature.
February 6, 2019
Roybal J, Tsao KJ, Rangel S, et al. Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes
and Review of the Literature. Pediatr Qual Saf. 2018;3(5):e108. doi:10.1097/pq9.0000000000000…
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psnet.ahrq.gov/node/45850/psn-pdf
July 02, 2017 - Learning from the design, development and
implementation of the Medication Safety Thermometer.
July 2, 2017
Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the
Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2):301-309. doi:10.1093/intqhc/mzw149.
ht…
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psnet.ahrq.gov/node/838924/psn-pdf
October 26, 2022 - Intraoperative code blue: improving teamwork and code
response through interprofessional, in situ simulation.
October 26, 2022
Wu G, Podlinski L, Wang C, et al. Intraoperative code blue: improving teamwork and code response
through interprofessional, in situ simulation. Jt Comm J Qual Patient Saf. 2022;48(12):665-6…
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psnet.ahrq.gov/node/45292/psn-pdf
September 07, 2016 - Electronic approaches to making sense of the text in the
adverse event reporting system.
September 7, 2016
Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event
reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhrm.21237.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/46260/psn-pdf
July 26, 2017 - ACOG Committee opinion #680: the use and development
of checklists in obstetrics and gynecology.
July 26, 2017
American College of Obstetricians and Gynecologists’ Committee on Patient Safety and Quality
Improvement. Obstet Gynecol. 2016;128:e237-e240.
https://psnet.ahrq.gov/issue/acog-committee-opinion-680-use-an…
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psnet.ahrq.gov/node/852753/psn-pdf
August 23, 2023 - Status of patient safety culture in community pharmacy
settings: a systematic review.
August 23, 2023
Kwon K-E, Nam DR, Lee M-S, et al. Status of patient safety culture in community pharmacy settings: a
systematic review. J Patient Saf. 2023;19(6):353-361. doi:10.1097/pts.0000000000001147.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/862127/psn-pdf
February 07, 2024 - Association of hospital markup with preventable adverse
events following pancreatic surgery in the United States.
February 7, 2024
Alterio RE, Abreu AA, Meier J, et al. Association of hospital markup with preventable adverse events
following pancreatic surgery in the United States. Curr Probl Surg. 2024;61(1):10142…
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psnet.ahrq.gov/node/841472/psn-pdf
December 14, 2022 - Reducing potential errors associated with insulin
administration: an integrative review.
December 14, 2022
Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval
Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668.
https://psnet.ahrq.gov/issue/reducing-pote…
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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/843326/psn-pdf
February 01, 2023 - Surgical site infection prevention: a review.
February 1, 2023
Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA.
2023;329(3):244-252. doi:10.1001/jama.2022.24075.
https://psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
Surgical site infections (SSIs) remain a …
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psnet.ahrq.gov/node/50820/psn-pdf
January 22, 2020 - Associations between a new disruptive behaviors scale
and teamwork, patient safety, work-life balance, burnout,
and depression.
January 22, 2020
Rehder KJ, Adair KC, Hadley A, et al. Associations Between a New Disruptive Behaviors Scale and
Teamwork, Patient Safety, Work-Life Balance, Burnout, and Depression. Jt C…
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psnet.ahrq.gov/node/45733/psn-pdf
December 07, 2016 - Global patient outcomes after elective surgery:
prospective cohort study in 27 low-, middle- and high-
income countries.
December 7, 2016
group ISOS. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle-
and high-income countries. Br J Anaesth. 2016;117(5):601-609. doi:10.109…
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psnet.ahrq.gov/node/867015/psn-pdf
October 23, 2024 - Supporting perioperative safety during a disaster through
clinical crisis education.
October 23, 2024
Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis
education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217.
https://psnet.ahrq.gov/issue/supporting-…
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psnet.ahrq.gov/node/34055/psn-pdf
March 07, 2005 - What is driving hospitals' patient-safety efforts?
March 7, 2005
Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood).
2004;23(2):103-15.
https://psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
This study evaluated the role professionalism, regulati…
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psnet.ahrq.gov/node/865704/psn-pdf
May 01, 2024 - Supporting error management and safety climate in
ambulatory care practices: the CIRSforte study.
May 1, 2024
Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care
practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-322. doi:10.1097/pts.0000000000001225.
…
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psnet.ahrq.gov/node/38310/psn-pdf
June 03, 2010 - The relationship between early emergency team calls and
serious adverse events.
June 3, 2010
Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious
adverse events. Crit Care Med. 2009;37(1):148-53. doi:10.1097/CCM.0b013e3181928ce3.
https://psnet.ahrq.gov/issue/relati…
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psnet.ahrq.gov/node/36025/psn-pdf
March 28, 2011 - Understanding diagnostic errors in medicine: a lesson
from aviation.
March 28, 2011
Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation.
Qual Saf Health Care. 2006;15(3):159-64.
https://psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
T…
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psnet.ahrq.gov/node/47015/psn-pdf
May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal
error.
May 9, 2018
Porter S. HealthLeaders Media. April 26, 2018.
https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…