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psnet.ahrq.gov/node/44872/psn-pdf
February 12, 2016 - Reducing preventable harm in hospitals.
February 12, 2016
Bornstein D. New York Times. January 26, and February 2, 2016.
https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
Discussing the importance of designing safeguards to prevent system failures that can result in patient
harm, this two-part newsp…
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psnet.ahrq.gov/node/867136/psn-pdf
November 13, 2024 - Detecting clinical medication errors with AI enabled
wearable cameras.
November 13, 2024
Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable
cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2.
https://psnet.ahrq.gov/issue/detecting-clinical-medication…
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psnet.ahrq.gov/node/836757/psn-pdf
March 16, 2022 - Improving communication and teamwork during labor: a
feasibility, acceptability, and safety study.
March 16, 2022
Weiseth A, Plough A, Aggarwal R, et al. Improving communication and teamwork during labor: A feasibility,
acceptability, and safety study. Birth. 2022;49(4):637-647. doi:10.1111/birt.12630.
https://psn…
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psnet.ahrq.gov/node/46808/psn-pdf
February 14, 2018 - Anesthesia medication handling needs a new vision.
February 14, 2018
Grigg EB, Roesler A. Anesthesia Medication Handling Needs a New Vision. Anesth Analg.
2018;126(1):346-350. doi:10.1213/ANE.0000000000002521.
https://psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision
Anesthesiology has been a le…
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psnet.ahrq.gov/node/50408/psn-pdf
October 02, 2019 - Delayed Admissions to the Pediatric Intensive Care Unit:
Progression of Disease or Errors in Emergency
Department Management
October 2, 2019
Czolgosz T, Cashen K, Farooqi A, et al. Delayed Admissions to the Pediatric Intensive Care Unit:
Progression of Disease or Errors in Emergency Department Management. Pediatr …
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psnet.ahrq.gov/node/60876/psn-pdf
September 02, 2020 - Serious adverse events in pediatric procedural sedation
before and after the implementation of a pre-sedation
checklist.
September 2, 2020
Librov S, Shavit I. Serious adverse events in pediatric procedural sedation before and after the
implementation of a pre-sedation checklist. J Pain Res. 2020;13:1797-1802. doi:…
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psnet.ahrq.gov/node/73504/psn-pdf
July 21, 2021 - Healthcare personnel's working conditions in relation to
risk behaviours for organism transmission: a mixed-
methods study.
July 21, 2021
Arvidsson L, Lindberg M, Skytt B, et al. Healthcare personnel's working conditions in relation to risk
behaviours for organism transmission: A mixed?methods study. J Clin Nurs. …
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psnet.ahrq.gov/node/844763/psn-pdf
September 11, 2019 - Associations between national board exam performance
and residency program emphasis on patient safety and
interprofessional teamwork.
September 11, 2019
Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency
program emphasis on patient safety and interprofessional …
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psnet.ahrq.gov/node/46947/psn-pdf
March 21, 2018 - Leaving patients to their own devices? Smart technology,
safety and therapeutic relationships.
March 21, 2018
Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic
relationships. BMC Med Ethics. 2018;19(1):18. doi:10.1186/s12910-018-0255-8.
https://psnet.ahrq.gov/issue/leav…
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psnet.ahrq.gov/node/72470/psn-pdf
January 01, 2021 - Safe use of the EHR by medical scribes: a qualitative
study.
November 18, 2020
Ash JS, Corby S, Mohan V, et al. Safe use of the EHR by medical scribes: a qualitative study. J Amer Med
Inform Assoc. 2021;28(2):294-302. doi:10.1093/jamia/ocaa199.
https://psnet.ahrq.gov/issue/safe-use-ehr-medical-scribes-qualitative-…
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psnet.ahrq.gov/node/843325/psn-pdf
February 01, 2023 - Untenable expectations: nurses' work in the context of
medication administration, error, and the organization.
February 1, 2023
Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration,
error, and the organization. Glob Qual Nurs Res. 2022;9:233339362211317.
doi:10.117…
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psnet.ahrq.gov/node/47155/psn-pdf
October 17, 2018 - Medication errors with pediatric liquid acetaminophen
after standardization of concentration and packaging
improvements.
October 17, 2018
Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After
Standardization of Concentration and Packaging Improvements. Acad Pediatr. …
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psnet.ahrq.gov/node/73858/psn-pdf
September 22, 2021 - Coping with errors in the operating room: intraoperative
strategies, postoperative strategies, and sex differences.
September 22, 2021
D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies,
postoperative strategies, and sex differences. Surgery. 2021;170(2):440-44…
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psnet.ahrq.gov/node/37631/psn-pdf
May 18, 2015 - The science of improvement.
May 18, 2015
Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182.
https://psnet.ahrq.gov/issue/science-improvement
This commentary by Dr. Donald Berwick, president of the Institute for Healthcare Improvement, addresses
the growing tension betw…
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psnet.ahrq.gov/node/46934/psn-pdf
March 14, 2018 - Engaging the front line: tapping into hospital-wide quality
and safety initiatives.
March 14, 2018
Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality
and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:10.1053/j.jvca.2017.05.038.
https://psn…
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psnet.ahrq.gov/node/35130/psn-pdf
March 11, 2011 - A trial of automated decision support alerts for
contraindicated medications using computerized
physician order entry.
March 11, 2011
Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated
medications using computerized physician order entry. J Am Med Inform Assoc…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex7.html
July 01, 2018 - Guide to Patient and Family Engagement
Exhibit 7. Strength of Evidence for Organizational Culture
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next Step…
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psnet.ahrq.gov/node/48035/psn-pdf
May 29, 2019 - Is the future of medical diagnosis in computer
algorithms?
May 29, 2019
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-
e16. doi:10.1016/s2589-7500(19)30011-1.
https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
Artificial intelligence…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section9.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Plan To Help Incorporate the Role of Champions for Resident Physicians
Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiolo…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex6.html
December 01, 2017 - Guide to Patient and Family Engagement
Exhibit 6. Strength of Evidence for Individual Characteristics of Target Audiences
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary an…