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psnet.ahrq.gov/node/46357/psn-pdf
May 17, 2018 - Safe labeling practices to minimize medication errors in
anesthesia: 5 case reports and review of the literature.
May 17, 2018
Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia.
A & A Practice. 2017;10(10). doi:10.1213/xaa.0000000000000680.
https://psnet.ahrq…
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psnet.ahrq.gov/node/60188/psn-pdf
January 01, 2021 - Uncertain diagnoses in a children's hospital: patient
characteristics and outcomes.
April 1, 2020
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics
and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
https://psnet.ahrq.gov/issue/uncertai…
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psnet.ahrq.gov/node/837735/psn-pdf
July 27, 2022 - A quality improvement initiative using peer audit and
feedback to improve compliance with the surgical safety
checklist.
July 27, 2022
Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to
improve compliance. Int J Qual Health Care. 2022;34(3). doi:10.1093/intqhc…
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psnet.ahrq.gov/node/866695/psn-pdf
September 11, 2024 - Reducing ambulatory central line-associated bloodstream
infections: a family-centered approach.
September 11, 2024
Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line?associated bloodstream infections: a
family?centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. doi:10.1002/pbc.31064.
https:…
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psnet.ahrq.gov/node/60640/psn-pdf
July 01, 2020 - Standardizing opioid prescriptions to patients after
ambulatory oncologic surgery reduces overprescription.
July 1, 2020
Fearon NJ, Benfante N, Assel M, et al. Standardizing Opioid Prescriptions to Patients After Ambulatory
Oncologic Surgery Reduces Overprescription. Jt Comm J Qual Patient Saf. 2020;46(7):410-416.
…
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psnet.ahrq.gov/node/35471/psn-pdf
September 21, 2009 - Medication safety in the ambulatory chemotherapy
setting.
September 21, 2009
Gandhi TK, Bartel SB, Shulman LN, et al. Medication safety in the ambulatory chemotherapy setting.
Cancer. 2005;104(11). doi:10.1002/cncr.21442.
https://psnet.ahrq.gov/issue/medication-safety-ambulatory-chemotherapy-setting
Chemotherapeu…
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psnet.ahrq.gov/node/73067/psn-pdf
March 24, 2021 - Changes in error patterns in unanticipated trauma deaths
during 20 years: in pursuit of zero preventable deaths.
March 24, 2021
LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during
20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89…
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psnet.ahrq.gov/node/865677/psn-pdf
April 24, 2024 - The impact of adding a 2-way video monitoring system on
falls and costs for high-risk inpatients.
April 24, 2024
Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and
costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. doi:10.1097/pts.0000000000001197.
…
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psnet.ahrq.gov/node/34952/psn-pdf
November 17, 2011 - Assessing the National Electronic Injury Surveillance
System—Cooperative Adverse Drug Event Surveillance
Project—six sites, United States, January 1–June 15,
2004.
November 17, 2011
Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-Cooperative
Adverse Drug Event Surveillance pr…
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psnet.ahrq.gov/node/861767/psn-pdf
January 31, 2024 - Health literacy-informed communication to reduce
discharge medication errors in hospitalized children: a
randomized clinical trial.
January 31, 2024
Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge
medication errors in hospitalized children: a randomized clinica…
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psnet.ahrq.gov/node/38054/psn-pdf
July 05, 2013 - Ticket to ride: reducing handoff risk during hospital
patient transport.
July 5, 2013
Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient
transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5.
https://psnet.ahrq.gov/issue/ticket-…
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psnet.ahrq.gov/node/843460/psn-pdf
February 01, 2023 - Persisting high rates of omissions during anesthesia
induction are decreased by utilization of a pre- & post-
induction checklist.
February 1, 2023
Krombach JW, Zürcher C, Simon SG, et al. Persisting high rates of omissions during anesthesia induction
are decreased by utilization of a pre- & post-induction checkli…
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psnet.ahrq.gov/node/36834/psn-pdf
August 26, 2011 - Healthcare climate: a framework for measuring and
improving patient safety.
August 26, 2011
Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving
patient safety. Crit Care Med. 2007;35(5):1312-7.
https://psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-i…
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psnet.ahrq.gov/node/866816/psn-pdf
September 25, 2024 - Patient harm events and associated cost outcomes
reported to a patient safety organization.
September 25, 2024
Miller S, Stockwell DC. Patient harm events and associated cost outcomes reported to a patient safety
organization. J Patient Saf. 2024;20(7):e92-e96. doi:10.1097/pts.0000000000001254.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/46835/psn-pdf
February 28, 2018 - Errors detected in pediatric oral liquid medication doses
prepared in an automated workflow management system.
February 28, 2018
Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses
prepared in an automated workflow management system. Am J Health Syst Pharm. 2018;75…
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psnet.ahrq.gov/node/45836/psn-pdf
July 02, 2017 - Improving patient safety: avoiding unread imaging exams
in the National VA enterprise electronic health record.
July 2, 2017
Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA
Enterprise Electronic Health Record. J Digit Imaging. 2017;30(3):309-313. doi:10.1007/s10278…
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psnet.ahrq.gov/node/34889/psn-pdf
March 04, 2011 - Effect of electronic health records in ambulatory care:
retrospective, serial, cross sectional study.
March 4, 2011
Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective,
serial, cross sectional study. BMJ. 2005;330(7491):581.
https://psnet.ahrq.gov/issue/effec…
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psnet.ahrq.gov/node/37051/psn-pdf
February 24, 2011 - Clinical oversight: conceptualizing the relationship
between supervision and safety.
February 24, 2011
Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between
supervision and safety. J Gen Intern Med. 2007;22(8):1080-5.
https://psnet.ahrq.gov/issue/clinical-oversight-c…
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psnet.ahrq.gov/node/867036/psn-pdf
January 01, 2025 - Artificial intelligence-powered chatbots in search
engines: a cross-sectional study on the quality and risks
of drug information for patients.
October 30, 2024
Andrikyan W, Sametinger SM, Kosfeld F, et al. Artificial intelligence-powered chatbots in search engines: a
cross-sectional study on the quality and risks …
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psnet.ahrq.gov/node/47996/psn-pdf
January 01, 2021 - Building an ambulatory safety program at an academic
health system.
May 15, 2019
Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J
Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594.
https://psnet.ahrq.gov/issue/building-ambulatory-safety-program-a…