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psnet.ahrq.gov/node/854625/psn-pdf
January 01, 2024 - Remote patient monitoring improves patient falls and
reduces harm.
October 18, 2023
Zimbro KS, Bridges C, Bunn S, et al. Remote patient monitoring improves patient falls and reduces harm. J
Nurs Care Qual. 2024;39(3):212-219. doi:10.1097/ncq.0000000000000749.
https://psnet.ahrq.gov/issue/remote-patient-monitoring-…
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psnet.ahrq.gov/node/47653/psn-pdf
January 16, 2019 - Exploring pharmacist experiences of delivering
individualised prescribing error feedback in an acute
hospital setting.
January 16, 2019
Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised
prescribing error feedback in an acute hospital setting. Res Social Adm Pharm…
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psnet.ahrq.gov/node/74042/psn-pdf
November 03, 2021 - An Investigation into the Death of Baby J at University
Hospitals Bristol and Weston NHS Foundation Trust.
November 3, 2021
Manchester, UK: Parliamentary and Health Service Ombudsman; October 2021.
https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-
foundation-trust…
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psnet.ahrq.gov/node/46942/psn-pdf
September 24, 2018 - Measurement and monitoring of safety: impact and
challenges of putting a conceptual framework into
practice.
September 24, 2018
Chatburn E, Macrae C, Carthey J, et al. Measurement and monitoring of safety: impact and challenges of
putting a conceptual framework into practice. BMJ Qual Saf. 2018;27(10):818-826. doi…
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psnet.ahrq.gov/node/43138/psn-pdf
April 23, 2014 - The quest for safe surgical care: are we missing the
obvious?
April 23, 2014
Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg.
2014;99(2):42-5.
https://psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious
Many studies have examined how checklists impact …
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psnet.ahrq.gov/node/849336/psn-pdf
May 24, 2023 - AI may be on its way to your doctor’s office, but it’s not
ready to see patients.
May 24, 2023
Tahir D. KFF Health News. May 12, 2023.
https://psnet.ahrq.gov/issue/ai-may-be-its-way-your-doctors-office-its-not-ready-see-patients
Real-time use of artificial intelligence (AI) in health care settings continues to cau…
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psnet.ahrq.gov/node/853058/psn-pdf
August 30, 2023 - Diagnostic reliability in teledermatology: a systematic
review and a meta-analysis.
August 30, 2023
Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review
and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-068207.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/48159/psn-pdf
July 31, 2019 - Fatigue in radiology: a fertile area for future research.
July 31, 2019
Taylor-Phillips S, Stinton C. Fatigue in radiology: a fertile area for future research. Br J Radiol.
2019;92(1099):20190043. doi:10.1259/bjr.20190043.
https://psnet.ahrq.gov/issue/fatigue-radiology-fertile-area-future-research
Physician fatigu…
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psnet.ahrq.gov/node/37909/psn-pdf
February 23, 2009 - Prevalence of adverse drug combinations in a large post-
mortem toxicology database.
February 23, 2009
Launiainen T, Vuori E, Ojanperä I. Prevalence of adverse drug combinations in a large post-mortem
toxicology database. Int J Legal Med. 2009;123(2):109-15. doi:10.1007/s00414-008-0261-3.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/46457/psn-pdf
December 20, 2017 - Simulation and the diagnostic process: a pilot study of
trauma and rapid response teams.
December 20, 2017
Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and
rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/dx-2017-0010.
https://psnet.ah…
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psnet.ahrq.gov/node/74015/psn-pdf
October 27, 2021 - Safer Services: A Toolkit for Specialist Mental Health
Services and Primary Care.
October 27, 2021
National Confidential Inquiry into Suicide and Safety in Mental Health. Manchester, UK: University of
Manchester; May 31, 2021
https://psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and…
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psnet.ahrq.gov/node/43184/psn-pdf
May 14, 2014 - Often overlooked problems with handoffs: from the
intensive care unit to the operating room.
May 14, 2014
Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to
the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.0000000000000075.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/844796/psn-pdf
September 18, 2019 - Workplace violence against anesthesiologists: we are not
immune to this patient safety threat.
September 18, 2019
Udoji MA, Ifeanyi-Pillette IC, Miller TR, Lin DM. Int Anesthesiol Clin. 2019;57:123-137.
https://psnet.ahrq.gov/issue/workplace-violence-against-anesthesiologists-we-are-not-immune-patient-
safety-thre…
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psnet.ahrq.gov/node/48075/psn-pdf
June 19, 2019 - A mismatch made in America.
June 19, 2019
Butcher L. Managed Care. June 2019;28:37-39.
https://psnet.ahrq.gov/issue/mismatch-made-america
Inconsistent patient name entry practices in electronic health records can contribute to wrong-patient
errors. This magazine article reports on the complex nature of addressing …
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psnet.ahrq.gov/node/34644/psn-pdf
December 23, 2008 - Medication-prescribing errors in a teaching hospital: a 9-
year experience.
December 23, 2008
Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year
experience. Arch Intern Med. 1997;157(14):1569-76.
https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospita…
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psnet.ahrq.gov/node/854387/psn-pdf
October 11, 2023 - Healthcare resilience: a meta-narrative systematic review
and synthesis of reviews.
October 11, 2023
Tan MZY, Prager G, McClelland A, et al. Healthcare resilience: a meta-narrative systematic review and
synthesis of reviews. BMJ Open. 2023;13(9):e072136. doi:10.1136/bmjopen-2023-072136.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/840169/psn-pdf
November 16, 2022 - ISMP survey on tall man (mixed case) lettering to reduce
drug name confusion.
November 16, 2022
Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
Mixed case letters are one suggested strategy to reduce look-alike medication na…
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psnet.ahrq.gov/node/837214/psn-pdf
May 25, 2022 - Global Report on Infection Prevention and Control:
Executive Summary.
May 25, 2022
Geneva, Switzerland; World Health Organization; May 5, 2022.
https://psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
Healthcare-acquired infection is a persistent systemic problem. This report r…
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psnet.ahrq.gov/node/74176/psn-pdf
December 15, 2021 - Reducing medication errors for adults in hospital
settings.
December 15, 2021
Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings.
Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2.
https://psnet.ahrq.gov/issue/reducing-medi…
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psnet.ahrq.gov/node/45264/psn-pdf
September 01, 2016 - Perceived factors associated with sustained improvement
following participation in a multicenter quality
improvement collaborative.
September 1, 2016
Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following
Participation in a Multicenter Quality Improvement Collaborative. Jt Co…