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psnet.ahrq.gov/node/40074/psn-pdf
July 03, 2014 - Evaluation of consistency in dosing directions and
measuring devices for pediatric nonprescription liquid
medications.
July 3, 2014
Yin S, Wolf MS, Dreyer BP, et al. Evaluation of consistency in dosing directions and measuring devices for
pediatric nonprescription liquid medications. JAMA. 2010;304(23):2595-602. d…
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psnet.ahrq.gov/node/38642/psn-pdf
April 30, 2012 - ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2008.
April 30, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration--2008. Am J Health Syst Pharm. 2009;66(10):926-46.
doi:10.2146…
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psnet.ahrq.gov/node/44388/psn-pdf
October 14, 2015 - Implementation of the Centers for Medicare & Medicaid
Services' nonpayment policy for preventable hospital-
acquired conditions in rural and nonrural US hospitals.
October 14, 2015
Bae S-H, Yoder LH. Implementation of the Centers for Medicare & Medicaid Services' Nonpayment Policy
for Preventable Hospital-Acquired…
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psnet.ahrq.gov/node/42039/psn-pdf
December 31, 2014 - Enhancing patient safety and quality of care by improving
the usability of electronic health record systems:
recommendations from AMIA.
December 31, 2014
Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the
usability of electronic health record systems: recommen…
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psnet.ahrq.gov/node/47333/psn-pdf
October 10, 2018 - Changing dynamics of the drug overdose epidemic in the
United States from 1979 through 2016.
October 10, 2018
Jalal H, Buchanich JM, Roberts MS, et al. Changing dynamics of the drug overdose epidemic in the United
States from 1979 through 2016. Science (1979). 2018;361(6408). doi:10.1126/science.aau1184.
https://p…
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psnet.ahrq.gov/node/45385/psn-pdf
January 03, 2017 - Viewing prevention of catheter-associated urinary tract
infection as a system: using systems engineering and
human factors engineering in a quality improvement
project in an academic medical center.
January 3, 2017
Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Associated Urinary Tract Infection …
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psnet.ahrq.gov/node/47946/psn-pdf
May 22, 2019 - Vital signs: pregnancy-related deaths, United States,
2011-2015, and strategies for prevention, 13 states, 2013-
2017.
May 22, 2019
Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011-
2015, and Strategies for Prevention, 13 States, 2013-2017. MMWR Morb Mortal Wkly R…
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psnet.ahrq.gov/node/47835/psn-pdf
April 24, 2019 - Facilitation of surgical innovation: is it possible to speed
the introduction of new technology while simultaneously
improving patient safety?
April 24, 2019
Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the
Introduction of New Technology While Simultaneousl…
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psnet.ahrq.gov/node/47610/psn-pdf
March 13, 2019 - Patient safety outcomes under flexible and standard
resident duty-hour rules.
March 13, 2019
Silber JH, Bellini LM, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. 2019;380:905-914.
https://psnet.ahrq.gov/issue/patient-safety-outcomes-under-flexible-and-standard-resident-duty-hour-rules
Duty hour reform for…
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psnet.ahrq.gov/node/47613/psn-pdf
December 05, 2018 - Prevalence of potentially inappropriate prescribing in
older people in primary care and its association with
hospital admission: longitudinal study.
December 5, 2018
Pérez T, Moriarty F, Wallace E, et al. Prevalence of potentially inappropriate prescribing in older people in
primary care and its association with h…
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psnet.ahrq.gov/node/43987/psn-pdf
March 25, 2015 - Emergency physicians' views of direct notification of
laboratory and radiology results to patients using the
internet: a multisite survey.
March 25, 2015
Callen J, Giardina TD, Singh H, et al. Emergency physicians' views of direct notification of laboratory and
radiology results to patients using the Internet: a m…
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psnet.ahrq.gov/node/44176/psn-pdf
August 21, 2015 - Patient and carer identified factors which contribute to
safety incidents in primary care: a qualitative study.
August 21, 2015
Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents
in primary care: a qualitative study. BMJ Qual Saf. 2015;24(9):583-93. doi:1…
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psnet.ahrq.gov/node/47471/psn-pdf
January 27, 2019 - Association of cataract surgical outcomes with late
surgeon career stages: a population-based cohort study.
January 27, 2019
Campbell RJ, El-Defrawy SR, Gill SS, et al. Association of Cataract Surgical Outcomes With Late Surgeon
Career Stages: A Population-Based Cohort Study. JAMA Ophthalmol. 2019;137(1):58-64.
do…
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psnet.ahrq.gov/node/43553/psn-pdf
August 28, 2017 - Analysis of adverse events associated with adult
moderate procedural sedation outside the operating
room.
August 28, 2017
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate
Procedural Sedation Outside the Operating Room. J Patient Saf. 2014;13(3):111-121.
doi:10.1…
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psnet.ahrq.gov/node/44709/psn-pdf
November 18, 2016 - Lost information during the handover of critically injured
trauma patients: a mixed-methods study.
November 18, 2016
Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured
trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(12):929-936. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/node/40024/psn-pdf
December 21, 2014 - Risk factors and outcomes for foreign body left during a
procedure: analysis of 413 incidents after 1,946,831
operations in children.
December 21, 2014
Camp M, Chang DC, Zhang Y, et al. Risk factors and outcomes for foreign body left during a procedure:
analysis of 413 incidents after 1 946 831 operations in child…
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psnet.ahrq.gov/node/44447/psn-pdf
September 02, 2015 - Community-, healthcare-, and hospital-acquired severe
sepsis hospitalizations in the University HealthSystem
Consortium.
September 2, 2015
Page DB, Donnelly JP, Wang HE. Community-, Healthcare-, and Hospital-Acquired Severe Sepsis
Hospitalizations in the University HealthSystem Consortium. Crit Care Med. 2015;43(9…
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psnet.ahrq.gov/node/44522/psn-pdf
June 21, 2016 - Impact of an electronic alert notification system
embedded in radiologists' workflow on closed-loop
communication of critical results: a time series analysis.
June 21, 2016
Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in
radiologists' workflow on closed-loop com…
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psnet.ahrq.gov/node/45419/psn-pdf
June 29, 2017 - Risk-adjusted survival for adults following in-hospital
cardiac arrest by day of week and time of day:
observational cohort study.
June 29, 2017
Robinson EJ, Smith GB, Power GS, et al. Risk-adjusted survival for adults following in-hospital cardiac
arrest by day of week and time of day: observational cohort study.…
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psnet.ahrq.gov/node/44427/psn-pdf
October 13, 2015 - Problem list completeness in electronic health records: a
multi-site study and assessment of success factors.
October 13, 2015
Wright A, McCoy AB, Hickman T-TT, et al. Problem list completeness in electronic health records: A multi-
site study and assessment of success factors. Int J Med Inform. 2015;84(10):784-90.…