-
psnet.ahrq.gov/node/73064/psn-pdf
March 24, 2021 - Outpatient insulin-related adverse events due to mix-up
errors: findings from two national surveillance systems,
United States, 2012-2017.
March 24, 2021
Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin?related adverse events due to mix?up errors:
Findings from two national surveillance systems, United S…
-
psnet.ahrq.gov/node/43446/psn-pdf
May 06, 2015 - A qualitative evaluation of the barriers and facilitators
toward implementation of the WHO surgical safety
checklist across hospitals in England: lessons from the
"Surgical Checklist Implementation Project."
May 6, 2015
Russ SJ, Sevdalis N, Moorthy K, et al. A qualitative evaluation of the barriers and facilitator…
-
psnet.ahrq.gov/node/50793/psn-pdf
January 15, 2020 - Association between mobile telephone interruptions and
medication administration errors in a pediatric intensive
care unit.
January 15, 2020
Bonafide CP, Miller JM, Localio AR, et al. Association between mobile telephone interruptions and
medication administration errors in a pediatric intensive care unit. JAMA Pe…
-
psnet.ahrq.gov/node/45233/psn-pdf
September 07, 2016 - Program director perceptions of surgical resident training
and patient care under flexible duty hour requirements.
September 7, 2016
Saadat L, Dahlke AR, Rajaram R, et al. Program Director Perceptions of Surgical Resident Training and
Patient Care under Flexible Duty Hour Requirements. J Am Coll Surg. 2016;222(6):1…
-
psnet.ahrq.gov/node/865344/psn-pdf
March 27, 2024 - Use of computerized physician order entry with clinical
decision support to prevent dose errors in pediatric
medication orders: a systematic review.
March 27, 2024
Ruutiainen H, Holmström A-R, Kunnola E, et al. Use of computerized physician order entry with clinical
decision support to prevent dose errors in pedia…
-
psnet.ahrq.gov/node/44819/psn-pdf
June 21, 2016 - Opioid prescribing after nonfatal overdose and
association with repeated overdose: a cohort study.
June 21, 2016
Larochelle MR, Liebschutz JM, Zhang F, et al. Opioid Prescribing After Nonfatal Overdose and Association
With Repeated Overdose: A Cohort Study. Ann Inter Med. 2016;164(1):1-9. doi:10.7326/M15-0038.
htt…
-
psnet.ahrq.gov/node/46954/psn-pdf
January 23, 2019 - Opioid prescribing decreases after learning of a patient's
fatal overdose.
January 23, 2019
Doctor JN, Nguyen A, Lev R, et al. Opioid prescribing decreases after learning of a patient's fatal overdose.
Science. 2018;361(6402):588-590. doi:10.1126/science.aat4595.
https://psnet.ahrq.gov/issue/opioid-prescribing-dec…
-
psnet.ahrq.gov/node/42588/psn-pdf
September 18, 2013 - Cognitive debiasing; part 1 and part 2.
September 18, 2013
Croskerry P, Singhal G, Mamede S. Cognitive debiasing 1: origins of bias and theory of debiasing. BMJ
Qual Saf. 2013;22 Suppl 2:ii58-ii64. doi:10.1136/bmjqs-2012-001712.
https://psnet.ahrq.gov/issue/cognitive-debiasing-part-1-and-part-2
Experienced diagnos…
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psnet.ahrq.gov/node/38467/psn-pdf
March 11, 2009 - Patients' perceptions of safety if interpersonal continuity
of care were to be disrupted.
March 11, 2009
Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care
were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.1111/j.1369-7625.2008.00503.x.
https://…
-
psnet.ahrq.gov/node/863748/psn-pdf
March 06, 2024 - Scaling the EQUIPPED medication safety program:
traditional and hub-and-spoke implementation models.
March 6, 2024
Vandenberg AE, Hwang U, Das S, et al. Scaling the EQUIPPED medication safety program: traditional and
hub?and?spoke implementation models. J Am Geriatr Soc. 2024;72(7):2184-2194. doi:10.1111/jgs.18746.…
-
psnet.ahrq.gov/node/838305/psn-pdf
October 12, 2022 - Hospital-acquired conditions reduction program, racial
and ethnic diversity, and Magnet designation in the
United States.
October 12, 2022
Boamah SA, Hamadi HY, Spaulding AC. Hospital-acquired conditions reduction program, racial and ethnic
diversity, and Magnet designation in the United States. J Patient Saf. 202…
-
psnet.ahrq.gov/node/37975/psn-pdf
February 15, 2011 - A steep increase in domestic fatal medication errors with
use of alcohol and/or street drugs.
February 15, 2011
Phillips DP, Barker GEC, Eguchi MM. A steep increase in domestic fatal medication errors with use of
alcohol and/or street drugs. Arch Intern Med. 2008;168(14):1561-6. doi:10.1001/archinte.168.14.1561.
h…
-
psnet.ahrq.gov/node/42933/psn-pdf
July 03, 2014 - Critical events during land-based interfacility transport.
July 3, 2014
Singh JM, MacDonald RD, Ahghari M. Critical events during land-based interfacility transport. Ann Emerg
Med. 2014;64(1):9-15.e2. doi:10.1016/j.annemergmed.2013.12.009.
https://psnet.ahrq.gov/issue/critical-events-during-land-based-interfacility…
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psnet.ahrq.gov/node/41732/psn-pdf
October 03, 2012 - Double checking the administration of medicines: what is
the evidence? A systematic review.
October 3, 2012
Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence?
A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/archdischild-2011-301093.
https://p…
-
psnet.ahrq.gov/node/41611/psn-pdf
November 23, 2012 - Self-reported uptake of recommendations after
dissemination of medication incident alerts.
November 23, 2012
Cheung K-C, Wensing M, Bouvy ML, et al. Self-reported uptake of recommendations after dissemination of
medication incident alerts. BMJ Qual Saf. 2012;21(12):1009-18. doi:10.1136/bmjqs-2012-000828.
https://p…
-
psnet.ahrq.gov/node/60012/psn-pdf
March 03, 2020 - Algorithm based smartphone apps to assess risk of skin
cancer in adults: systematic review of diagnostic
accuracy studies.
March 3, 2020
Freeman K, Dinnes J, Chuchu N, et al. Algorithm based smartphone apps to assess risk of skin cancer in
adults: systematic review of diagnostic accuracy studies. BMJ. 2020;368:m12…
-
psnet.ahrq.gov/node/48057/psn-pdf
June 26, 2019 - Multicenter study to evaluate the benefits of technology-
assisted workflow on i.v. room efficiency, costs, and
safety.
June 26, 2019
Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted
workflow on i.v. room efficiency, costs, and safety. Am J Health-Syst Pharm. 2…
-
psnet.ahrq.gov/node/47098/psn-pdf
August 15, 2018 - Accuracy of pediatric trauma field triage: a systematic
review.
August 15, 2018
van der Sluijs R, van Rein EAJ, Wijnand JGJ, et al. Accuracy of Pediatric Trauma Field Triage: A
Systematic Review. JAMA Surg. 2018;153(7):671-676. doi:10.1001/jamasurg.2018.1050.
https://psnet.ahrq.gov/issue/accuracy-pediatric-trauma-…
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psnet.ahrq.gov/node/36460/psn-pdf
May 27, 2011 - Medication errors related to computerized order entry for
children.
May 27, 2011
Walsh KE, Adams WG, Bauchner H, et al. Medication errors related to computerized order entry for
children. Pediatrics. 2006;118(5):1872-1879.
https://psnet.ahrq.gov/issue/medication-errors-related-computerized-order-entry-children
Th…
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psnet.ahrq.gov/node/47113/psn-pdf
July 11, 2018 - The impact of pharmacists-led medicines reconciliation
on healthcare outcomes in secondary care: a systematic
review and meta-analysis of randomized controlled trials.
July 11, 2018
Cheema E, Alhomoud FK, Kinsara ASA-D, et al. The impact of pharmacists-led medicines reconciliation on
healthcare outcomes in seconda…