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psnet.ahrq.gov/node/837058/psn-pdf
May 11, 2022 - Establishing psychological safety in clinical supervision:
multi-professional perspectives.
May 11, 2022
Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi?
professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111/tct.13451.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/60751/psn-pdf
January 01, 2021 - Fighting a common enemy: a catalyst to close intractable
safety gaps.
August 5, 2020
Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ
Qual Saf. 2021;30(2):141-145. doi:10.1136/bmjqs-2020-011390.
https://psnet.ahrq.gov/issue/fighting-common-enemy-catalyst-clos…
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psnet.ahrq.gov/node/47600/psn-pdf
December 03, 2018 - Effect of a pharmacist-led educational intervention on
inappropriate medication prescriptions in older adults:
the D-PRESCRIBE randomized clinical trial.
December 3, 2018
Martin P, Tamblyn R, Benedetti A, et al. Effect of a Pharmacist-Led Educational Intervention on
Inappropriate Medication Prescriptions in Older …
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psnet.ahrq.gov/node/840495/psn-pdf
November 30, 2022 - Made whole: the efficacy of legal redress for black women
who have suffered injuries from medical bias.
November 30, 2022
Baker MB. Harv Civ Rights-Civil Lib Law Rev. 2022: 57(Summer):321-360.
https://psnet.ahrq.gov/issue/made-whole-efficacy-legal-redress-black-women-who-have-suffered-injuries-
medical-bias
Women…
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psnet.ahrq.gov/node/60160/psn-pdf
March 25, 2020 - Retrospective review for medication dose errors in
pediatric emergency department medication orders that
bypassed pharmacist review.
March 25, 2020
Todd SE, Thompson AJ, Russell WS. Retrospective review for medication dose errors in pediatric
emergency department medication orders that bypassed pharmacist review. …
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psnet.ahrq.gov/node/843084/psn-pdf
January 25, 2023 - A scoping review of non-professional medication
practices and medication safety outcomes during public
health emergencies.
January 25, 2023
Kelly D, Koay A, Mineva G, et al. A scoping review of non-professional medication practices and
medication safety outcomes during public health emergencies. Public Health. 202…
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psnet.ahrq.gov/node/50884/psn-pdf
February 12, 2020 - Prescribing patterns of heart failure-exacerbating
medications following a heart failure hospitalization.
February 12, 2020
Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating
medications following a heart failure hospitalization. JACC Heart Fail. 2019;8(1):25-34.
do…
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psnet.ahrq.gov/node/861778/psn-pdf
January 31, 2024 - Care Deficiencies and Leaders' Inadequate Reviews of a
Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA
Medical Center in Memphis, Tennessee.
January 31, 2024
Washington, DC: The Veterans Affairs Inspector General; January 10, 2024. Report No. 23-00777-52.
https://psnet.ahrq.gov/issue/care-deficiencies-and-l…
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psnet.ahrq.gov/node/846453/psn-pdf
March 02, 2021 - The dollar or disease burden: caps on healthcare
spending may save money, but at what "cost" to
patients?
March 2, 2021
Ciarametaro M, Houghton K, Wamble D, et al. The dollar or disease burden: caps on healthcare spending
may save money, but at what "cost" to patients? Value Health. 2021;24(3):388-396.
doi:10.101…
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psnet.ahrq.gov/node/44799/psn-pdf
July 11, 2017 - Unintended Consequences: New Problems and New
Solutions.
July 11, 2017
Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271.
https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
Unexpected effects associated with implementation and use of health information technolo…
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psnet.ahrq.gov/node/47729/psn-pdf
April 10, 2019 - Reclaiming the systems approach to paediatric safety.
April 10, 2019
Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child.
2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401.
https://psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
Children…
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psnet.ahrq.gov/node/61100/psn-pdf
November 04, 2020 - Patient errors in use of injectable antidiabetic
medications: a need for improved clinic-based education.
November 4, 2020
Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for
improved clinic-based education. J Am Pharm Assoc (2003). 2020;60(5):e76-e80.
doi:10.10…
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psnet.ahrq.gov/node/73530/psn-pdf
July 28, 2021 - The nature, severity and causes of medication incidents
from an Australian community pharmacy incident
reporting system: the QUMwatch study.
July 28, 2021
Adie K, Fois RA, McLachlan AJ, et al. The nature, severity and causes of medication incidents from an
Australian community pharmacy incident reporting system: T…
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psnet.ahrq.gov/node/837805/psn-pdf
August 10, 2022 - Adverse events in infants less than 6 months of age after
ambulatory surgery and diagnostic imaging requiring
anesthesia.
August 10, 2022
Uffman JC, Kim SS, Quan LN, et al. Adverse events in infants less than 6 months of age after ambulatory
surgery and diagnostic imaging requiring anesthesia. Pediatr Qual Saf. 20…
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psnet.ahrq.gov/node/866244/psn-pdf
July 10, 2024 - Optimizing the use of dose error reduction software on
intravenous infusion pumps.
July 10, 2024
Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous
infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385.
https://psnet.ahrq.gov/issue/optimizi…
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psnet.ahrq.gov/node/866319/psn-pdf
July 17, 2024 - Performance of large language models on medical
oncology examination questions.
July 17, 2024
Longwell JB, Hirsch I, Binder F, et al. Performance of large language models on medical oncology
examination questions. JAMA Netw Open. 2024;7(6):e2417641.
doi:10.1001/jamanetworkopen.2024.17641.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/45698/psn-pdf
January 11, 2017 - Design and testing of the safety agenda mobile app for
managing health care managers' patient safety
responsibilities.
January 11, 2017
Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing
Health Care Managers' Patient Safety Responsibilities. JMIR MHealth UHealt…
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psnet.ahrq.gov/node/837853/psn-pdf
August 17, 2022 - RaDonda Vaught, medication safety, and the profession
of pharmacy: steps to improve safety and ensure justice.
August 17, 2022
Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to
improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja…
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psnet.ahrq.gov/node/48076/psn-pdf
July 24, 2019 - Simulation-based event analysis improves error
discovery and generates improved strategies for error
prevention.
July 24, 2019
Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and
generates improved strategies for error prevention. Simul Healthc. 2019;14(4):209-216.
do…
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psnet.ahrq.gov/node/45563/psn-pdf
October 19, 2016 - Using a change model to reduce the risk of surgical site
infection.
October 19, 2016
Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-
955.
https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
Surgical site infections can resul…