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psnet.ahrq.gov/node/846149/psn-pdf
March 15, 2023 - Medication errors in community pharmacies: evaluation
of a standardized safety program.
March 15, 2023
Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a
standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218.
doi:10.1016/j.rcsop.2022.100218.
https://ps…
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psnet.ahrq.gov/node/73863/psn-pdf
September 22, 2021 - Electronic health record interoperability-why
electronically discontinued medications are still
dispensed.
September 22, 2021
Shervani S, Madden W, Gleason LJ. Electronic health record interoperability-why electronically
discontinued medications are still dispensed. JAMA Intern Med. 2021;181(10):1383-1384.
doi:10…
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psnet.ahrq.gov/node/47659/psn-pdf
January 27, 2019 - Medical overuse as a physician cognitive error: looking
under the hood.
January 27, 2019
Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med.
2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136.
https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-er…
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psnet.ahrq.gov/node/46273/psn-pdf
August 30, 2017 - Increasing patient safety with neonates via handoff
communication during delivery: a call for
interprofessional health care team training across GME
and CME.
August 30, 2017
Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff
communication during delivery: a call for int…
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psnet.ahrq.gov/node/851460/psn-pdf
July 19, 2023 - Patient perceptions and experiences with medication-
related activities in the emergency department: a
qualitative study.
July 19, 2023
Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication-
related activities in the emergency department: a qualitative study. BMJ Open …
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psnet.ahrq.gov/node/50414/psn-pdf
September 04, 2019 - Rating the raters: an evaluation of publicly reported
hospital quality rating systems.
September 4, 2019
Bilimoria KY, Birkmeyer JD, Burstin H, et al. NEJM Catalyst. August 14, 2019.
https://psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems
Numerous publicly available …
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psnet.ahrq.gov/node/46970/psn-pdf
June 27, 2018 - Using drug knowledgebase information to distinguish
between look-alike-sound-alike drugs.
June 27, 2018
Cheng CM, Salazar A, Amato MG, et al. Using drug knowledgebase information to distinguish between
look-alike-sound-alike drugs. J Am Med Inform Assoc. 2018;25(7):872-884. doi:10.1093/jamia/ocy043.
https://psnet.…
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psnet.ahrq.gov/node/60336/psn-pdf
May 13, 2020 - Selecting Safe and Easier to Use Products for Healthcare
Using Human Factors Specification and Checklists.
May 13, 2020
Buckinghamshire, UK. Clinical Human Factors Group. April 2020.
https://psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors-
specification-and
Poor eq…
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psnet.ahrq.gov/node/60603/psn-pdf
June 17, 2020 - Promoting psychosocial well-being of health care staff
during crisis.
June 17, 2020
Promoting psychosocial well-being of health care staff during crisis.
https://psnet.ahrq.gov/issue/promoting-psychosocial-well-being-health-care-staff-during-crisis
Effective practice in times of crisis is reliant on a workforce th…
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psnet.ahrq.gov/node/50429/psn-pdf
September 04, 2019 - Is disruptive behavior inherent to the surgeon or the
environment? Analysis of 314 events at a single academic
medical center.
September 4, 2019
Heslin MJ, Singletary BA, Benos KC, et al. Is Disruptive Behavior Inherent to the Surgeon or the
Environment? Analysis of 314 Events at a Single Academic Medical Center. …
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psnet.ahrq.gov/node/43998/psn-pdf
May 28, 2015 - Bridging the gap between hospital and primary care: the
pharmacist home visit.
May 28, 2015
Ensing HT, Koster ES, Stuijt CCM, et al. Bridging the gap between hospital and primary care: the
pharmacist home visit. Int J Clin Pharm. 2015;37(3):430-4. doi:10.1007/s11096-015-0093-4.
https://psnet.ahrq.gov/issue/bridgin…
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psnet.ahrq.gov/node/838013/psn-pdf
September 07, 2022 - Using the Global Trigger Tool in surgical and
neurosurgical patients: a feasibility study.
September 7, 2022
Brösterhaus M, Hammer A, Gruber R, et al. Using the Global Trigger Tool in surgical and neurosurgical
patients: a feasibility study. PLoS ONE. 2022;17(8):e0272853. doi:10.1371/journal.pone.0272853.
https://…
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psnet.ahrq.gov/node/837332/psn-pdf
June 08, 2022 - Influence of psychological safety and organizational
support on the impact of humiliation on trainee well-
being.
June 8, 2022
Appelbaum NP, Santen SA, Perera RA, et al. Influence of psychological safety and organizational support
on the impact of humiliation on trainee well-being. J Patient Saf. 2022;18(4):370-37…
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psnet.ahrq.gov/node/836713/psn-pdf
March 09, 2022 - Benefits of reporting and analyzing nursing students'
near-miss medication incidents.
March 9, 2022
Dennison S, Freeman M, Giannotti N, et al. Benefits of reporting and analyzing nursing students' near-miss
medication incidents. Nurse Educ. 2022;47(4):202-207. doi:10.1097/nne.0000000000001164.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/42449/psn-pdf
July 31, 2013 - The epidemiology of malpractice claims in primary care: a
systematic review.
July 31, 2013
Wallace E, Lowry J, Smith SM, et al. The epidemiology of malpractice claims in primary care: a systematic
review. BMJ Open. 2013;3(7). doi:10.1136/bmjopen-2013-002929.
https://psnet.ahrq.gov/issue/epidemiology-malpractice-cl…
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psnet.ahrq.gov/node/47651/psn-pdf
December 12, 2018 - Are national efforts to reduce drug name confusion
paying off?
December 12, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6.
https://psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying
Look-alike and sound-alike medications present a recurring threat to patie…
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psnet.ahrq.gov/node/45283/psn-pdf
June 29, 2016 - Goals and Priorities for Health Care Organizations to
Improve Safety Using Health IT. Revised Report.
June 29, 2016
Graber ML, Bailey R, Johnston D. RTI International; Washington, DC: US Department of Health and
Human Services, Office of the National Coordinator for Health Information Technology; 2016.
https://psn…
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psnet.ahrq.gov/node/44756/psn-pdf
September 12, 2016 - Importance of teamwork, communication and culture on
failure-to-rescue in the elderly.
September 12, 2016
Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the
elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031.
https://psnet.ahrq.gov/issue/importance-teamw…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools
January 01, 2023 - All Workflow Tools
Although there are many different tools you can use to collect and analyze workflow information, appropriate use of the following tools will help you better understand current workflows, modify those workflows, or design new workflows that will make it eas…
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www.uspreventiveservicestaskforce.org/uspstf/
January 01, 2024 - Recommendations
Intimate Partner Violence and Caregiver Abuse of Older or Vulnerable Adults: Screening
Syphilis Infection During Pregnancy: Screening
Breastfeeding: Primary Care Behavioral Counseling Interventions
See More
Search for Recommendations
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