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psnet.ahrq.gov/node/40022/psn-pdf
June 09, 2011 - Patient safety begins with proper planning: a quantitative
method to improve hospital design.
June 9, 2011
Birnbach DJ, Nevo I, Scheinman SR, et al. Patient safety begins with proper planning: a quantitative
method to improve hospital design. Qual Saf Health Care. 2010;19(5):462-5.
doi:10.1136/qshc.2008.031013.
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February 01, 2023 - How providers can optimize effective and safe scribe use:
a qualitative study.
February 1, 2023
Corby S, Ash JS, Florig ST, et al. How providers can optimize effective and safe scribe use: a qualitative
study. J Gen Intern Med. 2023;38(9):2052-2058. doi:10.1007/s11606-022-07942-2.
https://psnet.ahrq.gov/issue/how-…
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psnet.ahrq.gov/node/45421/psn-pdf
December 14, 2016 - The medication reconciliation process and classification
of discrepancies: a systematic review.
December 14, 2016
Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of
discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. doi:10.1111/bcp.13017.
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October 28, 2020 - The radiology impact of healthcare errors during shift
work.
October 28, 2020
Elliott J, Williamson K. The radiology impact of healthcare errors during shift work. Radiography.
2020;26(3):248-253. doi:10.1016/j.radi.2019.12.007.
https://psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work
Ext…
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March 21, 2018 - Patient Deaths at Arbour Health Systems—Westwood
Lodge Hospital and Pembroke Hospital.
March 21, 2018
Disability Law Center. Boston, MA: February 2018.
https://psnet.ahrq.gov/issue/patient-deaths-arbour-health-systems-westwood-lodge-hospital-and-
pembroke-hospital
Patients with mental health concerns are vulnerab…
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psnet.ahrq.gov/node/50452/psn-pdf
October 09, 2019 - Implementing a survey for patients to provide safety
experience feedback following a care transition: a
feasibility study
October 9, 2019
Scott J, Heavey E, Waring J, et al. Implementing a survey for patients to provide safety experience
feedback following a care transition: a feasibility study. BMC Health Serv Re…
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August 02, 2023 - Meta-analysis of medication administration errors in
African hospitals.
August 2, 2023
Alemu W, Cimiotti JP. Meta-analysis of medication administration errors in African hospitals. J Healthc
Qual. 2023;45(4):233-241. doi:10.1097/jhq.0000000000000396.
https://psnet.ahrq.gov/issue/meta-analysis-medication-administra…
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psnet.ahrq.gov/node/43385/psn-pdf
August 06, 2014 - Medicines management support to older people:
understanding the context of systems failure.
August 6, 2014
Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of
systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-005302.
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July 27, 2022 - Reducing near miss medication events using an
evidence-based approach.
July 27, 2022
Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care
Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630.
https://psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-e…
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psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - Building a framework for trust: critical event analysis of
deaths in surgical care.
March 4, 2011
Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical
care. BMJ. 2005;330(7500):1139-42.
https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…
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psnet.ahrq.gov/node/47593/psn-pdf
December 12, 2018 - Multi-level analysis of national nursing students'
disclosure of patient safety concerns.
December 12, 2018
Palese A, Gonella S, Grassetti L, et al. Multi-level analysis of national nursing students' disclosure of
patient safety concerns. Med Educ. 2018;52(11):1156-1166. doi:10.1111/medu.13716.
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March 20, 2018 - Safety events in pediatric out-of-hospital cardiac arrest.
March 20, 2018
Hansen M, Eriksson C, Skarica B, et al. Safety events in pediatric out-of-hospital cardiac arrest. Am J
Emerg Med. 2018;36(3):380-383. doi:10.1016/j.ajem.2017.08.028.
https://psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-a…
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psnet.ahrq.gov/node/60729/psn-pdf
July 29, 2020 - Oncology pharmacist-led medication reconciliation
among cancer patients initiating chemotherapy.
July 29, 2020
Chun DS, Faso A, Muss HB, et al. Oncology pharmacist-led medication reconciliation among cancer
patients initiating chemotherapy. J Oncol Pharm Pract. 2020;26(5):1156-1163.
doi:10.1177/1078155219892066.
…
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psnet.ahrq.gov/node/46801/psn-pdf
July 22, 2019 - Promising roles for pharmacists in addressing the U.S.
opioid crisis.
July 22, 2019
Compton WM, Jones CM, Stein JB, et al. Promising roles for pharmacists in addressing the U.S. opioid
crisis. Res Social Adm Pharm. 2019;15(8):910-916. doi:10.1016/j.sapharm.2017.12.009.
https://psnet.ahrq.gov/issue/promising-roles-…
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psnet.ahrq.gov/node/43990/psn-pdf
April 22, 2015 - Fix and forget or fix and report: a qualitative study of
tensions at the front line of incident reporting.
April 22, 2015
Hewitt TA, Chreim S. Fix and forget or fix and report: a qualitative study of tensions at the front line of
incident reporting. BMJ Qual Saf. 2015;24(5):303-10. doi:10.1136/bmjqs-2014-003279.
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February 03, 2011 - Role of computerized physician order entry systems in
facilitating medication errors.
February 3, 2011
Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating
medication errors. JAMA. 2005;293(10):1197-203.
https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
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psnet.ahrq.gov/node/45053/psn-pdf
May 19, 2019 - Five topics health care simulation can address to improve
patient safety: results from a consensus process.
May 19, 2019
Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve
Patient Safety: Results From a Consensus Process. J Patient Saf. 2019;15(2):111-120.
doi:10.1097/…
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psnet.ahrq.gov/node/865702/psn-pdf
May 01, 2024 - Judgment errors in surgical care.
May 1, 2024
Marsh KM, Turrentine FE, Jin R, et al. Judgment errors in surgical care. J Am Coll Surg. 2024;238(5):874-
879. doi:10.1097/xcs.0000000000001011.
https://psnet.ahrq.gov/issue/judgment-errors-surgical-care
Knowing when judgment errors are more likely to occur can increas…
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psnet.ahrq.gov/node/50907/psn-pdf
February 19, 2020 - Oral chemotherapy: a home safety educational framework
for healthcare providers, patients, and caregivers.
February 19, 2020
Huff C. Oral chemotherapy: A home safety educational framework for healthcare providers, patients, and
caregivers. Clin J Oncol Nurs. 2020;24(1):22-30. doi:10.1188/20.cjon.22-30.
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psnet.ahrq.gov/node/47527/psn-pdf
November 21, 2018 - Impact of interactions between drugs and laboratory test
results on diagnostic test interpretation—a systematic
review.
November 21, 2018
van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Impact of interactions between drugs
and laboratory test results on diagnostic test interpretation - a systematic r…