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psnet.ahrq.gov/node/865480/psn-pdf
April 03, 2024 - A narrative review of the well-being and burnout of U.S.
community pharmacists.
April 3, 2024
Wash A, Moczygemba LR, Brown CM, et al. A narrative review of the well-being and burnout of U.S.
community pharmacists. J Am Pharm Assoc (2003). 2023;64(2):337-349. doi:10.1016/j.japh.2023.11.017.
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psnet.ahrq.gov/node/47520/psn-pdf
February 06, 2019 - Improving patient safety in developing countries—moving
towards an integrated approach.
February 6, 2019
Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an
integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2054270418786112.
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October 04, 2017 - Incidence and severity of prescribing errors in parenteral
nutrition for pediatric inpatients at a neonatal and
pediatric intensive care unit.
October 4, 2017
Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in
Parenteral Nutrition for Pediatric Inpatients at a Neonat…
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psnet.ahrq.gov/node/837895/psn-pdf
August 24, 2022 - Incidence and characteristics of errors detected by a
short team briefing in pediatric anesthesia.
August 24, 2022
Keil O, Brunsmann K, Boethig D, et al. Incidence and characteristics of errors detected by a short team
briefing in pediatric anesthesia. Paediatr Anaesth. 2022;32(10):1144-1150. doi:10.1111/pan.14535.…
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psnet.ahrq.gov/node/40602/psn-pdf
December 31, 2014 - How to improve the delivery of medication alerts within
computerized physician order entry systems: an
international Delphi study.
December 31, 2014
Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within
computerized physician order entry systems: an international Delphi study…
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psnet.ahrq.gov/node/47438/psn-pdf
June 02, 2019 - Developing an intervention to reduce harm in hospitalized
patients: patients and families in research.
June 2, 2019
Schenk EC, Bryant RA, Van Son CR, et al. Developing an Intervention to Reduce Harm in Hospitalized
Patients: Patients and Families in Research. J Nurs Care Qual. 2019;34(3):273-278.
doi:10.1097/NCQ.0…
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psnet.ahrq.gov/node/40324/psn-pdf
April 14, 2011 - To what extent are adverse events found in patient
records reported by patients and healthcare professionals
via complaints, claims and incident reports?
April 14, 2011
Christiaans-Dingelhoff I, Smits M, Zwaan L, et al. To what extent are adverse events found in patient
records reported by patients and healthcare …
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psnet.ahrq.gov/node/34803/psn-pdf
January 05, 2017 - Systematic root cause analysis of adverse drug events in
a tertiary referral hospital.
January 5, 2017
Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary
Referral Hospital. Jt Comm J Qual Improv. 2016;26(10). doi:10.1016/s1070-3241(00)26048-3.
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May 18, 2022 - Human factors analysis of latent safety threats in a
pediatric critical care unit.
May 18, 2022
Trbovich PL, Tomasi JN, Kolodzey L, et al. Human factors analysis of latent safety threats in a pediatric
critical care unit. Pediatr Crit Care Med. 2022;23(3):151-159. doi:10.1097/pcc.0000000000002832.
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April 24, 2019 - A systematic literature review and narrative synthesis on
the risks of medical discharge letters for patients' safety.
April 24, 2019
Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the
risks of medical discharge letters for patients' safety. BMC Health Serv Res. …
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psnet.ahrq.gov/node/60275/psn-pdf
April 29, 2020 - Misreading injectable medications—causes and
solutions: an integrative literature review.
April 29, 2020
Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an
integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020.01.007.
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psnet.ahrq.gov/node/843321/psn-pdf
February 01, 2023 - Latent and active failures perfectly align to allow a
preventable adverse event to reach a patient.
February 1, 2023
ISMP Medication Safety Alert! Acute care edition. January 12, 2023;28(1):1-4.
https://psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-
reach-patient
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September 27, 2023 - Clinical triggers and vital signs influencing crisis
acknowledgment and calls for help by anesthesiologists:
a simulation-based observational study.
September 27, 2023
Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis
acknowledgment and calls for help by anesthesiologist…
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psnet.ahrq.gov/node/48018/psn-pdf
July 31, 2019 - PEARLS for systems integration: a modified PEARLS
framework for debriefing systems-focused simulations.
July 31, 2019
Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for
Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342.
doi:10.1097/SIH.0000000000…
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psnet.ahrq.gov/node/47636/psn-pdf
December 12, 2018 - Learning from tragedy: the Julia Berg story.
December 12, 2018
Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl).
2018;5(4):257-266. doi:10.1515/dx-2018-0067.
https://psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
This commentary provides a clinical review of …
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February 20, 2019 - Strategy on Reducing Regulatory and Administrative
Burden Relating to the Use of Health IT and EHRs.
February 20, 2019
Washington, DC: Office of the National Coordinator for Health Information Technology; November 28,
2018.
https://psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relatin…
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psnet.ahrq.gov/node/845300/psn-pdf
March 01, 2023 - The impact of medication reconciliation and review in
patients using oral chemotherapy.
March 1, 2023
Darcis E, Germeys J, Stragier M, et al. The impact of medication reconciliation and review in patients using
oral chemotherapy. J Oncol Pharm Pract. 2023;29(2):270-275. doi:10.1177/10781552211066959.
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September 11, 2019 - Commissioning simulations to test new healthcare
facilities: a proactive and innovative approach to
healthcare system safety.
September 11, 2019
Kaba A, Barnes S. Commissioning simulations to test new healthcare facilities: a proactive and innovative
approach to healthcare system safety. Adv Simul (Lond). 2019;4:1…
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psnet.ahrq.gov/node/60918/psn-pdf
September 16, 2020 - Enhancing departmental preparedness for COVID-19
using rapid-cycle in-situ simulation.
September 16, 2020
Dharamsi A, Hayman K, Yi S, et al. Enhancing departmental preparedness for COVID-19 using rapid-cycle
in-situ simulation. J Hosp Infect. 2020;105(4):604-607. doi:10.1016/j.jhin.2020.06.020.
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psnet.ahrq.gov/node/43667/psn-pdf
November 12, 2014 - Learning from preventable deaths: exploring case record
reviewers' narratives using change analysis.
November 12, 2014
Hogan H, Healey F, Neale G, et al. Learning from preventable deaths: exploring case record reviewers'
narratives using change analysis. J R Soc Med. 2014;107(9):365-75. doi:10.1177/0141076814532394…