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psnet.ahrq.gov/node/38749/psn-pdf
April 08, 2011 - Parental misinterpretations of over-the-counter pediatric
cough and cold medication labels.
April 8, 2011
Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough
and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10.1542/peds.2008-0854.
https://psnet.…
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psnet.ahrq.gov/node/35050/psn-pdf
May 27, 2011 - High rates of adverse drug events in a highly
computerized hospital.
May 27, 2011
Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized
hospital. Arch Intern Med. 2005;165(10):1111-6.
https://psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospita…
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psnet.ahrq.gov/node/47942/psn-pdf
July 01, 2019 - Responding to health information technology reported
safety events: insights from patient safety event reports.
July 1, 2019
Adams KT, Kim TC, Fong A, et al. J Patient Saf Risk Manag. 2019;24:118–124.
https://psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-
patient-saf…
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psnet.ahrq.gov/node/47069/psn-pdf
June 18, 2021 - Physical and verbal violence against health care workers.
June 18, 2021
Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June
18, 2021).
https://psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
The Joint Commission issues sentinel eve…
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psnet.ahrq.gov/node/764391/psn-pdf
March 02, 2022 - Association between handover of anesthesiology care
and 1-year mortality among adults undergoing cardiac
surgery.
March 2, 2022
Sun LY, Jones PM, Wijeysundera DN, et al. Association between handover of anesthesiology care and 1-
year mortality among adults undergoing cardiac surgery. JAMA Netw Open. 2022;5(2):e214…
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psnet.ahrq.gov/node/47882/psn-pdf
May 01, 2019 - Impact of oncology drug shortages on chemotherapy
treatment.
May 1, 2019
Alpert A, Jacobson M. Impact of Oncology Drug Shortages on Chemotherapy Treatment. Clin Pharmacol
Ther. 2019;106(2):415-421. doi:10.1002/cpt.1390.
https://psnet.ahrq.gov/issue/impact-oncology-drug-shortages-chemotherapy-treatment
Drug shorta…
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psnet.ahrq.gov/node/42419/psn-pdf
July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan.
July 17, 2013
Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013.
https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
This report from the Department of Health and Human Services (HH…
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psnet.ahrq.gov/node/45964/psn-pdf
March 22, 2017 - What is known: examining the empirical literature in
resident work hours using 30 influential articles.
March 22, 2017
Philibert I. What Is Known: Examining the Empirical Literature in Resident Work Hours Using 30 Influential
Articles. J Grad Med Educ. 2016;8(5):795-805. doi:10.4300/JGME-D-16-00642.1.
https://psne…
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psnet.ahrq.gov/node/39293/psn-pdf
June 11, 2010 - Communication and collaboration: it's about the
pharmacists, as well as the physicians and nurses.
June 11, 2010
Holden LM, Watts DD, Walker PH. Communication and collaboration: it's about the pharmacists, as well as
the physicians and nurses. Qual Saf Health Care. 2010;19(3):169-72. doi:10.1136/qshc.2008.026435.
…
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psnet.ahrq.gov/node/40102/psn-pdf
July 05, 2013 - Unplanned transfers to a medical intensive care unit:
causes and relationship to preventable errors in care.
July 5, 2013
Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes
and relationship to preventable errors in care. J Hosp Med. 2011;6(2):68-72. doi:10.1002/…
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psnet.ahrq.gov/node/837063/psn-pdf
May 11, 2022 - Patients' experiences and perspectives of patient-
reported outcome measures in clinical care: a systematic
review and qualitative meta-synthesis.
May 11, 2022
Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported
outcome measures in clinical care: a systematic revie…
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psnet.ahrq.gov/node/47537/psn-pdf
November 14, 2018 - Developing a learning health system: insights from a
qualitative process evaluation of a pharmacist-led
electronic audit and feedback intervention to improve
medication safety in primary care.
November 14, 2018
Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system: Insights from a qualitative
…
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psnet.ahrq.gov/node/867041/psn-pdf
October 30, 2024 - "What else could it be?" A scoping review of questions
for patients to ask throughout the diagnostic process.
October 30, 2024
Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to
ask throughout the diagnostic process. J Patient Saf. 2024;20(8):529-534.
doi:1…
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psnet.ahrq.gov/node/854828/psn-pdf
October 25, 2023 - Medication safety amid technological change: usability
evaluation to inform inpatient nurses' electronic health
record system transition.
October 25, 2023
Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation
to inform inpatient nurses' electronic health record s…
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psnet.ahrq.gov/node/843056/psn-pdf
January 25, 2023 - Incidence and characteristics of adverse events in
paediatric inpatient care: a systematic review and meta-
analysis.
January 25, 2023
Dillner P, Eggenschwiler LC, Rutjes AWS, et al. Incidence and characteristics of adverse events in
paediatric inpatient care: a systematic review and meta-analysis. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/36634/psn-pdf
March 03, 2011 - Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient care.
March 3, 2011
Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient care. Ann Surg. 2007;245(2):159-69.
https://psn…
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psnet.ahrq.gov/node/45137/psn-pdf
May 18, 2016 - Less is more: a project to reduce the number of PIMs
(potentially inappropriate medications) on an elderly care
ward.
May 18, 2016
Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially
inappropriate medications) on an elderly care ward. BMJ Qual Improv Rep. 2016;5(1).
…
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psnet.ahrq.gov/node/47505/psn-pdf
March 19, 2019 - Measuring the teamwork performance of teams in crisis
situations: a systematic review of assessment tools and
their measurement properties.
March 19, 2019
Boet S, Etherington N, Larrigan S, et al. Measuring the teamwork performance of teams in crisis situations:
a systematic review of assessment tools and their me…
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psnet.ahrq.gov/node/852281/psn-pdf
August 09, 2023 - Factors influencing the perception of feeling safe in pre-
hospital emergency care: a mixed-methods systematic
review.
August 9, 2023
Péculo?Carrasco J?A, Luque?Hernández MJ, Rodríguez?Ruiz H?J, et al. Factors influencing the
perception of feeling safe in pre?hospital emergency care: a mixed?methods systematic rev…
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psnet.ahrq.gov/node/865976/psn-pdf
May 29, 2024 - What do patients and families observe about pediatric
safety?: A thematic analysis of real-time narratives.
May 29, 2024
Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?:
A thematic analysis of real?time narratives. J Hosp Med. 2024;19(9):765-776. doi:10.1002/j…