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psnet.ahrq.gov/node/42399/psn-pdf
December 29, 2014 - Information technology interventions to improve
medication safety in primary care: a systematic review.
December 29, 2014
Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in
primary care: a systematic review. Int J Qual Health Care. 2013;25(5):590-8. doi:10.1093/intq…
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psnet.ahrq.gov/node/844040/psn-pdf
February 08, 2023 - A customized triggers program: a children's hospital's
experience in improving trigger usability.
February 8, 2023
Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's
experience in improving trigger usability. Pediatrics. 2023;151(2):e2022056452. doi:10.1542/peds.2022-…
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psnet.ahrq.gov/node/43474/psn-pdf
August 28, 2017 - Racial and ethnic disparities in patient safety.
August 28, 2017
Okoroh JS, Uribe EF, Weingart SN. Racial and Ethnic Disparities in Patient Safety. J Patient Saf.
2017;13(3):153-161. doi:10.1097/PTS.0000000000000133.
https://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
Prior studies have raise…
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psnet.ahrq.gov/node/48143/psn-pdf
January 01, 2020 - Assessing the safety of electronic health records: a
national longitudinal study of medication-related decision
support.
August 7, 2019
Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national
longitudinal study of medication-related decision support. BMJ Qual Saf. 2020;29(…
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psnet.ahrq.gov/node/73374/psn-pdf
June 09, 2021 - Effects of pharmacist-conducted medication
reconciliation at discharge on 30-day readmission rates of
patients with chronic obstructive pulmonary disease.
June 9, 2021
Singh D, Fahim G, Ghin HL, et al. Effects of pharmacist-conducted medication reconciliation at discharge
on 30-day readmission rates of patients wi…
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psnet.ahrq.gov/node/39405/psn-pdf
March 31, 2010 - ED overcrowding is associated with an increased
frequency of medication errors.
March 31, 2010
Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of
medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014.
https://psnet.ahrq.gov/issue/ed-ov…
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psnet.ahrq.gov/node/850162/psn-pdf
June 07, 2023 - Understanding medication safety involving patient
transfer from intensive care to hospital ward: a qualitative
sociotechnical factor study.
June 7, 2023
Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from
intensive care to hospital ward: a qualitative sociotechn…
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psnet.ahrq.gov/node/50704/psn-pdf
December 04, 2019 - Hospital-Acquired Condition Reduction Program is not
associated with additional patient safety improvement.
December 4, 2019
Sheetz KH, Dimick JB, Englesbe MJ, et al. Hospital-Acquired Condition Reduction Program Is Not
Associated With Additional Patient Safety Improvement. Health Aff (Millwood). 2019;38(11):1858-1…
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psnet.ahrq.gov/node/41898/psn-pdf
December 05, 2012 - Pharmacy dispensing of electronically discontinued
medications.
December 5, 2012
Allen AS, Sequist TD. Pharmacy dispensing of electronically discontinued medications. Ann Intern Med.
2012;157(10):700-705. doi:10.7326/0003-4819-157-10-201211200-00006.
https://psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-…
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psnet.ahrq.gov/node/866907/psn-pdf
October 09, 2024 - A review of modifiable health care factors contributing to
inpatient suicide: an analysis of coroners' reports using
the Human Factors Analysis and Classification System
for Healthcare
October 9, 2024
Sweeting P, Finlayson M, Hartz D. A review of modifiable health care factors contributing to inpatient
suicide: a…
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psnet.ahrq.gov/node/850161/psn-pdf
June 07, 2023 - Analysis of the nature and contributory factors of
medication safety incidents following hospital discharge
using National Reporting and Learning System (NRLS)
data from England and Wales: a multi-method study.
June 7, 2023
Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysis of the nature and contributory fa…
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psnet.ahrq.gov/node/60347/psn-pdf
January 01, 2021 - Patient safety education 20 years after the Institute of
Medicine report: results from a cross-sectional national
survey.
May 20, 2020
Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report:
results from a cross-sectional national survey. J Patient Saf. 2021;17(…
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psnet.ahrq.gov/node/41572/psn-pdf
October 29, 2012 - Diagnostic errors in the intensive care unit: a systematic
review of autopsy studies.
October 29, 2012
Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review
of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmjqs-2012-000803.
https://psnet.ahrq…
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psnet.ahrq.gov/node/847716/psn-pdf
April 19, 2023 - Barriers and facilitators to improving patient safety
learning systems: a systematic review of qualitative
studies and meta-synthesis.
April 19, 2023
Mahmoud HA, Thavorn K, Mulpuru S, et al. Barriers and facilitators to improving patient safety learning
systems: a systematic review of qualitative studies and meta-…
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psnet.ahrq.gov/node/844043/psn-pdf
February 08, 2023 - In situ simulation: a strategy to restore patient safety in
intensive care units after the COVID-19 pandemic?
February 8, 2023
Gómez-Pérez V, Escrivá Peiró D, Sancho-Cantus D, et al. In Situ Simulation: A Strategy to Restore Patient
Safety in Intensive Care Units after the COVID-19 Pandemic? Systematic Review. Heal…
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psnet.ahrq.gov/node/47496/psn-pdf
June 15, 2019 - Fatal flaws in clinical decision making.
June 15, 2019
Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg.
2019;89(6):764-768. doi:10.1111/ans.14955.
https://psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
Clinical decision-making is a complex process affected…
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psnet.ahrq.gov/node/47178/psn-pdf
July 10, 2018 - Defining, estimating, and communicating overdiagnosis
in cancer screening.
July 10, 2018
Davies L, Petitti DB, Martin L, et al. Defining, estimating, and communicating overdiagnosis in cancer
screening. Ann Intern Med. 2018;169(1):36-43. doi:10.7326/M18-0694.
https://psnet.ahrq.gov/issue/defining-estimating-and-co…
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psnet.ahrq.gov/node/44462/psn-pdf
January 22, 2016 - An overview of research priorities in surgical simulation:
what the literature shows has been achieved during the
21st century and what remains.
January 22, 2016
Johnston MJ, Paige JT, Aggarwal R, et al. An overview of research priorities in surgical simulation: what
the literature shows has been achieved during t…
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psnet.ahrq.gov/node/862991/psn-pdf
February 21, 2024 - Exploring the role of guidelines in contributing to
medication errors: a descriptive analysis of national
patient safety incident data.
February 21, 2024
Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a
descriptive analysis of national patient safety incide…
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psnet.ahrq.gov/node/848314/psn-pdf
May 03, 2023 - Medicines related problems (MRPs) originating in primary
care settings in older adults - a systematic review.
May 3, 2023
Ude-Okeleke RC, Aslanpour Z, Dhillon S, et al. Medicines related problems (MRPs) originating in primary
care settings in older adults - a systematic review. J Pharm Pract. 2023;36(2):357-369.
d…