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psnet.ahrq.gov/node/38063/psn-pdf
February 23, 2009 - CPOE in Iran—a viable prospect? Physicians' opinions on
using CPOE in an Iranian teaching hospital.
February 23, 2009
Kazemi A, Ellenius J, Tofighi S, et al. CPOE in Iran--a viable prospect? Physicians' opinions on using
CPOE in an Iranian teaching hospital. Int J Med Inform. 2009;78(3):199-207.
doi:10.1016/j.ijme…
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psnet.ahrq.gov/node/45693/psn-pdf
February 22, 2017 - Meta-analyses of the effects of standardized handoff
protocols on patient, provider, and organizational
outcomes.
February 22, 2017
Keebler JR, Lazzara EH, Patzer BS, et al. Meta-Analyses of the Effects of Standardized Handoff Protocols
on Patient, Provider, and Organizational Outcomes. Hum Factors. 2016;58(8):118…
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psnet.ahrq.gov/node/39860/psn-pdf
September 01, 2017 - Interventions to improve hand hygiene compliance in
patient care.
September 1, 2017
Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care.
Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4.
https://psnet.ahrq.gov/issue/interventions-i…
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psnet.ahrq.gov/node/45444/psn-pdf
December 04, 2016 - Alarm fatigue: use of an evidence-based alarm
management strategy.
December 4, 2016
Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54.
doi:10.1097/ncq.0000000000000223.
https://psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
Reducing nuisance…
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psnet.ahrq.gov/node/46311/psn-pdf
August 23, 2017 - Swimming against the tide: primary care physicians'
views on deprescribing in everyday practice.
August 23, 2017
Wallis KA, Andrews A, Henderson M. Swimming Against the Tide: Primary Care Physicians’ Views on
Deprescribing in Everyday Practice. Ann Fam Med. 2017;15(4):341-346. doi:10.1370/afm.2094.
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psnet.ahrq.gov/node/34914/psn-pdf
February 27, 2009 - Drug error in anaesthetic practice: a review of 896 reports
from the Australian Incident Monitoring Study database.
February 27, 2009
Abeysekera A, Bergman IJ, Kluger MT, et al. Drug error in anaesthetic practice: a review of 896 reports
from the Australian Incident Monitoring Study database. Anaesthesia. 2005;60(3…
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psnet.ahrq.gov/node/40476/psn-pdf
September 09, 2011 - Medication administration technologies and patient
safety: a mixed-method systematic review.
September 9, 2011
Wulff K, Cummings GG, Marck P, et al. Medication administration technologies and patient safety: a mixed-
method systematic review. J Adv Nurs. 2011;67(10):2080-95. doi:10.1111/j.1365-2648.2011.05676.x.
h…
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psnet.ahrq.gov/node/47786/psn-pdf
June 26, 2019 - Creating a Safe Space: Psychological Health and Safety
of Healthcare Workers.
June 26, 2019
Canadian Patient Safety Institute: 2019.
https://psnet.ahrq.gov/issue/creating-safe-space-psychological-health-and-safety-healthcare-workers
Structured approaches to managing negative psychological consequences of medical e…
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psnet.ahrq.gov/node/843094/psn-pdf
January 25, 2023 - Getting Started with a Communication and Resolution
Program (CRP) Policy or Commitment Statement to CR.
January 25, 2023
Collaborative for Accountability and Improvement Policy Committee. Seattle, WA: University of
Washington; 2022
https://psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-c…
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psnet.ahrq.gov/node/46292/psn-pdf
August 02, 2017 - Clinical alerts to decrease high-risk medication use in
older adults.
August 2, 2017
Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol
Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04.
https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
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psnet.ahrq.gov/node/866809/psn-pdf
September 25, 2024 - Stop the line: interventions to prevent retained surgical
items.
September 25, 2024
Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81.
doi:10.1002/aorn.14190.
https://psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items
Retained surgica…
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psnet.ahrq.gov/node/72699/psn-pdf
February 03, 2021 - RISE: exploring volunteer retention and sustainability of a
second victim support program.
February 3, 2021
Connors C, Dukhanin V, Norvell M, et al. RISE: Exploring Volunteer Retention and Sustainability of a
Second Victim Support Program. J Healthc Manag. 2021;66(1):19-32. doi:10.1097/jhm-d-19-00264.
https://psne…
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psnet.ahrq.gov/node/43986/psn-pdf
September 26, 2016 - The effect of a safe zone on nurse interruptions,
distractions, and medication administration errors.
September 26, 2016
Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and
medication administration errors. J Infus Nurs. 2015;38(2):140-51. doi:10.1097/NAN.000000000…
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psnet.ahrq.gov/node/44883/psn-pdf
February 17, 2016 - Comparison of barcode scanning by pharmacy
technicians and pharmacists' visual checks for final
product verification.
February 17, 2016
Wang BN-T, Brummond P, Stevenson JG. Comparison of barcode scanning by pharmacy technicians and
pharmacists' visual checks for final product verification. Am J Health Syst Pharm. …
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psnet.ahrq.gov/node/44259/psn-pdf
April 01, 2024 - Training Program for Nurses on Shift Work and Long
Work Hours.
April 1, 2024
Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health
and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute
for Occupational Safety and He…
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psnet.ahrq.gov/node/866192/psn-pdf
June 26, 2024 - A systemwide strategy to embed equity into patient safety
event analysis.
June 26, 2024
Chandra K, Garcia M, Bajaj K, et al. A systemwide strategy to embed equity into patient safety event
analysis. Jt Comm J Qual Patient Saf. 2024;50(8):606-611 . doi:10.1016/j.jcjq.2024.04.004.
https://psnet.ahrq.gov/issue/system…
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psnet.ahrq.gov/node/73469/psn-pdf
July 07, 2021 - Barriers to and facilitators of bedside nursing handover: a
systematic review and meta-synthesis.
July 7, 2021
Clari M, Conti A, Chiarini D, et al. Barriers to and facilitators of bedside nursing handover: a systematic
review and meta-synthesis. J Nurs Care Qual. 2021;36(4):e51-e58. doi:10.1097/ncq.0000000000000564…
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psnet.ahrq.gov/node/849615/psn-pdf
May 31, 2023 - Clinical Investigation Booking Systems Failures: Written
Communications in Community Languages.
May 31, 2023
Farnborough, UK: Healthcare Safety Investigation Branch; April 2023.
https://psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications-
community-languages
Gaps in patient…
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psnet.ahrq.gov/node/43645/psn-pdf
November 12, 2014 - Health IT and Clinical Decision Support Systems.
November 12, 2014
Ohno-Machado L, ed. J Am Med Inform Assoc. 2014;21:e180-e375.
https://psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems
A universal agreement on how to calculate the return on investment for health information technology (IT)
and…
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psnet.ahrq.gov/node/42386/psn-pdf
December 29, 2014 - Compliance with the WHO Surgical Safety Checklist:
deviations and possible improvements.
December 29, 2014
Rydenfält C, Johansson G, Odenrick P, et al. Compliance with the WHO Surgical Safety Checklist:
deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187.
doi:10.1093/intqhc/mzt004.
ht…