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psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
May 14, 2020 - Conclusion If implemented appropriately, telehealth can be an incredibly effective approach to ensuring
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psnet.ahrq.gov/node/60580/psn-pdf
January 01, 2022 - Sustaining the gains: a 7-year follow-through of a
hospital-wide patient safety improvement project on
hospital-wide adverse event outcomes and patient safety
culture.
June 10, 2020
Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient
safety improvement projec…
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psnet.ahrq.gov/node/866312/psn-pdf
July 17, 2024 - Development of patient safety measures to identify
inappropriate diagnosis of common infections.
July 17, 2024
White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate
diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-1411. doi:10.1093/cid/ciae044.
https…
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psnet.ahrq.gov/node/46024/psn-pdf
June 15, 2017 - Introductions during time-outs: do surgical team
members know one another's names?
June 15, 2017
Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Introductions during time-outs: do surgical team members
know one another's names? Jt Comm J Qual Patient Saf. 2017;43(6):284-288.
doi:10.1016/j.jcjq.2017.03.001.
https://p…
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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/72820/psn-pdf
March 10, 2021 - Medication errors related to computerized provider order
entry systems in hospitals and how they change over
time: a narrative review.
March 10, 2021
Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry
systems in hospitals and how they change over time: A narrative re…
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psnet.ahrq.gov/node/837857/psn-pdf
August 17, 2022 - Patient and family involvement in serious incident
investigations from the perspectives of key stakeholders:
a review of the qualitative evidence.
August 17, 2022
Ramsey L, McHugh SK, Simms-Ellis R, et al. Patient and family involvement in serious incident
investigations from the perspectives of key stakeholders: …
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psnet.ahrq.gov/node/850933/psn-pdf
June 21, 2023 - The prevalence of second victim syndrome and emotional
distress in pediatric intensive care providers.
June 21, 2023
Wolf MS, Smith K, Basu M, et al. The prevalence of second victim syndrome and emotional distress in
pediatric intensive care providers. J Pediatr Intensive Care. 2023;12(02):125-130. doi:10.1055/s-00…
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psnet.ahrq.gov/node/866817/psn-pdf
January 01, 2025 - Longitudinal study of the manifestations and mechanisms
of technology-related prescribing errors in pediatrics.
September 25, 2024
Raban MZ, Fitzpatrick E, Merchant A, et al. Longitudinal study of the manifestations and mechanisms of
technology-related prescribing errors in pediatrics. J Am Med Inform Assoc. 2025;3…
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psnet.ahrq.gov/node/60207/psn-pdf
April 08, 2020 - A national assessment on patient safety curricula in
undergraduate medical education: results from the 2012
clerkship directors in internal medicine survey.
April 8, 2020
Jain CC, Aiyer MK, Murphy EJ, et al. A national assessment on patient safety curricula in undergraduate
medical education: results from the 2012…
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psnet.ahrq.gov/node/72629/psn-pdf
January 13, 2021 - Advancing health equity in patient safety: a reckoning,
challenge and opportunity.
January 13, 2021
Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf.
2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599.
https://psnet.ahrq.gov/issue/advancing-health-equity-patie…
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psnet.ahrq.gov/node/44692/psn-pdf
January 27, 2016 - Good people who try their best can have problems:
recognition of human factors and how to minimise error.
January 27, 2016
Brennan PA, Mitchell DA, Holmes S, et al. Good people who try their best can have problems: recognition
of human factors and how to minimise error. Br J Oral Maxillofac Surg. 2016;54(1):3-7.
d…
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psnet.ahrq.gov/node/73117/psn-pdf
April 07, 2021 - Cybersecurity in health is an urgent patient safety
concern: we can learn from existing patient safety
improvement strategies to address it.
April 7, 2021
O’Brien N, Ghafur S, Durkin M. Cybersecurity in health is an urgent patient safety concern: we can learn
from existing patient safety improvement strategies to …
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psnet.ahrq.gov/node/38243/psn-pdf
November 26, 2008 - Impact of preoperative briefings on operating room
delays.
November 26, 2008
Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a
preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068.
https://psnet.ahrq.gov/issue/impact-preoperative-br…
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psnet.ahrq.gov/node/837799/psn-pdf
August 10, 2022 - Effect of a pharmacy-based centralized intravenous
admixture service on the prevalence of medication errors:
a before-and-after study.
August 10, 2022
Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous
admixture service on the prevalence of medication errors: a befo…
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psnet.ahrq.gov/node/36205/psn-pdf
May 27, 2011 - Physician characteristics, attitudes, and use of
computerized order entry.
May 27, 2011
Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized
order entry. J Hosp Med. 2006;1(4):221-30.
https://psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computeri…
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psnet.ahrq.gov/node/837967/psn-pdf
September 01, 2022 - Free-text computerized provider order entry orders used
as workaround for communicating medication
information.
September 1, 2022
Kandaswamy S, Grimes J, Hoffman D, et al. Free-text computerized provider order entry orders used as
workaround for communicating medication information. J Patient Saf. 2022;18(5):430-4…
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psnet.ahrq.gov/node/853057/psn-pdf
August 30, 2023 - Just what the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis is associated with
increased VTE events in high-risk general surgery
patients.
August 30, 2023
Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis…
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psnet.ahrq.gov/node/72792/psn-pdf
March 03, 2021 - Avoiding a Med-Wreck: a structured medication
reconciliation framework and standardized auditing tool
utilized to optimize patient safety and reallocate hospital
resources.
March 3, 2021
Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication
reconciliation framework and stan…
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psnet.ahrq.gov/node/866276/psn-pdf
July 10, 2024 - Quality and patient safety metrics: developing a
structured program for improving patient care in the
Department of Medicine at The Ottawa Hospital.
July 10, 2024
Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured
program for improving patient care in the Depar…