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psnet.ahrq.gov/node/851645/psn-pdf
July 26, 2023 - Anticoagulation-associated adverse drug events in
hospitalized patients across two time periods.
July 26, 2023
Fanikos J, Tawfik Y, Almheiri D, et al. Anticoagulation-associated adverse drug events in hospitalized
patients across two time periods. Am J Med. 2023;136(9):927-936. doi:10.1016/j.amjmed.2023.05.013.
ht…
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psnet.ahrq.gov/node/45919/psn-pdf
July 05, 2017 - Managing the patient identification crisis in healthcare
and laboratory medicine.
July 5, 2017
Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory
medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2017.02.004.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/866818/psn-pdf
September 25, 2024 - Academic half day improves resident perception of
education without compromising patient safety.
September 25, 2024
Spence MC, Sugarman A, Uong A, et al. Academic half day improves resident perception of education
without compromising patient safety. Acad Pediatr. 2024;24(6):1010-1016. doi:10.1016/j.acap.2024.02.00…
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psnet.ahrq.gov/node/37903/psn-pdf
May 09, 2013 - Safe Surgery.
May 9, 2013
World Health Organization.
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
This initiative provides a surgical safety checklist and related educational and training materials building on
the Second Global Patient Safety Challenge vision to enco…
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psnet.ahrq.gov/node/60752/psn-pdf
August 05, 2020 - Association of state-level opioid-reduction policies with
pediatric opioid poisoning.
August 5, 2020
Toce MS, Michelson K, Hudgins J, et al. Association of state-level opioid-reduction policies with pediatric
opioid poisoning. JAMA Pediatr. 2020;74(10):961-968. doi:10.1001/jamapediatrics.2020.1980.
https://psnet.a…
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psnet.ahrq.gov/node/45340/psn-pdf
August 17, 2016 - To the point: integrating patient safety education Into the
obstetrics and gynecology undergraduate curriculum.
August 17, 2016
Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the
Obstetrics and Gynecology Undergraduate Curriculum. J Patient Saf. 2016;16(1):e39-e…
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psnet.ahrq.gov/node/842428/psn-pdf
January 11, 2023 - The development of the concept of return-on-investment
from large-scale quality improvement programmes in
healthcare: an integrative systematic literature review.
January 11, 2023
Thusini S’thembile, Milenova M, Nahabedian N, et al. The development of the concept of return-on-
investment from large-scale quality i…
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psnet.ahrq.gov/node/867181/psn-pdf
November 20, 2024 - Leveraging consistent communication tools and
organizational values to promote accountability among
health care providers.
November 20, 2024
Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote
accountability among health care providers. AORN J. 2024;120(3):144-154. …
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psnet.ahrq.gov/node/44089/psn-pdf
April 22, 2015 - Learning from mistakes and near mistakes: using root
cause analysis as a risk management tool.
April 22, 2015
Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk
Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.2014.11.004.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/61045/psn-pdf
October 21, 2020 - Association of electronic health record use above
meaningful use thresholds with hospital quality and
safety outcomes.
October 21, 2020
Murphy ZR, Wang J, Boland MV. Association of electronic health record use above meaningful use
thresholds with hospital quality and safety outcomes. JAMA Netw Open. 2020;3(9):e201…
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psnet.ahrq.gov/node/837420/psn-pdf
June 15, 2022 - The electronic prescribing of subcutaneous infusions: a
before-and-after study assessing the impact upon patient
safety and service efficiency.
June 15, 2022
Hindmarsh J, Holden K. The electronic prescribing of subcutaneous infusions: a before-and-after study
assessing the impact upon patient safety and service ef…
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psnet.ahrq.gov/node/47523/psn-pdf
December 05, 2018 - Developing standardized "receiver-driven" handoffs
between referring providers and the emergency
department: results of a multidisciplinary needs
assessment.
December 5, 2018
Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring
Providers and the Emergency Department…
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psnet.ahrq.gov/node/839313/psn-pdf
November 02, 2022 - The impact of meaningful use and electronic health
records on hospital patient safety.
November 2, 2022
Trout KE, Chen L-W, Wilson FA, et al. The impact of meaningful use and electronic health records on
hospital patient safety. Int J Environ Res Public Health. 2022;19(19):12525. doi:10.3390/ijerph191912525.
https…
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psnet.ahrq.gov/node/843079/psn-pdf
January 25, 2023 - Electronic health record use issues and diagnostic error:
a scoping review and framework.
January 25, 2023
Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping
review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/pts.0000000000001081.
https://psn…
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psnet.ahrq.gov/node/40376/psn-pdf
July 06, 2012 - Electronic prescribing in an ambulatory care setting: a
cluster randomized trial.
July 6, 2012
Dainty KN, Adhikari NKJ, Kiss A, et al. Electronic prescribing in an ambulatory care setting: a cluster
randomized trial. J Eval Clin Pract. 2012;18(4):761-7. doi:10.1111/j.1365-2753.2011.01657.x.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/841474/psn-pdf
January 01, 2023 - Factors that affect opioid quality improvement initiatives
in primary care: insights from ten health systems.
December 14, 2022
Childs E, Tano CA, Mikosz CA, et al. Factors that affect opioid quality improvement initiatives in primary
care: insights from ten health systems. Jt Comm J Qual Patient Saf. 2023;49(1):26…
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psnet.ahrq.gov/node/73119/psn-pdf
April 07, 2021 - Impact of computerised physician order entry (CPOE) on
the incidence of chemotherapy-related medication errors:
a systematic review.
April 7, 2021
Srinivasamurthy SK, Ashokkumar R, Kodidela S, et al. Impact of computerised physician order entry
(CPOE) on the incidence of chemotherapy-related medication errors: a s…
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psnet.ahrq.gov/node/61059/psn-pdf
October 28, 2020 - Long-term effects of teamwork training on
communication and teamwork climate in ambulatory
reproductive health care.
October 28, 2020
Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and
teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
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psnet.ahrq.gov/node/44865/psn-pdf
July 11, 2017 - Changes in efficiency and safety culture after integration
of an I-PASS-supported handoff process.
July 11, 2017
Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I-
PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10.1542/peds.2015-0166.
https://psn…
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psnet.ahrq.gov/node/837966/psn-pdf
September 01, 2022 - Barcode medication administration software technology
use in the emergency department and medication error
rates.
September 1, 2022
Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency
department and medication error rates. Comput Inform Nurs. 2022;40(6):382-388.
doi:10.1…