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psnet.ahrq.gov/node/36460/psn-pdf
May 27, 2011 - Medication errors related to computerized order entry for
children.
May 27, 2011
Walsh KE, Adams WG, Bauchner H, et al. Medication errors related to computerized order entry for
children. Pediatrics. 2006;118(5):1872-1879.
https://psnet.ahrq.gov/issue/medication-errors-related-computerized-order-entry-children
Th…
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psnet.ahrq.gov/node/40122/psn-pdf
February 01, 2011 - Attitudes and barriers to a medical emergency team
system at a tertiary paediatric hospital.
February 1, 2011
Azzopardi P, Kinney S, Moulden A, et al. Attitudes and barriers to a Medical Emergency Team system at a
tertiary paediatric hospital. Resuscitation. 2011;82(2):167-74. doi:10.1016/j.resuscitation.2010.10.01…
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psnet.ahrq.gov/node/43402/psn-pdf
October 20, 2014 - The WHO surgical safety checklist: survey of patients'
views.
October 20, 2014
Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual
Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772.
https://psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views
T…
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psnet.ahrq.gov/node/47769/psn-pdf
May 11, 2019 - Avoiding chemotherapy prescribing errors: analysis and
innovative strategies.
May 11, 2019
Reinhardt H, Otte P, Eggleton AG, et al. Avoiding chemotherapy prescribing errors: Analysis and innovative
strategies. Cancer. 2019;125(9):1547-1557. doi:10.1002/cncr.31950.
https://psnet.ahrq.gov/issue/avoiding-chemotherapy…
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psnet.ahrq.gov/node/42471/psn-pdf
November 26, 2014 - Teaching hospital five-year mortality trends in the wake of
duty hour reforms.
November 26, 2014
Volpp KG, Small DS, Romano PS, et al. Teaching hospital five-year mortality trends in the wake of duty
hour reforms. J Gen Intern Med. 2013;28(8):1048-55. doi:10.1007/s11606-013-2401-9.
https://psnet.ahrq.gov/issue/tea…
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psnet.ahrq.gov/node/40636/psn-pdf
November 21, 2011 - Incorrect surgical procedures within and outside of the
operating room: a follow-up report.
November 21, 2011
Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room:
a follow-up report. Arch Surg. 2011;146(11):1235-9. doi:10.1001/archsurg.2011.171.
https://psne…
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psnet.ahrq.gov/node/46007/psn-pdf
July 09, 2018 - A family-centered rounds checklist, family engagement,
and patient safety: a randomized trial.
July 9, 2018
Cox E, Jacobsohn GC, Rajamanickam VP, et al. A Family-Centered Rounds Checklist, Family
Engagement, and Patient Safety: A Randomized Trial. Pediatrics. 2017;139(5). doi:10.1542/peds.2016-
1688.
https://psne…
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psnet.ahrq.gov/node/865522/psn-pdf
April 10, 2024 - An analysis of incident reports related to electronic
medication management: how they change over time.
April 10, 2024
Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication
management: how they change over time. J Patient Saf. 2024;20(3):202-208.
doi:10.1097/pts.00000…
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psnet.ahrq.gov/node/855097/psn-pdf
November 08, 2023 - Use of the Second Victim Experience and Support Tool
(SVEST) to assess the impact of a departmental peer
support program on anesthesia professionals' second
victim experiences (SVEs) and perceptions of support two
years after implementation.
November 8, 2023
Pelikan M, Finney RE, Jacob A. AANA J. 2023;91(5):…
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psnet.ahrq.gov/node/838238/psn-pdf
October 05, 2022 - Spreading a strategy to prevent suicide after psychiatric
hospitalization: results of a quality improvement spread
initiative.
October 5, 2022
Riblet NB, Varela M, Ashby W, et al. Spreading a strategy to prevent suicide after psychiatric
hospitalization: results of a quality improvement spread initiative. Jt Comm …
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psnet.ahrq.gov/node/45216/psn-pdf
June 08, 2016 - Ambulatory computerized prescribing and preventable
adverse drug events.
June 8, 2016
Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse
Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194.
https://psnet.ahrq.gov/issue/ambulatory-computeriz…
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psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - System issues leading to "found-on-floor" incidents: a
multi-incident analysis.
January 27, 2021
Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-
Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294.
https://psnet.ahrq.gov/issue/sys…
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psnet.ahrq.gov/node/36163/psn-pdf
September 29, 2010 - Improving the bar-coded medication administration
system at the Department of Veterans Affairs.
September 29, 2010
Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the
Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):1442-7.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/44044/psn-pdf
June 21, 2015 - A collaborative learning network approach to
improvement: the CUSP learning network.
June 21, 2015
Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The
CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159.
https://psnet.ahrq.gov/issue/collaborative-l…
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psnet.ahrq.gov/node/39768/psn-pdf
August 18, 2010 - Medical team training and coaching in the veterans health
administration; assessment and impact on the first 32
facilities in the programme.
August 18, 2010
Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration;
assessment and impact on the first 32 facilities in…
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psnet.ahrq.gov/node/42412/psn-pdf
October 07, 2013 - Quality and safety implications of emergency department
information systems.
October 7, 2013
Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department
information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.2013.05.019.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/850344/psn-pdf
June 14, 2023 - Green Cross method in a postanaesthesia care unit: a
qualitative study of the healthcare professionals'
experiences after 3 years, including the COVID-19
pandemic period.
June 14, 2023
Birkeli GH, Ballangrud R, Jacobsen HK, et al. Green Cross method in a postanaesthesia care unit: a
qualitative study of the healt…
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psnet.ahrq.gov/node/846449/psn-pdf
March 22, 2023 - Healthcare professionals' perception of safety culture and
the Operating Room (OR) Black Box technology before
clinical implementation: a cross-sectional survey.
March 22, 2023
Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and the
Operating Room (OR) Black Box t…
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psnet.ahrq.gov/node/60812/psn-pdf
January 01, 2021 - A clinical pharmacist-led integrated approach for
evaluation of medication errors among medical intensive
care unit patients.
August 19, 2020
Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of
medication errors among medical intensive care unit patients. JBI Ev…
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psnet.ahrq.gov/node/36255/psn-pdf
February 02, 2011 - Interns' compliance with Accreditation Council for
Graduate Medical Education work-hour limits.
February 2, 2011
Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with accreditation council for graduate
medical education work-hour limits. JAMA. 2006;296(9):1063-70.
https://psnet.ahrq.gov/issue/interns-c…