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psnet.ahrq.gov/node/39088/psn-pdf
September 01, 2015 - Laboratory session to improve first-year pharmacy
students' knowledge and confidence concerning the
prevention of medication errors.
September 1, 2015
Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students'
knowledge and confidence concerning the prevention of medica…
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psnet.ahrq.gov/node/43516/psn-pdf
June 15, 2017 - Application of failure mode effect analysis to improve the
care of septic patients admitted through the emergency
department.
June 15, 2017
Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of
Septic Patients Admitted Through the Emergency Department. J Patient …
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psnet.ahrq.gov/node/45857/psn-pdf
July 11, 2017 - Assessing the impact of the anesthesia medication
template on medication errors during anesthesia: a
prospective study.
July 11, 2017
Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on
Medication Errors During Anesthesia: A Prospective Study. Anesth Analg. 2017;124(5…
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psnet.ahrq.gov/node/45138/psn-pdf
May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover
(WOOSH).
May 25, 2016
Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ
Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190.
https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
…
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psnet.ahrq.gov/node/48018/psn-pdf
July 31, 2019 - PEARLS for systems integration: a modified PEARLS
framework for debriefing systems-focused simulations.
July 31, 2019
Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for
Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342.
doi:10.1097/SIH.0000000000…
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psnet.ahrq.gov/node/37193/psn-pdf
October 06, 2011 - Incomplete EHR adoption: late uptake of patient safety
and cost control functions.
October 6, 2011
Menachemi N, Ford E, Beitsch LM, et al. Incomplete EHR adoption: late uptake of patient safety and cost
control functions. Am J Med Qual. 2007;22(5):319-26.
https://psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-u…
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psnet.ahrq.gov/node/43182/psn-pdf
May 14, 2014 - Quality and safety in pediatric anesthesia: how can
guidelines, checklists, and initiatives improve the
outcome?
May 14, 2014
Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines,
checklists, and initiatives improve the outcome? Curr Opin Anaesthesiol. 2014;27(3):323-9…
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psnet.ahrq.gov/node/866642/psn-pdf
September 04, 2024 - Learning from patient safety incidents: The Green Cross
method.
September 4, 2024
Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method.
Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114.
https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cro…
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psnet.ahrq.gov/node/74102/psn-pdf
January 01, 2022 - Workforce planning and safe workload in sterile
compounding hospital pharmacy services.
November 24, 2021
Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding
hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379.
https://psnet…
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psnet.ahrq.gov/node/866951/psn-pdf
October 16, 2024 - Toward a responsible future: recommendations for AI-
enabled clinical decision support.
October 16, 2024
Labkoff S, Oladimeji B, Kannry J, et al. Toward a responsible future: recommendations for AI-enabled
clinical decision support. J Am Med Inform Assoc. 2024;31(11):2730-2739. doi:10.1093/jamia/ocae209.
https://p…
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psnet.ahrq.gov/node/44677/psn-pdf
June 07, 2016 - Computerised prescribing for safer medication ordering:
still a work in progress.
June 7, 2016
Schiff G, Hickman T-TT, Volk LA, et al. Computerised prescribing for safer medication ordering: still a work
in progress. BMJ Qual Saf. 2016;25(5):315-9. doi:10.1136/bmjqs-2015-004677.
https://psnet.ahrq.gov/issue/comput…
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psnet.ahrq.gov/node/35159/psn-pdf
January 02, 2017 - Medication reconciliation in acute care: ensuring an
accurate drug regimen on admission and discharge.
January 2, 2017
Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on
admission and discharge. Jt Comm J Qual Patient Saf. 2005;31(7):406-13.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/73472/psn-pdf
July 07, 2021 - Safety checklists for emergency response driving and
patient transport: experiences from emergency medical
services.
July 7, 2021
Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport:
experiences from emergency medical services. Jt Comm J Qual Patient Saf. 2021;47…
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psnet.ahrq.gov/node/837064/psn-pdf
May 11, 2022 - Clinic design for safety during the pandemic: safety or
teamwork, can we only pick one?
May 11, 2022
Lim L, Zimring CM, DuBose JR, et al. Clinic design for safety during the pandemic: safety or teamwork, can
we only pick one? HERD. 2022;15(3):28-41. doi:10.1177/19375867221091310.
https://psnet.ahrq.gov/issue/clini…
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psnet.ahrq.gov/node/46426/psn-pdf
September 28, 2017 - Toward more proactive approaches to safety in the
electronic health record era.
September 28, 2017
Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt
Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005.
https://psnet.ahrq.gov/issue/toward…
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psnet.ahrq.gov/node/45645/psn-pdf
November 16, 2016 - Simulated settings; powerful arenas for learning patient
safety practices and facilitating transference to clinical
practice. A mixed method study.
November 16, 2016
Reime MH, Johnsgaard T, Kvam FI, et al. Simulated settings; powerful arenas for learning patient safety
practices and facilitating transference to cl…
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psnet.ahrq.gov/node/838128/psn-pdf
September 21, 2022 - Development of the Leapfrog Group's bar code
medication administration standard to address hospital
inpatient medication safety.
September 21, 2022
Austin JM, Bane A, Gooder V, et al. Development of the Leapfrog Group's bar code medication
administration standard to address hospital inpatient medication safety. J …
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psnet.ahrq.gov/node/38988/psn-pdf
October 07, 2009 - Resident duty-hour reform associated with increased
morbidity following hip fracture.
October 7, 2009
Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity
following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJS.H.01240.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/43162/psn-pdf
June 16, 2014 - The use of report cards and outcome measurements to
improve the safety of surgical care: the American College
of Surgeons National Surgical Quality Improvement
Program.
June 16, 2014
Maggard-Gibbons M. The use of report cards and outcome measurements to improve the safety of surgical
care: the American College of…
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psnet.ahrq.gov/node/849135/psn-pdf
May 17, 2023 - Quality and Safety Considerations in Intensity Modulated
Radiation Therapy: An ASTRO Safety White Paper
Update.
May 17, 2023
Moran JM, Bazan JG, Dawes SL, et al. Quality and Safety Considerations in Intensity Modulated Radiation
Therapy: An ASTRO Safety White Paper Update. Pract Radiat Oncol. 2023;13(3):203-216.
…