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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.
…
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psnet.ahrq.gov/node/40427/psn-pdf
May 04, 2011 - Development of a tool within the electronic medical
record to facilitate medication reconciliation after hospital
discharge.
May 4, 2011
Schnipper JL, Liang CL, Hamann C, et al. Development of a tool within the electronic medical record to
facilitate medication reconciliation after hospital discharge. J Am Med Inf…
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psnet.ahrq.gov/node/44267/psn-pdf
October 13, 2015 - Crew resource management in the intensive care unit: a
prospective 3-year cohort study.
October 13, 2015
Haerkens MHTM, Kox M, Lemson J, et al. Crew Resource Management in the Intensive Care Unit: a
prospective 3-year cohort study. Acta Anaesthesiol Scand. 2015;59(10):1319-29. doi:10.1111/aas.12573.
https://psnet.…
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psnet.ahrq.gov/node/47020/psn-pdf
January 16, 2019 - Unintended harm associated with the Hospital
Readmissions Reduction Program.
January 16, 2019
Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA.
2018;320(24):2539-2541. doi:10.1001/jama.2018.19325.
https://psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmiss…
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psnet.ahrq.gov/node/47308/psn-pdf
December 21, 2018 - Improving pediatric electronic health record usability and
safety through certification: seize the day.
December 21, 2018
Ratwani RM, Moscovitch B, Rising JP. Improving Pediatric Electronic Health Record Usability and Safety
Through Certification: Seize the Day. JAMA Pediatr. 2018;172(11):1007-1008.
doi:10.1001/ja…
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psnet.ahrq.gov/node/37277/psn-pdf
July 28, 2010 - Drug selection errors in relation to medication labels: a
simulation study.
July 28, 2010
Garnerin P, Perneger T, Chopard P, et al. Drug selection errors in relation to medication labels: a
simulation study. Anaesthesia. 2007;62(11):1090-4.
https://psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-lab…
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psnet.ahrq.gov/node/849136/psn-pdf
May 17, 2023 - Using morbidity and mortality conferences to drive
quality improvement and reduce errors.
May 17, 2023
Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17.
https://psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-
reduce-errors
Morbidity and mortality (…
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psnet.ahrq.gov/node/40617/psn-pdf
November 01, 2011 - Increasing medication error reporting rates while
reducing harm through simultaneous cultural and
system-level interventions in an intensive care unit.
November 1, 2011
Abstoss KM, Shaw BE, Owens TA, et al. Increasing medication error reporting rates while reducing harm
through simultaneous cultural and system-lev…
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psnet.ahrq.gov/node/44001/psn-pdf
May 06, 2015 - Wrong-site nerve blocks: 10 yr experience in a large
multihospital health-care system.
May 6, 2015
Hudson ME, Chelly JE, Lichter JR. Wrong-site nerve blocks: 10 yr experience in a large multihospital
health-care system. Br J Anaesth. 2015;114(5):818-24. doi:10.1093/bja/aeu490.
https://psnet.ahrq.gov/issue/wrong-si…