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psnet.ahrq.gov/issue/effect-electronic-prescribing-medication-errors-and-adverse-drug-events-systematic-review October 30, 2013 - Review 
 
 
 
 
 
 
 
 
 
 The effect of electronic prescribing on medication errors and adverse drug events: a systematic review.   
 
 
 
 
 Citation Text: 
 Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am M…  
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psnet.ahrq.gov/issue/community-discharge-among-post-acute-nursing-home-residents-association-patient-safety November 04, 2020 - Study 
 
 
 
 
 
 
 
 
 
 Community discharge among post-acute nursing home residents: an association with patient safety culture? 
 
 
 
 
 Citation Text: 
 Guo W, Li Y, Temkin-Greener H. Community discharge among post-acute nursing home residents: an association with patient safety culture? J Am Med Dir Assoc. 2021;2…  
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psnet.ahrq.gov/issue/delayed-rapid-response-team-activation-associated-increased-hospital-mortality-morbidity-and March 16, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Delayed rapid response team activation is associated with increased hospital mortality, morbidity, and length of stay in a tertiary care institution. 
 
 
 
 
 Citation Text: 
 Barwise A, Thongprayoon C, Gajic O, et al. Delayed Rapid Response Team Activation Is Associated With Increased Hospit…  
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psnet.ahrq.gov/issue/nursing-home-patient-safety-culture-perceptions-among-licensed-practical-nurses February 17, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Nursing home patient safety culture perceptions among licensed practical nurses. 
 
 
 
 
 Citation Text: 
 Weaver SH, de Cordova PB, Ravichandran A, et al. Nursing home patient safety culture perceptions among licensed practical nurses. J Nurs Care Qual. 2023;38(3):203-210. doi:10.1097/ncq.00…  
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psnet.ahrq.gov/issue/preventing-surgical-site-infections-are-safety-climate-level-and-its-strength-associated-self July 19, 2023 - Study 
 
 
 
 
 
 
 
 
 
 Preventing surgical site infections: are safety climate level and its strength associated with self-reported commitment to, subjective norms toward, and knowledge about preventive measures? 
 
 
 
 
 Citation Text: 
 Pfeiffer Y, Atkinson A, Maag J, et al. Preventing surgical site infections: a…  
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psnet.ahrq.gov/issue/developing-perioperative-covid-19-testing-protocols-restore-surgical-services February 12, 2020 - Commentary 
 
 
 
 
 
 
 
 
 
 Developing perioperative Covid-19 testing protocols to restore surgical services. 
 
 
 
 
 Citation Text: 
 Hamilton BCS, Kratz JR, Sosa JA, et al. Developing perioperative Covid-19 testing protocols to restore surgical services. NEJM Catalyst. 2020;June 19. 
 Copy Citation 
 
 Format: 
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psnet.ahrq.gov/issue/correlation-between-neonatal-intensive-care-unit-safety-culture-and-quality-care November 20, 2019 - Study 
 
 
 
 
 
 
 
 
 
 The correlation between neonatal intensive care unit safety culture and quality of care. 
 
 
 
 
 Citation Text: 
 Profit J, Sharek PJ, Cui X, et al. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. J Patient Saf. 2020;16(4):e310-e316. doi:10.1097/PTS.0…  
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psnet.ahrq.gov/issue/readmissions-observation-and-hospital-readmissions-reduction-program October 25, 2017 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Readmissions, observation, and the Hospital Readmissions Reduction Program. 
 
 
 
 
 Citation Text: 
 Zuckerman RB, Sheingold SH, Orav J, et al. Readmissions, Observation, and the Hospital Readmissions Reduction Program. N Engl J Med. 2016;374(16):1543-51. do…  
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psnet.ahrq.gov/issue/changes-made-orders-placed-overnight-admitting-residents-teaching-rounds-next-day July 07, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Changes made to orders placed by overnight admitting residents on teaching rounds the next day. 
 
 
 
 
 Citation Text: 
 Chiel L, Freiman E, Yarahuan J, et al. Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Hosp Pediatr. 2021;12(1):e35-e38. do…  
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psnet.ahrq.gov/issue/patient-safety-informatics-criteria-development-assessing-maturity-digital-patient-safety July 20, 2022 - Review 
 
 
 
 
 
 
 
 
 
 Patient safety informatics: criteria development for assessing the maturity of digital patient safety in hospitals. 
 
 
 
 
 Citation Text: 
 Kutza J-O, Hübner U, Holmgren AJ, et al. Patient safety informatics: criteria development for assessing the maturity of digital patient safety in hosp…  
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psnet.ahrq.gov/issue/developing-and-implementing-new-safe-practices-voluntary-adoption-through-statewide June 13, 2011 - Commentary 
 
 
 
 
 
 
 
 
 
 Developing and implementing new safe practices: voluntary adoption through statewide collaboratives.   
 
 
 
 
 Citation Text: 
 Leape L, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Qual Saf Health Care. 2…  
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psnet.ahrq.gov/issue/type-1-diabetes-defined-severe-insulin-deficiency-occurs-after-30-years-age-and-commonly October 19, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated as type 2 diabetes. 
 
 
 
 
 Citation Text: 
 Thomas NJ, Lynam AL, Hill A, et al. Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated…  
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psnet.ahrq.gov/issue/what-do-patients-and-families-observe-about-pediatric-safety-thematic-analysis-real-time March 02, 2022 - Study 
 
 
 
 
 
 
 
 
 
 What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. 
 
 
 
 
 Citation Text: 
 Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?: A thematic analysis of real‐time narratives. J Hosp Me…  
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psnet.ahrq.gov/issue/prevalence-potentially-harmful-multidrug-interactions-medication-lists-elderly-ambulatory May 27, 2011 - Study 
 
 
 
 
 
 
 
 
 
 Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. 
 
 
 
 
 Citation Text: 
 Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. BMC Geriatr. 2021…  
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psnet.ahrq.gov/issue/influence-personality-psychological-safety-presence-stress-and-chosen-professional-roles September 22, 2021 - Study 
 
 
 
 
 
 
 
 
 
 The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment. 
 
 
 
 
 Citation Text: 
 Grailey K, Lound A, Murray E, et al. The influence of personality on psychological safety, the presence of stress and chosen prof…  
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psnet.ahrq.gov/issue/i-what-you-are-saying-only-if-i-feel-safe-psychological-safety-moderates-relationship-between November 18, 2020 - Study 
 
 
 
 
 
 
 
 
 
 I like what you are saying, but only if I feel safe: psychological safety moderates the relationship between voice and perceived contribution to healthcare team effectiveness. 
 
 
 
 
 Citation Text: 
 Weiss M, Morrison EW, Szyld D. I like what you are saying, but only if I feel safe: psychol…  
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psnet.ahrq.gov/issue/interdisciplinary-and-interprofessional-communication-intervention-how-psychological-safety May 31, 2023 - Study 
 
 
 
 
 
 
 
 
 
 Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication and increases patient safety. 
 
 
 
 
 Citation Text: 
 Dietl JE, Derksen C, Keller FM, et al. Interdisciplinary and interprofessional communication intervention: how psychologic…  
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psnet.ahrq.gov/issue/cybersecurity-health-urgent-patient-safety-concern-we-can-learn-existing-patient-safety October 28, 2020 - Commentary 
 
 
 
 
 
 
 
 
 
 Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it. 
 
 
 
 
 Citation Text: 
 O’Brien N, Ghafur S, Durkin M. Cybersecurity in health is an urgent patient safety concern: we can learn from existing pa…  
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psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions December 16, 2020 - Study 
 
 
 
 
 
 
 
 
 
 Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. 
 
 
 
 
 Citation Text: 
 Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):62…  
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psnet.ahrq.gov/issue/robotic-dispensing-improves-patient-safety-inventory-management-and-staff-satisfaction February 26, 2020 - Study 
 
 
 
 
 
 
 
 
 
            Emerging Classic
           
 
 Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy. 
 
 
 
 
 Citation Text: 
 Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves p…