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psnet.ahrq.gov/node/41816/psn-pdf
September 26, 2016 - Designing for distractions: a human factors approach to
decreasing interruptions at a centralised medication
station.
September 26, 2016
Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing
interruptions at a centralised medication station. BMJ Qual Saf. 2012;…
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psnet.ahrq.gov/node/38401/psn-pdf
February 18, 2011 - Trends in primary care clinician perceptions of a new
electronic health record.
February 18, 2011
El-Kareh R, Gandhi TK, Poon EG, et al. Trends in primary care clinician perceptions of a new electronic
health record. J Gen Intern Med. 2009;24(4):464-8. doi:10.1007/s11606-009-0906-z.
https://psnet.ahrq.gov/issue/tr…
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psnet.ahrq.gov/node/46856/psn-pdf
June 20, 2018 - Visual acuity, literacy, and unintentional misuse of
nonprescription medications.
June 20, 2018
Mullen RJ, Curtis LM, O'Conor R, et al. Visual acuity, literacy, and unintentional misuse of nonprescription
medications. Am J Health-Syst Pharm. 2018;75(9):e213-e220. doi:10.2146/ajhp170303.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/73448/psn-pdf
June 30, 2021 - A systematic review of the effect of telepharmacy
services in the community pharmacy setting on care
quality and patient safety.
June 30, 2021
Pathak S, Blanchard CM, Moreton E, et al. A systematic review of the effect of telepharmacy services in
the community pharmacy setting on care quality and patient safety. J…
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psnet.ahrq.gov/node/42895/psn-pdf
December 18, 2014 - National trends in patient safety for four common
conditions, 2005–2011.
December 18, 2014
Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005-
2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NEJMsa1300991.
https://psnet.ahrq.gov/issue/national-trends-patie…
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psnet.ahrq.gov/node/40785/psn-pdf
May 04, 2012 - A framework for evaluating the appropriateness of clinical
decision support alerts and responses.
May 4, 2012
McCoy AB, Waitman LR, Lewis JB, et al. A framework for evaluating the appropriateness of clinical
decision support alerts and responses. J Am Med Inform Assoc. 2012;19(3):346-52. doi:10.1136/amiajnl-
2011-…
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psnet.ahrq.gov/node/46986/psn-pdf
June 27, 2018 - A multi-hospital before–after observational study using a
point-prevalence approach with an infusion safety
intervention bundle to reduce intravenous medication
administration errors.
June 27, 2018
Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational Study Using a Point-
Prevalence A…
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psnet.ahrq.gov/node/60552/psn-pdf
June 03, 2020 - Personal protective equipment for preventing highly
infectious diseases due to exposure to contaminated
body fluids in healthcare staff.
June 3, 2020
Verbeek JH, Rajamaki B, Ijaz S, et al. Personal protective equipment for preventing highly infectious
diseases due to exposure to contaminated body fluids in healthc…
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psnet.ahrq.gov/node/44545/psn-pdf
December 20, 2017 - Work conditions, mental workload and patient care
quality: a multisource study in the emergency
department.
December 20, 2017
Weigl M, Müller A, Holland S, et al. Work conditions, mental workload and patient care quality: a
multisource study in the emergency department. BMJ Qual Saf. 2016;25(7):499-508. doi:10.113…
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psnet.ahrq.gov/node/47603/psn-pdf
March 20, 2019 - Electronic patient identification for sample labeling
reduces wrong blood in tube errors.
March 20, 2019
Kaufman RM, Dinh A, Cohn CS, et al. Electronic patient identification for sample labeling reduces wrong
blood in tube errors. Transfusion (Paris). 2019;59(3):972-980. doi:10.1111/trf.15102.
https://psnet.ahrq.g…
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psnet.ahrq.gov/web-mm/ounce-prevention
February 17, 2011 - Trauma, particularly of the lower extremities and pelvis, increases the risk of VTE. … attributed to PE in as many as 50% of patients dying after hip fracture.( 8 ) The incidence of VTE increases … In this setting, lower-extremity DVT often is caused by prolonged bed rest; the risk increases when surgery
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - , and lung
volume is further reduced when they lie flat.(8) The supine position causes significant increases … the
laryngoscopist's view during direct laryngoscopy, and most importantly recruits lung volume and increases … references
elevated so that an imaginary horizontal line can be drawn from the sternum to the ear, increases
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psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
March 27, 2024 - is estimated to be 5.4 cases for every 10 million prescriptions. 6 The overall risk is low, but it increases … associated with a high risk of causing QTc prolongation and recognize that the risk of torsades de pointes increases
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psnet.ahrq.gov/node/74253/psn-pdf
January 12, 2022 - COVID-19 on the safety of care has revealed several areas of
concern and potential root causes for increases … diagnosis and management of COVID-19
or sepsis, or the identification of sepsis among COVID-19 patients, increases
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - and lung volume is further reduced when they lie flat.( 8 ) The supine position causes significant increases … the laryngoscopist's view during direct laryngoscopy, and most importantly recruits lung volume and increases … upper body are elevated so that an imaginary horizontal line can be drawn from the sternum to the ear, increases
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psnet.ahrq.gov/issue/effects-introduction-who-surgical-safety-checklist-hospital-mortality-cohort-study
April 24, 2018 - January 9, 2013
The implementation of a perioperative checklist increases patients' perioperative
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psnet.ahrq.gov/web-mm/insert-omission
May 09, 2014 - The presence of an IUC increases the risk of spontaneous abortion nearly three-fold, so, whether a pregnancy … should be removed as soon as possible because the risk of spontaneous abortion in the presence of an IUC increases
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psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - Nurses feel that they must respond to these interruptions and
hassles (5), but doing so increases the … In addition to interruptions and hassles, another factor that increases the risks to patients is low
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - The use of checklists in clinical environments increases adherence to protocols, reduces complications … The use of checklists in clinical environments increases adherence to protocols, reduces
complications
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - The tendency to take
shortcuts and save time is a very human one, but it also increases the risk of … Lack of predictability greatly
increases the risk of mistakes.