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psnet.ahrq.gov/node/48151/psn-pdf
August 07, 2019 - Dental patient safety in the military health system: joining
medicine in the journey to high reliability.
August 7, 2019
Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in
the Journey to High Reliability. Mil Med. 2019. doi:10.1093/milmed/usz154.
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psnet.ahrq.gov/node/72659/psn-pdf
January 20, 2021 - Association between paediatric intraoperative
anaesthesia handover and adverse postoperative
outcomes.
January 20, 2021
Kannampallil TG, Lew D, Pfeifer EE, et al. Association between paediatric intraoperative anaesthesia
handover and adverse postoperative outcomes. BMJ Qual Saf. 2021;30(9):755-763. doi:10.1136/bmj…
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psnet.ahrq.gov/node/35182/psn-pdf
April 11, 2011 - Standard drug concentrations and smart-pump
technology reduce continuous-medication-infusion errors
in pediatric patients.
April 11, 2011
Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce
continuous-medication-infusion errors in pediatric patients. Pediatrics. 2005;1…
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psnet.ahrq.gov/node/73192/psn-pdf
April 23, 2012 - The longer the shifts for hospital nurses, the higher the
levels of burnout and patient dissatisfaction.
April 23, 2012
Stimpfel AW, Sloane DM, Aiken LH. The longer the shifts for hospital nurses, the higher the levels of
burnout and patient dissatisfaction. Health Aff (Millwood). 2013;31(11):2501-2509.
doi:10.137…
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April 11, 2011 - Pediatric medication safety and the media: what does the
public see?
April 11, 2011
Stebbing C, Kaushal R, Bates DW. Pediatric medication safety and the media: what does the public see?
Pediatrics. 2006;117(6):1907-1914. doi:10.1542/peds.2005-2017.
https://psnet.ahrq.gov/issue/pediatric-medication-safety-and-media…
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August 28, 2024 - 11 medicine mistakes to avoid.
August 28, 2024
Crouch M. 11 medicine mistakes to avoid. AARP. August 06, 2024;
https://psnet.ahrq.gov/issue/11-medicine-mistakes-avoid
Medication self-management can become increasingly complicated as patients age and take more
medications. This article highlights key behaviors that…
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July 15, 2020 - The COVID-19 pandemic: resilient organisational
response to a low-chance, high-impact event.
July 15, 2020
Lloyd-Smith MK. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact
event. BMJ Leader. 2020;4:109-112. doi:10.1136/leader-2020-000245.
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October 13, 2018 - The clinical and medicolegal implications of radiology
results communication.
October 13, 2018
Aryal B, Khorsand DA, Dubinsky TJ. The Clinical and Medicolegal Implications of Radiology Results
Communication. Curr Probl Diagn Radiol. 2018;47(5):287-289. doi:10.1067/j.cpradiol.2017.09.009.
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January 16, 2019 - Reversing the rise in maternal mortality.
January 16, 2019
Kozhimannil KB. Reversing The Rise In Maternal Mortality. Health Aff (Millwood). 2018;37(11):1901-1904.
doi:10.1377/hlthaff.2018.1013.
https://psnet.ahrq.gov/issue/reversing-rise-maternal-mortality
Maternal harm is a sentinel event that is gaining increase…
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psnet.ahrq.gov/node/838637/psn-pdf
October 19, 2022 - Patient safety and legal regulations: a total-scale analysis
of the scientific literature.
October 19, 2022
Yeung AWK, Kletecka-Pulker M, Klager E, et al. Patient safety and legal regulations: a total-scale analysis
of the scientific literature. J Patient Saf. 2022;18(7):e1116-e1123. doi:10.1097/pts.000000000000104…
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September 19, 2013 - e-Prescribing: characterisation of patient safety hazards
in community pharmacies using a sociotechnical systems
approach.
September 19, 2013
Odukoya OK, Chui MA. e-Prescribing: characterisation of patient safety hazards in community pharmacies
using a sociotechnical systems approach. BMJ Qual Saf. 2013;22(10):816…
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psnet.ahrq.gov/node/73592/psn-pdf
August 11, 2021 - Using performance improvement to enhance time-out
compliance and prevent wrong-site surgery.
August 11, 2021
Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and
prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/aorn.13413.
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November 18, 2016 - Impact of hospital-acquired conditions on financial
liabilities for Medicare patients.
November 18, 2016
Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare
patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.03.025.
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June 25, 2018 - Challenges in health care simulation: are we learning
anything new?
June 25, 2018
Henriksen K, Rodrick D, Grace EN, et al. Challenges in Health Care Simulation: Are We Learning Anything
New? Acad Med. 2018;93(5):705-708. doi:10.1097/ACM.0000000000001891.
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psnet.ahrq.gov/node/38274/psn-pdf
March 31, 2009 - Time motion study in a pediatric emergency department
before and after computer physician order entry.
March 31, 2009
Yen K, Shane EL, Pawar SS, et al. Time motion study in a pediatric emergency department before and
after computer physician order entry. Ann Emerg Med. 2009;53(4):462-468.e1.
doi:10.1016/j.annemerg…
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January 24, 2024 - Analysis of a medication safety intervention in the
pediatric emergency department.
January 24, 2024
Samuels-Kalow ME, Tassone R, Manning W, et al. Analysis of a medication safety intervention in the
pediatric emergency department. JAMA Netw Open. 2024;7(1):e2351629.
doi:10.1001/jamanetworkopen.2023.51629.
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September 22, 2021 - Incidence of prescription errors in patients discharged
from the emergency department.
September 22, 2021
Gregory H, Cantley M, Calhoun C, et al. Incidence of prescription errors in patients discharged from the
emergency department. Am J Emerg Med. 2021;46:266-270. doi:10.1016/j.ajem.2020.07.061.
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August 01, 2017 - Prescription of long-acting opioids and mortality in
patients with chronic noncancer pain.
August 1, 2017
Ray WA, Chung CP, Murray KT, et al. Prescription of Long-Acting Opioids and Mortality in Patients With
Chronic Noncancer Pain. JAMA. 2016;315(22):2415-23. doi:10.1001/jama.2016.7789.
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January 01, 2020 - The impact of incident disclosure behaviors on medical
malpractice claims.
July 19, 2017
Giraldo P, Sato L, Castells X. The Impact of Incident Disclosure Behaviors on Medical Malpractice Claims.
J Patient Saf. 2020;16(4):e-225-e229. doi:10.1097/PTS.0000000000000342.
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psnet.ahrq.gov/node/46950/psn-pdf
May 16, 2018 - Registered nurses' perceptions of safe care in
overcrowded emergency departments.
May 16, 2018
Eriksson J, Gellerstedt L, Hillerås P, et al. Registered nurses' perceptions of safe care in overcrowded
emergency departments. J Clin Nurs. 2018;27(5-6):e1061-e1067. doi:10.1111/jocn.14143.
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