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psnet.ahrq.gov/node/836726/psn-pdf
March 09, 2022 - OpenNotes and patient safety: a perilous voyage into
uncharted waters.
March 9, 2022
Schust G, Manning M, Weil A. OpenNotes and patient safety: a perilous voyage into uncharted waters. J
Gen Intern Med. 2022;37(8):2074-2076. doi:10.1007/s11606-021-07384-2.
https://psnet.ahrq.gov/issue/opennotes-and-patient-safety-…
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psnet.ahrq.gov/node/836758/psn-pdf
March 16, 2022 - Internet of things in healthcare for patient safety: an
empirical study.
March 16, 2022
Yesmin T, Carter MW, Gladman AS. Internet of things in healthcare for patient safety: an empirical study.
BMC Health Serv Res. 2022;22(1):278. doi:10.1186/s12913-022-07620-3.
https://psnet.ahrq.gov/issue/internet-things-healthc…
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psnet.ahrq.gov/node/34868/psn-pdf
February 03, 2011 - Role of computerized physician order entry systems in
facilitating medication errors.
February 3, 2011
Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating
medication errors. JAMA. 2005;293(10):1197-203.
https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
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psnet.ahrq.gov/node/37737/psn-pdf
January 06, 2017 - Can patient safety be measured by surveys of patient
experiences?
January 6, 2017
Solberg LI, Asche SE, Averbeck BM, et al. Can patient safety be measured by surveys of patient
experiences? Jt Comm J Qual Patient Saf. 2008;34(5):266-274.
https://psnet.ahrq.gov/issue/can-patient-safety-be-measured-surveys-patient-e…
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psnet.ahrq.gov/node/45050/psn-pdf
May 03, 2016 - Digital health and patient safety.
May 3, 2016
Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698.
doi:10.1001/jama.2016.2402.
https://psnet.ahrq.gov/issue/digital-health-and-patient-safety
Patients, clinicians, and health care systems are increasingly adopting digital…
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psnet.ahrq.gov/node/43504/psn-pdf
December 15, 2014 - Can preventable adverse events be predicted among
hospitalized older patients? The development and
validation of a predictive model.
December 15, 2014
Van De Steeg L, Langelaan M, Wagner C. Can preventable adverse events be predicted among
hospitalized older patients? The development and validation of a predictive…
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psnet.ahrq.gov/node/61089/psn-pdf
January 01, 2021 - Cognitive bias impact on management of postoperative
complications, medical error, and standard of care.
November 4, 2020
Antonacci AC, Dechario SP, Antonacci C, et al. Cognitive bias impact on management of postoperative
complications, medical error, and standard of care. J Surg Res. 2021;258:47-53.
doi:10.1016/j…
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psnet.ahrq.gov/node/43830/psn-pdf
February 04, 2015 - A combined teamwork training and work standardisation
intervention in operating theatres: controlled interrupted
time series study.
February 4, 2015
Morgan L, Pickering S, Hadi M, et al. A combined teamwork training and work standardisation intervention
in operating theatres: controlled interrupted time series stu…
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psnet.ahrq.gov/node/865702/psn-pdf
May 01, 2024 - Judgment errors in surgical care.
May 1, 2024
Marsh KM, Turrentine FE, Jin R, et al. Judgment errors in surgical care. J Am Coll Surg. 2024;238(5):874-
879. doi:10.1097/xcs.0000000000001011.
https://psnet.ahrq.gov/issue/judgment-errors-surgical-care
Knowing when judgment errors are more likely to occur can increas…
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psnet.ahrq.gov/node/43986/psn-pdf
September 26, 2016 - The effect of a safe zone on nurse interruptions,
distractions, and medication administration errors.
September 26, 2016
Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and
medication administration errors. J Infus Nurs. 2015;38(2):140-51. doi:10.1097/NAN.000000000…
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psnet.ahrq.gov/node/72480/psn-pdf
January 01, 2021 - Operationalizing occupational fatigue in pharmacists: an
exploratory factor analysis.
November 18, 2020
Watterson TL, Look KA, Steege LM, et al. Operationalizing occupational fatigue in pharmacists: an
exploratory factor analysis. Res Social Adm Pharm. 2021;17(7):1282-1287.
doi:10.1016/j.sapharm.2020.09.012.
http…
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psnet.ahrq.gov/node/40837/psn-pdf
September 27, 2016 - Nurses' behaviors and visual scanning patterns may
reduce patient identification errors.
September 27, 2016
Marquard J, Henneman PL, He Z, et al. Nurses' behaviors and visual scanning patterns may reduce patient
identification errors. J Exp Psychol Appl. 2011;17(3):247-56. doi:10.1037/a0025261.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/843521/psn-pdf
February 01, 2023 - How providers can optimize effective and safe scribe use:
a qualitative study.
February 1, 2023
Corby S, Ash JS, Florig ST, et al. How providers can optimize effective and safe scribe use: a qualitative
study. J Gen Intern Med. 2023;38(9):2052-2058. doi:10.1007/s11606-022-07942-2.
https://psnet.ahrq.gov/issue/how-…
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psnet.ahrq.gov/node/39256/psn-pdf
November 14, 2011 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2009.
November 14, 2011
Oakbrook Terrace, IL: The Joint Commission; January 2010.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2009
America's hospitals continu…
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psnet.ahrq.gov/node/838921/psn-pdf
October 26, 2022 - Improving discharge safety in a pediatric emergency
department.
October 26, 2022
Paydar-Darian N, Stack AM, Volpe D, et al. Improving discharge safety in a pediatric emergency
department. Pediatrics. 2022;150(5):e2021054307. doi:10.1542/peds.2021-054307.
https://psnet.ahrq.gov/issue/improving-discharge-safety-pedi…
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psnet.ahrq.gov/node/46717/psn-pdf
April 16, 2018 - Reduction in opioid prescribing through evidence-based
prescribing guidelines.
April 16, 2018
Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based
Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436.
https://psnet.ahrq.gov/issue/reductio…
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psnet.ahrq.gov/node/42837/psn-pdf
January 08, 2014 - What are the safety risks for patients undergoing
treatment by multiple specialties: a retrospective patient
record review study.
January 8, 2014
Baines RJ, de Bruijne M, Langelaan M, et al. What are the safety risks for patients undergoing treatment by
multiple specialties: a retrospective patient record review s…
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psnet.ahrq.gov/node/73417/psn-pdf
June 23, 2021 - Classification of failures in the perception of
conversational agents (CAs) and their implications on
patient safety.
June 23, 2021
Aftab H, Shah SHH, Habli I. Classification of failures in the perception of conversational agents (CAs) and
their implications on patient safety. Stud Health Technol Inform. 2021;281:…
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psnet.ahrq.gov/node/46089/psn-pdf
July 26, 2017 - A new patient safety smartphone application for
prevention of "forgotten" ureteral stents: results from a
clinical pilot study in 194 patients.
July 26, 2017
Molina WR, Pessoa R, da Silva RD, et al. A new patient safety smartphone application for prevention of
"forgotten" ureteral stents: results from a clinical p…
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psnet.ahrq.gov/node/34781/psn-pdf
June 23, 2015 - Standards for patient monitoring during general
anesthesia at Harvard Medical School.
June 23, 2015
Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard
Medical School. JAMA. 1986;256(8):1017-20.
https://psnet.ahrq.gov/issue/standards-patient-monitoring-during-gen…