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psnet.ahrq.gov/node/857457/psn-pdf
December 06, 2023 - 'Corridor care' in the emergency department: managing
patient care in non-clinical areas safely and efficiently.
December 6, 2023
Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely
and efficiently. Emerg Nurse. 2023;31(6):34-41. doi:10.7748/en.2023.e2187.
ht…
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psnet.ahrq.gov/node/46051/psn-pdf
April 12, 2017 - Automated detection of look-alike/sound-alike medication
errors.
April 12, 2017
Rash-Foanio C, Galanter W, Bryson M, et al. Automated detection of look-alike/sound-alike medication
errors. Am J Health Syst Pharm. 2017;74(7):521-527. doi:10.2146/ajhp150690.
https://psnet.ahrq.gov/issue/automated-detection-look-alik…
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psnet.ahrq.gov/node/849604/psn-pdf
May 31, 2023 - Reducing errors resulting from commonly missed chest
radiography findings.
May 31, 2023
Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest.
2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003.
https://psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed…
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psnet.ahrq.gov/node/47156/psn-pdf
November 28, 2018 - Antidepressant and antipsychotic medication errors
reported to United States poison control centers.
November 28, 2018
Kamboj A, Spiller HA, Casavant MJ, et al. Antidepressant and antipsychotic medication errors reported to
United States poison control centers. Pharmacoepidemiol Drug Saf. 2018;27(8):902-911.
doi:1…
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psnet.ahrq.gov/node/74065/psn-pdf
November 10, 2021 - AHRQ announces interest in research on digital
healthcare safety.
November 10, 2021
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021
Publication No. NOT-HS-22-004.
https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety
Digital in…
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psnet.ahrq.gov/node/47410/psn-pdf
April 10, 2019 - Patient–pharmacist communication during a post-
discharge pharmacist home visit.
April 10, 2019
Ensing HT, Vervloet M, van Dooren AA, et al. Patient-pharmacist communication during a post-discharge
pharmacist home visit. Int J Clin Pharm. 2018;40(3):712-720. doi:10.1007/s11096-018-0639-3.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/837506/psn-pdf
June 22, 2022 - Reducing pediatric emergency department prescription
errors.
June 22, 2022
Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors.
Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696.
https://psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-…
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psnet.ahrq.gov/node/72750/psn-pdf
February 17, 2021 - Implementing patient and family involvement
interventions for promoting patient safety: a systematic
review and meta-analysis.
February 17, 2021
Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient
safety. J Patient Saf. 2021;17(2):131-140. doi:10.1097/pts.00000000000…
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psnet.ahrq.gov/node/45934/psn-pdf
March 01, 2017 - The evolving role of medical scribe: variation and
implications for organizational effectiveness and safety.
March 1, 2017
Woodcock D, Pranaat R, McGrath K, et al. The Evolving Role of Medical Scribe: Variation and Implications
for Organizational Effectiveness and Safety. Stud Health Technol Inform. 2017;234:382-38…
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psnet.ahrq.gov/node/47091/psn-pdf
March 19, 2019 - Provider interruptions and patient perceptions of care: an
observational study in the emergency department.
March 19, 2019
Schneider A, Wehler M, Weigl M. Provider interruptions and patient perceptions of care: an observational
study in the emergency department. BMJ Qual Saf. 2019;28(4):296-304. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/node/866555/psn-pdf
August 21, 2024 - Using behavioral insights to strengthen strategies for
change. Practical applications for quality improvement in
healthcare.
August 21, 2024
Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical
applications for quality improvement in healthcare. J Patient Saf. 2024;20(5…
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psnet.ahrq.gov/node/43412/psn-pdf
May 28, 2015 - An observational study of how patients are identified
before medication administrations in medical and surgical
wards.
May 28, 2015
Härkänen M, Kervinen M, Ahonen J, et al. An observational study of how patients are identified before
medication administrations in medical and surgical wards. Nurs Health Sci. 2015;1…
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psnet.ahrq.gov/node/60735/psn-pdf
July 29, 2020 - Accuracy of emergency department clinical findings for
diagnosis of coronavirus disease 2019.
July 29, 2020
Peyrony O, Marbeuf-Gueye C, Truong V, et al. Accuracy of emergency department clinical findings for
diagnosis of coronavirus disease 2019. Ann Emerg Med. 2020;76(4):405-412.
doi:10.1016/j.annemergmed.2020.05…
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psnet.ahrq.gov/node/44675/psn-pdf
July 05, 2016 - Why July matters.
July 5, 2016
Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912.
doi:10.1097/ACM.0000000000001196.
https://psnet.ahrq.gov/issue/why-july-matters
Studies have reached conflicting conclusions about whether the "July Effect"—the belief that inpatient
mortality increa…
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psnet.ahrq.gov/node/866809/psn-pdf
September 25, 2024 - Stop the line: interventions to prevent retained surgical
items.
September 25, 2024
Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81.
doi:10.1002/aorn.14190.
https://psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items
Retained surgica…
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psnet.ahrq.gov/node/852448/psn-pdf
January 01, 2024 - A realist synthesis of interprofessional patient safety
activities and healthcare student attitudes towards patient
safety.
August 16, 2023
Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and
healthcare student attitudes towards patient safety. J Interp…
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psnet.ahrq.gov/node/866647/psn-pdf
September 04, 2024 - Diagnostic discrepancies in the emergency department: a
retrospective study.
September 4, 2024
Schols LA, Maranus ME, Rood PPM, et al. Diagnostic discrepancies in the emergency department: a
retrospective study. J Patient Saf. 2024;20(6):420-425. doi:10.1097/pts.0000000000001252.
https://psnet.ahrq.gov/issue/diagn…
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psnet.ahrq.gov/node/844048/psn-pdf
February 08, 2023 - The incidence of opioid misuse among the surgical
patients with persistent opioid use.
February 8, 2023
Namiranian, MD, PhD K. The incidence of opioid misuse among the surgical patients with persistent opioid
use. J Opioid Manag. 2023;19(1):69-76. doi:10.5055/jom.2023.0760.
https://psnet.ahrq.gov/issue/incidence-o…
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psnet.ahrq.gov/node/46978/psn-pdf
April 04, 2018 - Using the patient safety huddle as a tool for high
reliability.
April 4, 2018
Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm
J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004.
https://psnet.ahrq.gov/issue/using-patient-safety-huddle-t…
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psnet.ahrq.gov/node/45716/psn-pdf
September 29, 2017 - Microanalysis of video from the operating room: an
underused approach to patient safety research.
September 29, 2017
Bezemer J, Cope A, Korkiakangas T, et al. Microanalysis of video from the operating room: an underused
approach to patient safety research. BMJ Qual Saf. 2017;26(7):583-587. doi:10.1136/bmjqs-2016-00…