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psnet.ahrq.gov/node/42885/psn-pdf
January 22, 2014 - Medication error reporting in rural critical access
hospitals in the North Dakota Telepharmacy Project.
January 22, 2014
Scott DM, Friesner DL, Rathke AM, et al. Medication error reporting in rural critical access hospitals in the
North Dakota Telepharmacy Project. Am J Health Syst Pharm. 2014;71(1):58-67. doi:10.2…
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psnet.ahrq.gov/node/46525/psn-pdf
October 25, 2017 - Progress in interoperability: measuring US hospitals'
engagement in sharing patient data.
October 25, 2017
Holmgren J, Patel V, Adler-Milstein J. Progress in interoperability: measuring US hospitals' engagement in
sharing patient data. Health Aff (Millwood). 2017;36(10):1820-1827. doi:10.1377/hlthaff.2017.0546.
ht…
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psnet.ahrq.gov/node/34692/psn-pdf
February 10, 2011 - The economic consequences of medical injuries:
implications for a no-fault insurance plan.
February 10, 2011
Johnson WG, Brennan TA, Newhouse JP, et al. The economic consequences of medical injuries.
Implications for a no-fault insurance plan. JAMA. 1992;267(18):2487-92.
https://psnet.ahrq.gov/issue/economic-conse…
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psnet.ahrq.gov/node/47581/psn-pdf
January 09, 2019 - Patient safety in inpatient psychiatry: a remaining frontier
for health policy.
January 9, 2019
Shields MC, Stewart MT, Delaney KR. Patient Safety In Inpatient Psychiatry: A Remaining Frontier For
Health Policy. Health Aff (Millwood). 2018;37(11):1853-1861. doi:10.1377/hlthaff.2018.0718.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/837734/psn-pdf
July 27, 2022 - Can the standard configuration of a cardiac monitor lead
to medical errors under a stress induction?
July 27, 2022
Dzisko M, Lewandowska A, Wudarska B. Can the standard configuration of a cardiac monitor lead to
medical errors under a stress induction? Sensors (Basel). 2022;22(9):3536. doi:10.3390/s22093536.
https…
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psnet.ahrq.gov/node/46815/psn-pdf
April 29, 2018 - Designing and evaluating an automated system for real-
time medication administration error detection in a
neonatal intensive care unit.
April 29, 2018
Ni Y, Lingren T, Hall ES, et al. Designing and evaluating an automated system for real-time medication
administration error detection in a neonatal intensive care …
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psnet.ahrq.gov/node/43794/psn-pdf
January 14, 2015 - Prescriber barriers and enablers to minimising potentially
inappropriate medications in adults: a systematic review
and thematic synthesis.
January 14, 2015
Anderson K, Stowasser D, Freeman C, et al. Prescriber barriers and enablers to minimising potentially
inappropriate medications in adults: a systematic review…
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psnet.ahrq.gov/node/48010/psn-pdf
May 22, 2019 - In-situ interprofessional perinatal drills: the impact of a
structured debrief on maximizing training while sensing
patient safety threats.
May 22, 2019
Greer JA, Haischer-Rollo G, Delorey D, et al. In-situ Interprofessional Perinatal Drills: The Impact of a
Structured Debrief on Maximizing Training While Sensing …
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psnet.ahrq.gov/node/73386/psn-pdf
June 16, 2021 - Healthcare professionals' encounters with ethnic minority
patients: the critical incident approach.
June 16, 2021
Debesay J, Kartzow AH, Fougner M. Healthcare professionals’ encounters with ethnic minority patients: the
critical incident approach. Nurs Inq. 2021;29(1):e12421. doi:10.1111/nin.12421.
https://psnet.a…
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psnet.ahrq.gov/node/45582/psn-pdf
June 15, 2017 - A work observation study of nuclear medicine
technologists: interruptions, resilience and implications
for patient safety.
June 15, 2017
Larcos G, Prgomet M, Georgiou A, et al. A work observation study of nuclear medicine technologists:
interruptions, resilience and implications for patient safety. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/36199/psn-pdf
March 28, 2011 - Time of day effects on the incidence of anesthetic
adverse events.
March 28, 2011
Wright MC, Phillips-Bute B, Mark JB, et al. Time of day effects on the incidence of anesthetic adverse
events. Qual Saf Health Care. 2006;15(4):258-63.
https://psnet.ahrq.gov/issue/time-day-effects-incidence-anesthetic-adverse-events…
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psnet.ahrq.gov/node/73919/psn-pdf
October 06, 2021 - Evaluation of an interprofessional team training program
to improve the use of patient safety strategies among
healthcare professions students.
October 6, 2021
King AE, Gerolamo AM, Hass RW, et al. J Allied Health. 2021;50(3):175-181.
https://psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-…
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psnet.ahrq.gov/node/45845/psn-pdf
December 19, 2017 - You can't blame the wreck on the train.
December 19, 2017
Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978.
doi:10.1016/j.amjsurg.2016.11.046.
https://psnet.ahrq.gov/issue/you-cant-blame-wreck-train
Insufficient supervision can limit resident education, which may increase risks to p…
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psnet.ahrq.gov/node/840488/psn-pdf
November 30, 2022 - Critical care clinicians' experiences of patient safety
during the COVID-19 pandemic.
November 30, 2022
Rosen A, Carter D, Applebaum JR, et al. Critical care clinicians' experiences of patient safety during the
COVID-19 pandemic. J Patient Saf. 2022;18(8):e1219-e1225. doi:10.1097/pts.0000000000001060.
https://psne…
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psnet.ahrq.gov/node/47367/psn-pdf
October 15, 2018 - Themed Issue on Innovations in Medication Safety.
October 15, 2018
Kane-Gill SL. Innovations in Medication Safety: Services and Technologies to Enhance the Understanding
and Prevention of Adverse Drug Reactions. Pharmacotherapy. 2018;38(8):782-784.
doi:10.1002/phar.2154.
https://psnet.ahrq.gov/issue/themed-issue-i…
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psnet.ahrq.gov/node/60950/psn-pdf
September 23, 2020 - An effective intervention: limiting opioid prescribing as a
means of reducing opioid analgesic misuse, and
overdose deaths.
September 23, 2020
Fink BC, Uyttebrouck O, Larson RS. An effective intervention: limiting opioid prescribing as a means of
reducing opioid analgesic misuse, and overdose deaths. J Law Med Eth…
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psnet.ahrq.gov/node/47351/psn-pdf
August 22, 2018 - Social disparities in patient safety in primary care: a
systematic review.
August 22, 2018
Piccardi C, Detollenaere J, Bussche PV, et al. Social disparities in patient safety in primary care: a
systematic review. Int J Equity Health. 2018;17(1):114. doi:10.1186/s12939-018-0828-7.
https://psnet.ahrq.gov/issue/socia…
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psnet.ahrq.gov/node/60724/psn-pdf
July 29, 2020 - The safety of health care for ethnic minority patients: a
systematic review.
July 29, 2020
Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic
review. Int J Equity Health. 2020;19(1):118. doi:10.1186/s12939-020-01223-2.
https://psnet.ahrq.gov/issue/safety-heal…
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psnet.ahrq.gov/node/44981/psn-pdf
June 07, 2016 - Simulation-based training: the missing link to lastingly
improved patient safety and health?
June 7, 2016
Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety
and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/postgradmedj-2015-133732.
https://psnet.…
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psnet.ahrq.gov/node/73462/psn-pdf
July 07, 2021 - Root cause analysis to identify contributing factors for
the development of hospital acquired pressure injuries.
July 7, 2021
Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired
pressure injuries. J Tissue Viability. 2021;30(3):339-345. doi:10.1016/j.jtv.2021.04.00…