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psnet.ahrq.gov/node/41265/psn-pdf
January 03, 2017 - Detecting unapproved abbreviations in the electronic
medical record.
January 3, 2017
Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical
record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9.
https://psnet.ahrq.gov/issue/detecting-…
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psnet.ahrq.gov/node/43363/psn-pdf
September 12, 2016 - Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study.
September 12, 2016
Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016.
https://ps…
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psnet.ahrq.gov/node/846155/psn-pdf
March 15, 2023 - Reduction in omission events after implementing a rapid
response system: a mortality review in a department of
gastrointestinal surgery.
March 15, 2023
Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid
Response System: a mortality review in a department of gastrointesti…
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psnet.ahrq.gov/node/45966/psn-pdf
April 05, 2017 - Fundamental Use of Surgical Energy (FUSE): an essential
educational program for operating room safety.
April 5, 2017
Jones SB, Munro MG, Feldman LS, et al. Fundamental Use of Surgical Energy (FUSE): An Essential
Educational Program for Operating Room Safety. Perm J. 2017;21:16-050. doi:10.7812/TPP/16-050.
https://…
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psnet.ahrq.gov/node/867229/psn-pdf
January 01, 2025 - Feasibility of prospective error reporting in home
palliative care: a mixed methods study.
December 4, 2024
Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a
mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692163241288774.
https://psnet.ahr…
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psnet.ahrq.gov/node/38029/psn-pdf
September 03, 2008 - Minimizing surgical error by incorporating objective
assessment into surgical education.
September 3, 2008
Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into
Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsurg.2008.02.038.
https://psnet.ahr…
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psnet.ahrq.gov/node/48186/psn-pdf
August 28, 2019 - Inappropriate prescribing defined by STOPP and START
criteria and its association with adverse drug events
among hospitalized older patients: a multicentre,
prospective study.
August 28, 2019
Fahrni ML, Azmy MT, Usir E, et al. Inappropriate prescribing defined by STOPP and START criteria and its
association with …
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psnet.ahrq.gov/node/50935/psn-pdf
February 26, 2020 - Moving from knowledge to action: improving safety and
quality of care for patients with limited English
proficiency.
February 26, 2020
Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care
for patients with limited English proficiency. Clin Pediatr (Phila). 2020;59…
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psnet.ahrq.gov/node/45500/psn-pdf
September 28, 2016 - PIPc study: development of indicators of potentially
inappropriate prescribing in children (PIPc) in primary
care using a modified Delphi technique.
September 28, 2016
Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate
prescribing in children (PIPc) in primary…
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psnet.ahrq.gov/node/47719/psn-pdf
July 01, 2019 - Medication errors in community pharmacies: the need for
commitment, transparency, and research.
July 1, 2019
Hong K, Hong YD, Cooke CE. Medication errors in community pharmacies: the need for commitment,
transparency, and research. Res Social Adm Pharm. 2019;15(7):823-826.
doi:10.1016/j.sapharm.2018.11.014.
https…
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psnet.ahrq.gov/node/36303/psn-pdf
October 25, 2010 - Medication dispensing errors and potential adverse drug
events before and after implementing bar code
technology in the pharmacy.
October 25, 2010
Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events
before and after implementing bar code technology in the pharmacy. …
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psnet.ahrq.gov/node/851920/psn-pdf
August 02, 2023 - "You just want to feel safe when you go to a healthcare
professional:" intimate partner violence and patient
safety.
August 2, 2023
Maras SA. “You just want to feel safe when you go to a healthcare professional:” Intimate partner violence
and patient safety. Soc Sci Med. 2023;331:116066. doi:10.1016/j.socscimed.20…
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psnet.ahrq.gov/node/848317/psn-pdf
May 03, 2023 - Uptake of pharmacist recommendations by patients after
discharge: implementation study of a patient-centered
medicines review service.
May 3, 2023
Basger BJ, Moles RJ, Chen TF. Uptake of pharmacist recommendations by patients after discharge:
implementation study of a patient-centered medicines review service. BMC…
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psnet.ahrq.gov/node/73921/psn-pdf
October 06, 2021 - A systematic review of interventions used to enhance
implementation of and compliance with the World Health
Organization surgical safety checklist in adult surgery.
October 6, 2021
Liu LQ, Mehigan S. A systematic review of interventions used to enhance implementation of and
compliance with the World Health Organiz…
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psnet.ahrq.gov/node/50906/psn-pdf
February 19, 2020 - Implementation of a discharge education program to
improve transitions of care for patients at high risk of
medication errors.
February 19, 2020
Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to
improve transitions of care for patients at high risk of medication err…
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psnet.ahrq.gov/node/862992/psn-pdf
February 21, 2024 - Evaluating independent double checks in the pediatric
intensive care unit: a human factors engineering
approach.
February 21, 2024
Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive
care unit: a human factors engineering approach. J Patient Saf. 2024;20(3):20…
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psnet.ahrq.gov/node/863761/psn-pdf
January 23, 2020 - Exposures to structural racism and racial discrimination
among pregnant and early post-partum Black women
living in Oakland, California.
January 23, 2020
Chambers BD, Arabia SE, Arega HA, et al. Exposures to structural racism and racial discrimination among
pregnant and early post?partum Black women living in Oakl…
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psnet.ahrq.gov/node/854631/psn-pdf
October 18, 2023 - Patient safety culture: effects on errors, incident
reporting, and patient safety grade.
October 18, 2023
Kaya S, Banaz Goncuoglu M, Mete B, et al. Patient safety culture: effects on errors, incident reporting, and
patient safety grade. J Patient Saf. 2023;19(7):439-446. doi:10.1097/pts.0000000000001152.
https://p…
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psnet.ahrq.gov/node/36852/psn-pdf
August 29, 2011 - Medication errors among acutely ill and injured children
treated in rural emergency departments.
August 29, 2011
Marcin JP, Dharmar M, Cho M, et al. Medication errors among acutely ill and injured children treated in
rural emergency departments. Ann Emerg Med. 2007;50(4):361-7, 367.e1-2.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/45942/psn-pdf
January 01, 2021 - Medication safety in two intensive care units of a
community teaching hospital after electronic health
record implementation: sociotechnical and human factors
engineering considerations.
March 15, 2017
Carayon P, Wetterneck TB, Cartmill R, et al. Medication Safety in Two Intensive Care Units of a
Community Teachi…