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psnet.ahrq.gov/node/865342/psn-pdf
March 27, 2024 - Development and evaluation of I-PASS-to-PICU: a
standard electronic template to improve referral
communication for inter-facility transfers to the pediatric
intensive care unit.
March 27, 2024
Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU: a standard
electronic template …
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psnet.ahrq.gov/node/843086/psn-pdf
January 25, 2023 - Work environment and operational failures associated
with nurse outcomes, patient safety, and patient
satisfaction.
January 25, 2023
Riman KA, Harrison JM, Sloane DM, et al. Work environment and operational failures associated with
nurse outcomes, patient safety, and patient satisfaction. Nurs Res. 2023;72(1):20-2…
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psnet.ahrq.gov/node/843083/psn-pdf
January 25, 2023 - Use of recalled devices in new device authorizations
under the US Food and Drug Administration's 510(k)
pathway and risk of subsequent recalls.
January 25, 2023
Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug
Administration's 510(k) pathway and risk of subsequent …
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psnet.ahrq.gov/node/73656/psn-pdf
September 01, 2021 - Opioid prescribing to US children and young adults in
2019.
September 1, 2021
Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019.
Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539.
https://psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-…
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psnet.ahrq.gov/node/60052/psn-pdf
March 18, 2020 - Analysis of pharmacist-identified medication-related
problems at two United Kingdom hospitals: a prospective
observational study.
March 18, 2020
Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United
Kingdom hospitals: a prospective observational study. Int J Phar…
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psnet.ahrq.gov/node/60726/psn-pdf
January 01, 2021 - User-testing guidelines to improve the safety of
intravenous medicines administration: a randomised in
situ simulation study.
July 29, 2020
Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous
medicines administration: a randomised in situ simulation study. BMJ Qual …
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psnet.ahrq.gov/node/853068/psn-pdf
August 30, 2023 - Healthcare fragmentation, multimorbidity, potentially
inappropriate medication, and mortality: a Danish
nationwide cohort study.
August 30, 2023
Prior A, Vestergaard CH, Vedsted P, et al. Healthcare fragmentation, multimorbidity, potentially
inappropriate medication, and mortality: a Danish nationwide cohort study…
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psnet.ahrq.gov/node/72718/psn-pdf
February 10, 2021 - Assessing reasons for decreased primary care access for
individuals on prescribed opioids: an audit study.
February 10, 2021
Lagisetty P, Macleod C, Thomas J, et al. Assessing reasons for decreased primary care access for
individuals on prescribed opioids. Pain. 2021;162(5):1379-1386. doi:10.1097/j.pain.00000000000…
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psnet.ahrq.gov/node/866819/psn-pdf
September 25, 2024 - Machine learning to enhance electronic detection of
diagnostic errors.
September 25, 2024
Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors.
JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982.
https://psnet.ahrq.gov/issue/machine-learnin…
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psnet.ahrq.gov/node/866351/psn-pdf
July 24, 2024 - Seeking systems-based facilitators of safety and
healthcare resilience: a thematic review of incident
reports.
July 24, 2024
Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a
thematic review of incident reports. Int J Qual Health Care. 2024;36(3):mzae057.
doi:10.1…
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psnet.ahrq.gov/node/861289/psn-pdf
January 01, 2025 - Assessing the impact of an electronic chemotherapy
order verification checklist on pharmacist reported errors
in oncology infusion centers of a health-system.
January 24, 2024
Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order
verification checklist on pharmacist …
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psnet.ahrq.gov/node/50795/psn-pdf
January 15, 2020 - Diagnostic error in the emergency department: learning
from national patient safety incident report analysis.
January 15, 2020
Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning
from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi…
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psnet.ahrq.gov/node/37054/psn-pdf
September 30, 2011 - Impact of the nurse shortage on hospital patient care:
comparative perspectives.
September 30, 2011
Buerhaus P, Donelan K, Ulrich BT, et al. Impact of the nurse shortage on hospital patient care: comparative
perspectives. Health Aff (Millwood). 2007;26(3):853-62.
https://psnet.ahrq.gov/issue/impact-nurse-shortage-…
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psnet.ahrq.gov/node/61059/psn-pdf
October 28, 2020 - Long-term effects of teamwork training on
communication and teamwork climate in ambulatory
reproductive health care.
October 28, 2020
Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and
teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
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psnet.ahrq.gov/node/50945/psn-pdf
February 26, 2020 - She hoped to shine a light on maternal mortality among
Native Americans. Instead, she became a statistic of it.
February 26, 2020
Chuck E, Assefa H. NBC News. February 8, 2020.
https://psnet.ahrq.gov/issue/she-hoped-shine-light-maternal-mortality-among-native-americans-instead-
she-became-statistic
Maternal morbi…
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psnet.ahrq.gov/node/60059/psn-pdf
August 12, 2020 - Survey shows room for improvement with two new ISMP
Targeted Medication Safety Best Practices.
August 12, 2020
ISMP Medication Safety Alert! Acute care edition. July 30, 2020;25(15).
https://psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-
best-practices
This article rep…
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psnet.ahrq.gov/node/50570/psn-pdf
October 23, 2019 - Does simulation training for acute care nurses improve
patient safety outcomes: a systematic review to inform
evidence-based practice.
October 23, 2019
Lewis KA, Ricks TN, Rowin A, et al. Does Simulation Training for Acute Care Nurses Improve Patient
Safety Outcomes: A Systematic Review to Inform Evidence-Based Pr…
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psnet.ahrq.gov/node/73413/psn-pdf
June 23, 2021 - Interventions to reduce pediatric prescribing errors in
professional healthcare settings: a systematic review of
the last decade.
June 23, 2021
Koeck JA, Young NJ, Kontny U, et al. Interventions to Reduce Pediatric Prescribing Errors in Professional
Healthcare Settings: A Systematic Review of the Last Decade. Pedi…
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psnet.ahrq.gov/node/867138/psn-pdf
November 13, 2024 - Could breaks reduce general practitioner burnout and
improve safety? A daily diary study.
November 13, 2024
Hall LH, Johnson J, Watt I, et al. Could breaks reduce general practitioner burnout and improve safety? A
daily diary study. PLoS ONE. 2024;19(8):e0307513. doi:10.1371/journal.pone.0307513.
https://psnet.ahr…
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psnet.ahrq.gov/node/853070/psn-pdf
August 30, 2023 - Activating pharmacists to reduce the frequency of
medication-related problems (ACTMed): a stepped wedge
cluster randomised trial.
August 30, 2023
Spinks J, Violette R, Boyle DIR, et al. Activating pharmacists to reduce the frequency of medication?related
problems (ACTMed): a stepped wedge cluster randomised trial.…