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psnet.ahrq.gov/node/35130/psn-pdf
March 11, 2011 - A trial of automated decision support alerts for
contraindicated medications using computerized
physician order entry.
March 11, 2011
Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated
medications using computerized physician order entry. J Am Med Inform Assoc…
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psnet.ahrq.gov/node/46813/psn-pdf
March 14, 2018 - Our other prescription drug problem.
March 14, 2018
Lembke A, Papac J, Humphreys K. Our Other Prescription Drug Problem. N Engl J Med. 2018;378(8):693-
695. doi:10.1056/NEJMp1715050.
https://psnet.ahrq.gov/issue/our-other-prescription-drug-problem
Unintended consequences can emerge when targeted strategies divert …
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psnet.ahrq.gov/node/73658/psn-pdf
September 01, 2021 - Predicting self-intercepted medication ordering errors
using machine learning.
September 1, 2021
King CR, Abraham J, Fritz BA, et al. Predicting self-intercepted medication ordering errors using machine
learning. PLoS One. 2021;16(7):e0254358. doi:10.1371/journal.pone.0254358.
https://psnet.ahrq.gov/issue/predicti…
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psnet.ahrq.gov/node/35038/psn-pdf
January 02, 2017 - Using Six Sigma to reduce medication errors in a home-
delivery pharmacy service.
January 2, 2017
Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery
pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24.
https://psnet.ahrq.gov/issue/using-six-sigma-redu…
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psnet.ahrq.gov/node/44735/psn-pdf
January 06, 2016 - Quality and patient safety teams in the perioperative
setting.
January 6, 2016
Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28.
doi:10.1016/j.aorn.2015.10.006.
https://psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
Team effectivenes…
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psnet.ahrq.gov/node/41127/psn-pdf
February 08, 2012 - Do nurse and patient injuries share common
antecedents? An analysis of associations with safety
climate and working conditions.
February 8, 2012
Taylor JA, Dominici F, Agnew J, et al. Do nurse and patient injuries share common antecedents? An
analysis of associations with safety climate and working conditions. BMJ…
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psnet.ahrq.gov/node/72725/psn-pdf
February 10, 2021 - Understanding the peer, manager, and system influence
on patient safety.
February 10, 2021
Forbes TH, Wynn J, Anderson T, et al. Understanding the peer, manager, and system influence on patient
safety. Nurs Manage. 2020;51(12):36-42. doi:10.1097/01.numa.0000721828.72471.4a.
https://psnet.ahrq.gov/issue/understandi…
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psnet.ahrq.gov/node/45997/psn-pdf
April 19, 2017 - Learning through experience: influence of formal and
informal training on medical error disclosure skills in
residents.
April 19, 2017
Wong BM, Coffey M, Nousiainen MT, et al. Learning through experience: influence of formal and informal
training on medical error disclosure skills in residents. J Grad Med Educ. 20…
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psnet.ahrq.gov/node/44633/psn-pdf
November 11, 2015 - Reductions in sepsis mortality and costs after design and
implementation of a nurse-based early recognition and
response program.
November 11, 2015
Jones SL, Ashton CM, Kiehne L, et al. Reductions in sepsis mortality and costs after design and
implementation of a nurse-based early recognition and response program.…
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psnet.ahrq.gov/node/844042/psn-pdf
February 08, 2023 - ‘Ladder’-based safety culture assessments inversely
predict safety outcomes.
February 8, 2023
Boskeljon?Horst L, Sillem S, Dekker SWA. ‘Ladder’?based safety culture assessments inversely predict
safety outcomes. J Contingencies Crisis Manag. 2022;31(3):372-391. doi:10.1111/1468-5973.12445.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/34861/psn-pdf
November 11, 2015 - When things go wrong: how health care organizations
deal with major failures.
November 11, 2015
Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures.
Health Aff (Millwood). 2004;23(3):103-11.
https://psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizati…
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psnet.ahrq.gov/node/43209/psn-pdf
December 15, 2014 - Adverse events in hospitalized paediatric patients: a
systematic review and a meta-regression analysis.
December 15, 2014
Berchialla P, Scaioli G, Passi S, et al. Adverse events in hospitalized paediatric patients: a systematic
review and a meta-regression analysis. J Eval Clin Pract. 2014;20(5):551-8. doi:10.1111/…
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psnet.ahrq.gov/node/42092/psn-pdf
March 06, 2013 - Relationships of multitasking, physicians' strain, and
performance: an observational study in ward physicians.
March 6, 2013
Weigl M, Müller A, Sevdalis N, et al. Relationships of multitasking, physicians' strain, and performance: an
observational study in ward physicians. J Patient Saf. 2013;9(1):18-23.
doi:10.10…
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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/764400/psn-pdf
March 02, 2022 - A mixed methods evaluation of medication reconciliation
in the primary care setting.
March 2, 2022
Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation
in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journal.pone.0260882.
https://psnet.ahr…
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psnet.ahrq.gov/node/73284/psn-pdf
May 19, 2021 - Safety participation at the direct care level: results of a
patient questionnaire.
May 19, 2021
Duhn L, Gumapac N, Medves J. Safety participation at the direct care level: results of a patient
questionnaire. Patient Exp J. 2021;8(1):59-68. doi:10.35680/2372-0247.1506.
https://psnet.ahrq.gov/issue/safety-participat…
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psnet.ahrq.gov/node/72606/psn-pdf
December 23, 2020 - Best Practices in Developing Proprietary Names for
Human Prescription Drug Products Guidance for Industry.
December 23, 2020
Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for
Drug Evaluation and Research; December 2020.
https://psnet.ahrq.gov/issue/best-practices-d…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/team-info-form.html
July 01, 2023 - Background Quality Improvement Team Information Form
AHRQ Safety Program for Perinatal Care
Who should use this tool? Health care teams
Please indicate staff members designated as Labor and Delivery Quality Improvement Team members. Your team might not have people who serve in all of these rol…
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psnet.ahrq.gov/node/74087/psn-pdf
January 01, 2022 - Hospital cultural competency and attributes of patient
safety culture: a study of U.S. hospitals.
November 17, 2021
Upadhyay S, Stephenson AL, Weech-Maldonado R, et al. Hospital cultural competency and attributes of
patient safety culture: a study of U.S. hospitals. J Patient Saf. 2022;18(3):e680-e686.
doi:10.1097…
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psnet.ahrq.gov/node/60714/psn-pdf
July 22, 2020 - Personality traits and traumatic outcome symptoms in
registered nurses in the aftermath of a patient safety
incident.
July 22, 2020
Stovall MC, Firkins J, Hansen L, et al. Personality traits and traumatic outcome symptoms in registered
nurses in the aftermath of a patient safety incident. J Patient Saf. 2020;17(8)…