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psnet.ahrq.gov/node/866280/psn-pdf
July 10, 2024 - Visitor restrictions during the COVID-19 pandemic and
increased falls with harm at a Canadian hospital: an
exploratory study.
July 10, 2024
Shennan S, Coyle N, Lockwood B, et al. Visitor restrictions during the COVID-19 pandemic and increased
falls with harm at a Canadian hospital: an exploratory study. J Patient …
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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.…
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psnet.ahrq.gov/node/73187/psn-pdf
April 28, 2021 - Improving handoff by deliberate cognitive processing:
results from a randomized controlled experimental study.
April 28, 2021
van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results
from a randomized controlled experimental study. Jt Comm J Qual Patient Saf. 2020;47(4…
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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/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/848038/psn-pdf
April 26, 2023 - Assessing system thinking in senior pharmacy students
using the innovative "Horror Room" simulation setting: a
cross-sectional survey of a non-technical skill.
April 26, 2023
Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the
innovative "Horror Room" simulation sett…
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psnet.ahrq.gov/node/41920/psn-pdf
October 08, 2013 - Review of computerized physician handoff tools for
improving the quality of patient care.
October 8, 2013
Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of
patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988.
https://psnet.ahrq.gov/issue/review-com…
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psnet.ahrq.gov/node/836743/psn-pdf
March 16, 2022 - Surgeon burnout, impact on patient safety and
professionalism: a systematic review and meta-analysis.
March 16, 2022
Al-Ghunaim TA, Johnson J, Biyani CS, et al. Surgeon burnout, impact on patient safety and
professionalism: A systematic review and meta-analysis. Am J Surg. 2022;224(1 Pt A):228-238.
doi:10.1016/j.a…
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psnet.ahrq.gov/node/73157/psn-pdf
April 21, 2021 - The impact of power on health care team performance
and patient safety: a review of the literature.
April 21, 2021
Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient
safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090.
doi:10.1080/00140139.2021.1906454.…
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psnet.ahrq.gov/node/72848/psn-pdf
March 17, 2021 - The development and piloting of the Ambulatory
Electronic Health Record Evaluation Tool: lessons
learned.
March 17, 2021
Co Z, Holmgren AJ, Classen DC, et al. The development and piloting of the Ambulatory Electronic Health
Record Evaluation Tool: lessons learned. Appl Clin Inform. 2021;12(01):153-163. doi:10.1055…
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psnet.ahrq.gov/node/838245/psn-pdf
January 01, 2023 - A novel study of situational awareness among out-of-
hospital providers during an online clinical simulation.
October 5, 2022
Hunter J, Porter M, Williams B. A novel study of situational awareness among out-of-hospital providers
during an online clinical simulation. Australas Emerg Care. 2023;26(1):96-103.
doi:10.…
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psnet.ahrq.gov/node/72474/psn-pdf
January 01, 2021 - Associations of physicians’ prescribing experience, work
hours, and workload with prescription errors.
November 18, 2020
Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work
hours, and workload with prescription errors. J Am Med Inform Assoc. 2021;28(6):1074-1080.
do…
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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/764405/psn-pdf
March 02, 2022 - Evaluation of communication and safety behaviors during
hospital-wide code response simulation.
March 2, 2022
Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-
wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:10.1097/sih.0000000000000575.
htt…
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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/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/41719/psn-pdf
November 27, 2012 - A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety checklists in
surgery.
November 27, 2012
Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety checklists in surgery…
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psnet.ahrq.gov/node/74110/psn-pdf
November 24, 2021 - New problems and iatrogenic events among older adults
in the first 30 days of post-acute rehabilitation.
November 24, 2021
Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of
post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-304. doi:10.3928/19404921-202109…
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psnet.ahrq.gov/node/845632/psn-pdf
March 08, 2023 - Pharmacists reducing medication risk in medical
outpatient clinics: a retrospective study of 18 clinics.
March 8, 2023
Snoswell CL, De Guzman KR, Barras M. Pharmacists reducing medication risk in medical outpatient
clinics: a retrospective study of 18 clinics. Intern Med J. 2023;53(1):95-103. doi:10.1111/imj.15504.…
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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…