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psnet.ahrq.gov/node/867183/psn-pdf
November 20, 2024 - Exploration of factors associated with reported
medication administration errors in North Carolina public
school districts.
November 20, 2024
Best NC, Nichols AO, Pierre-Louis B, et al. Exploration of factors associated with reported medication
administration errors in North Carolina public school districts. J Sch…
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psnet.ahrq.gov/node/851448/psn-pdf
July 19, 2023 - Medication reconciliation for patients after their discharge
from intensive care unit to the hospital ward.
July 19, 2023
Pradeda AM, Pérez MSA, Oliveira CF, et al. Medication reconciliation for patients after their discharge from
intensive care unit to the hospital ward. Farm Hosp. 2023;47(3):121-126. doi:10.1016/…
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psnet.ahrq.gov/node/867228/psn-pdf
December 04, 2024 - Risk factors for wrong-patient medication orders in the
emergency department.
December 4, 2024
Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the
emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103.
https://psnet.ahrq.gov/issue/risk-factor…
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psnet.ahrq.gov/node/74200/psn-pdf
January 01, 2022 - Association of surgeon-patient sex concordance with
postoperative outcomes.
December 22, 2021
Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative
outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339.
https://psnet.ahrq.gov/issue/association-s…
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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/867591/psn-pdf
January 22, 2025 - Biased language in simulated handoffs and clinician
recall and attitudes.
January 22, 2025
Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and
attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172.
https://psnet.ahrq.gov/issue/bias…
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psnet.ahrq.gov/node/837145/psn-pdf
May 18, 2022 - Observational evidence of the prevalence and association
of polypharmacy and drug administration errors in
hospitalized adult patients.
May 18, 2022
Savva G, Papastavrou E, Charalambous A, et al. Observational evidence of the prevalence and
association of polypharmacy and drug administration errors in hospitalized…
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psnet.ahrq.gov/node/73211/psn-pdf
May 05, 2021 - The effectiveness of interruptive prescribing alerts in
ambulatory CPOE to change prescriber behaviour and
improve safety.
May 5, 2021
Cerqueira O, Gill M, Swar B, et al. The effectiveness of interruptive prescribing alerts in ambulatory CPOE
to change prescriber behaviour and improve safety. BMJ Qual Saf. 2021;30…
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psnet.ahrq.gov/node/34651/psn-pdf
March 04, 2011 - Incidence and types of preventable adverse events in
elderly patients: population based review of medical
records.
March 4, 2011
Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population
based review of medical records. BMJ. 2000;320(7237):741-4.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/50746/psn-pdf
December 18, 2019 - The influence of organizational culture, climate and
commitment on speaking up about medical errors.
December 18, 2019
Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on
speaking up about medical errors. J Nurs Manag. 2019;28(1):130-138. doi:10.1111/jonm.12906.
https:…
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psnet.ahrq.gov/node/73484/psn-pdf
July 14, 2021 - The influence of COVID-19 visitation restrictions on
patient experience and safety outcomes: a critical role for
subjective advocates.
July 14, 2021
Silvera GA, Wolf JA, Stanowski A, et al. The influence of COVID-19 visitation restrictions on patient
experience and safety outcomes: a critical role for subjective a…
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psnet.ahrq.gov/node/34888/psn-pdf
March 11, 2019 - "I wish I had seen this test result earlier!": dissatisfaction
with test result management systems in primary care.
March 11, 2019
Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test
result management systems in primary care. Arch Intern Med. 2004;164(20):…
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psnet.ahrq.gov/node/60637/psn-pdf
July 01, 2020 - Impact of a pharmacist-administered deprescribing
intervention on nursing home residents: a randomized
controlled trial.
July 1, 2020
Balsom C, Pittman N, King R, et al. Impact of a pharmacist-administered deprescribing intervention on
nursing home residents: a randomized controlled trial. Int J Clin Pharm. 2020;4…
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psnet.ahrq.gov/node/61122/psn-pdf
January 01, 2022 - Implementing high-reliability organization principles into
practice: a rapid evidence review.
November 11, 2020
Veazie S, Peterson K, Bourne D, et al. Implementing high-reliability organization principles into practice: a
rapid evidence review. J Patient Saf. 2022;18(1):e320-e328. doi:10.1097/pts.0000000000000768.
…
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psnet.ahrq.gov/node/46121/psn-pdf
January 01, 2021 - Quality of handoffs in community pharmacies.
May 10, 2017
Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf.
2021;17(6):405-411. doi:10.1097/PTS.0000000000000382.
https://psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies
Handoffs present a significant patient …
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psnet.ahrq.gov/node/45362/psn-pdf
January 23, 2017 - Capturing essential information to achieve safe
interoperability.
January 23, 2017
Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability.
Anesth Analg. 2017;124(1):83-94.
https://psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability
T…
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psnet.ahrq.gov/node/845636/psn-pdf
March 08, 2023 - The effects of leadership for self-worth, inclusion, trust,
and psychological safety on medical error reporting.
March 8, 2023
Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and
psychological safety on medical error reporting. Health Care Manage Rev. 2023;48(2):…
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psnet.ahrq.gov/node/35551/psn-pdf
June 08, 2010 - Validity of unplanned admission to an intensive care unit
as a measure of patient safety in surgical patients.
June 8, 2010
Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure
of patient safety in surgical patients. Anesthesiology. 2005;103(6):1121-1129.
https…
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psnet.ahrq.gov/node/74754/psn-pdf
February 09, 2022 - Adverse events during intrahospital transport of critically
ill patients: a systematic review and meta-analysis.
February 9, 2022
Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill
patients: A systematic review and meta-analysis. Am J Emerg Med. 2022;52:13-19.
…
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psnet.ahrq.gov/node/73184/psn-pdf
April 28, 2021 - Interprofessional training and communication practices
among clinicians in the postoperative ICU handoff.
April 28, 2021
Massa S, Wu J, Wang C, et al. Interprofessional training and communication practices among clinicians in
the postoperative ICU handoff. Jt Comm J Qual Patient Saf. 2021;47(4):242-249.
doi:10.101…