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psnet.ahrq.gov/node/38070/psn-pdf
March 10, 2011 - Can surveillance systems identify and avert adverse drug
events? A prospective evaluation of a commercial
application.
March 10, 2011
Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A
prospective evaluation of a commercial application. J Am Med Inform Assoc. 20…
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psnet.ahrq.gov/node/38101/psn-pdf
December 17, 2009 - The unintended consequences of computerized provider
order entry: findings from a mixed methods exploration.
December 17, 2009
Ash JS, Sittig DF, Dykstra RH, et al. The unintended consequences of computerized provider order entry:
Findings from a mixed methods exploration. Int J Med Inform. 2008;78. doi:10.1016/j.i…
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psnet.ahrq.gov/node/45886/psn-pdf
July 05, 2017 - Organizational perspectives of nurse executives in 15
hospitals on the impact and effectiveness of rapid
response teams.
July 5, 2017
Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact
and Effectiveness of Rapid Response Teams. Jt Comm J Qual Patient Saf. 2017;43(6…
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psnet.ahrq.gov/node/47898/psn-pdf
January 01, 2020 - Capturing patients' perspectives on medication safety:
the development of a patient-centered medication safety
framework.
May 8, 2019
Giles SJ, Lewis PJ, Phipps D, et al. Capturing Patients' Perspectives on Medication Safety: The
Development of a Patient-Centered Medication Safety Framework. J Patient Saf. 2020;16…
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psnet.ahrq.gov/node/47181/psn-pdf
August 22, 2018 - Critical role of the surgeon–anesthesiologist relationship
for patient safety.
August 22, 2018
Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology.
2018;129(3):402-405. doi:10.1097/ALN.0000000000002324.
https://psnet.ahrq.gov/issue/critical-role-surgeon-anesthes…
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psnet.ahrq.gov/node/43797/psn-pdf
January 07, 2015 - Building a community engagement approach for patient
safety improvement.
January 7, 2015
Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety
improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044.
https://psnet.ahrq.gov/issue/building-community-engagement-appro…
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psnet.ahrq.gov/node/45485/psn-pdf
July 01, 2017 - Psychological responses, coping and supporting needs
of healthcare professionals as second victims.
July 1, 2017
Chan ST, Khong PCB, Wang W. Psychological responses, coping and supporting needs of healthcare
professionals as second victims. Intern Nurs Rev. 2017;64(2):242-262. doi:10.1111/inr.12317.
https://psnet.…
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psnet.ahrq.gov/node/46016/psn-pdf
May 09, 2017 - Resident duty hours and medical education
policy—raising the evidence bar.
May 9, 2017
Asch DA, Bilimoria KY, Desai S. Resident Duty Hours and Medical Education Policy - Raising the Evidence
Bar. N Engl J Med. 2017;376(18):1704-1706. doi:10.1056/NEJMp1703690.
https://psnet.ahrq.gov/issue/resident-duty-hours-and-me…
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psnet.ahrq.gov/node/46216/psn-pdf
July 12, 2017 - Physician satisfaction with transition from CPOE to
paper-based prescription.
July 12, 2017
Griffon N, Schuers M, Joulakian M, et al. Physician satisfaction with transition from CPOE to paper-based
prescription. Int J Med Inform. 2017;103:42-48. doi:10.1016/j.ijmedinf.2017.04.007.
https://psnet.ahrq.gov/issue/phys…
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psnet.ahrq.gov/node/45941/psn-pdf
March 08, 2017 - Medication errors associated with transition from insulin
pens to insulin vials.
March 8, 2017
Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin
vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726.
https://psnet.ahrq.gov/issue/medication-er…
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psnet.ahrq.gov/node/44402/psn-pdf
January 22, 2016 - "Mr Smith's been our problem child today...": anticipatory
management communication (AMC) in VA end-of-shift
medicine and nursing handoffs.
January 22, 2016
Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory
management communication (AMC) in VA end-of-shift medicin…
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psnet.ahrq.gov/node/46563/psn-pdf
February 07, 2018 - Near-miss medication errors provide a wake-up call.
February 7, 2018
Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55.
doi:10.1097/01.NURSE.0000527615.45031.9e.
https://psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
Case studies of adverse events a…
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psnet.ahrq.gov/node/47222/psn-pdf
October 03, 2018 - Decision support tools, systems, and artificial intelligence
in cardiac imaging.
October 3, 2018
Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in
Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04.032.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/39270/psn-pdf
February 03, 2010 - Organization-wide adoption of computerized provider
order entry systems: a study based on diffusion of
innovations theory.
February 3, 2010
Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry
systems: a study based on diffusion of innovations theory. BMC Med Info…
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psnet.ahrq.gov/node/73356/psn-pdf
June 02, 2021 - Testing and Labeling Medical Devices for Safety in the
Magnetic Resonance (MR) Environment.
June 2, 2021
Silver Spring, MD: US Department of Health and Human Services, Food and Drug Administration, Center
for Devices and Radiological Health. May 20, 2021.
https://psnet.ahrq.gov/issue/testing-and-labeling-medical-d…
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psnet.ahrq.gov/node/39138/psn-pdf
May 13, 2024 - MHA Keystone Center for Patient Safety and Quality.
May 13, 2024
Michigan Health and Hospital Association.
https://psnet.ahrq.gov/issue/mha-keystone-center-patient-safety-and-quality
The Michigan Health and Hospital Association's Keystone Center has directed some of the most successful
patient safety projec…
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psnet.ahrq.gov/node/50585/psn-pdf
October 30, 2019 - Introducing the New SOPS Hospital Survey 2.0.
October 30, 2019
Agency for Healthcare Research and Quality. October 30, 2019.
https://psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture
This webinar recording provides information on the updated Hospital Survey on Patient Safety Culture™
(SOPS™) 2.0.…
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psnet.ahrq.gov/node/43385/psn-pdf
August 06, 2014 - Medicines management support to older people:
understanding the context of systems failure.
August 6, 2014
Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of
systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-005302.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/867748/psn-pdf
March 12, 2025 - Adverse events involving telehealth in the Veterans
Health Administration.
March 12, 2025
Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration.
Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002.
https://psnet.ahrq.gov/issue/adverse-even…
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psnet.ahrq.gov/node/47235/psn-pdf
July 11, 2018 - Safety, performance, and satisfaction outcomes in the
operating room: a literature review.
July 11, 2018
Joseph A, Bayramzadeh S, Zamani Z, et al. Safety, Performance, and Satisfaction Outcomes in the
Operating Room: A Literature Review. HERD. 2018;11(2):137-150. doi:10.1177/1937586717705107.
https://psnet.ahrq.go…