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psnet.ahrq.gov/node/853234/psn-pdf
September 06, 2023 - Perceptions and attitudes of pediatricians and families
with regard to pediatric medication errors at home.
September 6, 2023
de Dios JG, Lopez-Pineda A, Juan GM-P, et al. Perceptions and attitudes of pediatricians and families with
regard to pediatric medication errors at home. BMC Pediatr. 2023;23(1):380. doi:10.…
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psnet.ahrq.gov/node/43782/psn-pdf
September 28, 2016 - The use of technology for urgent clinician to clinician
communications: a systematic review of the literature.
September 28, 2016
Nguyen C, McElroy LM, Abecassis MM, et al. The use of technology for urgent clinician to clinician
communications: a systematic review of the literature. Int J Med Inform. 2015;84(2):101…
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psnet.ahrq.gov/node/35524/psn-pdf
October 06, 2016 - Does patient-centered design guarantee patient safety?:
Using human factors engineering to find a balance
between provider and patient needs.
October 6, 2016
France DJ, Throop P, Walczyk B, et al. Does Patient-Centered Design Guarantee Patient Safety? J Patient
Saf. 2008;1(3):145-153. doi:10.1097/01.jps.0000191550…
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psnet.ahrq.gov/node/73314/psn-pdf
May 26, 2021 - An evidence-based tool (PE for PS) for healthcare
managers to assess patient engagement for patient safety
in healthcare organizations.
May 26, 2021
Aho-Glele U, Pomey M-P, Gomes de Sousa MR, et al. An evidence-based tool (PE for PS) for healthcare
managers to assess patient engagement for patient safety in health…
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psnet.ahrq.gov/node/44035/psn-pdf
May 06, 2015 - Insulin pump risks and benefits: a clinical appraisal of
pump safety standards, adverse event reporting, and
research needs: a joint statement of the European
Association for the Study of Diabetes and the American
Diabetes Association Diabetes Technology Working
Group.
May 6, 2015
Heinemann L, Fleming A, Petrie …
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psnet.ahrq.gov/node/42208/psn-pdf
April 17, 2013 - Hospital staff nurses' shift length associated with safety
and quality of care.
April 17, 2013
Stimpfel AW, Aiken LH. Hospital staff nurses' shift length associated with safety and quality of care. J Nurs
Care Qual. 2013;28(2):122-129. doi:10.1097/NCQ.0b013e3182725f09.
https://psnet.ahrq.gov/issue/hospital-staff-n…
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psnet.ahrq.gov/node/48123/psn-pdf
August 28, 2019 - Hidden health IT hazards: a qualitative analysis of
clinically meaningful documentation discrepancies at
transfer out of the pediatric intensive care unit.
August 28, 2019
Orenstein EW, Ferro DF, Bonafide CP, et al. JAMIA Open. 2019;2(3):392-398.
https://psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-an…
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psnet.ahrq.gov/node/41497/psn-pdf
April 05, 2013 - Avoiding handover fumbles: a controlled trial of a
structured handover tool versus traditional handover
methods.
April 5, 2013
Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover
tool versus traditional handover methods. BMJ Qual Saf. 2012;21(11):925-32. doi:1…
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psnet.ahrq.gov/node/37942/psn-pdf
May 04, 2014 - Improving handoff communications in critical care:
utilizing simulation-based training toward process
improvement in managing patient risk.
May 4, 2014
Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing
simulation-based training toward process improvement in managi…
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psnet.ahrq.gov/node/41611/psn-pdf
November 23, 2012 - Self-reported uptake of recommendations after
dissemination of medication incident alerts.
November 23, 2012
Cheung K-C, Wensing M, Bouvy ML, et al. Self-reported uptake of recommendations after dissemination of
medication incident alerts. BMJ Qual Saf. 2012;21(12):1009-18. doi:10.1136/bmjqs-2012-000828.
https://p…
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psnet.ahrq.gov/node/47153/psn-pdf
October 12, 2018 - Clinicians' perceptions of medication errors with opioids
in cancer and palliative care services: a priority setting
report.
October 12, 2018
Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and
palliative care services: a priority setting report. Support Care Ca…
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psnet.ahrq.gov/node/61113/psn-pdf
January 01, 2021 - Do falls and other safety issues occur more often during
handovers when nurses are away from patients? Findings
from a retrospective study design.
November 11, 2020
Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers
when nurses are away from patients? Finding…
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psnet.ahrq.gov/node/73197/psn-pdf
April 28, 2021 - Medical Office Survey: 2020 User Database Report.
April 28, 2021
Famolaro T, Hare R, Thornton S, et al. Surveys on Patient Safety CultureTM (SOPSTM). Rockville,
MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0034.
https://psnet.ahrq.gov/issue/medical-office-survey-2020-user…
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psnet.ahrq.gov/node/47303/psn-pdf
March 18, 2019 - Transforming concepts in patient safety: a progress
report.
March 18, 2019
Gandhi TK, Kaplan GS, Leape L, et al. Transforming concepts in patient safety: a progress report. BMJ
Qual Saf. 2018;27(12):1019-1026. doi:10.1136/bmjqs-2017-007756.
https://psnet.ahrq.gov/issue/transforming-concepts-patient-safety-progress…
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psnet.ahrq.gov/node/47014/psn-pdf
July 02, 2019 - Multisource evaluation of surgeon behavior is associated
with malpractice claims.
July 2, 2019
Lagoo J, Berry WR, Miller K, et al. Multisource Evaluation of Surgeon Behavior Is Associated With
Malpractice Claims. Ann Surg. 2019;270(1):84-90. doi:10.1097/SLA.0000000000002742.
https://psnet.ahrq.gov/issue/multisourc…
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psnet.ahrq.gov/node/38863/psn-pdf
August 12, 2009 - Use of strategies from high-reliability organisations to the
patient hand-off by resident physicians: practical
implications.
August 12, 2009
Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident
physicians: practical implications. Qual Saf Health Care. 2009;18(4):2…
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psnet.ahrq.gov/node/44648/psn-pdf
February 14, 2017 - Rising drug allergy alert overrides in electronic health
records: an observational retrospective study of a decade
of experience.
February 14, 2017
Topaz M, Seger DL, Slight SP, et al. Rising drug allergy alert overrides in electronic health records: an
observational retrospective study of a decade of experience. …
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psnet.ahrq.gov/node/41119/psn-pdf
July 03, 2016 - How can we make diagnosis safer?
July 3, 2016
Schiff G, Leape L. Commentary: how can we make diagnosis safer? Acad Med. 2012;87(2):135-138.
doi:10.1097/ACM.0b013e31823f711c.
https://psnet.ahrq.gov/issue/how-can-we-make-diagnosis-safer
Autopsy studies spanning five decades consistently show an error rate of almost …
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psnet.ahrq.gov/node/42040/psn-pdf
September 28, 2016 - The intended and unintended consequences of
communication systems on general internal medicine
inpatient care delivery: a prospective observational case
study of five teaching hospitals.
September 28, 2016
Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communication systems on
general in…
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psnet.ahrq.gov/node/41404/psn-pdf
December 31, 2014 - Effects of an online personal health record on medication
accuracy and safety: a cluster-randomized trial.
December 31, 2014
Schnipper JL, Gandhi TK, Wald JS, et al. Effects of an online personal health record on medication
accuracy and safety: a cluster-randomized trial. J Am Med Inform Assoc. 2012;19(5):728-34.
…