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psnet.ahrq.gov/node/41804/psn-pdf
October 31, 2012 - Prevention and treatment of bile duct injuries during
laparoscopic cholecystectomy: the clinical practice
guidelines of the European Association for Endoscopic
Surgery (EAES).
October 31, 2012
Eikermann M, Siegel R, Broeders I, et al. Prevention and treatment of bile duct injuries during laparoscopic
cholecystect…
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psnet.ahrq.gov/node/46271/psn-pdf
January 30, 2018 - Debiasing health-related judgments and decision making:
a systematic review.
January 30, 2018
Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review.
Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672.
https://psnet.ahrq.gov/issue/debiasing-health-related-jud…
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psnet.ahrq.gov/node/36769/psn-pdf
June 15, 2011 - Using incident reporting to improve patient safety: a
conceptual model.
June 15, 2011
Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J
Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05.
https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-s…
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psnet.ahrq.gov/node/849608/psn-pdf
May 31, 2023 - Understanding and preventing vaccination errors.
May 31, 2023
Poiraud C, Réthoré L, Bourdon O, et al. Understanding and preventing vaccination errors. Infect Dis Now.
2023;53(2):104641. doi:10.1016/j.idnow.2023.01.001.
https://psnet.ahrq.gov/issue/understanding-and-preventing-vaccination-errors
Vaccine errors can …
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psnet.ahrq.gov/node/46501/psn-pdf
March 20, 2018 - Blind obedience and an unnecessary workup for
hypoglycemia: a teachable moment.
March 20, 2018
Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A
Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.7104.
https://psnet.ahrq.gov/issue/blind…
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psnet.ahrq.gov/node/43726/psn-pdf
September 01, 2016 - Differences of reasons for alert overrides on
contraindicated co-prescriptions by admitting
department.
September 1, 2016
Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co-
prescriptions by Admitting Department. Healthc Inform Res. 2014;20(4):280-7.
doi:10.4258/hir.2…
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psnet.ahrq.gov/node/42488/psn-pdf
August 14, 2013 - Lessons learned from implementation of computerized
provider order entry in 5 community hospitals: a
qualitative study.
August 14, 2013
Simon SR, Keohane CA, Amato MG, et al. Lessons learned from implementation of computerized provider
order entry in 5 community hospitals: a qualitative study. BMC Med Inform Decis…
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psnet.ahrq.gov/node/844800/psn-pdf
September 25, 2019 - Patient Options for Safe and Effective Disposal of Unused
Opioids.
September 25, 2019
Washington, DC: United States Government Accountability Office; September 2019. Publication GAO-19-
650.
https://psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids
One strategy to reduce the potentia…
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www.ahrq.gov/cpi/centers/ockt/kt/tools/attend.html
October 01, 2014 - Who Should Participate?
Quality Diagnostic Tools for States
All State officials and parties with an interest in improving health care quality at the State level are invited to participate. PLEASE NOTE however, that the number of spaces allotted for some of the offerings will be limited.
"We gratefully…
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psnet.ahrq.gov/node/839326/psn-pdf
November 02, 2022 - Safety considerations for challenges when using smart
infusion pumps.
November 2, 2022
ISMP Medication Safety Alert! Acute care edition. October 20, 2022;20(21):1-5.
https://psnet.ahrq.gov/issue/safety-considerations-challenges-when-using-smart-infusion-pumps
Errors due to inadequate information use with intraveno…
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psnet.ahrq.gov/node/46263/psn-pdf
July 12, 2017 - The texting debate: beneficial means of communication or
safety and security risk?
July 12, 2017
ISMP Medication Safety Alert! Acute Care Edition. June 29, 2017;16:1-5.
https://psnet.ahrq.gov/issue/texting-debate-beneficial-means-communication-or-safety-and-security-risk
Adopting new technologies in health care ca…
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psnet.ahrq.gov/node/38650/psn-pdf
May 20, 2009 - Resident duty hour regulation and patient safety:
establishing a balance between concerns about resident
fatigue and adequate training in neurosurgery.
May 20, 2009
Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance
between concerns about resident fatigue and adeq…
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psnet.ahrq.gov/node/47738/psn-pdf
February 06, 2019 - ISMP Guidelines for Safe Electronic Communication of
Medication Information.
February 6, 2019
Horsham, PA: Institute for Safe Medication Practices; January 2019.
https://psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information
Inaccurate or incomplete data in electronic health reco…
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psnet.ahrq.gov/node/47804/psn-pdf
June 12, 2019 - Pediatric faculty knowledge and comfort discussing
diagnostic errors: a pilot survey to understand barriers to
an educational program.
June 12, 2019
Grubenhoff JA, Ziniel SI, Bajaj L, et al. Pediatric faculty knowledge and comfort discussing diagnostic
errors: a pilot survey to understand barriers to an educationa…
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psnet.ahrq.gov/node/74219/psn-pdf
January 01, 2022 - Race as a social construct in psychiatry research and
practice.
December 22, 2021
Bryant BE, Jordan A, Clark US. Race as a social construct in psychiatry research and practice. JAMA
Psych. 2022;79(2):93-94. doi:10.1001/jamapsychiatry.2021.2877.
https://psnet.ahrq.gov/issue/race-social-construct-psychiatry-research…
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psnet.ahrq.gov/node/43858/psn-pdf
February 18, 2015 - Hospital system barriers to rapid response team
activation: a cognitive work analysis.
February 18, 2015
Braaten JS. CE: Original research: hospital system barriers to rapid response team activation: a cognitive
work analysis. Am J Nurs. 2015;115(2):22-32; test 33; 47. doi:10.1097/01.NAJ.0000460672.74447.4a.
https…
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psnet.ahrq.gov/node/50597/psn-pdf
October 30, 2019 - The need for surgical safety checklists in neurosurgery
now and in the future - a systematic review.
October 30, 2019
Westman M, Takala R, Rahi M, et al. The Need for Surgical Safety Checklists in Neurosurgery Now and in
the Future-A Systematic Review. World Neurosurg. 2019. doi:10.1016/j.wneu.2019.09.140.
https:/…
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psnet.ahrq.gov/node/42117/psn-pdf
March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a
systematic review.
March 20, 2013
Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med.
2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007.
https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…
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psnet.ahrq.gov/node/50590/psn-pdf
January 01, 2020 - Patient and family engagement as a potential approach
for improving patient safety: a systematic review.
October 30, 2019
Park M, Giap T-T-T. Patient and family engagement as a potential approach for improving patient safety: A
systematic review. J Adv Nurs. 2020;76(1):62-80. doi:10.1111/jan.14227.
https://psnet.a…
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psnet.ahrq.gov/node/43578/psn-pdf
October 01, 2014 - Some cancer experts see 'overdiagnosis,' question
emphasis on early detection.
October 1, 2014
Linos E, Schroeder SA, Chren M-M. Potential Overdiagnosis of Basal Cell Carcinoma in Older Patients
With Limited Life Expectancy. JAMA. 2014;312(10). doi:10.1001/jama.2014.9655.
https://psnet.ahrq.gov/issue/some-cancer-e…