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psnet.ahrq.gov/node/44619/psn-pdf
November 04, 2015 - Seeing through Google Glass: using an innovative
technology to improve medication safety behaviors in
undergraduate nursing students.
November 4, 2015
Schneidereith T. Seeing Through Google Glass: Using an Innovative Technology to Improve Medication
Safety Behaviors in Undergraduate Nursing Students. Nurs Educ Per…
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psnet.ahrq.gov/node/837432/psn-pdf
June 15, 2022 - Adopt strategies to manage look-alike and/or sound-alike
medication name mix-ups.
June 15, 2022
ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4.
https://psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-
ups
Minimizing look-alike/sound-alike me…
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psnet.ahrq.gov/node/50799/psn-pdf
January 15, 2020 - The role of organizational and professional cultures in
medication safety: a scoping review of the literature.
January 15, 2020
Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety:
a scoping review of the literature. Int J Health Care Qual. 2019;31(10):g146-g…
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psnet.ahrq.gov/node/37346/psn-pdf
March 28, 2012 - Medication administration discrepancies persist despite
electronic ordering.
March 28, 2012
FitzHenry F, Peterson JF, Arrieta M, et al. Medication Administration Discrepancies Persist Despite
Electronic Ordering. J Am Med Inform Assoc. 2007;14(6):756-764. doi:10.1197/jamia.m2359.
https://psnet.ahrq.gov/issue/medic…
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psnet.ahrq.gov/node/38033/psn-pdf
September 24, 2010 - Implementing online medication reconciliation at a large
academic medical center.
September 24, 2010
Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical
center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508.
https://psnet.ahrq.gov/issue/implementing-online-m…
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psnet.ahrq.gov/node/867689/psn-pdf
March 05, 2025 - Medication administration in aged care facilities: a mixed-
methods systematic review.
March 5, 2025
Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed?methods
systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318.
https://psnet.ahrq.gov/issue/medication-a…
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psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time
May 19, 2021 - Study
Increased patient safety-related incidents following the transition into Daylight Savings Time.
Citation Text:
Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):…
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psnet.ahrq.gov/issue/integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis
October 19, 2022 - Review
Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research.
Citation Text:
Miller A, Moon B, Anders S, et al. Integrating computerized clinical decision support systems into clinical work: A meta-synthesis of qualitative…
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psnet.ahrq.gov/issue/perceived-value-ward-based-pharmacists-perspective-physicians-and-nurses
February 15, 2011 - Study
Perceived value of ward-based pharmacists from the perspective of physicians and nurses.
Citation Text:
Gillespie U, Mörlin C, Hammarlund-Udenaes M, et al. Perceived value of ward-based pharmacists from the perspective of physicians and nurses. Int J Clin Pharm. 2012;34(1):127-35…
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psnet.ahrq.gov/issue/predicting-computerized-physician-order-entry-system-adoption-us-hospitals-can-federal
October 06, 2011 - Study
Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met?
Citation Text:
Ford EW, McAlearney AS, Phillips MT, et al. Predicting computerized physician order entry system adoption in US hospitals: Can the federal mandate be met?…
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psnet.ahrq.gov/issue/safety-surgical-telehealth-outpatient-and-inpatient-setting
September 13, 2023 - Review
Safety of surgical telehealth in the outpatient and inpatient setting.
Citation Text:
Purnell S, Zheng F. Safety of Surgical Telehealth in the Outpatient and Inpatient Setting. Surg Clin North Am. 2020;101(1):109-119. doi:10.1016/j.suc.2020.09.003.
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psnet.ahrq.gov/issue/preventing-potentially-inappropriate-medication-use-hospitalized-older-patients-computerized
November 16, 2022 - Study
Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.
Citation Text:
Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in hospitalized older patients wi…
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psnet.ahrq.gov/issue/future-artificial-intelligence-applications-cancer-care-global-cross-sectional-survey
April 27, 2022 - Study
Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers.
Citation Text:
Cabral BP, Braga LAM, Syed-Abdul S, et al. Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. Cu…
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
November 01, 2006 - Nicole Werner, PhD
November 16, 2022
Systemic defenses to prevent intravenous medication … errors in hospitals: a systematic review.
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psnet.ahrq.gov/node/36386/psn-pdf
July 14, 2010 - Learning from different lenses: reports of medical errors
in primary care by clinicians, staff, and patients: a project
of the American Academy of Family Physicians National
Research Network.
July 14, 2010
Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: Reports of Medical Errors in
Primary…
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psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
March 29, 2007 - health care information technology implementation, problems such as hospital-acquired infections and medication … errors persist.
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psnet.ahrq.gov/node/47341/psn-pdf
August 29, 2018 - AORN Position Statement on Criminalization of Human
Errors in the Perioperative Setting.
August 29, 2018
AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. AORN J.
2018;108(1):64-65. doi:10.1002/aorn.12292.
https://psnet.ahrq.gov/issue/aorn-position-statement-criminalization-h…
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psnet.ahrq.gov/node/73253/psn-pdf
May 12, 2021 - Any new process poses a risk for errors: learning from 4
months of Coronavirus disease 2019 (COVID-19)
vaccinations.
May 12, 2021
ISMP Medication Safety Alert! Acute Care Edition. April 22, 2021.26(8):1-5.
https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease-
2019-c…
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psnet.ahrq.gov/issue/understanding-and-confronting-our-mistakes-epidemiology-error-radiology-and-strategies-error
February 02, 2022 - February 2, 2022
Medication error in the care of HIV/AIDS patients: electronic surveillance
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psnet.ahrq.gov/issue/we-need-talk-primary-care-provider-communication-discharge-era-shared-electronic-medical
October 13, 2018 - March 25, 2017
WebM&M Cases
Refused Medication Error