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psnet.ahrq.gov/node/46749/psn-pdf
April 04, 2018 - Toolkit for Improving Perinatal Safety.
April 4, 2018
Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from
comprehensive unit-based safe…
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psnet.ahrq.gov/node/851918/psn-pdf
August 02, 2023 - Racism in health services for adolescents: a scoping
review.
August 2, 2023
Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J
Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560.
https://psnet.ahrq.gov/issue/racism-health…
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psnet.ahrq.gov/node/865584/psn-pdf
April 17, 2024 - Clinical reasoning of a generative artificial intelligence
model compared with physicians.
April 17, 2024
Cabral S, Restrepo D, Kanjee Z, et al. Clinical reasoning of a generative artificial intelligence model
compared with physicians. JAMA Intern Med. 2024;184(5):581-583.
doi:10.1001/jamainternmed.2024.0295.
htt…
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psnet.ahrq.gov/node/72481/psn-pdf
November 18, 2020 - Computer-based simulation to reduce EHR-related
chemotherapy ordering errors.
November 18, 2020
Wyatt KD, Freedman EB, Arteaga GM, et al. Computer?based simulation to reduce EHR?related
chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496.
https://psnet.ahrq.gov/issue/computer-base…
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psnet.ahrq.gov/node/46050/psn-pdf
August 03, 2017 - Video analysis of factors associated with response time
to physiologic monitor alarms in a children's hospital.
August 3, 2017
Bonafide CP, Localio R, Holmes JH, et al. Video Analysis of Factors Associated With Response Time to
Physiologic Monitor Alarms in a Children's Hospital. JAMA Pediatr. 2017;171(6):524-531.
…
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psnet.ahrq.gov/node/46038/psn-pdf
July 05, 2017 - Significant and sustained reduction in chemotherapy
errors through improvement science.
July 5, 2017
Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through
improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.2017.020842.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/856633/psn-pdf
January 01, 2024 - Digital health intervention on patient safety for children
and parents: a scoping review.
November 29, 2023
Park J, Jeon H, Choi EK. Digital health intervention on patient safety for children and parents: a scoping
review. J Adv Nurs. 2024;80(5):1750-1760. doi:10.1111/jan.15954.
https://psnet.ahrq.gov/issue/digita…
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psnet.ahrq.gov/node/42048/psn-pdf
July 01, 2013 - Striving for a zero-error patient surgical journey through
adoption of aviation-style challenge and response flow
checklists: a quality improvement project.
July 1, 2013
Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption
of aviation-style challenge and respon…
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psnet.ahrq.gov/node/40099/psn-pdf
December 22, 2010 - Medication reconciliation during internal hospital transfer
and impact of computerized prescriber order entry.
December 22, 2010
Lee JY, Leblanc K, Fernandes O, et al. Medication reconciliation during internal hospital transfer and
impact of computerized prescriber order entry. Ann Pharmacother. 2010;44(12):1887-95…
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psnet.ahrq.gov/node/866171/psn-pdf
June 19, 2024 - Keeping Children and Young People with Mental Health
Needs Safe: the Design of the Paediatric Ward.
June 19, 2024
Dorset, UK: Health Services Safety Investigations Body; May 2024
https://psnet.ahrq.gov/issue/keeping-children-and-young-people-mental-health-needs-safe-design-
paediatric-ward
Acute mental health car…
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psnet.ahrq.gov/node/39485/psn-pdf
November 23, 2016 - A human factors and survey methodology-based design
of a web-based adverse event reporting system for
families.
November 23, 2016
Daniels JP, King AD, Cochrane D, et al. A human factors and survey methodology-based design of a web-
based adverse event reporting system for families. Int J Med Inform. 2010;79(5):339…
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psnet.ahrq.gov/node/74710/psn-pdf
January 26, 2022 - The evolution of the Anesthesia Patient Safety Movement
in America: lessons learned and considerations to
promote further improvement in patient safety.
January 26, 2022
Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons
learned and considerations to promote further i…
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psnet.ahrq.gov/node/44548/psn-pdf
November 20, 2015 - Safety-II and resilience: the way ahead in patient safety in
anaesthesiology.
November 20, 2015
Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin
Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252.
https://psnet.ahrq.gov/issue/safety-ii-and-resilience…
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psnet.ahrq.gov/node/45688/psn-pdf
February 08, 2017 - Carers' medication administration errors in the
domiciliary setting: a systematic review.
February 8, 2017
Parand A, Garfield S, Vincent CA, et al. Carers' Medication Administration Errors in the Domiciliary Setting:
A Systematic Review. PLoS One. 2016;11(12):e0167204. doi:10.1371/journal.pone.0167204.
https://psn…
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psnet.ahrq.gov/node/41853/psn-pdf
October 08, 2013 - Reported medication events in a paediatric emergency
research network: sharing to improve patient safety.
October 8, 2013
Shaw KN, Lillis KA, Ruddy RM, et al. Reported medication events in a paediatric emergency research
network: sharing to improve patient safety. Emerg Med J. 2013;30(10):815-9. doi:10.1136/emermed…
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psnet.ahrq.gov/node/837146/psn-pdf
May 18, 2022 - Applying requisite imagination to safeguard electronic
health record transitions.
May 18, 2022
Sittig DF, Lakhani P, Singh H. Applying requisite imagination to safeguard electronic health record
transitions. J Am Med Inform Assoc. 2022;29(5):1014-1018. doi:10.1093/jamia/ocab291.
https://psnet.ahrq.gov/issue/applyi…
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psnet.ahrq.gov/node/866073/psn-pdf
June 05, 2024 - Improving communication of diagnostic uncertainty to
families of hospitalized children.
June 5, 2024
Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of
hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/860391/psn-pdf
January 10, 2024 - Neonatal near-miss audits: a systematic review and a call
to action.
January 10, 2024
Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to
action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6.
https://psnet.ahrq.gov/issue/neonatal-near-miss-audits-sys…
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psnet.ahrq.gov/node/47800/psn-pdf
June 26, 2019 - Error and Uncertainty in Diagnostic Radiology.
June 26, 2019
Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395.
https://psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to
uncer…
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psnet.ahrq.gov/node/865587/psn-pdf
April 17, 2024 - Bad behavior in healthcare: an insidious threat to
patients, staff, and organizations.
April 17, 2024
Crowe L, Riley CM. Bad behavior in healthcare: an insidious threat to patients, staff, and organizations.
Curr Opin Cardiol. 2024;39(4):331-337. doi:10.1097/hco.0000000000001139.
https://psnet.ahrq.gov/issue/bad-b…