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psnet.ahrq.gov/node/44791/psn-pdf
January 13, 2016 - FDA Drug Safety Communication: FDA cautions about
dosing errors when switching between different oral
formulations of antifungal Noxafil (posaconazole); label
changes approved.
January 13, 2016
US Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosi…
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psnet.ahrq.gov/node/47950/psn-pdf
August 21, 2019 - Safety of care by caregivers of cancer patients.
August 21, 2019
Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379.
doi:10.1016/j.soncn.2019.06.011.
https://psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
Cancer patients often rely on family members or paid…
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psnet.ahrq.gov/node/47274/psn-pdf
November 21, 2018 - Developing a hospital-wide quality and safety dashboard:
a qualitative research study.
November 21, 2018
Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety
dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. doi:10.1136/bmjqs-2018-
007784.
…
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psnet.ahrq.gov/node/45422/psn-pdf
October 12, 2016 - Maths anxiety and medication dosage calculation errors:
a scoping review.
October 12, 2016
Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse
Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005.
https://psnet.ahrq.gov/issue/maths-anxiety-and-medication-dosag…
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psnet.ahrq.gov/node/36999/psn-pdf
September 15, 2011 - The nature and occurrence of registration errors in the
emergency department.
September 15, 2011
Hakimzada AF, Green RA, Sayan OR, et al. The nature and occurrence of registration errors in the
emergency department. Int J Med Inform. 2007;77(3). doi:10.1016/j.ijmedinf.2007.04.011.
https://psnet.ahrq.gov/issue/natu…
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psnet.ahrq.gov/node/866441/psn-pdf
August 07, 2024 - Association of patient photographs and reduced retract-
and-reorder events.
August 7, 2024
Rzewnicki D, Kanvinde A, Gillespie S, et al. Association of patient photographs and reduced retract-and-
reorder events. JAMIA Open. 2024;7(3):ooae042. doi:10.1093/jamiaopen/ooae042.
https://psnet.ahrq.gov/issue/association-…
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psnet.ahrq.gov/node/46686/psn-pdf
January 31, 2018 - Case not closed: prescription errors 12 years after
computerized physician order entry implementation.
January 31, 2018
Kadmon G, Pinchover M, Weissbach A, et al. Case Not Closed: Prescription Errors 12 Years after
Computerized Physician Order Entry Implementation. J Pediatr. 2017;190:236-240.e2.
doi:10.1016/j.jpe…
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psnet.ahrq.gov/node/45912/psn-pdf
May 09, 2017 - Medication reconciliation failures in children and young
adults with chronic disease during intensive and
intermediate care.
May 9, 2017
DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults
with chronic disease during intensive and intermediate care. Pediatr Cr…
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psnet.ahrq.gov/node/36046/psn-pdf
June 21, 2006 - The Future of Emergency Care in the United States Health
System.
June 21, 2006
Institute of Medicine. Washington DC; National Academies Press: 2007.
https://psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
In September 2003, an Institute of Medicine (IOM) committee began a detailed examinatio…
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psnet.ahrq.gov/node/45522/psn-pdf
January 01, 2020 - Is communication improved with the implementation of an
obstetrical version of the World Health Organization safe
surgery checklist?
November 9, 2016
Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of
an Obstetrical Version of the World Health Organization Safe Sur…
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psnet.ahrq.gov/node/47660/psn-pdf
January 27, 2019 - Improving electronic health record usability and safety
requires transparency.
January 27, 2019
Ratwani RM, Hodgkins M, Bates DW. Improving Electronic Health Record Usability and Safety Requires
Transparency. JAMA. 2018;320(24):2533-2534. doi:10.1001/jama.2018.14079.
https://psnet.ahrq.gov/issue/improving-electron…
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psnet.ahrq.gov/node/46922/psn-pdf
January 01, 2019 - Reducing interdisciplinary communication failures
through secure text messaging: a quality improvement
project.
March 21, 2018
Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure
Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/pq9.0000000000000053.
https://ps…
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psnet.ahrq.gov/node/865808/psn-pdf
May 08, 2024 - Comparative evaluation of LLMs in clinical oncology.
May 8, 2024
Rydzewski NR, Dinakaran D, Zhao SG, et al. Comparative evaluation of LLMs in clinical oncology. NEJM
AI. 2024;1(5):AIoa2300151. doi:10.1056/aioa2300151.
https://psnet.ahrq.gov/issue/comparative-evaluation-llms-clinical-oncology
Large language models …
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digital.ahrq.gov/location/usa-wi-milwaukee
January 01, 2023 - USA, WI, Milwaukee
Perception and Use of a Patient Care Window to Improve Care and Family Engagement
Description
This project evaluated the use of an in-room interactive monitor to improve patient-centered care and family engagement within a pediatric intensive care unit.
…
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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/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…