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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…
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psnet.ahrq.gov/node/44320/psn-pdf
October 28, 2015 - Interventions for reducing medication errors in children in
hospital.
October 28, 2015
Maaskant JM, Vermeulen H, Apampa B, et al. Interventions for reducing medication errors in children in
hospital. Cochrane Database Syst Rev. 2015;(3):CD006208. doi:10.1002/14651858.CD006208.pub3.
https://psnet.ahrq.gov/issue/int…
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psnet.ahrq.gov/node/41959/psn-pdf
January 16, 2013 - Use of FMEA analysis to reduce risk of errors in
prescribing and administering drugs in paediatric wards:
a quality improvement report.
January 16, 2013
Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and
administering drugs in paediatric wards: a quality improv…
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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/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/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/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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integrationacademy.ahrq.gov/sites/default/files/2025-04/AHRQ_Integration_Academy_Overview-508.pdf
January 01, 2025 - JAMA pediatrics. 2015 Oct 1;169(10):929-37. https://doi.org/10.1001/jamapediatrics.2015.1141.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-slides.html
February 01, 2017 - Improved outcomes across diverse community and tertiary ICUs: medical, surgical, trauma, burn, and pediatrics
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-slides.pptx
January 01, 2017 - Improved outcomes across diverse community and tertiary ICUs: medical, surgical, trauma, burn, and pediatrics
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief1-snapshot-of-us-health-systems-2016.pdf
January 01, 2016 - specialties: adolescent medicine, family medicine,
geriatrics, general practice, internal medicine, or pediatrics
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - Ulfat Shaikh, MD, MPH, FAAP Associate Editor, AHRQ’s Patient Safety Network (PSNet) Professor of Pediatrics