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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/72763/psn-pdf
February 17, 2021 - Apotex Corp. issues voluntary nationwide recall of
Enoxaparin Sodium Injection, USP due to mislabeling of
syringe barrel measurement markings.
February 17, 2021
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 3. 2021.
https://psnet.ahrq.gov/issue/apotex-corp-issues…
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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/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/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/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/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/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/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/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/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/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/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/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/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/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/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/48035/psn-pdf
May 29, 2019 - Is the future of medical diagnosis in computer
algorithms?
May 29, 2019
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-
e16. doi:10.1016/s2589-7500(19)30011-1.
https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
Artificial intelligence…
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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…