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psnet.ahrq.gov/node/73062/psn-pdf
January 01, 2022 - Description of the role of pharmacist independent double
checks during cognitive order verification of outpatient
parenteral anti-cancer therapy.
March 25, 2021
Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double
checks during cognitive order verification of outpatient …
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psnet.ahrq.gov/node/846760/psn-pdf
March 29, 2023 - Electronic health record-based prediction models for in-
hospital adverse drug event diagnosis or prognosis: a
systematic review.
March 29, 2023
Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction
models for in-hospital adverse drug event diagnosis or prognosis: a syst…
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psnet.ahrq.gov/node/72823/psn-pdf
March 10, 2021 - Care coordination strategies and barriers during
medication safety incidents: a qualitative, cognitive task
analysis.
March 10, 2021
Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during
medication safety incidents: a qualitative, cognitive task analysis. J Gen Intern Med.…
-
psnet.ahrq.gov/node/867388/psn-pdf
December 18, 2024 - Secure messaging use and wrong-patient ordering errors
among inpatient clinicians.
December 18, 2024
Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient
clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47797.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/38436/psn-pdf
February 25, 2009 - The effectiveness of inking needle core prostate biopsies
for preventing patient specimen identification errors: a
technique to address Joint Commission patient safety
goals in specialty laboratories.
February 25, 2009
Raff LJ, Engel G, Beck KR, et al. The effectiveness of inking needle core prostate biopsies for …
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psnet.ahrq.gov/node/43595/psn-pdf
November 19, 2014 - Patient safety in external beam radiotherapy—guidelines
on risk assessment and analysis of adverse error-events
and near misses: introducing the ACCIRAD project.
November 19, 2014
Malicki J, Bly R, Bulot M, et al. Patient safety in external beam radiotherapy - guidelines on risk
assessment and analysis of adverse …
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psnet.ahrq.gov/node/38690/psn-pdf
April 07, 2010 - Are verbal orders a threat to patient safety?
April 7, 2010
Wakefield DS, Wakefield BJ. Are verbal orders a threat to patient safety? Qual Saf Health Care.
2009;18(3):165-168. doi:10.1136/qshc.2009.034041.
https://psnet.ahrq.gov/issue/are-verbal-orders-threat-patient-safety
Verbal orders (VOs) are often complex co…
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psnet.ahrq.gov/node/46561/psn-pdf
November 22, 2017 - Working with influenza-like illness: presenteeism among
US health care personnel during the 2014–2015 influenza
season.
November 22, 2017
Chiu S, Black CL, Yue X, et al. Working with influenza-like illness: Presenteeism among US health care
personnel during the 2014-2015 influenza season. Am J Infect Control. 2017…
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psnet.ahrq.gov/node/74720/psn-pdf
February 02, 2022 - Improving medical residents’ self-assessment of their
diagnostic accuracy: does feedback help?
February 2, 2022
Kuhn J, van den Berg P, Mamede S, et al. Improving medical residents’ self-assessment of their diagnostic
accuracy: does feedback help? Adv Health Sci Edu. 2022;27(1):189-200. doi:10.1007/s10459-021-10080…
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psnet.ahrq.gov/node/858172/psn-pdf
January 01, 2024 - Quality and reporting of large-scale improvement
programmes: a review of maternity initiatives in the
English NHS, 2010–2023.
December 13, 2023
McGowan JE, Attal B, Kuhn I, et al. Quality and reporting of large-scale improvement programmes: a
review of maternity initiatives in the English NHS, 2010–2023. BMJ Qual …
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psnet.ahrq.gov/node/47083/psn-pdf
June 21, 2018 - Accuracy of skin cancer diagnosis by physician
assistants compared with dermatologists in a large health
care system.
June 21, 2018
Anderson AM, Matsumoto M, Saul MI, et al. Accuracy of Skin Cancer Diagnosis by Physician Assistants
Compared With Dermatologists in a Large Health Care System. JAMA Dermatol. 2018;154…
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psnet.ahrq.gov/node/73571/psn-pdf
August 04, 2021 - "My whole room went into chaos because of that thing in
the corner": unintended consequences of a central fetal
monitoring system.
August 4, 2021
Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the
corner”: unintended consequences of a central fetal monitoring system…
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psnet.ahrq.gov/node/45340/psn-pdf
August 17, 2016 - To the point: integrating patient safety education Into the
obstetrics and gynecology undergraduate curriculum.
August 17, 2016
Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the
Obstetrics and Gynecology Undergraduate Curriculum. J Patient Saf. 2016;16(1):e39-e…
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psnet.ahrq.gov/node/35570/psn-pdf
May 27, 2011 - Unexpected increased mortality after implementation of a
commercially sold computerized physician order entry
system.
May 27, 2011
Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a
commercially sold computerized physician order entry system. Pediatrics. 2005;116(…
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psnet.ahrq.gov/node/47608/psn-pdf
March 20, 2019 - Use of a public health law framework to improve
medication safety by anesthesia providers.
March 20, 2019
Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J
Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/2516043518825383.
https://psnet.ahrq.gov/issue/us…
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psnet.ahrq.gov/node/43085/psn-pdf
March 26, 2014 - A prospective study to evaluate awareness about
medication errors amongst health-care personnel
representing North, East, West Regions of India.
March 26, 2014
Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors
amongst health-care personnel representing North, E…
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psnet.ahrq.gov/node/46631/psn-pdf
March 20, 2018 - Simulation-based education to ensure provider
competency within the healthcare system.
March 20, 2018
Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency
Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10.1111/acem.13322.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/46908/psn-pdf
March 21, 2018 - Oncology nurses' beliefs and attitudes towards the
double-check of chemotherapy medications: a cross-
sectional survey study.
March 21, 2018
Schwappach DLB, Taxis K, Pfeiffer Y. Oncology nurses' beliefs and attitudes towards the double-check of
chemotherapy medications: a cross-sectional survey study. BMC Health S…
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psnet.ahrq.gov/node/865665/psn-pdf
April 24, 2024 - Unveiling the hidden struggle of healthcare students as
second victims through a systematic review.
April 24, 2024
Mira JJ, Matarredona V, Tella S, et al. Unveiling the hidden struggle of healthcare students as second
victims through a systematic review. BMC Med Educ. 2024;24(1):378. doi:10.1186/s12909-024-05336-y.…
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psnet.ahrq.gov/node/854378/psn-pdf
October 11, 2023 - When illegitimate tasks threaten patient safety culture: a
cross-sectional survey in a tertiary hospital.
October 11, 2023
Cullati S, Semmer NK, Tschan F, et al. When illegitimate tasks threaten patient safety culture: a cross-
sectional survey in a tertiary hospital. Int J Public Health. 2023;68:1606078.
doi:10.3…