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psnet.ahrq.gov/node/60160/psn-pdf
March 25, 2020 - Retrospective review for medication dose errors in
pediatric emergency department medication orders that
bypassed pharmacist review.
March 25, 2020
Todd SE, Thompson AJ, Russell WS. Retrospective review for medication dose errors in pediatric
emergency department medication orders that bypassed pharmacist review. …
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psnet.ahrq.gov/node/44604/psn-pdf
August 02, 2016 - Influencing the Quality, Risk and Safety Movement in
Healthcare: In Conversation with International Leaders.
August 2, 2016
Sears K, Stockley D, Broderick B, eds. Aldershot, UK: Ashgate Publishing; 2015. ISBN: 9781472449276.
https://psnet.ahrq.gov/issue/influencing-quality-risk-and-safety-movement-healthcare-conver…
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psnet.ahrq.gov/node/72643/psn-pdf
January 13, 2021 - Ockenden Report. Emerging Fndings and
Recommendations from the Independent Review of
Maternity Services at the Shrewsbury and Telford
Hospital NHS Trust.
January 13, 2021
London UK: Crown Copyright; December 10, 2020. ISBN: 9781528623049.
https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-a…
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psnet.ahrq.gov/node/36025/psn-pdf
March 28, 2011 - Understanding diagnostic errors in medicine: a lesson
from aviation.
March 28, 2011
Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation.
Qual Saf Health Care. 2006;15(3):159-64.
https://psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
T…
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psnet.ahrq.gov/node/42761/psn-pdf
November 27, 2013 - Assessing adverse events among home care clients in
three Canadian provinces using chart review.
November 27, 2013
Blais R, Sears NA, Doran D, et al. Assessing adverse events among home care clients in three Canadian
provinces using chart review. BMJ Qual Saf. 2013;22(12):989-997. doi:10.1136/bmjqs-2013-002039.
ht…
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psnet.ahrq.gov/node/847041/psn-pdf
April 05, 2023 - Frontline nurses' clinical judgment in recognizing,
understanding, and responding to patient deterioration: a
qualitative study.
April 5, 2023
Dresser S, Teel C, Peltzer J. Frontline nurses' clinical judgment in recognizing, understanding, and
responding to patient deterioration: a qualitative study. Int J Nurs St…
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psnet.ahrq.gov/node/44716/psn-pdf
April 15, 2016 - An integrative review of patient safety in studies on the
care and safety of patients with communication
disabilities in hospital.
April 15, 2016
Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and
safety of patients with communication disabilities in hospital. …
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psnet.ahrq.gov/node/42840/psn-pdf
January 08, 2014 - A system-wide approach to explaining variation in
potentially avoidable emergency admissions: national
ecological study.
January 8, 2014
O'Cathain A, Knowles E, Maheswaran R, et al. A system-wide approach to explaining variation in
potentially avoidable emergency admissions: national ecological study. BMJ Qual Saf…
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psnet.ahrq.gov/node/47870/psn-pdf
April 17, 2019 - Saving without compromising: teaching trainees to safely
provide high value care.
April 17, 2019
Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high
value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003.
https://psnet.ahrq.gov/issue/saving-with…
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psnet.ahrq.gov/node/46970/psn-pdf
June 27, 2018 - Using drug knowledgebase information to distinguish
between look-alike-sound-alike drugs.
June 27, 2018
Cheng CM, Salazar A, Amato MG, et al. Using drug knowledgebase information to distinguish between
look-alike-sound-alike drugs. J Am Med Inform Assoc. 2018;25(7):872-884. doi:10.1093/jamia/ocy043.
https://psnet.…
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psnet.ahrq.gov/node/47858/psn-pdf
July 10, 2019 - Modification of potentially inappropriate prescribing
following fall-related hospitalizations in older adults.
July 10, 2019
Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall-
related hospitalizations in older adults. Drugs Aging. 2019;36(5):461-470. doi:10.…
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psnet.ahrq.gov/node/50686/psn-pdf
January 01, 2020 - 'Whatever you cut, I can fix it': clinical supervisors'
interview accounts of allowing trainee failure while
guarding patient safety.
November 20, 2019
Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview
accounts of allowing trainee failure while guarding p…
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psnet.ahrq.gov/node/850171/psn-pdf
June 07, 2023 - Impact of a computerized physician order entry system
on medication safety in pediatrics-The AVOID study.
June 7, 2023
Wimmer S, Toni I, Botzenhardt S, et al. Impact of a computerized physician order entry system on
medication safety in pediatrics-The AVOID study. Pharmacol Res Perspect. 2023;11(3):e01092.
doi:10.…
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psnet.ahrq.gov/node/866408/psn-pdf
July 31, 2024 - Influences of leadership, organizational culture, and
hierarchy on raising concerns about patient deterioration:
a qualitative study.
July 31, 2024
Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy
on raising concerns about patient deterioration: a qualit…
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psnet.ahrq.gov/node/852462/psn-pdf
August 16, 2023 - American Geriatrics Society 2023 updated AGS Beers
Criteria for Potentially Inappropriate Medication Use in
Older Adults.
August 16, 2023
American Geriatrics Society Beers Criteria® Update Expert Panel. J Am Geriatr Soc. 2023;71(7):2052-
2081.
https://psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-…
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psnet.ahrq.gov/node/50854/psn-pdf
January 29, 2020 - Association of state opioid duration limits with
postoperative opioid prescribing.
January 29, 2020
Agarwal S, Bryan JD, Hu HM, et al. Association of State Opioid Duration Limits With Postoperative Opioid
Prescribing. JAMA Netw Open. 2019;2(12):e1918361. doi:10.1001/jamanetworkopen.2019.18361.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/45798/psn-pdf
February 01, 2017 - American College of Surgeons and Surgical Infection
Society: Surgical Site Infection Guidelines, 2016 Update.
February 1, 2017
Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: Surgical
Site Infection Guidelines, 2016 Update. J Am Coll Surg. 2017;224(1):59-74.
doi:10.…
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psnet.ahrq.gov/node/47157/psn-pdf
August 15, 2018 - Evaluation of a patient safety programme on Surgical
Safety Checklist compliance: a prospective longitudinal
study.
August 15, 2018
Gillespie BM, Harbeck EL, Lavin J, et al. Evaluation of a patient safety programme on Surgical Safety
Checklist Compliance: a prospective longitudinal study. BMJ Open Qual. 2018;7(3):…
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psnet.ahrq.gov/node/43248/psn-pdf
July 02, 2014 - Randomized crossover study evaluating the effect of a
hand sanitizer dispenser on the frequency of hand
hygiene among anesthesiology staff in the operating
room.
July 2, 2014
Munoz-Price S, Patel Z, Banks S, et al. Randomized crossover study evaluating the effect of a hand
sanitizer dispenser on the frequency of …
-
psnet.ahrq.gov/node/44360/psn-pdf
July 29, 2015 - Maximizing smart pump technology to enhance patient
safety.
July 29, 2015
Makic MBF. Maximizing smart pump technology to enhance patient safety. Clin Nurs Spec.
2015;29(4):195-197. doi:10.1097/NUR.0000000000000139.
https://psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety
Smart pumps ar…