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psnet.ahrq.gov/node/46492/psn-pdf
November 29, 2017 - Themed Issue on the Opioid Epidemic.
November 29, 2017
Benzon HT, Anderson TA, eds. Anesth Analg. 2017;125(5):1427-1778.
https://psnet.ahrq.gov/issue/themed-issue-opioid-epidemic
Anesthesiologists provide pain management services in both perioperative and inpatient settings. Articles
in this special issue review f…
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psnet.ahrq.gov/node/867136/psn-pdf
November 13, 2024 - Detecting clinical medication errors with AI enabled
wearable cameras.
November 13, 2024
Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable
cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2.
https://psnet.ahrq.gov/issue/detecting-clinical-medication…
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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/36494/psn-pdf
August 29, 2016 - Medication prescribing errors involving the route of
administration.
August 29, 2016
Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm.
2010;41(11):1053-1066. doi:10.1310/hpj4111-1053.
https://psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
…
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psnet.ahrq.gov/node/47126/psn-pdf
May 16, 2018 - Unintended adverse consequences of a clinical decision
support system: two cases.
May 16, 2018
Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med
Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096.
https://psnet.ahrq.gov/issue/unintended-adverse-consequence…
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psnet.ahrq.gov/node/35312/psn-pdf
January 02, 2017 - Medication errors involving wrong administration
technique.
January 2, 2017
Santell JP, Cousins DD. Medication Errors Involving Wrong Administration Technique. The Joint
Commission Journal on Quality and Patient Safety. 2016;31(9). doi:10.1016/s1553-7250(05)31068-3.
https://psnet.ahrq.gov/issue/medication-errors-i…
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psnet.ahrq.gov/node/851067/psn-pdf
June 28, 2023 - Assessing medication safety in settings not designated
solely for pediatric patients.
June 28, 2023
ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5.
https://psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients
Pediatric patients are at increa…
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psnet.ahrq.gov/node/45001/psn-pdf
June 01, 2016 - Relationship between job burnout, psychosocial factors
and health care–associated infections in critical care
units.
June 1, 2016
Galletta M, Portoghese I, D'Aloja E, et al. Relationship between job burnout, psychosocial factors and
health care-associated infections in critical care units. Intensive Crit Care Nurs…
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psnet.ahrq.gov/node/42673/psn-pdf
October 30, 2013 - Clinical evaluation of the ADE scorecards as a decision
support tool for adverse drug event analysis and
medication safety management.
October 30, 2013
Hackl WO, Ammenwerth E, Marcilly R, et al. Clinical evaluation of the ADE scorecards as a decision
support tool for adverse drug event analysis and medication safe…
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psnet.ahrq.gov/node/43134/psn-pdf
September 04, 2015 - Evaluating the accuracy of electronic pediatric drug
dosing rules.
September 4, 2015
Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am
Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793.
https://psnet.ahrq.gov/issue/evaluating-accuracy-elec…
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psnet.ahrq.gov/node/43186/psn-pdf
May 19, 2014 - ASPEN parenteral nutrition safety consensus
recommendations: translation into practice.
May 19, 2014
Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations:
translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.1177/0884533614531294.
https://psnet.ahr…
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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/43320/psn-pdf
September 26, 2016 - Identification and interference of intraoperative
distractions and interruptions in operating rooms.
September 26, 2016
Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative
distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-29.
doi:10.1…
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psnet.ahrq.gov/node/43636/psn-pdf
November 26, 2014 - Application of the WHO surgical safety checklist outside
the operating theatre: medicine can learn from surgery.
November 26, 2014
Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the
operating theatre: medicine can learn from surgery. Clin Med. 2014;14(5):468-474.
doi:1…
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psnet.ahrq.gov/node/839819/psn-pdf
November 09, 2022 - Medical-surgical nurse leaders' experiences with safety
culture: an inductive qualitative descriptive study.
November 9, 2022
Harton L, Skemp L. Medical–surgical nurse leaders' experiences with safety culture: An inductive
qualitative descriptive study. J Nurs Manag. 2022;30(7):2781-2790. doi:10.1111/jonm.13775.
h…
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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/857457/psn-pdf
December 06, 2023 - 'Corridor care' in the emergency department: managing
patient care in non-clinical areas safely and efficiently.
December 6, 2023
Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely
and efficiently. Emerg Nurse. 2023;31(6):34-41. doi:10.7748/en.2023.e2187.
ht…
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psnet.ahrq.gov/node/72723/psn-pdf
February 10, 2021 - The impact of critical incidents on nurses and midwives:
a systematic review.
February 10, 2021
Buhlmann M, Ewens B, Rashidi A. The impact of critical incidents on nurses and midwives: A systematic
review. J Clin Nurs. 2020;30(9-10):1195-1205. doi:10.1111/jocn.15608.
https://psnet.ahrq.gov/issue/impact-critical-in…
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psnet.ahrq.gov/node/855100/psn-pdf
November 08, 2023 - Prescription for disaster: America's broken pharmacy
system in revolt over burnout and errors.
November 8, 2023
Le Coz E. USA Today. October 26, 2023.
https://psnet.ahrq.gov/issue/prescription-disaster-americas-broken-pharmacy-system-revolt-over-burnout-
and-errors
Chain pharmacies provide prescriptions in an env…
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psnet.ahrq.gov/node/38679/psn-pdf
March 01, 2011 - Improving alarm performance in the medical intensive
care unit using delays and clinical context.
March 1, 2011
Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit
using delays and clinical context. Anesth Analg. 2009;108(5):1546-52.
doi:10.1213/ane.0b013e31819bdfb…