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psnet.ahrq.gov/node/45346/psn-pdf
November 18, 2016 - How do simulated error experiences impact attitudes
related to error prevention?
November 18, 2016
Breitkreuz KR, Dougal RL, Wright MC. How Do Simulated Error Experiences Impact Attitudes Related to
Error Prevention? Simul Healthc. 2016;11(5):323-333.
https://psnet.ahrq.gov/issue/how-do-simulated-error-experiences…
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psnet.ahrq.gov/node/837421/psn-pdf
June 15, 2022 - Are personal health records (PHRs) facilitating patient
safety? A scoping review.
June 15, 2022
Joseph AL, Monkman H, Kushniruk AW, et al. Are personal health records (PHRs) facilitating patient
safety? A scoping review. Stud Health Technol Inform. 2022;2022:535-539. doi:10.3233/shti220516.
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psnet.ahrq.gov/node/45653/psn-pdf
January 25, 2017 - Opioid prescribing after surgical extraction of teeth in
Medicaid patients, 2000–2010.
January 25, 2017
Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid
Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058.
https://psnet.ahrq.gov/issue/opio…
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psnet.ahrq.gov/node/37011/psn-pdf
September 24, 2010 - What do medical records tell us about potentially harmful
co-prescribing?
September 24, 2010
Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co-
prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-400.
https://psnet.ahrq.gov/issue/what-do-medical-records-tell-us…
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psnet.ahrq.gov/node/60206/psn-pdf
April 08, 2020 - Reducing high-risk medication use through pharmacist-
led interventions in an outpatient setting.
April 8, 2020
Deyo JC, Smith BH, Biola H, et al. Reducing high-risk medication use through pharmacist-led interventions
in an outpatient setting. J Am Pharm Assoc. 2020. doi:10.1016/j.japh.2020.01.013.
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March 14, 2018 - Pediatric medication safety in the emergency department.
March 14, 2018
Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann
Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013.
https://psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-departmen…
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psnet.ahrq.gov/node/843084/psn-pdf
January 25, 2023 - A scoping review of non-professional medication
practices and medication safety outcomes during public
health emergencies.
January 25, 2023
Kelly D, Koay A, Mineva G, et al. A scoping review of non-professional medication practices and
medication safety outcomes during public health emergencies. Public Health. 202…
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psnet.ahrq.gov/node/46580/psn-pdf
June 25, 2018 - Out-of-hospital pediatric patient safety events: results of
the CSI chart review.
June 25, 2018
Meckler G, Hansen M, Lambert W, et al. Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI
Chart Review. Prehosp Emerg Care. 2018;22(3):290-299. doi:10.1080/10903127.2017.1371261.
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psnet.ahrq.gov/node/46156/psn-pdf
July 11, 2017 - Causes of death of residents in ACGME-accredited
programs 2000 through 2014: implications for the learning
environment.
July 11, 2017
Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs
2000 Through 2014. Acad Med. 2017;92(7):976-983. doi:10.1097/acm.0000000000001736…
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psnet.ahrq.gov/node/838009/psn-pdf
September 07, 2022 - High-risk medication in home care nursing: a Delphi
study.
September 7, 2022
Dumitrescu I, Casteels M, De Vliegher K, et al. High-risk medication in home care nursing: a Delphi study.
J Patient Saf. 2022;18(5):435-443. doi:10.1097/pts.0000000000001023.
https://psnet.ahrq.gov/issue/high-risk-medication-home-care-nu…
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psnet.ahrq.gov/node/863750/psn-pdf
March 06, 2024 - "Plans are worthless, but planning is everything":
advancing patient safety by better managing the paradox
of planning versus adaptation.
March 6, 2024
Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient
safety by better managing the paradox of planning versus ada…
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psnet.ahrq.gov/node/43812/psn-pdf
January 14, 2015 - Healthcare Inspection: Evaluation of the Veterans Health
Administration's National Consult Delay Review and
Associated Fact Sheet.
January 14, 2015
Daigh JD Jr. Washington, DC: VA Office of the Inspector General; December 15, 2014. Report No. 14-
04705-62.
https://psnet.ahrq.gov/issue/healthcare-inspection-evalua…
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psnet.ahrq.gov/node/50834/psn-pdf
January 29, 2020 - Medication reconciliation improvement utilizing process
redesign and clinical decision support.
January 29, 2020
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process
Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. 2020;46(1):27-36.
doi:10.1016/j.…
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psnet.ahrq.gov/node/46830/psn-pdf
May 30, 2018 - A call to bridge across silos during care transitions.
May 30, 2018
Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm
J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006.
https://psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-tran…
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psnet.ahrq.gov/node/47532/psn-pdf
November 29, 2018 - Payment innovations to improve diagnostic accuracy and
reduce diagnostic error.
November 29, 2018
Berenson R, Singh H. Payment Innovations To Improve Diagnostic Accuracy And Reduce Diagnostic Error.
Health Aff (Millwood). 2018;37(11):1828-1835. doi:10.1377/hlthaff.2018.0714.
https://psnet.ahrq.gov/issue/payment-in…
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psnet.ahrq.gov/node/866856/psn-pdf
October 02, 2024 - ASPEN survey of parenteral nutrition access issues: how
the system fails the patients.
October 2, 2024
Mirtallo JM, Allen P, Book WM, et al. ASPEN survey of parenteral nutrition access issues: how the system
fails the patient. Nutr Clin Pract. 2024;39(5):1164-1181. doi:10.1002/ncp.11187.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/72590/psn-pdf
December 23, 2020 - Effects of night surgery on postoperative mortality and
morbidity: a multicentre cohort study.
December 23, 2020
Althoff FC, Wachtendorf LJ, Rostin P, et al. Effects of night surgery on postoperative mortality and
morbidity: a multicentre cohort study. BMJ Qual Saf. 2020;30(8):678-688. doi:10.1136/bmjqs-2020-011684…
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psnet.ahrq.gov/node/74112/psn-pdf
April 14, 2017 - Structural racism and health inequities in the USA:
evidence and interventions.
April 14, 2017
Bailey ZD, Krieger N, Agénor M, et al. Structural racism and health inequities in the USA: evidence and
interventions. Lancet. 2017;389(10077):1453-1463. doi:10.1016/s0140-6736(17)30569-x.
https://psnet.ahrq.gov/issue/st…
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psnet.ahrq.gov/node/46996/psn-pdf
May 23, 2018 - How to incorporate quality improvement and patient
safety projects in your training.
May 23, 2018
Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety
Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.1053/j.gastro.2018.03.044.
https://psnet…
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psnet.ahrq.gov/node/45448/psn-pdf
January 23, 2017 - Accuracy of laboratory data communication on ICU daily
rounds using an electronic health record.
January 23, 2017
Artis KA, Dyer E, Mohan V, et al. Accuracy of Laboratory Data Communication on ICU Daily Rounds Using
an Electronic Health Record. Crit Care Med. 2017;45(2):179-186. doi:10.1097/CCM.0000000000002060.
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