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psnet.ahrq.gov/node/854989/psn-pdf
November 01, 2023 - Understanding the facilitators and barriers to barcode
medication administration by nursing staff using
behavioural science frameworks. A mixed methods study.
November 1, 2023
Grailey K, Hussain R, Wylleman E, et al. Understanding the facilitators and barriers to barcode medication
administration by nursing staff …
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psnet.ahrq.gov/node/866348/psn-pdf
July 24, 2024 - How can interventions more directly address drivers of
unprofessional behaviour between healthcare staff?
July 24, 2024
Aunger JA, Abrams R, Mannion R, et al. How can interventions more directly address drivers of
unprofessional behaviour between healthcare staff? BMJ Open Qual. 2024;13(3):e002830.
doi:10.1136/bmj…
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psnet.ahrq.gov/node/852275/psn-pdf
January 01, 2024 - Improving emergency medicine clinician awareness of
prehospital-administered medications.
August 9, 2023
Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-
administered medications. Prehosp Emerg Care. 2024;28(3):506-512.
doi:10.1080/10903127.2023.2238815.
https://p…
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psnet.ahrq.gov/node/74863/psn-pdf
February 23, 2022 - Factors associated with missed nursing care and nurse-
assessed quality of care during the COVID-19 pandemic.
February 23, 2022
Labrague LJ, Santos JAA, Fronda DC. Factors associated with missed nursing care and nurse?assessed
quality of care during the COVID?19 pandemic. J Nurs Manag. 2022;30(1):62-70. doi:10.1111…
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psnet.ahrq.gov/node/60848/psn-pdf
January 01, 2022 - Adverse events related to accidental unintentional
ingestions from cough and cold medications in children.
August 26, 2020
Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions
from cough and cold medications in children. Pediatr Emerg Care. 2022;38(1):e100-e104.
doi:…
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psnet.ahrq.gov/node/866157/psn-pdf
June 19, 2024 - Incidence of drug-related adverse events related to the
use of high-alert drugs: a systematic review of
randomized controlled trials.
June 19, 2024
Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the
use of high-alert drugs: a systematic review of randomized con…
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psnet.ahrq.gov/node/838250/psn-pdf
October 06, 2022 - The impact of electronic communication of medication
discontinuation (CancelRx) on medication safety: a pilot
study.
October 6, 2022
Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation
(CancelRx) on medication safety: a pilot study. J Patient Saf. 2022;18(6):e93…
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psnet.ahrq.gov/node/73317/psn-pdf
May 26, 2021 - Clinical and economic impacts of explicit tools detecting
prescribing errors: a systematic review.
May 26, 2021
Farhat A, Al?Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing
errors: A systematic review. J Clin Pharm Ther. 2021;46(4):877-886. doi:10.1111/jcpt.13408.
ht…
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psnet.ahrq.gov/node/45125/psn-pdf
January 26, 2023 - FDA and ISMP Lists of Look-Alike Drug Names With
Recommended Tall Man Letters.
January 26, 2023
Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Institute
for Safe Medication Practices; January 2023.
https://psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-name…
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psnet.ahrq.gov/node/847543/psn-pdf
April 12, 2023 - What works in medication reconciliation: an on-treatment
and site analysis of the MARQUIS2 study.
April 12, 2023
Schnipper JL, Reyes Nieva H, Yoon CS, et al. What works in medication reconciliation: an on-treatment
and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023;32(8):457-469. doi:10.1136/bmjqs-2022-
0…
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psnet.ahrq.gov/node/857445/psn-pdf
January 01, 2024 - The racial disparities in maternal mortality and impact of
structural racism and implicit racial bias on pregnant
Black women: a review of the literature.
December 6, 2023
Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and
implicit racial bias on pregnant b…
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psnet.ahrq.gov/node/47180/psn-pdf
November 15, 2018 - Efficacy and unintended consequences of hard-stop
alerts in electronic health record systems: a systematic
review.
November 15, 2018
Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in
electronic health record systems: a systematic review. J Am Med Inform Assoc. 2…
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psnet.ahrq.gov/node/865928/psn-pdf
May 22, 2024 - Teamwork climate, safety climate, and physician burnout:
a national, cross-sectional study.
May 22, 2024
Rotenstein L, Wang H, West CP, et al. Teamwork climate, safety climate, and physician burnout: a
national, cross-sectional study. Jt Comm J Qual Patient Saf. 2024;50(6):458-462.
doi:10.1016/j.jcjq.2024.03.007.
…
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psnet.ahrq.gov/node/46588/psn-pdf
February 28, 2018 - The relationship between resident burnout and safety-
related and acceptability-related quality of healthcare: a
systematic literature review.
February 28, 2018
Dewa CS, Loong D, Bonato S, et al. The relationship between resident burnout and safety-related and
acceptability-related quality of healthcare: a systema…
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psnet.ahrq.gov/node/47883/psn-pdf
May 29, 2019 - Patient Safety in Obstetrics and Gynecology.
May 29, 2019
Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398.
https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology
Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. Articles in
this speci…
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psnet.ahrq.gov/node/862131/psn-pdf
February 07, 2024 - Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals with
improved outcomes.
February 7, 2024
Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals with improved ou…
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psnet.ahrq.gov/node/47026/psn-pdf
January 23, 2019 - Charter on Physician Well-being.
January 23, 2019
Thomas LR, Ripp JA, West CP. Charter on Physician Well-being. JAMA. 2018;319(15):1541-1542.
doi:10.1001/jama.2018.1331.
https://psnet.ahrq.gov/issue/charter-physician-well-being
Clinician burnout is a growing concern with known patient safety implications. This com…
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psnet.ahrq.gov/node/837044/psn-pdf
May 04, 2022 - How Discrimination in Health Care Affects Older
Americans, and What Health Systems and Providers Can
Do.
May 4, 2022
Doty MM, Horstman C, Shah A et al. Issue Brief. New York, NY: Commonwealth Fund: April 2022.
https://psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-
sys…
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psnet.ahrq.gov/node/837039/psn-pdf
May 04, 2022 - The Joint Commission's new and revised workplace
violence prevention standards for hospitals: a major step
forward toward improved quality and safety.
May 4, 2022
Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals:
a major step forward toward improved quality an…
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psnet.ahrq.gov/node/42932/psn-pdf
December 30, 2014 - SBAR improves communication and safety climate and
decreases incident reports due to communication errors
in an anaesthetic clinic: a prospective intervention study.
December 30, 2014
Randmaa M, Mårtensson G, Swenne CL, et al. SBAR improves communication and safety climate and
decreases incident reports due to com…