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psnet.ahrq.gov/node/837423/psn-pdf
June 15, 2022 - Evaluation and comparison of errors on nursing notes
created by online and offline speech recognition
technology and handwritten: an interventional study.
June 15, 2022
Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes
created by online and offline speech recogniti…
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psnet.ahrq.gov/node/46585/psn-pdf
April 29, 2018 - Improving patient safety and efficiency of medication
reconciliation through the development and adoption of a
computer-assisted tool with automated electronic
integration of population-based community drug data: the
RightRx project.
April 29, 2018
Tamblyn R, Winslade N, Lee TC, et al. Improving patient safety an…
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psnet.ahrq.gov/node/43799/psn-pdf
January 07, 2015 - Omission of high-alert medications: a hidden danger.
January 7, 2015
Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155.
https://psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
Analyzing incidents reported over a 4-month period, this article reveals that 21% of 2700 med…
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psnet.ahrq.gov/node/74731/psn-pdf
February 02, 2022 - Impact of full personal protective equipment on alertness
of healthcare workers: a prospective study.
February 2, 2022
Wells HJ, Raithatha M, Elhag S, et al. Impact of full personal protective equipment on alertness of
healthcare workers: a prospective study. BMJ Open Qual. 2022;11(1):e001551. doi:10.1136/bmjoq-202…
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psnet.ahrq.gov/node/862987/psn-pdf
February 21, 2024 - Use of professional interpreters for patients with limited
English proficiency undergoing surgery.
February 21, 2024
Cevallos J, Lee C, Bongiovanni T. Use of professional interpreters for patients with limited English
proficiency undergoing surgery. JAMA Netw Open. 2024;7(2):e2355014.
doi:10.1001/jamanetworkopen.2…
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psnet.ahrq.gov/node/859344/psn-pdf
December 20, 2023 - Nurses' perspectives on medication errors and prevention
strategies in residential aged care facilities through a
national survey.
December 20, 2023
Kuppadakkath SC, Bhowmik J, Olasoji M, et al. Nurses' perspectives on medication errors and prevention
strategies in residential aged care facilities through a nation…
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psnet.ahrq.gov/node/74125/psn-pdf
January 01, 2022 - Understanding preventable deaths in the geriatric trauma
population: analysis of 3,452,339 patients from the Center
of Medicare and Medicaid Services Database.
December 1, 2021
Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population:
analysis of 3,452,339 patients f…
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psnet.ahrq.gov/node/840145/psn-pdf
November 16, 2022 - Failure of crisis leadership in a global pandemic: some
reflections on COVID-19 and future recommendations.
November 16, 2022
Okoli J, Arroteia NP, Ogunsade AI. Failure of crisis leadership in a global pandemic: some reflections on
COVID-19 and future recommendations. Leadersh Health Serv (Bradf Engl). 2023;36(2):1…
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psnet.ahrq.gov/node/72717/psn-pdf
February 10, 2021 - Hospital-acquired SARS-Cov-2 infections in patients:
inevitable conditions or medical malpractice?
February 10, 2021
Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in
patients: inevitable conditions or medical malpractice? Int J Environ Res Public Health. 2021;18(2):48…
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psnet.ahrq.gov/node/850932/psn-pdf
June 21, 2023 - Evaluation of detected medication errors within the
operating room at an academic medical center.
June 21, 2023
Wolf M, Rolf J, Nelson D, et al. Evaluation of detected medication errors within the operating room at an
academic medical center. Hosp Pharm. 2023;58(3):309-314. doi:10.1177/00185787221145110.
https://p…
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psnet.ahrq.gov/node/47391/psn-pdf
September 12, 2018 - Improving diagnosis by improving education: a policy
brief on education in healthcare professions.
September 12, 2018
Graber ML, Rencic J, Rusz D, et al. Improving diagnosis by improving education: a policy brief on
education in healthcare professions. Diagnosis (Berl). 2018;5(3):107-118. doi:10.1515/dx-2018-0033.
…
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psnet.ahrq.gov/node/837027/psn-pdf
May 04, 2022 - Association of measured quality with financial health
among U.S. hospitals.
May 4, 2022
Enumah SJ, Resnick AS, Chang DC. Association of measured quality with financial health among U.S.
hospitals. PLOS ONE. 2022;17(4):e0266696. doi:10.1371/journal.pone.0266696.
https://psnet.ahrq.gov/issue/association-measured-qua…
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psnet.ahrq.gov/node/73879/psn-pdf
September 29, 2021 - Evolving factors in hospital safety: a systematic review
and meta-analysis of hospital adverse events.
September 29, 2021
Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and
meta-analysis of hospital adverse events. J Patient Saf. 2021;17(8):e1285-e1295.
doi:10.…
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psnet.ahrq.gov/node/50882/psn-pdf
February 12, 2020 - Association of default electronic medical record settings
with health care professional patterns of opioid
prescribing in emergency departments: A randomized
quality improvement study
February 12, 2020
Montoy JCC, Coralic Z, Herring AA, et al. Association of Default Electronic Medical Record Settings With
Health …
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psnet.ahrq.gov/node/867011/psn-pdf
October 23, 2024 - Outcomes of Michigan Medicine's integrated patient
safety and communication and resolution program,
2013–2022.
October 23, 2024
Burney RE, Mckeown ES, Zhang Y, et al. Outcomes of Michigan Medicine's integrated patient safety and
communication and resolution program, 2013–2022. J Patient Saf Risk Manag. 2024;29(5):…
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psnet.ahrq.gov/node/72532/psn-pdf
December 02, 2020 - Association of display of patient photographs in the
electronic health record with wrong-patient order entry
errors.
December 2, 2020
Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic
health record with wrong-patient order entry errors. JAMA Netw Open. 202…
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psnet.ahrq.gov/node/47194/psn-pdf
August 22, 2018 - Labeling morphine milligram equivalents on opioid
packaging: a potential patient safety intervention.
August 22, 2018
Stone AB, Urman RD, Kaye AD, et al. Labeling Morphine Milligram Equivalents on Opioid Packaging: a
Potential Patient Safety Intervention. Curr Pain Headache Rep. 2018;22(7):46. doi:10.1007/s11916-01…
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psnet.ahrq.gov/node/853242/psn-pdf
September 06, 2023 - Protocolization of analgesia and sedation through smart
technology in intensive care: improving patient safety.
September 6, 2023
Ojeda IM, Sánchez-Cuervo M, Candela-Toha Á, et al. Protocolization of Analgesia and Sedation Through
Smart Technology in Intensive Care: Improving Patient Safety. Crit Care Nurs. 2023;43…
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psnet.ahrq.gov/node/40145/psn-pdf
November 14, 2011 - Postoperative sepsis in the United States.
November 14, 2011
Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg.
2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e.
https://psnet.ahrq.gov/issue/postoperative-sepsis-united-states
The safety of patients undergoing surg…
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psnet.ahrq.gov/node/45296/psn-pdf
September 21, 2016 - Comparison of medication safety systems in critical
access hospitals: combined analysis of two studies.
September 21, 2016
Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals:
Combined analysis of two studies. Am J Health Syst Pharm. 2016;73(15):1167-73.
doi:10.214…