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psnet.ahrq.gov/node/44792/psn-pdf
January 13, 2016 - At the hospital, better responses to those beeping alarms.
January 13, 2016
Landro L. Wall Street Journal. January 4, 2016.
https://psnet.ahrq.gov/issue/hospital-better-responses-those-beeping-alarms
Alert fatigue is a well-known problem in hospitals. This newspaper article reports on efforts to reduce
unnecessary…
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psnet.ahrq.gov/node/73656/psn-pdf
September 01, 2021 - Opioid prescribing to US children and young adults in
2019.
September 1, 2021
Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019.
Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539.
https://psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-…
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psnet.ahrq.gov/node/46657/psn-pdf
December 16, 2017 - Diagnostic accuracy of pediatric teledermatology using
parent-submitted photographs: a randomized clinical trial.
December 16, 2017
O'Connor DM, Jew OS, Perman MJ, et al. Diagnostic Accuracy of Pediatric Teledermatology Using Parent-
Submitted Photographs: A Randomized Clinical Trial. JAMA Dermatol. 2017;153(12):12…
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psnet.ahrq.gov/node/43939/psn-pdf
February 25, 2015 - Use of quality indicators to compare point-of-care testing
errors in a neonatal unit and errors in a STAT central
laboratory.
February 25, 2015
Cantero M, Redondo M, Martín E, et al. Use of quality indicators to compare point-of-care testing errors in
a neonatal unit and errors in a STAT central laboratory. Clin C…
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psnet.ahrq.gov/node/60052/psn-pdf
March 18, 2020 - Analysis of pharmacist-identified medication-related
problems at two United Kingdom hospitals: a prospective
observational study.
March 18, 2020
Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United
Kingdom hospitals: a prospective observational study. Int J Phar…
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psnet.ahrq.gov/node/47293/psn-pdf
October 10, 2018 - Specifications of computerized provider order entry and
clinical decision support systems for cancer patients
undergoing chemotherapy: a systematic review.
October 10, 2018
Rahimi R, Kazemi A, Moghaddasi H, et al. Specifications of Computerized Provider Order Entry and
Clinical Decision Support Systems for Cancer …
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psnet.ahrq.gov/node/60015/psn-pdf
March 04, 2020 - Uncertainty in decision making in medicine: a scoping
review and thematic analysis of conceptual models.
March 4, 2020
Helou MA, DiazGranados D, Ryan MS, et al. Uncertainty in Decision Making in Medicine. Acad Med.
2020;95(1):157-165. doi:10.1097/acm.0000000000002902.
https://psnet.ahrq.gov/issue/uncertainty-decis…
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psnet.ahrq.gov/node/45919/psn-pdf
July 05, 2017 - Managing the patient identification crisis in healthcare
and laboratory medicine.
July 5, 2017
Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory
medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2017.02.004.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/60616/psn-pdf
June 24, 2020 - Nurse-reported bullying and documented adverse patient
events: an exploratory study in a US Hospital.
June 24, 2020
Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events:
an exploratory study in a US Hospital. J Nurs Care Qual. 2020;35(3):206-212.
doi:10.1097/ncq.000…
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psnet.ahrq.gov/node/74869/psn-pdf
February 23, 2022 - Three new best practices in the 2022-2023 Targeted
Medication Safety Best Practices for Hospitals.
February 23, 2022
ISMP Medication Safety Alert! Acute care edition. February 10, 2022:27(3):1-6.
https://psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-
practices-hospitals
B…
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psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - Improving medication safety during hospital-based
transitions of care.
April 25, 2016
Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care.
Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025.
https://psnet.ahrq.gov/issue/improving-medication-safety-…
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psnet.ahrq.gov/node/73248/psn-pdf
May 12, 2021 - Universal protection: operationalizing infection
prevention guidance in the COVID-19 era.
May 12, 2021
Sands K, Blanchard J, Grubbs K, et al. Universal protection: operationalizing infection prevention guidance
in the COVID-19 era. Jt Comm J Qual Patient Saf. 2021;47(5):327-332. doi:10.1016/j.jcjq.2021.01.007.
htt…
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psnet.ahrq.gov/node/47907/psn-pdf
July 19, 2019 - Safety-I, Safety-II and burnout: how complexity science
can help clinician wellness.
July 19, 2019
Smaggus A. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. BMJ Qual
Saf. 2019;28(8):667-671. doi:10.1136/bmjqs-2018-009147.
https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-bur…
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psnet.ahrq.gov/node/46093/psn-pdf
April 26, 2017 - Inpatient Notes: human factors engineering and inpatient
care—new ways to solve old problems.
April 26, 2017
Clack L, Sax H. Web Exclusives. Annals for Hospitalists Inpatient Notes - Human Factors Engineering and
Inpatient Care-New Ways to Solve Old Problems. Ann Intern Med. 2017;166(8):HO2-HO3.
doi:10.7326/M17-05…
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psnet.ahrq.gov/node/74141/psn-pdf
December 01, 2021 - Incident reporting systems: what will it take to make them
less frustrating and achieve anything useful?
December 1, 2021
Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve
anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.…
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psnet.ahrq.gov/node/74172/psn-pdf
December 08, 2021 - Differences in safety report event types submitted by
graduate medical education trainees compared with other
healthcare team members.
December 8, 2021
Cohen SP, McLean HS, Milne J, et al. Differences in Safety Report Event Types Submitted by Graduate
Medical Education Trainees Compared With Other Healthcare Team …
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psnet.ahrq.gov/node/837633/psn-pdf
July 06, 2022 - Evaluation of feedback modalities and preferences
regarding feedback on decision-making in a pediatric
emergency department.
July 6, 2022
Graham JMK, Ambroggio L, Leonard JE, et al. Evaluation of feedback modalities and preferences
regarding feedback on decision-making in a pediatric emergency department. Diagnosi…
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psnet.ahrq.gov/node/851457/psn-pdf
July 19, 2023 - Root causes and preventability of unintentionally retained
foreign objects after surgery: a national expert survey
from Switzerland.
July 19, 2023
Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects
after surgery: a national expert survey from Switzerland. Patient…
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psnet.ahrq.gov/node/866438/psn-pdf
August 07, 2024 - Using machine learning or deep learning models in a
hospital setting to detect inappropriate prescriptions: a
systematic review.
August 7, 2024
Johns E, Alkanj A, Beck M, et al. Using machine learning or deep learning models in a hospital setting to
detect inappropriate prescriptions: a systematic review. Eur J Ho…
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psnet.ahrq.gov/node/73587/psn-pdf
August 11, 2021 - Effects of a brief team training program on surgical
teams' nontechnical skills: an interrupted time-series
study.
August 11, 2021
Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams'
nontechnical skills: an interrupted time-series study. J Patient Saf. 2021;17(5):e4…