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psnet.ahrq.gov/node/74082/psn-pdf
November 17, 2021 - Associations of person-related, environment-related and
communication-related factors on medication errors in
public and private hospitals: a retrospective clinical audit.
November 17, 2021
Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and
communication-related factors on m…
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psnet.ahrq.gov/node/866070/psn-pdf
June 05, 2024 - Large language models for preventing medication
direction errors in online pharmacies.
June 5, 2024
Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online
pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8.
https://psnet.ahrq.gov/issue/large…
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psnet.ahrq.gov/node/47243/psn-pdf
August 08, 2018 - ASHP–PPAG Guidelines for Providing Pediatric Pharmacy
Services in Hospitals and Health Systems.
August 8, 2018
Eiland LS, Benner K, Gumpper KF, et al. ASHP-PPAG Guidelines for Providing Pediatric Pharmacy
Services in Hospitals and Health Systems. J Pediatr Pharmacol Ther. 2018;23(3):177-191.
doi:10.5863/1551-6776-…
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psnet.ahrq.gov/node/46984/psn-pdf
April 04, 2018 - Educator toolkits on second victim syndrome,
mindfulness and meditation, and positive psychology: the
2017 Resident Wellness Consensus Summit.
April 4, 2018
Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and
Meditation, and Positive Psychology: The 2017 Resident W…
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psnet.ahrq.gov/node/836829/psn-pdf
March 30, 2022 - Safety in fragile, conflict-affected, and vulnerable
settings: An evidence scanning approach for identifying
patient safety interventions.
March 30, 2022
O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence
scanning approach for identifying patient safety in…
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psnet.ahrq.gov/node/867381/psn-pdf
December 18, 2024 - Promoting medication safety for older adults upon
hospital discharge: guiding principles for a medication
discharge plan.
December 18, 2024
Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge:
guiding principles for a medication discharge plan. Br J Clin Pharm…
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psnet.ahrq.gov/node/866685/psn-pdf
September 11, 2024 - Evaluation and mitigation of the limitations of large
language models in clinical decision-making.
September 11, 2024
Hager P, Jungmann F, Holland R, et al. Evaluation and mitigation of the limitations of large language
models in clinical decision-making. Nat Med. 2024;30(9):2613-2622. doi:10.1038/s41591-024-03097-…
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psnet.ahrq.gov/node/45851/psn-pdf
February 22, 2017 - Eight years of decreased methicillin-resistant
Staphylococcus aureus health care–associated infections
associated with a Veterans Affairs prevention initiative.
February 22, 2017
Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus
aureus health care-associated i…
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psnet.ahrq.gov/node/42744/psn-pdf
September 01, 2016 - Physicians' responses to clinical decision support on an
intensive care unit—comparison of four different alerting
methods.
September 1, 2016
Scheepers-Hoeks A-MJ, Grouls RJ, Neef C, et al. Physicians' responses to clinical decision support on an
intensive care unit--comparison of four different alerting methods. …
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psnet.ahrq.gov/node/50937/psn-pdf
February 26, 2020 - Emergency intubation of children outside of the operating
room.
February 26, 2020
Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room.
Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784.
https://psnet.ahrq.gov/issue/emergency-intubation-children-outside-oper…
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psnet.ahrq.gov/node/74719/psn-pdf
February 02, 2022 - Failure to rescue following emergency surgery: a FRAM
analysis of the management of the deteriorating patient.
February 2, 2022
Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the
management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…
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psnet.ahrq.gov/node/46728/psn-pdf
March 27, 2018 - Near-miss event analysis enhances the barcode
medication administration process.
March 27, 2018
Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M.
https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-
process
Near misses provide unique opportunities to ide…
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psnet.ahrq.gov/node/44818/psn-pdf
February 24, 2018 - Economic evaluation of interventions for prevention of
hospital acquired infections: a systematic review.
February 24, 2018
Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital
Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381.
doi:10.1371/jour…
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psnet.ahrq.gov/node/73614/psn-pdf
August 18, 2021 - Application of human factors methods to ensure
appropriate infant identification and abduction prevention
within the hospital setting.
August 18, 2021
Webster KLW, Stikes R, Bunnell L, et al. Application of human factors methods to ensure appropriate infant
identification and abduction prevention within the hospit…
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psnet.ahrq.gov/node/47482/psn-pdf
December 05, 2018 - Examining the effects of an obstetrics interprofessional
programme on reductions to reportable events and their
related costs.
December 5, 2018
Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on
reductions to reportable events and their related costs. J Interprof…
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psnet.ahrq.gov/node/47295/psn-pdf
September 24, 2018 - Using learning communities to support adoption of health
care innovations.
September 24, 2018
Carpenter D, Hassell S, Mardon R, et al. Using Learning Communities to Support Adoption of Health Care
Innovations. Jt Comm J Qual Patient Saf. 2018;44(10):566-573. doi:10.1016/j.jcjq.2018.03.010.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/60541/psn-pdf
May 01, 2013 - Targeted versus universal decolonization to prevent ICU
infection.
May 1, 2013
Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU
infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa1207290.
https://psnet.ahrq.gov/issue/targeted-versus-universal-decoloni…
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psnet.ahrq.gov/node/42954/psn-pdf
December 04, 2016 - "Please describe from your point of view a typical case of
an error in palliative care": qualitative data from an
exploratory cross-sectional survey study among palliative
care professionals.
December 4, 2016
Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a typical case of an error in pal…
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psnet.ahrq.gov/node/864849/psn-pdf
March 20, 2024 - Medication errors in pediatric emergency departments: a
systematic review and recommendations for enhancing
medication safety.
March 20, 2024
Alsabri M, Eapen D, Sabesan V, et al. Medication errors in pediatric emergency departments: a systematic
review and recommendations for enhancing medication safety. Pediatr …
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psnet.ahrq.gov/node/74751/psn-pdf
February 09, 2022 - A quality improvement initiative to improve patient safety
event reporting by residents.
February 9, 2022
Herchline D, Rojas C, Shah AA, et al. A quality improvement initiative to improve patient safety event
reporting by residents. Pediatr Qual Saf. 2022;7(1):e519. doi:10.1097/pq9.0000000000000519.
https://psnet.…