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psnet.ahrq.gov/node/34689/psn-pdf
February 10, 2011 - Incidence of adverse drug events and potential adverse
drug events: implications for prevention.
February 10, 2011
Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events.
Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274(1):29-34.
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psnet.ahrq.gov/node/46200/psn-pdf
August 30, 2017 - Clinical practice guideline: safe medication use in the
ICU.
August 30, 2017
Kane-Gill SL, Dasta JF, Buckley MS, et al. Clinical Practice Guideline: Safe Medication Use in the ICU. Crit
Care Med. 2017;45(9):e877-e915. doi:10.1097/CCM.0000000000002533.
https://psnet.ahrq.gov/issue/clinical-practice-guideline-safe-m…
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psnet.ahrq.gov/node/37368/psn-pdf
January 10, 2017 - Effective implementation of work-hour limits and
systemic improvements.
January 10, 2017
Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic
improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl):19-29.
https://psnet.ahrq.gov/issue/effective-implementation-wo…
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psnet.ahrq.gov/node/43446/psn-pdf
May 06, 2015 - A qualitative evaluation of the barriers and facilitators
toward implementation of the WHO surgical safety
checklist across hospitals in England: lessons from the
"Surgical Checklist Implementation Project."
May 6, 2015
Russ SJ, Sevdalis N, Moorthy K, et al. A qualitative evaluation of the barriers and facilitator…
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psnet.ahrq.gov/node/35978/psn-pdf
May 27, 2011 - The impact of prescribing safety alerts for elderly persons
in an electronic medical record: an interrupted time series
evaluation.
May 27, 2011
Smith DH, Perrin N, Feldstein AC, et al. The impact of prescribing safety alerts for elderly persons in an
electronic medical record: an interrupted time series evaluatio…
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psnet.ahrq.gov/node/72784/psn-pdf
February 24, 2021 - Advancing diagnostic safety research: results of a
systematic research priority setting exercise.
February 24, 2021
Zwaan L, El-Kareh R, Meyer AND, et al. Advancing diagnostic safety research: results of a systematic
research priority setting exercise. J Gen Intern Med. 2021;36(10):2943-2951. doi:10.1007/s11606-020…
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psnet.ahrq.gov/node/865344/psn-pdf
March 27, 2024 - Use of computerized physician order entry with clinical
decision support to prevent dose errors in pediatric
medication orders: a systematic review.
March 27, 2024
Ruutiainen H, Holmström A-R, Kunnola E, et al. Use of computerized physician order entry with clinical
decision support to prevent dose errors in pedia…
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psnet.ahrq.gov/node/864858/psn-pdf
March 20, 2024 - Remote assessment of real-world surgical safety
checklist performance using the OR Black Box: a multi-
institutional evaluation.
March 20, 2024
Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist
performance using the OR Black Box: a multi-Institutional evaluation. J A…
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psnet.ahrq.gov/node/844990/psn-pdf
February 22, 2023 - Shape matters: a neglected feature of medication safety:
why regulating the shape of medication containers can
improve medication safety.
February 22, 2023
Bitan Y, Nunnally M. Shape matters: a neglected feature of medication safety: why regulating the shape of
medication containers can improve medication safety. …
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psnet.ahrq.gov/node/74717/psn-pdf
February 02, 2022 - Improving hospital infant safe sleep compliance by using
safety prevention bundle methodology.
February 2, 2022
Batra EK, Lewis ML, Saravana D, et al. Improving hospital infant safe sleep compliance by using safety
prevention bundle methodology. Pediatrics. 2021;148(6):e2020033704. doi:10.1542/peds.2020-033704.
ht…
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psnet.ahrq.gov/node/39673/psn-pdf
December 21, 2014 - Effect of hospital follow-up appointment on clinical event
outcomes and mortality.
December 21, 2014
Grafft CA, McDonald FS, Ruud KL, et al. Effect of hospital follow-up appointment on clinical event
outcomes and mortality. Arch Intern Med. 2010;170(11):955-60. doi:10.1001/archinternmed.2010.105.
https://psnet.ahr…
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psnet.ahrq.gov/node/36089/psn-pdf
March 03, 2011 - The impact of the 80-hour resident workweek on surgical
residents and attending surgeons.
March 3, 2011
Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical
residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 871-5.
https://psnet.ahrq.gov/issue/i…
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psnet.ahrq.gov/node/37942/psn-pdf
May 04, 2014 - Improving handoff communications in critical care:
utilizing simulation-based training toward process
improvement in managing patient risk.
May 4, 2014
Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing
simulation-based training toward process improvement in managi…
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psnet.ahrq.gov/node/36163/psn-pdf
September 29, 2010 - Improving the bar-coded medication administration
system at the Department of Veterans Affairs.
September 29, 2010
Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the
Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):1442-7.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/46782/psn-pdf
January 24, 2019 - Patient perspectives on how physicians communicate
diagnostic uncertainty: an experimental vignette study.
January 24, 2019
Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic
uncertainty: An experimental vignette study. Int J Qual Health Care. 2018;30(1):2-8.
doi:10.1…
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psnet.ahrq.gov/node/36577/psn-pdf
January 12, 2011 - Effects of teamwork training on adverse outcomes and
process of care in labor and delivery: a randomized
controlled trial.
January 12, 2011
Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of
care in labor and delivery: a randomized controlled trial. Obstet Gyneco…
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psnet.ahrq.gov/node/46696/psn-pdf
January 10, 2018 - Achieving the Institute of Medicine's 6 aims for quality in
the midst of the opioid crisis: considerations for the
emergency department.
January 10, 2018
Waszak DL, Fennimore LA. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid
crisis: considerations for the emergency department.…
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psnet.ahrq.gov/node/41732/psn-pdf
October 03, 2012 - Double checking the administration of medicines: what is
the evidence? A systematic review.
October 3, 2012
Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence?
A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/archdischild-2011-301093.
https://p…
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psnet.ahrq.gov/node/854624/psn-pdf
January 01, 2024 - Adverse drug events caused by three high-risk drug-drug
interactions in patients admitted to intensive care units: a
multicentre retrospective observational study.
October 18, 2023
Klopotowska JE, Leopold J?H, Bakker T, et al. Adverse drug events caused by three high?risk drug–drug
interactions in patients admitte…
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psnet.ahrq.gov/node/60012/psn-pdf
March 03, 2020 - Algorithm based smartphone apps to assess risk of skin
cancer in adults: systematic review of diagnostic
accuracy studies.
March 3, 2020
Freeman K, Dinnes J, Chuchu N, et al. Algorithm based smartphone apps to assess risk of skin cancer in
adults: systematic review of diagnostic accuracy studies. BMJ. 2020;368:m12…