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psnet.ahrq.gov/node/842772/psn-pdf
January 18, 2023 - Short- and long-term effects of an electronic medication
management system on paediatric prescribing errors.
January 18, 2023
Westbrook JI, Li L, Raban MZ, et al. Short- and long-term effects of an electronic medication management
system on paediatric prescribing errors. NPJ Digit Med. 2022;5(1):179. doi:10.1038/s4…
-
psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - A National Trauma Care System: Integrating Military and
Civilian Trauma Systems to Achieve Zero Preventable
Deaths After Injury.
October 21, 2016
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press;
2016.
https://psnet.ahrq.gov/issue/national-trauma-care-system-inte…
-
psnet.ahrq.gov/node/47867/psn-pdf
June 19, 2019 - Increasing compliance of safe medication administration
in pediatric anesthesia by use of a standardized checklist.
June 19, 2019
Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric
anesthesia by use of a standardized checklist. Paediatr Anaesth. 2019;29(3):258-2…
-
psnet.ahrq.gov/node/838242/psn-pdf
January 01, 2023 - Are pathologists self-aware of their diagnostic accuracy?
Metacognition and the diagnostic process in pathology.
October 5, 2022
Clayton DA, Eguchi MM, Kerr KF, et al. Are pathologists self-aware of their diagnostic accuracy?
Metacognition and the diagnostic process in pathology. Med Decis Making. 2023;43(2):164-17…
-
psnet.ahrq.gov/node/50804/psn-pdf
January 15, 2020 - The use of patient digital facial images to confirm patient
identity in a children's hospital's anesthesia information
management system.
January 15, 2020
Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a
Children's Hospital's Anesthesia Information Management…
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psnet.ahrq.gov/node/38625/psn-pdf
November 19, 2009 - The design of the SAFE or SORRY? study: a cluster
randomised trial on the development and testing of an
evidence based inpatient safety program for the
prevention of adverse events.
November 19, 2009
van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? study: a cluster
randomised trial…
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psnet.ahrq.gov/node/46803/psn-pdf
April 12, 2019 - Association between electronic medical record
implementation of default opioid prescription quantities
and prescribing behavior in two emergency departments.
April 12, 2019
Delgado K, Shofer FS, Patel MS, et al. Association between Electronic Medical Record Implementation of
Default Opioid Prescription Quantities …
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psnet.ahrq.gov/node/73880/psn-pdf
January 01, 2022 - Decreased incidence of cesarean surgical site infection
rate with hospital-wide perioperative bundle.
September 29, 2021
Sood N, Lee RE, To JK, et al. Decreased incidence of cesarean surgical site infection rate with hospital?
wide perioperative bundle. Birth. 2022;49(1):141-146. doi:10.1111/birt.12586.
https://ps…
-
psnet.ahrq.gov/node/60910/psn-pdf
January 01, 2021 - Hospital- and system-wide interventions for health care-
associated infections: a systematic review.
September 16, 2020
Maurer NR, Hogan TH, Walker DM. Hospital- and system-wide interventions for health care-associated
infections: a systematic review. Med Care Res Rev. 2021;78(6):643-659. doi:10.1177/10775587209529…
-
psnet.ahrq.gov/node/45922/psn-pdf
April 19, 2017 - Two sides to every story: the Dual Perspectives Method
for examining interruptions in healthcare.
April 19, 2017
McCurdie T, Sanderson P, Aitken LM, et al. Two sides to every story: The Dual Perspectives Method for
examining interruptions in healthcare. Appl Ergon. 2017;58:102-109. doi:10.1016/j.apergo.2016.05.012.…
-
psnet.ahrq.gov/node/43787/psn-pdf
June 22, 2016 - Measuring variation in use of the WHO surgical safety
checklist in the operating room: a multicenter prospective
cross-sectional study.
June 22, 2016
Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the
operating room: a multicenter prospective cross-sectional stud…
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psnet.ahrq.gov/node/36303/psn-pdf
October 25, 2010 - Medication dispensing errors and potential adverse drug
events before and after implementing bar code
technology in the pharmacy.
October 25, 2010
Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events
before and after implementing bar code technology in the pharmacy. …
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psnet.ahrq.gov/node/40807/psn-pdf
September 01, 2016 - Prevalence of medication administration errors in two
medical units with automated prescription and
dispensing.
September 1, 2016
Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. Prevalence of medication
administration errors in two medical units with automated prescription and dispensing. J Am M…
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psnet.ahrq.gov/node/856589/psn-pdf
January 01, 2024 - Prevented harm and cost avoidance with pharmacist
intervention while utilizing a discharge medication
reconciliation tool.
November 29, 2023
Hoffman AM, Walls JL, Prusch A, et al. Prevented harm and cost avoidance with pharmacist intervention
while utilizing a discharge medication reconciliation tool. Am J Health …
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psnet.ahrq.gov/node/50906/psn-pdf
February 19, 2020 - Implementation of a discharge education program to
improve transitions of care for patients at high risk of
medication errors.
February 19, 2020
Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to
improve transitions of care for patients at high risk of medication err…
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psnet.ahrq.gov/node/72530/psn-pdf
January 01, 2021 - A realist synthesis of pharmacist-conducted medication
reviews in primary care after leaving hospital: what works
for whom and why?
December 2, 2020
Luetsch K, Rowett D, Twigg MJ. A realist synthesis of pharmacist-conducted medication reviews in primary
care after leaving hospital: what works for whom and why? BMJ…
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psnet.ahrq.gov/node/43273/psn-pdf
April 25, 2016 - Cardiopulmonary arrest and mortality trends, and their
association with rapid response system expansion.
April 25, 2016
Chen J, Ou L, Hillman KM, et al. Cardiopulmonary arrest and mortality trends, and their association with
rapid response system expansion. Med J Aust. 2014;201(3):167-70.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/72857/psn-pdf
March 17, 2021 - Results and lessons from a hospital-wide initiative
incentivised by delivery system reform to improve
infection prevention and sepsis care.
March 17, 2021
Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised
by delivery system reform to improve infection prev…
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psnet.ahrq.gov/node/866407/psn-pdf
July 31, 2024 - Effect of digital tools to promote hospital quality and
safety on adverse events after discharge.
July 31, 2024
Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on
adverse events after discharge. J Am Med Inform Assoc. 2024;31(10):2304-2314.
doi:10.1093/jami…
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psnet.ahrq.gov/node/73399/psn-pdf
June 16, 2021 - Examining causes and prevention strategies of adverse
events in deceased hospital patients: a retrospective
patient record review study in the Netherlands.
June 16, 2021
Smits M, Langelaan M, de Groot J, et al. Examining causes and prevention strategies of adverse events in
deceased hospital patients: a retrospect…