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psnet.ahrq.gov/node/60196/psn-pdf
April 01, 2020 - Mask shortage straps pharmacists who need them to
keep medicines pure.
April 1, 2020
Jewett C, Lupkin S. Health Shots. National Public Radio. March 20, 2020.
https://psnet.ahrq.gov/issue/mask-shortage-straps-pharmacists-who-need-them-keep-medicines-pure
Disruptions in medication compounding activities can impact s…
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psnet.ahrq.gov/node/46247/psn-pdf
August 08, 2018 - Distractions in the anesthesia work environment: impact
on patient safety? Report of a meeting sponsored by the
Anesthesia Patient Safety Foundation.
August 8, 2018
van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety?
Report of a Meeting Sponsored by the Anesthesia Pat…
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psnet.ahrq.gov/node/46816/psn-pdf
March 21, 2018 - Results of an enhanced clinic handoff and resident
education on resident patient ownership and patient
safety.
March 21, 2018
Pincavage A, Dahlstrom M, Prochaska M, et al. Results of an enhanced clinic handoff and resident
education on resident patient ownership and patient safety. Acad Med. 2013;88(6):795-801.
d…
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psnet.ahrq.gov/node/73296/psn-pdf
May 19, 2021 - AHRQ Safety Program for Methicillin-Resistant
Staphylococcus Aureus Prevention. Request for Proposal
Comment.
May 19, 2021
Agency for Healthcare Research and Quality. May 3, 2021. Fed Register. 2021;86(83):23366-23369.
https://psnet.ahrq.gov/issue/ahrq-safety-program-methicillin-resistant-staphylococcus-aureus-pre…
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psnet.ahrq.gov/node/37430/psn-pdf
February 01, 2011 - Nonpayment for harms resulting from medical care:
catheter-associated urinary tract infections.
February 1, 2011
Wald HL, Kramer AM. Nonpayment for harms resulting from medical care: catheter-associated urinary tract
infections. JAMA. 2007;298(23):2782-4. doi:10.1001/jama.298.23.2782.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/47423/psn-pdf
January 27, 2019 - A health system–wide initiative to decrease opioid-related
morbidity and mortality.
January 27, 2019
Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related
Morbidity and Mortality. Jt Comm J Qual Patient Saf. 2019;45(1):3-13. doi:10.1016/j.jcjq.2018.07.003.
https://psnet.…
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psnet.ahrq.gov/node/73987/psn-pdf
October 20, 2021 - Impact of clinical decision support therapeutic
interchanges on hospital discharge medication omissions
and duplications.
October 20, 2021
Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on
hospital discharge medication omissions and duplications. Am J Health Sy…
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psnet.ahrq.gov/node/46792/psn-pdf
February 14, 2018 - Emerging trends in perinatal quality and risk with
recommendations for patient safety.
February 14, 2018
Simpson KR. Emerging Trends in Perinatal Quality and Risk With Recommendations for Patient Safety. J
Perinat Neonatal Nurs. 2018;32(1). doi:10.1097/jpn.0000000000000294.
https://psnet.ahrq.gov/issue/emerging-tr…
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psnet.ahrq.gov/node/73878/psn-pdf
September 29, 2021 - Interventions to improve communication at hospital
discharge and rates of readmission: a systematic review
and meta-analysis.
September 29, 2021
Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and
rates of readmission. JAMA Netw Open. 2021;4(8):e2119346. doi:10.100…
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psnet.ahrq.gov/node/44051/psn-pdf
August 02, 2015 - Sustainability and long-term effectiveness of the WHO
surgical safety checklist combined with pulse oximetry in
a resource-limited setting: two-year update from Moldova.
August 2, 2015
Kim RY, Kwakye G, Kwok AC, et al. Sustainability and long-term effectiveness of the WHO surgical safety
checklist combined with pu…
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psnet.ahrq.gov/node/836825/psn-pdf
March 30, 2022 - Antibiotic prescribing errors in patients discharged from
the pediatric emergency department.
March 30, 2022
LaScala EC, Monroe AK, Hall GA, et al. Antibiotic prescribing errors in patients discharged from the
pediatric emergency department. Pediatr Emerg Care. 2022;38(1):e387-e392.
doi:10.1097/pec.000000000000229…
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psnet.ahrq.gov/node/74697/psn-pdf
January 26, 2022 - The effect of medication reconciliation via a patient portal
on medication discrepancies: a randomized noninferiority
study.
January 26, 2022
Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. The effect of medication reconciliation via a
patient portal on medication discrepancies: a randomized noninferiority stu…
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psnet.ahrq.gov/node/38993/psn-pdf
January 04, 2010 - Relationship between call light use and response time
and inpatient falls in acute care settings.
January 4, 2010
Tzeng H-M, Yin C-Y. Relationship between call light use and response time and inpatient falls in acute care
settings. J Clin Nurs. 2009;18(23):3333-41. doi:10.1111/j.1365-2702.2009.02916.x.
https://psn…
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psnet.ahrq.gov/node/41759/psn-pdf
October 10, 2012 - Optimal preoperative assessment of the geriatric surgical
patient: a best practices guideline from the American
College of Surgeons National Surgical Quality
Improvement Program and the American Geriatrics
Society.
October 10, 2012
Chow WB, Rosenthal RA, Merkow RP, et al. Optimal preoperative assessment of the ge…
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psnet.ahrq.gov/node/44368/psn-pdf
September 29, 2017 - A systematic review of the effect of distraction on
surgeon performance: directions for operating room
policy and surgical training.
September 29, 2017
Mentis HM, Chellali A, Manser K, et al. A systematic review of the effect of distraction on surgeon
performance: directions for operating room policy and surgical …
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psnet.ahrq.gov/node/860383/psn-pdf
January 10, 2024 - Addressing nursing shortages and patient safety using
Maslow's hierarchy of needs.
January 10, 2024
Giuffrida P, Davila S. Addressing nursing shortages and patient safety using Maslow's hierarchy of needs.
Nursing. 2024;54(1):35-40. doi:10.1097/01.nurse.0000995608.56374.f5.
https://psnet.ahrq.gov/issue/addressing-…
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psnet.ahrq.gov/node/43693/psn-pdf
January 20, 2015 - Effectiveness of facilitated introduction of a standard
operating procedure into routine processes in the
operating theatre: a controlled interrupted time series.
January 20, 2015
Morgan L, New S, Robertson ER, et al. Effectiveness of facilitated introduction of a standard operating
procedure into routine processe…
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psnet.ahrq.gov/node/60275/psn-pdf
April 29, 2020 - Misreading injectable medications—causes and
solutions: an integrative literature review.
April 29, 2020
Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an
integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020.01.007.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/838922/psn-pdf
October 26, 2022 - Effect of pharmacist email alerts on concurrent
prescribing of opioids and benzodiazepines by
prescribers and primary care managers: a randomized
clinical trial.
October 26, 2022
Sacarny A, Safran E, Steffel M, et al. Effect of pharmacist email alerts on concurrent prescribing of opioids
and benzodiazepines by pr…
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psnet.ahrq.gov/node/837971/psn-pdf
September 01, 2022 - Frailty and potentially inappropriate prescribing in older
people with polypharmacy: a bi-directional relationship?
September 1, 2022
Randles MA. Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-
directional relationship? Drugs Aging. 2022;39(8):597-606. doi:10.1007/s40266-0…