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psnet.ahrq.gov/node/46575/psn-pdf
December 13, 2017 - Economic evaluation of pharmacist-led medication
reviews in residential aged care facilities.
December 13, 2017
Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in
residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res. 2017;17(5):431-439.
doi:10.108…
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psnet.ahrq.gov/node/37310/psn-pdf
January 05, 2012 - Patient identification error among prostate needle core
biopsy specimens—are we ready for a DNA time-out?
January 5, 2012
Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens--
are we ready for a DNA time-out? J Urol. 2007;178(4 Pt 1):1245-8.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/46428/psn-pdf
November 01, 2017 - Translating staff experience into organisational
improvement: the HEADS-UP stepped wedge, cluster
controlled, non-randomised trial.
November 1, 2017
Pannick S, Athanasiou T, Long SJ, et al. Translating staff experience into organisational improvement: the
HEADS-UP stepped wedge, cluster controlled, non-randomised …
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psnet.ahrq.gov/node/47359/psn-pdf
October 10, 2018 - Is there evidence of a July effect among patients
undergoing hysterectomy surgery?
October 10, 2018
Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing
hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.ajog.2018.05.033.
https://psnet.a…
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psnet.ahrq.gov/node/47969/psn-pdf
June 12, 2019 - Opioid medication discontinuation and risk of adverse
opioid-related health care events.
June 12, 2019
Mark TL, Parish W. Opioid medication discontinuation and risk of adverse opioid-related health care
events. J Subst Abuse Treat. 2019;103:58-63. doi:10.1016/j.jsat.2019.05.001.
https://psnet.ahrq.gov/issue/opioid…
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psnet.ahrq.gov/node/44742/psn-pdf
January 06, 2016 - A piece of my mind. From shame to guilt to love.
January 6, 2016
Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507-
2508. doi:10.1001/jama.2015.11521.
https://psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love
While numerous studies have examined the psychological i…
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psnet.ahrq.gov/node/852451/psn-pdf
August 16, 2023 - The impact of transition to a digital hospital on
medication errors (TIME study).
August 16, 2023
Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors
(TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w.
https://psnet.ahrq.gov/issue/imp…
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psnet.ahrq.gov/node/47568/psn-pdf
March 06, 2019 - Trends in anesthesia-related liability and lessons learned.
March 6, 2019
Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned.
Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009.
https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-l…
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psnet.ahrq.gov/node/850173/psn-pdf
June 07, 2023 - A national safety board made transportation safer and
could do the same for health care, advocates say.
June 7, 2023
Jaklevic MC. CNN. May 30, 2023.
https://psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health-
care-advocates-say
Patient safety has long drawn from aviation…
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psnet.ahrq.gov/node/45763/psn-pdf
December 19, 2017 - Expanded pharmacy technician roles: accepting verbal
prescriptions and communicating prescription transfers.
December 19, 2017
Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and
communicating prescription transfers. Res Social Adm Pharm. 2017;13(6):1191-1195.
doi:10.1016/j.s…
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psnet.ahrq.gov/node/838017/psn-pdf
September 07, 2022 - Addressing adultification of black pediatric patients in the
emergency department: a framework to decrease
disparities.
September 7, 2022
Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a
framework to decrease disparities. Health Promot Pract. 2022;23(4):555-5…
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psnet.ahrq.gov/node/45767/psn-pdf
April 17, 2017 - Medication errors attributed to health information
technology.
April 17, 2017
Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8.
https://psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
The unintended consequences associated with health information technologies for …
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psnet.ahrq.gov/node/72812/psn-pdf
March 10, 2021 - High nursing staff turnover in nursing homes offers
important quality information.
March 10, 2021
Gandhi A, Yu H, Grabowski DC. High nursing staff turnover in nursing homes offers important quality
information. Health Aff (Millwood). 2021;40(3):384-391. doi:10.1377/hlthaff.2020.00957.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/854988/psn-pdf
November 01, 2023 - Use of design thinking and human factors approach to
improve situation awareness in the pediatric intensive
care unit.
November 1, 2023
Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve
situation awareness in the pediatric intensive care unit. J Hosp Med. 2023;18(1…
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psnet.ahrq.gov/node/46032/psn-pdf
May 03, 2017 - Leveraging the Partnership for Patients' initiative to
improve patient safety and quality within the Military
Health System.
May 3, 2017
King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient
Safety and Quality Within the Military Health System. Mil Med. 2017;182(…
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psnet.ahrq.gov/node/50536/psn-pdf
October 16, 2019 - The impact of post-fall huddles on repeat fall rates and
perceptions of safety culture: a quasi-experimental
evaluation of a patient safety demonstration project
October 16, 2019
Jones KJ, Crowe J, Allen JA, et al. The impact of post-fall huddles on repeat fall rates and perceptions of
safety culture: a quasi-expe…
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psnet.ahrq.gov/node/836996/psn-pdf
April 27, 2022 - Does a suggested diagnosis in a general practitioners'
referral question impact diagnostic reasoning: an
experimental study.
April 27, 2022
Staal J, Speelman M, Brand R, et al. Does a suggested diagnosis in a general practitioners’ referral
question impact diagnostic reasoning: an experimental study. BMC Med Educ.…
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psnet.ahrq.gov/node/44470/psn-pdf
October 13, 2015 - Workplace training for senior trainees: a systematic
review and narrative synthesis of current approaches to
promote patient safety.
October 13, 2015
Walton M, Harrison R, Burgess A, et al. Workplace training for senior trainees: a systematic review and
narrative synthesis of current approaches to promote patient …
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psnet.ahrq.gov/node/43855/psn-pdf
April 15, 2016 - Perioperative safety in plastic surgery: is the World
Health Organization checklist useful in a broad practice?
April 15, 2016
Biskup N, Workman AD, Kutzner E, et al. Perioperative Safety in Plastic Surgery: Is the World Health
Organization Checklist Useful in a Broad Practice? Ann Plast Surg. 2016;76(5):550-5.
do…
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psnet.ahrq.gov/node/867759/psn-pdf
March 12, 2025 - Intrahospital patient transport: checklists, adverse
events, and other considerations for the anesthesia
professional.
March 12, 2025
Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other
considerations for the anesthesia professional. APSF Newsletter. 2025;40(1):24-26.
ht…