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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/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/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/859344/psn-pdf
December 20, 2023 - Nurses' perspectives on medication errors and prevention
strategies in residential aged care facilities through a
national survey.
December 20, 2023
Kuppadakkath SC, Bhowmik J, Olasoji M, et al. Nurses' perspectives on medication errors and prevention
strategies in residential aged care facilities through a nation…
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psnet.ahrq.gov/node/73218/psn-pdf
January 01, 2022 - Work-related factors, cognitive skills, unsafe behavior
and safety incident involvement among emergency
medical services crew members: relationships and
indirect effects.
May 5, 2021
Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among
emergency medical services …
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psnet.ahrq.gov/node/50882/psn-pdf
February 12, 2020 - Association of default electronic medical record settings
with health care professional patterns of opioid
prescribing in emergency departments: A randomized
quality improvement study
February 12, 2020
Montoy JCC, Coralic Z, Herring AA, et al. Association of Default Electronic Medical Record Settings With
Health …
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psnet.ahrq.gov/node/37878/psn-pdf
February 03, 2011 - Electromagnetic interference from radio frequency
identification inducing potentially hazardous incidents in
critical care medical equipment.
February 3, 2011
van der Togt R, van Lieshout EJ, Hensbroek R, et al. Electromagnetic interference from radio frequency
identification inducing potentially hazardous incide…
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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/73248/psn-pdf
May 12, 2021 - Universal protection: operationalizing infection
prevention guidance in the COVID-19 era.
May 12, 2021
Sands K, Blanchard J, Grubbs K, et al. Universal protection: operationalizing infection prevention guidance
in the COVID-19 era. Jt Comm J Qual Patient Saf. 2021;47(5):327-332. doi:10.1016/j.jcjq.2021.01.007.
htt…
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psnet.ahrq.gov/node/60052/psn-pdf
March 18, 2020 - Analysis of pharmacist-identified medication-related
problems at two United Kingdom hospitals: a prospective
observational study.
March 18, 2020
Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United
Kingdom hospitals: a prospective observational study. Int J Phar…
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psnet.ahrq.gov/node/47293/psn-pdf
October 10, 2018 - Specifications of computerized provider order entry and
clinical decision support systems for cancer patients
undergoing chemotherapy: a systematic review.
October 10, 2018
Rahimi R, Kazemi A, Moghaddasi H, et al. Specifications of Computerized Provider Order Entry and
Clinical Decision Support Systems for Cancer …
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psnet.ahrq.gov/node/45482/psn-pdf
September 14, 2016 - 'America's other drug problem': copious prescriptions for
hospitalized elderly.
September 14, 2016
Gorman A. Kaiser Health News. August 30, 2016.
https://psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly
Older patients are particularly vulnerable to medication errors, as t…
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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/40172/psn-pdf
January 26, 2011 - Risk of adverse drug events in neonates treated with
opioids and the effect of a bar-code–assisted medication
administration system.
January 26, 2011
Morriss FH, Abramowitz PW, Nelson S, et al. Risk of adverse drug events in neonates treated with opioids
and the effect of a bar-code-assisted medication administrat…
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psnet.ahrq.gov/node/73616/psn-pdf
August 18, 2021 - Do Black and White Patients Experience Similar Rates of
Adverse Safety Events at the Same Hospital?
August 18, 2021
Gangopadhyaya A. Washington DC; Urban Institute: July 2021.
https://psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events-
same-hospital
Racial inequities h…
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psnet.ahrq.gov/node/44844/psn-pdf
March 02, 2016 - From To Err Is Human to Improving Diagnosis in Health
Care: the risk management perspective.
March 2, 2016
Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk
management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1002/jhrm.21205.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/46093/psn-pdf
April 26, 2017 - Inpatient Notes: human factors engineering and inpatient
care—new ways to solve old problems.
April 26, 2017
Clack L, Sax H. Web Exclusives. Annals for Hospitalists Inpatient Notes - Human Factors Engineering and
Inpatient Care-New Ways to Solve Old Problems. Ann Intern Med. 2017;166(8):HO2-HO3.
doi:10.7326/M17-05…
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psnet.ahrq.gov/node/60179/psn-pdf
April 01, 2020 - Two cultures in modern science and technology: for
safety and validity does medicine have to update?
April 1, 2020
Becker RE. Two cultures in modern science and technology: for safety and validity does medicine have to
update? J Patient Saf. 2020;16(1):e46-e50. doi:10.1097/pts.0000000000000260.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/46133/psn-pdf
May 24, 2017 - Implementing smart infusion pumps with dose-error
reduction software: real-world experiences.
May 24, 2017
Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences.
Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13.
https://psnet.ahrq.gov/issue/implementing…
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psnet.ahrq.gov/node/40145/psn-pdf
November 14, 2011 - Postoperative sepsis in the United States.
November 14, 2011
Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg.
2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e.
https://psnet.ahrq.gov/issue/postoperative-sepsis-united-states
The safety of patients undergoing surg…