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psnet.ahrq.gov/node/35896/psn-pdf
July 23, 2010 - Work-hour restrictions as an ethical dilemma for
residents.
July 23, 2010
Carpenter RO, Austin MT, Tarpley JL, et al. Work-hour restrictions as an ethical dilemma for residents. Am
J Surg. 2006;191(4):527-32.
https://psnet.ahrq.gov/issue/work-hour-restrictions-ethical-dilemma-residents
This study surveyed 170 res…
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psnet.ahrq.gov/node/841787/psn-pdf
December 21, 2022 - Electronic prescribing systems in hospitals to improve
medication safety: a multi-methods research programme.
December 21, 2022
Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication
safety: a multimethods research programme. Programme Grants Appl Res. 2022;10(7):1-…
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psnet.ahrq.gov/node/854380/psn-pdf
October 11, 2023 - Associations between hospitalist shift busyness,
diagnostic confidence, and resource utilization: a pilot
study.
October 11, 2023
Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic
confidence, and resource utilization: a pilot study. J Patient Saf. 2023;19(7):447-452…
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psnet.ahrq.gov/node/74172/psn-pdf
December 08, 2021 - Differences in safety report event types submitted by
graduate medical education trainees compared with other
healthcare team members.
December 8, 2021
Cohen SP, McLean HS, Milne J, et al. Differences in Safety Report Event Types Submitted by Graduate
Medical Education Trainees Compared With Other Healthcare Team …
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psnet.ahrq.gov/node/73571/psn-pdf
August 04, 2021 - "My whole room went into chaos because of that thing in
the corner": unintended consequences of a central fetal
monitoring system.
August 4, 2021
Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the
corner”: unintended consequences of a central fetal monitoring system…
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psnet.ahrq.gov/node/43656/psn-pdf
September 01, 2016 - Optimization of drug–drug interaction alert rules in a
pediatric hospital's electronic health record system using
a visual analytics dashboard.
September 1, 2016
Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric
hospital's electronic health record system using…
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psnet.ahrq.gov/node/45290/psn-pdf
July 27, 2016 - Interventions to address potentially inappropriate
prescribing in community-dwelling older adults: a
systematic review of randomized controlled trials.
July 27, 2016
Clyne B, Fitzgerald C, Quinlan A, et al. Interventions to Address Potentially Inappropriate Prescribing in
Community-Dwelling Older Adults: A Systema…
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psnet.ahrq.gov/node/73679/psn-pdf
September 08, 2021 - Why an open disclosure procedure is and is not followed
after an avoidable adverse event.
September 8, 2021
Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an
avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405.
https…
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psnet.ahrq.gov/node/837039/psn-pdf
May 04, 2022 - The Joint Commission's new and revised workplace
violence prevention standards for hospitals: a major step
forward toward improved quality and safety.
May 4, 2022
Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals:
a major step forward toward improved quality an…
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psnet.ahrq.gov/node/73656/psn-pdf
September 01, 2021 - Opioid prescribing to US children and young adults in
2019.
September 1, 2021
Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019.
Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539.
https://psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-…
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psnet.ahrq.gov/node/40645/psn-pdf
November 26, 2012 - Rapid-response teams.
November 26, 2012
Jones D, DeVita MA, Bellomo R. Rapid-response teams. N Engl J Med. 2011;365(2):139-46.
doi:10.1056/NEJMra0910926.
https://psnet.ahrq.gov/issue/rapid-response-teams
Delays in clinical deterioration recognition and failures to rescue lead to serious adverse events. Rapid
resp…
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psnet.ahrq.gov/node/866433/psn-pdf
August 07, 2024 - Sepsis alert systems, mortality, and adherence in
emergency departments: a systematic review and meta-
analysis.
August 7, 2024
Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments:
a systematic review and meta-analysis. JAMA Netw Open. 2024;7(7):e2422823.
doi:10…
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psnet.ahrq.gov/node/48109/psn-pdf
January 01, 2020 - Dosing errors made by paramedics during pediatric
patient simulations after implementation of a state-wide
pediatric drug dosing reference.
July 24, 2019
Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient
Simulations After Implementation of a State-Wide Pediatric Drug Dos…
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psnet.ahrq.gov/node/60849/psn-pdf
January 01, 2021 - Associations between double-checking and medication
administration errors: a direct observational study of
paediatric inpatients.
August 26, 2020
Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration
errors: a direct observational study of paediatric inpatients. BM…
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psnet.ahrq.gov/node/837705/psn-pdf
July 20, 2022 - Understanding hazards for adverse drug events among
older adults after hospital discharge: insights from
frontline care professionals.
July 20, 2022
Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after
hospital discharge: insights from frontline care professionals…
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psnet.ahrq.gov/node/46585/psn-pdf
April 29, 2018 - Improving patient safety and efficiency of medication
reconciliation through the development and adoption of a
computer-assisted tool with automated electronic
integration of population-based community drug data: the
RightRx project.
April 29, 2018
Tamblyn R, Winslade N, Lee TC, et al. Improving patient safety an…
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psnet.ahrq.gov/node/866904/psn-pdf
October 09, 2024 - Crying wolf, alarm safety and management in paediatrics:
a scoping review.
October 9, 2024
Cole R, Roderick G, Cheema O, et al. Crying wolf, alarm safety and management in paediatrics: a scoping
review. J Adv Nurs. 2024;Epub Sep 25. doi:10.1111/jan.16398.
https://psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-m…
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psnet.ahrq.gov/node/840145/psn-pdf
November 16, 2022 - Failure of crisis leadership in a global pandemic: some
reflections on COVID-19 and future recommendations.
November 16, 2022
Okoli J, Arroteia NP, Ogunsade AI. Failure of crisis leadership in a global pandemic: some reflections on
COVID-19 and future recommendations. Leadersh Health Serv (Bradf Engl). 2023;36(2):1…
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psnet.ahrq.gov/node/74695/psn-pdf
January 26, 2022 - Impact of teamwork and communication training
interventions on safety culture and patient safety in
emergency departments: a systematic review.
January 26, 2022
Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on
safety culture and patient safety in emergency departm…
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psnet.ahrq.gov/node/837972/psn-pdf
September 01, 2022 - Patient safety: where to aim when zero harm is not the
target-a case for learning and resilience.
September 1, 2022
Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case
for learning and resilience. J Patient Saf. 2022;18(5):e877-e882. doi:10.1097/pts.00000000000009…