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psnet.ahrq.gov/node/47448/psn-pdf
October 10, 2018 - Ten principles for more conservative, care-full diagnosis.
October 10, 2018
Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann
Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468.
https://psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis…
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psnet.ahrq.gov/node/41700/psn-pdf
December 31, 2014 - High-priority drug–drug interactions for use in electronic
health records.
December 31, 2014
Phansalkar S, Desai AA, Bell D, et al. High-priority drug-drug interactions for use in electronic health
records. J Am Med Inform Assoc. 2012;19(5):735-43. doi:10.1136/amiajnl-2011-000612.
https://psnet.ahrq.gov/issue/high…
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psnet.ahrq.gov/node/60556/psn-pdf
June 03, 2020 - The impact of technology on prescribing errors in
pediatric intensive care: a before and after study.
June 3, 2020
Howlett MM, Butler E, Lavelle KM, et al. The impact of technology on prescribing errors in pediatric
intensive care: a before and after study. Appl Clin Inform. 2020;11(02). doi:10.1055/s-0040-1709508.…
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psnet.ahrq.gov/node/48191/psn-pdf
August 28, 2019 - To catch a killer: electronic sepsis alert tools reaching a
fever pitch?
August 28, 2019
Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf.
2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463.
https://psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools…
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psnet.ahrq.gov/node/40364/psn-pdf
July 01, 2011 - Utilising improvement science methods to optimise
medication reconciliation.
April 13, 2011
White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise
medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845.
https://psnet.ahrq.gov/issue/utilising-…
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psnet.ahrq.gov/node/837969/psn-pdf
August 31, 2022 - Comparing the variability of ingredient, strength, and
dose form information from electronic prescriptions with
RxNorm drug product descriptions.
August 31, 2022
Lester CA, Flynn AJ, Marshall VD, et al. Comparing the variability of ingredient, strength, and dose form
information from electronic prescriptions with …
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psnet.ahrq.gov/node/47035/psn-pdf
April 18, 2018 - General internists in pursuit of diagnostic excellence in
primary care: a #ProudtobeGIM thread that unites us all.
April 18, 2018
Kwan JL, Singh H. General Internists in Pursuit of Diagnostic Excellence in Primary Care: a
#ProudtobeGIM Thread That Unites Us All. J Gen Intern Med. 2018;33(4):395-396. doi:10.1007/s11…
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psnet.ahrq.gov/node/37871/psn-pdf
January 06, 2017 - A controlled trial of a rapid response system in an
academic medical center.
January 6, 2017
Rothschild JM, Woolf S, Finn KM, et al. A controlled trial of a rapid response system in an academic
medical center. Jt Comm J Qual Patient Saf. 2008;34(7):417-25, 365.
https://psnet.ahrq.gov/issue/controlled-trial-rapid-r…
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psnet.ahrq.gov/node/844769/psn-pdf
January 01, 2020 - Failure to administer recommended chemotherapy:
acceptable variation or cancer care quality blind spot?
September 18, 2019
Ellis RJ, Schlick CJR, Feinglass J, et al. Failure to administer recommended chemotherapy: acceptable
variation or cancer care quality blind spot? BMJ Qual Saf. 2020;29(2):103-112. doi:10.1136/…
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psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical-values
January 15, 2020 - Newspaper/Magazine Article
Safe patient outcomes occur with timely, standardized communication of critical values.
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April 16, 2018
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psnet.ahrq.gov/node/60612/psn-pdf
January 01, 2021 - COVID-19: patient safety and quality improvement skills
to deploy during the surge.
June 24, 2020
Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to
deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.1093/intqhc/mzaa050.
https://psnet.ahrq…
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psnet.ahrq.gov/node/43655/psn-pdf
December 19, 2014 - Systematic biases in group decision-making: implications
for patient safety.
December 19, 2014
Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J
Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083.
https://psnet.ahrq.gov/issue/systematic-biases-gro…
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psnet.ahrq.gov/node/73286/psn-pdf
May 19, 2021 - Engineering care transitions: clinician perceptions of
barriers to safe medication management during
transitions of patient care.
May 19, 2021
Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe
medication management during transitions of patient care. Appl Er…
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psnet.ahrq.gov/node/73324/psn-pdf
May 26, 2021 - Medication-related hospital readmissions within 30 days
of discharge: prevalence, preventability, type of
medication errors and risk factors.
May 26, 2021
Uitvlugt EB, Janssen MJA, Siegert CEH, et al. Medication-related hospital readmissions within 30 days of
discharge: prevalence, preventability, type of medicati…
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psnet.ahrq.gov/node/45441/psn-pdf
September 21, 2016 - Psychological impact and recovery after involvement in a
patient safety incident: a repeated measures analysis.
September 21, 2016
Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a
patient safety incident: a repeated measures analysis. BMJ oOen. 2016;6(8):e011403.
…
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psnet.ahrq.gov/node/865806/psn-pdf
May 08, 2024 - Entangled in complexity: an ethnographic study of
organizational adaptability and safe care transitions for
patients with complex care needs.
May 8, 2024
Hedqvist A?T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of
organizational adaptability and safe care transitions for patient…
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psnet.ahrq.gov/node/866170/psn-pdf
June 19, 2024 - The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action.
June 19, 2024
Coleman BC, Rubinstein SM, Salsbury SA, et al. The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action. Chiropr Man Therap. 2024;32(1):15. doi:10.1186/s12998-024-00536-1.
https://p…
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psnet.ahrq.gov/node/73131/psn-pdf
April 14, 2021 - Identification of common themes from never events data
published by NHS England.
April 14, 2021
Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by
NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7.
https://psnet.ahrq.gov/issue/identif…
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psnet.ahrq.gov/node/43444/psn-pdf
August 27, 2014 - Patient-safety–related hospital deaths in England:
thematic analysis of incidents reported to a national
database, 2010–2012.
August 27, 2014
Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of
incidents reported to a national database, 2010-2012. PLoS Med. 201…
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psnet.ahrq.gov/node/47059/psn-pdf
May 16, 2018 - Participating in a multisite study exploring operational
failures encountered by frontline nurses: lessons learned.
May 16, 2018
Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures
Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208.
do…