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psnet.ahrq.gov/node/842421/psn-pdf
January 11, 2023 - Weight and size descriptors for drug dosing: too many
options and too many errors.
January 11, 2023
Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too
many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zxac283.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/74839/psn-pdf
February 16, 2022 - Impact of unacceptable behaviour between healthcare
workers on clinical performance and patient outcomes: a
systematic review.
February 16, 2022
Guo L, Ryan B, Leditschke IA, et al. Impact of unacceptable behaviour between healthcare workers on
clinical performance and patient outcomes: a systematic review. BMJ Qu…
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psnet.ahrq.gov/node/852751/psn-pdf
August 23, 2023 - Automated search methods for identifying wrong patient
order entry-a scoping review.
August 23, 2023
Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping
review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057.
https://psnet.ahrq.gov/issue/automated-s…
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psnet.ahrq.gov/node/47291/psn-pdf
October 31, 2018 - Incidence and method of suicide in hospitals in the United
States.
October 31, 2018
Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United
States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002.
https://psnet.ahrq.gov/issue/incidence-…
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psnet.ahrq.gov/node/40128/psn-pdf
January 12, 2011 - Impact of a comprehensive safety initiative on patient-
controlled analgesia errors.
January 12, 2011
Paul JE, Bertram B, Antoni K, et al. Impact of a comprehensive safety initiative on patient-controlled
analgesia errors. Anesthesiology. 2010;113(6):1427-32. doi:10.1097/ALN.0b013e3181fcb427.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/35324/psn-pdf
February 03, 2011 - Neurobehavioral performance of residents after heavy
night call vs after alcohol ingestion.
February 3, 2011
Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs
After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.1025.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/850350/psn-pdf
June 14, 2023 - Preventing surgical site infections: are safety climate
level and its strength associated with self-reported
commitment to, subjective norms toward, and knowledge
about preventive measures?
June 14, 2023
Pfeiffer Y, Atkinson A, Maag J, et al. Preventing surgical site infections: are safety climate level and its
s…
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psnet.ahrq.gov/node/46894/psn-pdf
June 20, 2018 - Smart pump custom concentrations without hard "low
concentration" alerts can lead to patient harm.
June 20, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 31, 2018;23:1-4.
https://psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-
lead-patient-harm
Smart p…
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psnet.ahrq.gov/node/45651/psn-pdf
November 16, 2016 - Improving patient safety through the involvement of
patients: development and evaluation of novel
interventions to engage patients in preventing patient
safety incidents and protecting them against unintended
harm.
November 16, 2016
Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve…
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psnet.ahrq.gov/node/47283/psn-pdf
January 27, 2019 - Association of the use of a mandatory prescription drug
monitoring program with prescribing practices for
patients undergoing elective surgery.
January 27, 2019
Stucke RS, Kelly JL, Mathis KA, et al. Association of the Use of a Mandatory Prescription Drug Monitoring
Program With Prescribing Practices for Patients …
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psnet.ahrq.gov/node/866316/psn-pdf
July 17, 2024 - From identifying patient safety risks to reporting patient
complaints: a grounded theory study on patients' hospital
experiences.
July 17, 2024
Gyberg A, Brezicka T, Wijk H, et al. From identifying patient safety risks to reporting patient complaints: a
grounded theory study on patients' hospital experiences. J Cl…
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psnet.ahrq.gov/node/846161/psn-pdf
March 15, 2023 - Ten years of online incident reporting and learning using
CPiRLS: implications for improved patient safety.
March 15, 2023
Thomas M, Swait G, Finch R. Ten years of online incident reporting and learning using CPiRLS:
implications for improved patient safety. Chiropr Man Therap. 2023;31(1):9. doi:10.1186/s12998-023-…
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psnet.ahrq.gov/node/46672/psn-pdf
January 30, 2018 - Elevated mortality among weekend hospital admissions is
not associated with adoption of seven day clinical
standards.
January 30, 2018
Meacock R, Sutton M. Elevated mortality among weekend hospital admissions is not associated with
adoption of seven day clinical standards. Emerg Med J. 2018;35(2):108-113. doi:10.1…
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psnet.ahrq.gov/node/45662/psn-pdf
January 23, 2017 - National trends in hospitalizations for opioid poisonings
among children and adolescents, 1997 to 2012.
January 23, 2017
Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among
Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;170(12):1195-1201.
doi:10.1001/j…
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psnet.ahrq.gov/node/47454/psn-pdf
May 29, 2019 - Development and implementation of a subcutaneous
insulin pen label bar code scanning protocol to prevent
wrong-patient insulin pen errors.
May 29, 2019
MacMaster HW, Gonzalez S, Maruoka A, et al. Development and Implementation of a Subcutaneous
Insulin Pen Label Bar Code Scanning Protocol to Prevent Wrong-Patient …
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psnet.ahrq.gov/node/38515/psn-pdf
March 03, 2011 - Errors in administration of parenteral drugs in intensive
care units: multinational prospective study.
March 3, 2011
Valentin A, Capuzzo M, Guidet B, et al. Errors in administration of parenteral drugs in intensive care units:
multinational prospective study. BMJ. 2009;338:b814. doi:10.1136/bmj.b814.
https://psnet…
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psnet.ahrq.gov/node/836959/psn-pdf
April 20, 2022 - Safety of elderly fallers: identifying associated risk
factors for 30-day unplanned readmissions using a
clinical data warehouse.
April 20, 2022
El Abd A, Schwab C, Clementz A, et al. Safety of elderly fallers: identifying associated risk factors for 30-
day unplanned readmissions using a clinical data warehouse. …
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psnet.ahrq.gov/node/61108/psn-pdf
November 11, 2020 - Association of clinical nursing work environment with
quality and safety in maternity care in the United States.
November 11, 2020
Clark RRS, Lake ET. Association of clinical nursing work environment with quality and safety in maternity
care in the United States. MCN: Am J Maternal Child Nurs. 2020;45(5):265-270.
…
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psnet.ahrq.gov/node/45532/psn-pdf
September 28, 2016 - Prevention by design: construction and renovation of
health care facilities for patient safety and infection
prevention.
September 28, 2016
Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient
Safety and Infection Prevention. Infect Dis Clin North Am. 2016;30(3):713-2…
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psnet.ahrq.gov/node/43292/psn-pdf
January 07, 2015 - Clinical decision support for atypical orders: detection
and warning of atypical medication orders submitted to a
computerized provider order entry system.
January 7, 2015
Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and
warning of atypical medication orders subm…