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psnet.ahrq.gov/node/844990/psn-pdf
February 22, 2023 - Shape matters: a neglected feature of medication safety:
why regulating the shape of medication containers can
improve medication safety.
February 22, 2023
Bitan Y, Nunnally M. Shape matters: a neglected feature of medication safety: why regulating the shape of
medication containers can improve medication safety. …
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psnet.ahrq.gov/node/74717/psn-pdf
February 02, 2022 - Improving hospital infant safe sleep compliance by using
safety prevention bundle methodology.
February 2, 2022
Batra EK, Lewis ML, Saravana D, et al. Improving hospital infant safe sleep compliance by using safety
prevention bundle methodology. Pediatrics. 2021;148(6):e2020033704. doi:10.1542/peds.2020-033704.
ht…
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psnet.ahrq.gov/node/39673/psn-pdf
December 21, 2014 - Effect of hospital follow-up appointment on clinical event
outcomes and mortality.
December 21, 2014
Grafft CA, McDonald FS, Ruud KL, et al. Effect of hospital follow-up appointment on clinical event
outcomes and mortality. Arch Intern Med. 2010;170(11):955-60. doi:10.1001/archinternmed.2010.105.
https://psnet.ahr…
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psnet.ahrq.gov/node/36089/psn-pdf
March 03, 2011 - The impact of the 80-hour resident workweek on surgical
residents and attending surgeons.
March 3, 2011
Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical
residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 871-5.
https://psnet.ahrq.gov/issue/i…
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psnet.ahrq.gov/node/36163/psn-pdf
September 29, 2010 - Improving the bar-coded medication administration
system at the Department of Veterans Affairs.
September 29, 2010
Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the
Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):1442-7.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/46782/psn-pdf
January 24, 2019 - Patient perspectives on how physicians communicate
diagnostic uncertainty: an experimental vignette study.
January 24, 2019
Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic
uncertainty: An experimental vignette study. Int J Qual Health Care. 2018;30(1):2-8.
doi:10.1…
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psnet.ahrq.gov/node/36577/psn-pdf
January 12, 2011 - Effects of teamwork training on adverse outcomes and
process of care in labor and delivery: a randomized
controlled trial.
January 12, 2011
Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of
care in labor and delivery: a randomized controlled trial. Obstet Gyneco…
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psnet.ahrq.gov/node/46696/psn-pdf
January 10, 2018 - Achieving the Institute of Medicine's 6 aims for quality in
the midst of the opioid crisis: considerations for the
emergency department.
January 10, 2018
Waszak DL, Fennimore LA. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid
crisis: considerations for the emergency department.…
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psnet.ahrq.gov/node/41732/psn-pdf
October 03, 2012 - Double checking the administration of medicines: what is
the evidence? A systematic review.
October 3, 2012
Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence?
A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/archdischild-2011-301093.
https://p…
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psnet.ahrq.gov/node/854624/psn-pdf
January 01, 2024 - Adverse drug events caused by three high-risk drug-drug
interactions in patients admitted to intensive care units: a
multicentre retrospective observational study.
October 18, 2023
Klopotowska JE, Leopold J?H, Bakker T, et al. Adverse drug events caused by three high?risk drug–drug
interactions in patients admitte…
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psnet.ahrq.gov/node/60012/psn-pdf
March 03, 2020 - Algorithm based smartphone apps to assess risk of skin
cancer in adults: systematic review of diagnostic
accuracy studies.
March 3, 2020
Freeman K, Dinnes J, Chuchu N, et al. Algorithm based smartphone apps to assess risk of skin cancer in
adults: systematic review of diagnostic accuracy studies. BMJ. 2020;368:m12…
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psnet.ahrq.gov/node/41597/psn-pdf
December 02, 2014 - Medical errors in US pediatric inpatients with chronic
conditions.
December 2, 2014
Ahuja N, Zhao W, Xiang H. Medical errors in US pediatric inpatients with chronic conditions. Pediatrics.
2012;130(4):e786-e793. doi:10.1542/peds.2011-2555.
https://psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic…
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psnet.ahrq.gov/node/72649/psn-pdf
January 20, 2021 - Wrong-site surgery in Pennsylvania during 2015–2019: a
study of variables associated with 368 events from 178
facilities.
January 20, 2021
Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables
Associated With 368 Events From 178 Facilities. Patient Safety. 2020;2(4):24-39.
…
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psnet.ahrq.gov/node/46450/psn-pdf
August 20, 2018 - Improving Diagnostic Quality and Safety Final Report.
August 20, 2018
Washington, DC: National Quality Forum. September 19, 2017.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
Although diagnostic error is a well-recognized source of preventable patient harm, measuring and
mitiga…
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psnet.ahrq.gov/node/73084/psn-pdf
March 31, 2021 - Maternal and neonatal health care worker well-being and
patient safety climate amid the COVID-19 pandemic.
March 31, 2021
Haidari E, Main EK, Cui X, et al. Maternal and neonatal health care worker well-being and patient safety
climate amid the COVID-19 pandemic. J Perinatol. 2021;41(5):961-969. doi:10.1038/s41372-0…
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psnet.ahrq.gov/node/47113/psn-pdf
July 11, 2018 - The impact of pharmacists-led medicines reconciliation
on healthcare outcomes in secondary care: a systematic
review and meta-analysis of randomized controlled trials.
July 11, 2018
Cheema E, Alhomoud FK, Kinsara ASA-D, et al. The impact of pharmacists-led medicines reconciliation on
healthcare outcomes in seconda…
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psnet.ahrq.gov/node/61099/psn-pdf
November 04, 2020 - Twelve-month review of infusion pump near-miss
medication and dose selection errors and user-initiated
"good save" corrections: retrospective study.
November 4, 2020
Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and
dose selection errors and user-Initiated "good…
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psnet.ahrq.gov/node/43402/psn-pdf
October 20, 2014 - The WHO surgical safety checklist: survey of patients'
views.
October 20, 2014
Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual
Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772.
https://psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views
T…
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psnet.ahrq.gov/node/46064/psn-pdf
April 19, 2017 - Prognosis of undiagnosed chest pain: linked electronic
health record cohort study.
April 19, 2017
Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record
cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194.
https://psnet.ahrq.gov/issue/prognosis-undiagnosed-ch…
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psnet.ahrq.gov/node/43965/psn-pdf
July 16, 2015 - Decision making in trauma settings: simulation to
improve diagnostic skills.
July 16, 2015
Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve
diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073.
https://psnet.ahrq.gov/issue/decision…