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psnet.ahrq.gov/node/41993/psn-pdf
April 21, 2015 - Simulation-based trial of surgical-crisis checklists.
April 21, 2015
Arriaga AF, Bader AM, Wong JM, et al. Simulation-based trial of surgical-crisis checklists. N Engl J Med.
2013;368(3):246-53. doi:10.1056/NEJMsa1204720.
https://psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists
Surgical check…
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psnet.ahrq.gov/node/73698/psn-pdf
September 15, 2021 - Effect of a mobile app on prehospital medication errors
during simulated pediatric resuscitation: a randomized
clinical trial.
September 15, 2021
Siebert JN, Bloudeau L, Combescure C, et al. Effect of a mobile app on prehospital medication errors
during simulated pediatric resuscitation: a randomized clinical tria…
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psnet.ahrq.gov/node/47496/psn-pdf
June 15, 2019 - Fatal flaws in clinical decision making.
June 15, 2019
Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg.
2019;89(6):764-768. doi:10.1111/ans.14955.
https://psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
Clinical decision-making is a complex process affected…
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psnet.ahrq.gov/node/42836/psn-pdf
January 08, 2014 - Comparison of medication safety effectiveness among
nine critical access hospitals.
January 8, 2014
Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access
hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067.
https://psnet.ahrq.gov/issue/comparis…
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psnet.ahrq.gov/node/849319/psn-pdf
May 24, 2023 - Attitudes of clinicians and patient safety culture before
and after the ARRIVE trial.
May 24, 2023
White VanGompel E, Carlock F, Singh L, et al. Attitudes of clinicians and patient safety culture before and
after the ARRIVE trial. J Obstet Gynecol Neonatal Nurs. 2023;52(3):211-222.
doi:10.1016/j.jogn.2022.12.007.
…
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psnet.ahrq.gov/node/60642/psn-pdf
July 01, 2020 - Opioid prescribing after childbirth and risk for serious
opioid-related events: a cohort study.
July 1, 2020
Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid-
Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414. doi:10.7326/m19-3805.
https://psn…
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psnet.ahrq.gov/node/60579/psn-pdf
June 10, 2020 - Outbreak investigation of COVID-19 among residents and
staff of an independent and assisted living community for
older adults in Seattle, Washington.
June 10, 2020
Roxby AC, Greninger AL, Hatfield KM, et al. Outbreak investigation of COVID-19 among residents and staff
of an independent and assisted living communit…
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psnet.ahrq.gov/node/37923/psn-pdf
July 23, 2008 - Unit-based clinical pharmacists' prevention of serious
medication errors in pediatric inpatients.
July 23, 2008
Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious
medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;65(13):1254-1260.
doi:10.2146/ajhp0…
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psnet.ahrq.gov/node/37534/psn-pdf
February 13, 2008 - Measurable outcomes of quality improvement in the
trauma intensive care unit: the impact of a daily quality
rounding checklist.
February 13, 2008
DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive
care unit: the impact of a daily quality rounding checklist. J …
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psnet.ahrq.gov/node/867091/psn-pdf
November 06, 2024 - Initiative to deprescribe high-risk drugs for older adults
presenting to the emergency department after falls.
November 6, 2024
Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high?risk drugs for older adults presenting to
the emergency department after falls. J Am Geriatr Soc. 2024;72(Supp 3):s60-s…
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psnet.ahrq.gov/node/867233/psn-pdf
December 04, 2024 - Evaluation of a natural language processing approach to
identify diagnostic errors and analysis of safety learning
system case review data: retrospective cohort study.
December 4, 2024
Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identify
diagnostic errors and analys…
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psnet.ahrq.gov/node/38639/psn-pdf
May 20, 2009 - Eight CT lessons that we learned the hard way: an
analysis of current patterns of radiological error and
discrepancy with particular emphasis on CT.
May 20, 2009
McCreadie G, Oliver TB. Eight CT lessons that we learned the hard way: an analysis of current patterns of
radiological error and discrepancy with particu…
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psnet.ahrq.gov/node/43567/psn-pdf
October 21, 2016 - National Action Plan for Adverse Drug Event Prevention.
October 21, 2016
Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health
and Human Services; September 2014.
https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
This national action pla…
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psnet.ahrq.gov/node/36279/psn-pdf
May 27, 2011 - Evaluation of laboratory monitoring alerts within a
computerized physician order entry system for
medication orders.
May 27, 2011
Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized
physician order entry system for medication orders. Am J Manag Care. 2006;12(7):389…
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psnet.ahrq.gov/node/44379/psn-pdf
August 05, 2015 - Implementing computerized provider order entry in acute
care hospitals in the United States could generate
substantial savings to society.
August 5, 2015
Nuckols TK, Asch SM, Patel V, et al. Implementing Computerized Provider Order Entry in Acute Care
Hospitals in the United States Could Generate Substantial Savin…
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psnet.ahrq.gov/node/50871/psn-pdf
February 05, 2020 - Association of low-dose whole-body computed
tomography with missed injury diagnoses and radiation
exposure in patients with blunt multiple trauma.
February 5, 2020
Stengel D, Mutze S, Güthoff C, et al. Association of Low-Dose Whole-Body Computed Tomography With
Missed Injury Diagnoses and Radiation Exposure in Pat…
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psnet.ahrq.gov/node/44699/psn-pdf
December 16, 2015 - Suicide attempts after emergency room visits: the effect
of patient safety goals.
December 16, 2015
Robst J. Suicide Attempts After Emergency Room Visits: The Effect of Patient Safety Goals. Psych Q.
2015;86(4):497-504. doi:10.1007/s11126-015-9345-7.
https://psnet.ahrq.gov/issue/suicide-attempts-after-emergency-ro…
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psnet.ahrq.gov/node/836967/psn-pdf
April 20, 2022 - Hospital acquired infections in surgical patients: impact
of COVID-19-related infection prevention measures.
April 20, 2022
Tham N, Fazio T, Johnson D, et al. Hospital acquired infections in surgical patients: impact of COVID-19-
related infection prevention measures. World J Surg. 2022;46:1249-1258. doi:10.1007/s0…
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psnet.ahrq.gov/node/35742/psn-pdf
July 15, 2010 - Physician evaluation after medical errors: does having a
computer decision aid help or hurt in hindsight?
July 15, 2010
Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help
or hurt in hindsight? Med Decis Making. 2006;26(1):48-56.
https://psnet.ahrq.gov/issue/physi…
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psnet.ahrq.gov/node/853621/psn-pdf
September 20, 2023 - Do not PIMP my nursing home ride! The impact of
Potentially Inappropriate Medications Prescribing on
residents' emergency care use.
September 20, 2023
Rapp T, Sicsic J, Tavassoli N, et al. Do not PIMP my nursing home ride! The impact of Potentially
Inappropriate Medications Prescribing on residents’ emergency care…