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psnet.ahrq.gov/node/39239/psn-pdf
September 27, 2017 - NICU medication errors: identifying a risk profile for
medication errors in the neonatal intensive care unit.
September 27, 2017
Stavroudis TA, Shore AD, Morlock L, et al. NICU medication errors: identifying a risk profile for medication
errors in the neonatal intensive care unit. J Perinatol. 2010;30(7):459-68. do…
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psnet.ahrq.gov/node/42354/psn-pdf
January 01, 2014 - Understanding differences in electronic health record
(EHR) use: linking individual physicians' perceptions of
uncertainty and EHR use patterns in ambulatory care.
December 18, 2013
Lanham HJ, Sittig DF, Leykum LK, et al. Understanding differences in electronic health record (EHR) use:
linking individual physician…
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psnet.ahrq.gov/node/47267/psn-pdf
September 05, 2018 - The national cost of adverse drug events resulting from
inappropriate medication-related alert overrides in the
United States.
September 5, 2018
Slight SP, Seger DL, Franz C, et al. The national cost of adverse drug events resulting from inappropriate
medication-related alert overrides in the United States. J Am M…
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psnet.ahrq.gov/node/44026/psn-pdf
November 03, 2015 - Effect of a postdischarge virtual ward on readmission or
death for high-risk patients: a randomized clinical trial.
November 3, 2015
Dhalla IA, O'Brien T, Morra D, et al. Effect of a postdischarge virtual ward on readmission or death for high-
risk patients: a randomized clinical trial. JAMA. 2014;312(13):1305-12. …
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psnet.ahrq.gov/node/37387/psn-pdf
January 10, 2017 - Impact of CRM-based team training on obstetric
outcomes and clinicians' patient safety attitudes.
January 10, 2017
Pratt SD, Mann S, Salisbury M, et al. John M. Eisenberg Patient Safety and Quality Awards. Impact of
CRM-based training on obstetric outcomes and clinicians' patient safety attitudes. Jt Comm J Qual Pa…
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psnet.ahrq.gov/issue/opioid-taskforce-playbook
May 01, 2023 - Toolkit
Opioid Taskforce Playbook.
Citation Text:
College of Healthcare Information Management Executives; 2023. Opioid Taskforce Playbook.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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…
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psnet.ahrq.gov/issue/medication-safety-program
November 30, 2023 - Multi-use Website
Medication Safety Program.
Citation Text:
Medication Safety Program. Atlanta, GA: Centers for Disease Control and Prevention.
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psnet.ahrq.gov/issue/community-acquired-pneumonia-clinical-decision-support-implementation-toolkit
June 12, 2024 - Toolkit
Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit.
Citation Text:
Agency for Healthcare Research and Quality. Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit.
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psnet.ahrq.gov/issue/rxawareness
September 07, 2016 - Multi-use Website
RxAwareness.
Citation Text:
RxAwareness. Centers for Disease Control and Prevention; CDC.
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psnet.ahrq.gov/issue/patient-notification-toolkit
September 07, 2016 - Toolkit
Patient Notification Toolkit.
Citation Text:
Patient Notification Toolkit. Centers for Disease Control and Prevention; CDC.
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psnet.ahrq.gov/issue/when-bullying-affects-patient-safety
March 13, 2019 - Commentary
When bullying affects patient safety.
Citation Text:
When Bullying Affects Patient Safety. AORN J. 2018;108(1):78-80. doi:10.1002/aorn.12294.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/doctors-learn-say-im-sorry
August 17, 2016 - Newspaper/Magazine Article
Doctors learn to say 'I'm Sorry.'
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May 4, 2015
View more articles from the same authors.
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psnet.ahrq.gov/issue/patient-safety-resource-centre
May 12, 2021 - Multi-use Website
Patient Safety Resource Centre.
Citation Text:
Patient Safety Resource Centre. The Health Foundation.
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psnet.ahrq.gov/issue/talkingquality
December 24, 2008 - Multi-use Website
TalkingQuality.
Citation Text:
TalkingQuality. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/node/45883/psn-pdf
March 25, 2017 - The challenges of electronic health records and diabetes
electronic prescribing: implications for safety net care for
diverse populations.
March 25, 2017
Ratanawongsa N, Chan LLS, Fouts MM, et al. The Challenges of Electronic Health Records and Diabetes
Electronic Prescribing: Implications for Safety Net Care for …
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psnet.ahrq.gov/issue/finding-way-ask-doctors-tough-questions
August 17, 2016 - Newspaper/Magazine Article
Finding a way to ask doctors tough questions.
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March 18, 2009
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psnet.ahrq.gov/issue/patient-safety-6
July 21, 2021 - Multi-use Website
Patient Safety.
Citation Text:
Patient Safety. American Hospital Association; AHA Quality Center.
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psnet.ahrq.gov/node/43112/psn-pdf
July 03, 2016 - A systematic review of the effects of resident duty hour
restrictions in surgery: impact on resident wellness,
training, and patient outcomes.
July 3, 2016
Ahmed N, Devitt KS, Keshet I, et al. A systematic review of the effects of resident duty hour restrictions in
surgery: impact on resident wellness, training, a…
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD
July 1, 2017
In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
Editor's note: Michelle Mello is Professor of Law at Stanford Law School and Professor of Healt…
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psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - Cognitive Overload in the ICU
August 21, 2016
Patel VL, Buchman TG. Cognitive Overload in the ICU. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/cognitive-overload-icu
Case Objectives
Identify the role of cognitive overload—especially interruptions—in compromising quality of care and
patient safety.
List…