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psnet.ahrq.gov/node/60903/psn-pdf
March 15, 2023 - AMA Prior Authorization (PA) Physician Survey.
March 15, 2023
Chicago, IL: American Medical Association; March 2023.
https://psnet.ahrq.gov/issue/2019-ama-prior-authorization-pa-physician-survey
Insurance policies can have consequences that reduce the safety of medical care. This latest version of the
study …
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psnet.ahrq.gov/node/48166/psn-pdf
August 28, 2019 - Doctors can change opioid prescribing habits, but
progress comes in small doses.
August 28, 2019
Appleby J; Lucas E.
https://psnet.ahrq.gov/issue/doctors-can-change-opioid-prescribing-habits-progress-comes-small-doses
Efforts to reduce misuse of prescription opioids must draw from public health and behavioral stra…
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psnet.ahrq.gov/node/44296/psn-pdf
April 08, 2018 - Checklists to prevent diagnostic errors: a pilot
randomized controlled trial.
April 8, 2018
Ely JW, Graber MA. Checklists to prevent diagnostic errors: a pilot randomized controlled trial. Diagnosis
(Berl). 2015;2(3):163-169. doi:10.1515/dx-2015-0008.
https://psnet.ahrq.gov/issue/checklists-prevent-diagnostic-erro…
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psnet.ahrq.gov/node/72688/psn-pdf
October 06, 2022 - Request for proposals for clinical quality measures to
improve diagnosis.
October 6, 2022
Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.
https://psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis
A lack of consensus on measures for the effectiveness and ac…
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psnet.ahrq.gov/node/34048/psn-pdf
May 27, 2011 - Computerized physician order entry: helpful or harmful?
May 27, 2011
Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc.
2004;11(2):100-3.
https://psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful
The authors critically review the published …
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psnet.ahrq.gov/node/41510/psn-pdf
July 11, 2012 - Dangerous connections: health care community tackles
tubing risks, small-bore connector standards.
July 11, 2012
Vockley M. Joint Commission: The Source. June 2012;10:15-17.
https://psnet.ahrq.gov/issue/dangerous-connections-health-care-community-tackles-tubing-risks-small-
bore-connector
This newsletter article …
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psnet.ahrq.gov/node/41598/psn-pdf
August 15, 2012 - Obstetrician/gynecologist hospitalists: can we improve
safety and outcomes for patients and hospitals and
improve lifestyle for physicians?
August 15, 2012
Olson R, Garite TJ, Fishman A, et al. Obstetrician/gynecologist hospitalists: can we improve safety and
outcomes for patients and hospitals and improve lifesty…
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psnet.ahrq.gov/node/46800/psn-pdf
May 16, 2018 - Ireland investigates cervical cancer screening scandal.
May 16, 2018
O'Loughlin E. New York Times. April 30, 2018.
https://psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal
Large-scale adverse events should lead to system examination and improvement. This newspaper article
reports on misr…
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psnet.ahrq.gov/node/43562/psn-pdf
September 24, 2014 - What's that sound? Managing alarm fatigue.
September 24, 2014
George TP, Martin V. What?s that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!.
2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f.
https://psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue
Alarm fatigue has been described as a cont…
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psnet.ahrq.gov/node/867645/psn-pdf
July 01, 2022 - A call to action for anticoagulation stewardship.
July 1, 2022
Burnett AE, Barnes GD. A call to action for anticoagulation stewardship. Res Pract Thromb Haemost.
2022;6(5):e12757. doi:10.1002/rth2.12757.
https://psnet.ahrq.gov/issue/call-action-anticoagulation-stewardship
Anticoagulants are high-risk medications d…
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psnet.ahrq.gov/node/72514/psn-pdf
November 25, 2020 - AI is wrestling with a replication crisis.
November 25, 2020
Heaven WD. MIT Technology Review. November 12, 2020.
https://psnet.ahrq.gov/issue/ai-wrestling-replication-crisis
Lack of transparency of research and development processes are thought to undermine the value of
artificial intelligence (AI) and trust in i…
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psnet.ahrq.gov/node/43100/psn-pdf
April 02, 2014 - Taking National Action to Prevent and Eliminate
Healthcare-Associated Infections.
April 2, 2014
Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.
https://psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
This special issue explores a national initiativ…
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psnet.ahrq.gov/node/41514/psn-pdf
July 02, 2014 - Perspective: beyond counting hours: the importance of
supervision, professionalism, transitions of care, and
workload in residency training.
July 2, 2014
Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7).
doi:10.1097/acm.0b013e318257d57d.
https://psnet.ahrq.gov/issue/pers…
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psnet.ahrq.gov/node/40160/psn-pdf
January 19, 2011 - Morphine sulfate oral solution 100 mg per 5 mL (20
mg/mL): medication use error—reports of accidental
overdose.
January 19, 2011
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 10, 2011.
https://psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-us…
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psnet.ahrq.gov/node/48136/psn-pdf
August 07, 2019 - Safe Practices for Drug Allergies—Using CDS and Health
IT.
August 7, 2019
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019.
https://psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
Inconsistent checking for and consideration of drug allergy alerts can d…
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psnet.ahrq.gov/node/45747/psn-pdf
December 21, 2016 - Implementing No Interruption Zones in the perioperative
environment.
December 21, 2016
Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-
540. doi:10.1016/j.aorn.2016.09.018.
https://psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environme…
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psnet.ahrq.gov/node/35115/psn-pdf
April 06, 2011 - Factors predictive of intravenous fluid administration
errors in Australian surgical care wards.
April 6, 2011
Han PY, Coombes ID, Green B. Factors predictive of intravenous fluid administration errors in Australian
surgical care wards. Qual Saf Health Care. 2005;14(3):179-84.
https://psnet.ahrq.gov/issue/factors-…
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psnet.ahrq.gov/node/46661/psn-pdf
January 26, 2018 - Burnout syndrome among healthcare professionals.
January 26, 2018
Bridgeman PJ, Bridgeman MB, Barone J. Burnout syndrome among healthcare professionals. Am J Health
Syst Pharm. 2018;75(3):147-152. doi:10.2146/ajhp170460.
https://psnet.ahrq.gov/issue/burnout-syndrome-among-healthcare-professionals
Burnout affects t…
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psnet.ahrq.gov/node/42020/psn-pdf
July 16, 2013 - Effects of the implementation of a preventive
interventions program on the reduction of medication
errors in critically ill adult patients.
July 16, 2013
Romero CM, Salazar N, Rojas L, et al. Effects of the implementation of a preventive interventions program
on the reduction of medication errors in critically ill…
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psnet.ahrq.gov/node/38686/psn-pdf
May 07, 2018 - Survey on LASA drug name pairs: who knows what’s on
your list and the best ways to prevent mix-ups?
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 21, 2009;14:1-3.
https://psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-
prevent-mix-ups
This article shar…