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psnet.ahrq.gov/node/852803/psn-pdf
August 23, 2023 - Sentinel Event Alert 67: Preserving Patient Safety After a
Cyberattack.
August 23, 2023
Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Jt Comm J Qual Patient Saf.
2023;49(12):724-729. doi:10.1016/j.jcjq.2023.07.006.
https://psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-sa…
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psnet.ahrq.gov/node/34594/psn-pdf
January 04, 2017 - John M. Eisenberg Patient Safety Awards. The Leapfrog
Group for Patient Safety: rewarding higher standards.
January 4, 2017
Eikel C, Delbanco S. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety:
rewarding higher standards. Jt Comm J Qual Saf. 2003;29(12):634-9.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/46763/psn-pdf
January 27, 2019 - Human-simulation-based learning to prevent medication
error: a systematic review.
January 27, 2019
Sarfati L, Ranchon F, Vantard N, et al. Human-simulation-based learning to prevent medication error: A
systematic review. J Eval Clin Pract. 2019;25(1):11-20. doi:10.1111/jep.12883.
https://psnet.ahrq.gov/issue/human…
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psnet.ahrq.gov/node/46206/psn-pdf
August 02, 2017 - Patient safety in dentistry: development of a candidate
'never event' list for primary care.
August 2, 2017
Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care.
Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456.
https://psnet.ahrq.gov/issue/patie…
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psnet.ahrq.gov/node/839326/psn-pdf
November 02, 2022 - Safety considerations for challenges when using smart
infusion pumps.
November 2, 2022
ISMP Medication Safety Alert! Acute care edition. October 20, 2022;20(21):1-5.
https://psnet.ahrq.gov/issue/safety-considerations-challenges-when-using-smart-infusion-pumps
Errors due to inadequate information use with intraveno…
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psnet.ahrq.gov/node/44009/psn-pdf
July 18, 2016 - Automated communication tools and computer-based
medication reconciliation to decrease hospital discharge
medication errors.
July 18, 2016
Smith KJ, Handler S, Kapoor WN, et al. Automated Communication Tools and Computer-Based Medication
Reconciliation to Decrease Hospital Discharge Medication Errors. Am J Med Qua…
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psnet.ahrq.gov/node/42117/psn-pdf
March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a
systematic review.
March 20, 2013
Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med.
2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007.
https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…
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psnet.ahrq.gov/node/850356/psn-pdf
June 14, 2023 - Prescribing errors in children: why they happen and how
to prevent them.
June 14, 2023
Conn R, Fox A, Carrington A, et al. Prescribing errors in children: why they happen and how to prevent
them. Pharmaceutical Journal. 2023;310:7973. doi:10.1211/pj.2023.1.184013.
https://psnet.ahrq.gov/issue/prescribing-errors-ch…
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psnet.ahrq.gov/node/43478/psn-pdf
August 27, 2014 - Is it time to move beyond errors in clinical reasoning and
discuss accuracy?
August 27, 2014
Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ
Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4.
https://psnet.ahrq.gov/issue/it-time-move-beyond-er…
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psnet.ahrq.gov/node/72813/psn-pdf
March 10, 2021 - Racial/ethnic inequities in pregnancy-related morbidity
and mortality.
March 10, 2021
Minehart RD, Bryant AS, Jackson J, et al. Racial/ethnic inequities in pregnancy-related morbidity and
mortality. Obstet Gynecol Clin North Am. 2021;48(1):31-51. doi:10.1016/j.ogc.2020.11.005.
https://psnet.ahrq.gov/issue/racialet…
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psnet.ahrq.gov/node/40598/psn-pdf
August 10, 2011 - An inpatient fall prevention initiative in a tertiary care
hospital.
August 10, 2011
Weinberg J, Proske D, Szerszen A, et al. An inpatient fall prevention initiative in a tertiary care hospital. Jt
Comm J Qual Patient Saf. 2011;37(7):317-325.
https://psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertia…
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psnet.ahrq.gov/node/73185/psn-pdf
April 28, 2021 - Balancing patient safety, clinical efficacy, and
cybersecurity with clinician partners.
April 28, 2021
Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners.
Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-55.1.21.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/38774/psn-pdf
July 08, 2009 - Evaluation of causes and frequency of medication errors
during information technology downtime.
July 8, 2009
Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication
errors during information technology downtime. Am J Health Syst Pharm. 2009;66(12):1119-24.
doi:10.2146/a…
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psnet.ahrq.gov/node/34730/psn-pdf
October 29, 2013 - Medication Errors. 2nd ed.
October 29, 2013
Cohen MR, ed. Washington DC: American Pharmacists Association; 2007.
https://psnet.ahrq.gov/issue/medication-errors-2nd-ed
Cohen, executive director of the Institute for Safe Medication Practices (ISMP), combined 25 years of
experience as a leader in medication safety wi…
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psnet.ahrq.gov/node/43045/psn-pdf
August 02, 2015 - A multistep approach to improving biopsy site
identification in dermatology: physician, staff, and patient
roles based on a Delphi consensus.
August 2, 2015
Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in
dermatology: physician, staff, and patient roles based on a…
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psnet.ahrq.gov/node/838623/psn-pdf
October 19, 2022 - Resident and nurse perspectives on the use of secure
text messaging systems.
October 19, 2022
Aziz S, Barber J, Singh A, et al. Resident and nurse perspectives on the use of secure text messaging
systems. J Hosp Med. 2022;17(11):880-887. doi:10.1002/jhm.12953.
https://psnet.ahrq.gov/issue/resident-and-nurse-perspe…
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psnet.ahrq.gov/node/837075/psn-pdf
May 11, 2022 - Lessons Learned from the COVID-19 Pandemic to
Improve Diagnosis. Proceedings of a Workshop–in Brief.
May 11, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2022.
https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedin…
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psnet.ahrq.gov/node/862613/psn-pdf
February 14, 2024 - Standardizing medication reconciliation in a pediatric
emergency department.
February 14, 2024
Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric
emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964.
https://psnet.ahrq.gov/issue/st…
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psnet.ahrq.gov/node/861285/psn-pdf
January 24, 2024 - Analysis of a medication safety intervention in the
pediatric emergency department.
January 24, 2024
Samuels-Kalow ME, Tassone R, Manning W, et al. Analysis of a medication safety intervention in the
pediatric emergency department. JAMA Netw Open. 2024;7(1):e2351629.
doi:10.1001/jamanetworkopen.2023.51629.
https:…
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psnet.ahrq.gov/node/852748/psn-pdf
August 23, 2023 - Compliance with central line maintenance bundle and
infection rates.
August 23, 2023
Tripathi S, McGarvey J, Lee K, et al. Compliance with central line maintenance bundle and infection rates.
Pediatrics. 2023;152(3):e2022059688. doi:10.1542/peds.2022-059688.
https://psnet.ahrq.gov/issue/compliance-central-line-mai…