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psnet.ahrq.gov/node/43963/psn-pdf
September 09, 2015 - Color-coded prefilled medication syringes decrease time
to delivery and dosing error in simulated emergency
department pediatric resuscitations.
September 9, 2015
Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to
Delivery and Dosing Error in Simulated Emergency …
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psnet.ahrq.gov/node/46447/psn-pdf
September 27, 2017 - Creating highly reliable accountable care organizations.
September 27, 2017
Vogus TJ, Singer SJ. Creating Highly Reliable Accountable Care Organizations. Med Care Res Rev.
2016;73(6):660-672.
https://psnet.ahrq.gov/issue/creating-highly-reliable-accountable-care-organizations
High reliability is a goal throughout …
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psnet.ahrq.gov/node/854255/psn-pdf
October 04, 2023 - Empowering telemetry technicians and enhancing
communication to improve in-hospital cardiac arrest
survival.
October 4, 2023
McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to
improve in-hospital cardiac arrest survival. BMJ Open Qual. 2023;12(3):e002220. doi:10.11…
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psnet.ahrq.gov/node/47278/psn-pdf
August 15, 2018 - Drawing boundaries: the difficulty in defining clinical
reasoning.
August 15, 2018
Young M, Thomas A, Lubarsky S, et al. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning.
Acad Med. 2018;93(7):990-995. doi:10.1097/ACM.0000000000002142.
https://psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defi…
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psnet.ahrq.gov/node/47020/psn-pdf
January 16, 2019 - Unintended harm associated with the Hospital
Readmissions Reduction Program.
January 16, 2019
Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA.
2018;320(24):2539-2541. doi:10.1001/jama.2018.19325.
https://psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmiss…
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psnet.ahrq.gov/node/47619/psn-pdf
April 08, 2019 - A decade of health information technology usability
challenges and the path forward.
April 8, 2019
Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the
Path Forward. JAMA. 2019;321(8):743-744. doi:10.1001/jama.2019.0161.
https://psnet.ahrq.gov/issue/decade-health-in…
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psnet.ahrq.gov/node/73352/psn-pdf
June 02, 2021 - Improving diagnosis by feedback and deliberate practice:
one-on-one coaching for diagnostic maturation.
June 2, 2021
Sinha P, Pischel L, Sofair AN. Improving diagnosis by feedback and deliberate practice: one-on-one
coaching for diagnostic maturation. Diagnosis (Berl). 2021;8(2):157-160. doi:10.1515/dx-2020-0129.
…
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psnet.ahrq.gov/node/60813/psn-pdf
January 01, 2021 - Medication-related interventions delivered both in
hospital and following discharge: a systematic review and
meta-analysis.
August 19, 2020
Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and
following discharge: a systematic review and meta-analysis. BMJ Qua…
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psnet.ahrq.gov/node/73956/psn-pdf
October 13, 2021 - Acute care nurses' perceptions of leadership, teamwork,
turnover intention and patient safety - a mixed methods
study.
October 13, 2021
Zaheer S, Ginsburg LR, Wong HJ, et al. Acute care nurses’ perceptions of leadership, teamwork, turnover
intention and patient safety – a mixed methods study. BMC Nurs. 2021;20(1):…
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psnet.ahrq.gov/node/73372/psn-pdf
June 09, 2021 - Impact of COVID-19 on inpatient clinical emergencies: a
single-center experience.
June 9, 2021
Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single-
center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135.
https://psnet.ahrq.gov/issue/imp…
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psnet.ahrq.gov/node/45745/psn-pdf
August 02, 2017 - Emergency diagnosis of cancer and previous general
practice consultations: insights from linked patient
survey data.
August 2, 2017
Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice
consultations: insights from linked patient survey data. Br J Gen Pract. 2017;67(65…
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psnet.ahrq.gov/node/46377/psn-pdf
October 29, 2017 - Why it is so hard to talk about overuse in pediatrics and
why it matters.
October 29, 2017
Ralston SL, Schroeder AR. Why It Is So Hard to Talk About Overuse in Pediatrics and Why It Matters.
JAMA Pediatr. 2017;171(10):931-932. doi:10.1001/jamapediatrics.2017.2239.
https://psnet.ahrq.gov/issue/why-it-so-hard-talk-a…
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psnet.ahrq.gov/node/34777/psn-pdf
February 16, 2011 - Systems errors versus physicians' errors: finding the
balance in medical education.
February 16, 2011
Casarett D, Helms C. Systems errors versus physicians' errors: finding the balance in medical education.
Acad Med. 1999;74(1):19-22.
https://psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-bal…
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psnet.ahrq.gov/node/44869/psn-pdf
November 18, 2016 - Fake and expired medications in simulation-based
education: an underappreciated risk to patient safety.
November 18, 2016
Torrie J, Cumin D, Sheridan J, et al. Fake and expired medications in simulation-based education: an
underappreciated risk to patient safety. BMJ Qual Saf. 2016;25(12):917-920. doi:10.1136/bmjqs…
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psnet.ahrq.gov/node/46154/psn-pdf
June 07, 2017 - Postoperative opioid prescribing and the pain scores on
Hospital Consumer Assessment of Healthcare Providers
and Systems survey.
June 7, 2017
Lee JS, Hu HM, Brummett CM, et al. Postoperative Opioid Prescribing and the Pain Scores on Hospital
Consumer Assessment of Healthcare Providers and Systems Survey. JAMA. 201…
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psnet.ahrq.gov/node/50424/psn-pdf
September 04, 2019 - From box ticking to the black box: the evolution of
operating room safety.
September 4, 2019
Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety.
World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5.
https://psnet.ahrq.gov/issue/box-ticking-black-box-e…
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psnet.ahrq.gov/node/45539/psn-pdf
November 18, 2016 - Overuse of medical imaging and its radiation
exposure: who’s minding our children?
November 18, 2016
Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our
Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2147.
https://psnet.ahrq.gov/issue/o…
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psnet.ahrq.gov/node/46364/psn-pdf
September 24, 2017 - Exploring the potential for using drug indications to
prevent look-alike and sound-alike drug errors.
September 24, 2017
Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, et al. Exploring the potential for using drug
indications to prevent look-alike and sound-alike drug errors. Expert Opin Drug Saf. 2017;16(10):…
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psnet.ahrq.gov/node/46474/psn-pdf
November 08, 2017 - Clearing the Error: Using Public Deliberation to Define
Patient Roles as Partners in the Diagnostic Process.
November 8, 2017
St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at
Syracuse University, and Jefferson Center; 2017.
https://psnet.ahrq.gov/issue/cle…
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psnet.ahrq.gov/node/43336/psn-pdf
July 09, 2014 - Pharmacists in pharmacovigilance: can increased
diagnostic opportunity in community settings translate to
better vigilance?
July 9, 2014
Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic
opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…