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psnet.ahrq.gov/node/866244/psn-pdf
July 10, 2024 - Optimizing the use of dose error reduction software on
intravenous infusion pumps.
July 10, 2024
Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous
infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385.
https://psnet.ahrq.gov/issue/optimizi…
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psnet.ahrq.gov/node/46772/psn-pdf
March 04, 2019 - Case: a second victim support program in pediatrics:
successes and challenges to implementation.
March 4, 2019
Dukhanin V, Edrees HH, Connors CA, et al. Case: A Second Victim Support Program in Pediatrics:
Successes and Challenges to Implementation. J Pediatr Nurs. 2018;41:54-59.
doi:10.1016/j.pedn.2018.01.011.
h…
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psnet.ahrq.gov/node/837303/psn-pdf
June 01, 2022 - What is the medication iatrogenic risk in elderly
outpatients for chronic pain?
June 1, 2022
Jambon J, Choukroun C, Roux-Marson C, et al. What is the medication iatrogenic risk in elderly outpatients
for chronic pain? Clin Neuropharmacol. 2022;45(3):65-71. doi:10.1097/wnf.0000000000000505.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/852451/psn-pdf
August 16, 2023 - The impact of transition to a digital hospital on
medication errors (TIME study).
August 16, 2023
Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors
(TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w.
https://psnet.ahrq.gov/issue/imp…
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psnet.ahrq.gov/node/43325/psn-pdf
September 27, 2016 - Quiet please! Drug round tabards: are they effective and
accepted? A mixed method study.
September 27, 2016
Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and
accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.1111/jnu.12092.
https://psnet.ah…
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psnet.ahrq.gov/node/854635/psn-pdf
January 01, 2024 - CheckPOINT: a simple tool to measure Surgical Safety
Checklist implementation fidelity.
October 18, 2023
Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety
Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136/bmjqs-2023-016030.
https://psn…
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psnet.ahrq.gov/node/837853/psn-pdf
August 17, 2022 - RaDonda Vaught, medication safety, and the profession
of pharmacy: steps to improve safety and ensure justice.
August 17, 2022
Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to
improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja…
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psnet.ahrq.gov/node/862125/psn-pdf
February 07, 2024 - The intersection of traumatic childbirth and obstetric
racism: a qualitative study.
February 7, 2024
Dmowska A, Fielding?Singh P, Halpern J, et al. The intersection of traumatic childbirth and obstetric
racism: a qualitative study. Birth. 2024;51(1):209-217. doi:10.1111/birt.12774.
https://psnet.ahrq.gov/issue/int…
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psnet.ahrq.gov/node/47858/psn-pdf
July 10, 2019 - Modification of potentially inappropriate prescribing
following fall-related hospitalizations in older adults.
July 10, 2019
Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall-
related hospitalizations in older adults. Drugs Aging. 2019;36(5):461-470. doi:10.…
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psnet.ahrq.gov/node/43472/psn-pdf
September 03, 2014 - Nighttime cross-coverage is associated with decreased
intensive care unit mortality. A single-center study.
September 3, 2014
Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased
intensive care unit mortality. A single-center study. Am J Respir Crit Care Med. 2014;189(1…
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psnet.ahrq.gov/node/41571/psn-pdf
October 29, 2012 - Adverse drug events caused by serious medication
administration errors.
October 29, 2012
Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration
errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946.
https://psnet.ahrq.gov/issue/adverse-drug-events-ca…
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psnet.ahrq.gov/node/72482/psn-pdf
November 18, 2020 - Real-time debriefing after critical events: exploring the
gap between principle and reality.
November 18, 2020
Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between
principle and reality. Anesthesiol Clin. 2020;38(4):801-820. doi:10.1016/j.anclin.2020.08.003.
ht…
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psnet.ahrq.gov/node/844545/psn-pdf
February 15, 2023 - Providers' and patients' perspectives on diagnostic errors
in the acute care setting.
February 15, 2023
Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the
acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.1016/j.jcjq.2022.11.009.
https://…
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psnet.ahrq.gov/node/47764/psn-pdf
February 13, 2019 - Clinical impact and economic burden of hospital-acquired
conditions following common surgical procedures.
February 13, 2019
Horn SR, Liu TC, Horowitz JA, et al. Clinical impact and economic burden of hospital-acquired conditions
following common surgical procedures. Spine (Phila Pa 1976). 2018;43(22):E1358-E1363.
…
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psnet.ahrq.gov/node/45974/psn-pdf
May 03, 2017 - Effects of workload, work complexity, and repeated alerts
on alert fatigue in a clinical decision support system.
May 3, 2017
Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert
fatigue in a clinical decision support system. BMC Med Inform Decis Mak. 2017;17(1):3…
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psnet.ahrq.gov/node/37310/psn-pdf
January 05, 2012 - Patient identification error among prostate needle core
biopsy specimens—are we ready for a DNA time-out?
January 5, 2012
Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens--
are we ready for a DNA time-out? J Urol. 2007;178(4 Pt 1):1245-8.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/44928/psn-pdf
April 27, 2016 - Impact of stewardship interventions on antiretroviral
medication errors in an urban medical center: a three
year, multi-phase study.
April 27, 2016
Zucker J, Mittal J, Jen S-P, et al. Impact of Stewardship Interventions on Antiretroviral Medication Errors in
an Urban Medical Center: A 3-Year, Multiphase Study. Pha…
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psnet.ahrq.gov/node/46428/psn-pdf
November 01, 2017 - Translating staff experience into organisational
improvement: the HEADS-UP stepped wedge, cluster
controlled, non-randomised trial.
November 1, 2017
Pannick S, Athanasiou T, Long SJ, et al. Translating staff experience into organisational improvement: the
HEADS-UP stepped wedge, cluster controlled, non-randomised …
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psnet.ahrq.gov/node/836785/psn-pdf
March 23, 2022 - Impact of CancelRx on discontinuation of controlled
substance prescriptions: an interrupted time series
analysis.
March 23, 2022
Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance
prescriptions: an interrupted time series analysis. BMC Med Inform Decis Mak. 2022;…
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psnet.ahrq.gov/node/73863/psn-pdf
September 22, 2021 - Electronic health record interoperability-why
electronically discontinued medications are still
dispensed.
September 22, 2021
Shervani S, Madden W, Gleason LJ. Electronic health record interoperability-why electronically
discontinued medications are still dispensed. JAMA Intern Med. 2021;181(10):1383-1384.
doi:10…