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psnet.ahrq.gov/node/46130/psn-pdf
June 21, 2017 - High 5s initiative: implementation of medication
reconciliation in France a 5 years experimentation.
June 21, 2017
Dufay É, Doerper S, Michel B, et al. High 5s initiative: implementation of medication reconciliation in France
a 5 years experimentation. Safety in Health. 2017;3(1):6. doi:10.1186/s40886-017-0057-6.
…
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psnet.ahrq.gov/node/46482/psn-pdf
October 11, 2017 - What can physicians do to help curb the opioid crisis?
October 11, 2017
Bendix J.
https://psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis
The persistent problem of opioid-related harm calls for changes in pain management practices and system
processes in all care settings. This magazine article…
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psnet.ahrq.gov/node/43310/psn-pdf
July 09, 2014 - Antimicrobial stewardship: another focus for patient
safety?
July 9, 2014
Tamma PD, Holmes A, Ashley ED. Antimicrobial stewardship: another focus for patient safety? Curr Opin
Infect Dis. 2014;27(4):348-55. doi:10.1097/QCO.0000000000000077.
https://psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patie…
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psnet.ahrq.gov/node/60702/psn-pdf
July 22, 2020 - Impact of structured interdisciplinary bedside rounding
on patient outcomes at a large academic health centre.
July 22, 2020
Sunkara PR, Islam T, Bose A, et al. Impact of structured interdisciplinary bedside rounding on patient
outcomes at a large academic health centre. BMJ Qual Saf. 2020;29(7):569-575. doi:10.113…
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psnet.ahrq.gov/node/838255/psn-pdf
October 05, 2022 - Opportunities to Improve Patient Safety, Advancing U.S.
Innovation, and Innovation Hubs.
October 5, 2022
President’s Council of Advisors on Science and Technology. Washington, DC: White House; September
21, 2022.
https://psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovati…
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psnet.ahrq.gov/node/42386/psn-pdf
December 29, 2014 - Compliance with the WHO Surgical Safety Checklist:
deviations and possible improvements.
December 29, 2014
Rydenfält C, Johansson G, Odenrick P, et al. Compliance with the WHO Surgical Safety Checklist:
deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187.
doi:10.1093/intqhc/mzt004.
ht…
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psnet.ahrq.gov/node/45657/psn-pdf
March 08, 2017 - The causes of errors in clinical reasoning: cognitive
biases, knowledge deficits, and dual process thinking.
March 8, 2017
Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases,
Knowledge Deficits, and Dual Process Thinking. Acad Med. 2017;92(1):23-30.
doi:10.1097/…
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psnet.ahrq.gov/node/73988/psn-pdf
October 20, 2021 - The relationship between high-reliability practice and
hospital-acquired conditions among the Solutions for
Patient Safety Collaborative.
October 20, 2021
Randall KH, Slovensky D, Weech-Maldonado R, et al. The relationship between high-reliability practice and
hospital-acquired conditions among the Solutions for P…
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psnet.ahrq.gov/node/39460/psn-pdf
March 23, 2011 - Applying root cause analysis to improve patient safety:
decreasing falls in postpartum women.
March 23, 2011
Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in
postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.1136/qshc.2008.028787.
https://psnet.a…
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psnet.ahrq.gov/node/866190/psn-pdf
June 26, 2024 - What is diagnostic safety? A review of safety science
paradigms and rethinking paths to improving diagnosis.
June 26, 2024
Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving
diagnosis. Diagnosis (Berl). 2024;11(4):369-373. doi:10.1515/dx-2024-0008.
https://ps…
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psnet.ahrq.gov/node/73871/psn-pdf
September 22, 2021 - Making Health Care Safer in Ambulatory Care Settings
and Long-term Care Facilities (R18).
September 22, 2021
Rockville, MD: Agency for Healthcare Research and Quality; September 9, 2021. PA-21-267.
https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-
facilities-r…
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psnet.ahrq.gov/node/865676/psn-pdf
April 24, 2024 - The National Healthcare Safety Network's digital quality
measures: CDC's automated measures for surveillance of
patient safety.
April 24, 2024
Shehab N, Alschuler L, McILvenna S, et al. The National Healthcare Safety Network’s digital quality
measures: CDC’s automated measures for surveillance of patient safety. J…
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psnet.ahrq.gov/node/47800/psn-pdf
June 26, 2019 - Error and Uncertainty in Diagnostic Radiology.
June 26, 2019
Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395.
https://psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to
uncer…
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psnet.ahrq.gov/node/40622/psn-pdf
September 25, 2011 - Alternatives to potentially inappropriate medications for
use in e-prescribing software: triggers and treatment
algorithms.
September 25, 2011
Hume AL, Quilliam BJ, Goldman R, et al. Alternatives to potentially inappropriate medications for use in e-
prescribing software: triggers and treatment algorithms. BMJ Qua…
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psnet.ahrq.gov/node/47154/psn-pdf
May 23, 2018 - Comparison of military and civilian methods for
determining potentially preventable deaths: a systematic
review.
May 23, 2018
Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining
Potentially Preventable Deaths: A Systematic Review. JAMA Surg. 2018;153(4):367-375.
doi:1…
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psnet.ahrq.gov/node/867020/psn-pdf
October 23, 2024 - What can we learn from coroners’ reports on preventable
deaths?
October 23, 2024
Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943.
https://psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
Analysis of system failure is only the beginning of the i…
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psnet.ahrq.gov/node/841790/psn-pdf
September 01, 2021 - Diagnostic errors, health disparities, and artificial
intelligence: a combination for health or harm.
September 1, 2021
Ibrahim SA, Pronovost PJ. Diagnostic errors, health disparities, and artificial intelligence: a combination for
health or harm. JAMA Health Forum. 2021;2(9):e212430. doi:10.1001/jamahealthforum.20…
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psnet.ahrq.gov/node/72606/psn-pdf
December 23, 2020 - Best Practices in Developing Proprietary Names for
Human Prescription Drug Products Guidance for Industry.
December 23, 2020
Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for
Drug Evaluation and Research; December 2020.
https://psnet.ahrq.gov/issue/best-practices-d…
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psnet.ahrq.gov/node/42264/psn-pdf
May 25, 2022 - Safety Considerations for Container Labels and Carton
Labeling Design to Minimize Medication Errors: Guidance
for Industry.
May 25, 2022
Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for
Drug Evaluation and Research; May 18, 2022.
https://psnet.ahrq.gov/issue/safe…
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psnet.ahrq.gov/node/47206/psn-pdf
January 01, 2021 - Understanding the types and effects of clinical
interruptions and distractions recorded in a multihospital
patient safety reporting system.
October 17, 2018
Kellogg KM, Puthumana JS, Fong A, et al. Understanding the Types and Effects of Clinical Interruptions
and Distractions Recorded in a Multihospital Patient Sa…