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psnet.ahrq.gov/node/46101/psn-pdf
January 01, 2018 - Factors associated with barcode medication
administration technology that contribute to patient
safety: an integrative review.
December 19, 2017
Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration
Technology That Contribute to Patient Safety: An Integrative Review…
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psnet.ahrq.gov/node/849610/psn-pdf
May 31, 2023 - Implementation of ED I-PASS as a standardized handoff
tool in the pediatric emergency department.
May 31, 2023
Yanni E, Calaman S, Wiener E, et al. Implementation of ED I-PASS as a standardized handoff tool in the
pediatric emergency department. J Healthc Qual. 2023;45(3):140-147.
doi:10.1097/jhq.0000000000000374.…
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psnet.ahrq.gov/node/866272/psn-pdf
July 10, 2024 - Infection control measure performance in long-term care
hospitals and their relationship to Joint Commission
accreditation.
July 10, 2024
Schmaltz SP, Longo BA, Williams SC. Infection control measure performance in long-term care hospitals
and their relationship to Joint Commission accreditation. Jt Comm J Qual Pa…
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psnet.ahrq.gov/node/74723/psn-pdf
February 02, 2022 - The MedSafer study-electronic decision support for
deprescribing in hospitalized older adults: a cluster
randomized clinical trial.
February 2, 2022
McDonald EG, Wu PE, Rashidi B, et al. The MedSafer study-electronic decision support for deprescribing
in hospitalized older adults: a cluster randomized clinical tri…
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psnet.ahrq.gov/node/862130/psn-pdf
February 07, 2024 - Interventions to support nurses as second victims of
patient safety incidents: a qualitative study of nurse
managers' perceptions.
February 7, 2024
Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of
patient safety incidents: a qualitative study of nurse managers'…
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psnet.ahrq.gov/node/46606/psn-pdf
July 10, 2019 - Implementation of a mock root cause analysis to provide
simulated patient safety training.
July 10, 2019
Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated
patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-2017-000096.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/854989/psn-pdf
November 01, 2023 - Understanding the facilitators and barriers to barcode
medication administration by nursing staff using
behavioural science frameworks. A mixed methods study.
November 1, 2023
Grailey K, Hussain R, Wylleman E, et al. Understanding the facilitators and barriers to barcode medication
administration by nursing staff …
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psnet.ahrq.gov/node/841787/psn-pdf
December 21, 2022 - Electronic prescribing systems in hospitals to improve
medication safety: a multi-methods research programme.
December 21, 2022
Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication
safety: a multimethods research programme. Programme Grants Appl Res. 2022;10(7):1-…
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psnet.ahrq.gov/node/73571/psn-pdf
August 04, 2021 - "My whole room went into chaos because of that thing in
the corner": unintended consequences of a central fetal
monitoring system.
August 4, 2021
Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the
corner”: unintended consequences of a central fetal monitoring system…
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psnet.ahrq.gov/node/43656/psn-pdf
September 01, 2016 - Optimization of drug–drug interaction alert rules in a
pediatric hospital's electronic health record system using
a visual analytics dashboard.
September 1, 2016
Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric
hospital's electronic health record system using…
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psnet.ahrq.gov/node/73679/psn-pdf
September 08, 2021 - Why an open disclosure procedure is and is not followed
after an avoidable adverse event.
September 8, 2021
Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an
avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405.
https…
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psnet.ahrq.gov/node/837039/psn-pdf
May 04, 2022 - The Joint Commission's new and revised workplace
violence prevention standards for hospitals: a major step
forward toward improved quality and safety.
May 4, 2022
Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals:
a major step forward toward improved quality an…
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psnet.ahrq.gov/node/73656/psn-pdf
September 01, 2021 - Opioid prescribing to US children and young adults in
2019.
September 1, 2021
Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019.
Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539.
https://psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-…
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psnet.ahrq.gov/node/40645/psn-pdf
November 26, 2012 - Rapid-response teams.
November 26, 2012
Jones D, DeVita MA, Bellomo R. Rapid-response teams. N Engl J Med. 2011;365(2):139-46.
doi:10.1056/NEJMra0910926.
https://psnet.ahrq.gov/issue/rapid-response-teams
Delays in clinical deterioration recognition and failures to rescue lead to serious adverse events. Rapid
resp…
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psnet.ahrq.gov/node/866433/psn-pdf
August 07, 2024 - Sepsis alert systems, mortality, and adherence in
emergency departments: a systematic review and meta-
analysis.
August 7, 2024
Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments:
a systematic review and meta-analysis. JAMA Netw Open. 2024;7(7):e2422823.
doi:10…
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psnet.ahrq.gov/node/48109/psn-pdf
January 01, 2020 - Dosing errors made by paramedics during pediatric
patient simulations after implementation of a state-wide
pediatric drug dosing reference.
July 24, 2019
Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient
Simulations After Implementation of a State-Wide Pediatric Drug Dos…
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psnet.ahrq.gov/node/60849/psn-pdf
January 01, 2021 - Associations between double-checking and medication
administration errors: a direct observational study of
paediatric inpatients.
August 26, 2020
Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration
errors: a direct observational study of paediatric inpatients. BM…
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psnet.ahrq.gov/node/866904/psn-pdf
October 09, 2024 - Crying wolf, alarm safety and management in paediatrics:
a scoping review.
October 9, 2024
Cole R, Roderick G, Cheema O, et al. Crying wolf, alarm safety and management in paediatrics: a scoping
review. J Adv Nurs. 2024;Epub Sep 25. doi:10.1111/jan.16398.
https://psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-m…
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psnet.ahrq.gov/node/74695/psn-pdf
January 26, 2022 - Impact of teamwork and communication training
interventions on safety culture and patient safety in
emergency departments: a systematic review.
January 26, 2022
Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on
safety culture and patient safety in emergency departm…
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psnet.ahrq.gov/node/837972/psn-pdf
September 01, 2022 - Patient safety: where to aim when zero harm is not the
target-a case for learning and resilience.
September 1, 2022
Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case
for learning and resilience. J Patient Saf. 2022;18(5):e877-e882. doi:10.1097/pts.00000000000009…