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psnet.ahrq.gov/node/852751/psn-pdf
August 23, 2023 - Automated search methods for identifying wrong patient
order entry-a scoping review.
August 23, 2023
Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping
review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057.
https://psnet.ahrq.gov/issue/automated-s…
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psnet.ahrq.gov/node/47035/psn-pdf
April 18, 2018 - General internists in pursuit of diagnostic excellence in
primary care: a #ProudtobeGIM thread that unites us all.
April 18, 2018
Kwan JL, Singh H. General Internists in Pursuit of Diagnostic Excellence in Primary Care: a
#ProudtobeGIM Thread That Unites Us All. J Gen Intern Med. 2018;33(4):395-396. doi:10.1007/s11…
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psnet.ahrq.gov/node/60326/psn-pdf
May 13, 2020 - Preventing diagnostic errors in ambulatory care: an
electronic notification tool for incomplete radiology tests.
May 13, 2020
Weingart SN, Yaghi O, Barnhart L, et al. Preventing diagnostic errors in ambulatory care: an electronic
notification tool for incomplete radiology tests. Appl Clin Inform. 2020;11(02). doi:1…
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psnet.ahrq.gov/node/865586/psn-pdf
April 17, 2024 - Unmasking bias in artificial intelligence: a systematic
review of bias detection and mitigation strategies in
electronic health record-based models.
April 17, 2024
Chen F, Wang L, Hong J, et al. Unmasking bias in artificial intelligence: a systematic review of bias
detection and mitigation strategies in electronic…
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psnet.ahrq.gov/node/845074/psn-pdf
March 02, 2011 - Preventable hospital admissions related to medication
(HARM): cost analysis of the HARM study.
March 2, 2011
Leendertse AJ, van den Bemt PMLA, Poolman JB, et al. Preventable hospital admissions related to
medication (HARM): cost analysis of the HARM study. Value Health. 2011;14(1):34-40.
doi:10.1016/j.jval.2010.10…
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psnet.ahrq.gov/node/867590/psn-pdf
January 22, 2025 - Evaluation of Measure Dx, a resource to accelerate
diagnostic safety learning and improvement.
January 22, 2025
Bradford A, Tran A, Ali KJ, et al. Evaluation of Measure Dx, a resource to accelerate diagnostic safety
learning and improvement. J Gen Intern Med. . 2024;Epub Oct 22. doi:10.1007/s11606-024-09132-8.
htt…
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psnet.ahrq.gov/node/851446/psn-pdf
July 19, 2023 - Physician and nurse well-being and preferred
interventions to address burnout in hospital practice:
factors associated with turnover, outcomes, and patient
safety.
July 19, 2023
Aiken LH, Lasater KB, Sloane DM, et al. Physician and nurse well-being and preferred interventions to
address burnout in hospital practi…
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psnet.ahrq.gov/node/48044/psn-pdf
June 12, 2019 - What has an Airbus A380 captain got to do with OMFS?
Lessons from aviation to improve patient safety.
June 12, 2019
Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS?
Lessons from aviation to improve patient safety. Br J Oral Maxillofac Surg. 2019;57(5):407-411.
doi:10.10…
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psnet.ahrq.gov/node/50773/psn-pdf
January 08, 2020 - Effect of cognitive aids on adherence to best practice in
the treatment of deteriorating surgical patients: a
randomized clinical trial in a simulation setting.
January 8, 2020
Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the
Treatment of Deteriorating Surgic…
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psnet.ahrq.gov/node/74111/psn-pdf
November 24, 2021 - Impact of the WHO Surgical Safety Checklist relative to its
design and intended use: a systematic review and meta-
meta-analysis.
November 24, 2021
Sotto KT, Burian BK, Brindle ME. Impact of the WHO Surgical Safety Checklist relative to its design and
intended use: a systematic review and meta-meta-analysis. J Am …
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psnet.ahrq.gov/node/865817/psn-pdf
May 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in
secondary care inpatient wards.
May 8, 2024
Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in secondary care inpatie…
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psnet.ahrq.gov/node/45447/psn-pdf
January 01, 2018 - Targeted implementation of the Comprehensive Unit-
Based Safety Program through an assessment of safety
culture to minimize central line-associated bloodstream
infections.
December 19, 2017
Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program
through an assessment of sa…
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psnet.ahrq.gov/node/867440/psn-pdf
January 08, 2025 - How can specialist investigation agencies inform system-
wide learning for patient safety? A qualitative study of
perspectives on the early years of the English Healthcare
Safety Investigation Branch.
January 8, 2025
Crompton A, Waring J, Macrae C, et al. How can specialist investigation agencies inform system-wid…
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psnet.ahrq.gov/node/867444/psn-pdf
January 08, 2025 - Medication errors and error chains involving high-alert
medications in a paediatric hospital setting: a qualitative
analysis of self-reported medication safety incidents.
January 8, 2025
Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medications
in a paediatric hospital…
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psnet.ahrq.gov/node/37562/psn-pdf
June 14, 2011 - Effectiveness and efficiency of root cause analysis in
medicine.
June 14, 2011
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687.
doi:10.1001/jama.299.6.685.
https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
Application of root c…
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psnet.ahrq.gov/node/72756/psn-pdf
February 17, 2021 - Adopting the Fall Tailoring Interventions for Patient
Safety (TIPS) program to engage older adults in fall
prevention in a nursing home.
February 17, 2021
Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient
Safety (TIPS) program to engage older adults in fall prevent…
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psnet.ahrq.gov/node/73350/psn-pdf
June 02, 2021 - Learning during crisis: the impact of COVID-19 on
hospital-acquired pressure injury incidence.
June 2, 2021
Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired
pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. doi:10.1097/jhq.0000000000000301.
h…
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psnet.ahrq.gov/node/836997/psn-pdf
April 27, 2022 - The effect of a transitional pharmaceutical care program
on the occurrence of ADEs after discharge from hospital
in patients with polypharmacy.
April 27, 2022
Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on
the occurrence of ADEs after discharge from hospi…
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psnet.ahrq.gov/node/41700/psn-pdf
December 31, 2014 - High-priority drug–drug interactions for use in electronic
health records.
December 31, 2014
Phansalkar S, Desai AA, Bell D, et al. High-priority drug-drug interactions for use in electronic health
records. J Am Med Inform Assoc. 2012;19(5):735-43. doi:10.1136/amiajnl-2011-000612.
https://psnet.ahrq.gov/issue/high…
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psnet.ahrq.gov/node/48191/psn-pdf
August 28, 2019 - To catch a killer: electronic sepsis alert tools reaching a
fever pitch?
August 28, 2019
Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf.
2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463.
https://psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools…