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psnet.ahrq.gov/node/39870/psn-pdf
September 22, 2010 - Is it time to pull the plug on 12-hour shifts?: Part 3. Harm
Reduction Strategies if Keeping 12-Hour Shifts.
September 22, 2010
Geiger-Brown J, Trinkoff AM. Is it time to pull the plug on 12-hour shifts? Part 3. harm reduction strategies
if keeping 12-hour shifts. J Nurs Adm. 2010;40(9):357-9. doi:10.1097/NNA.0b013…
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psnet.ahrq.gov/node/44458/psn-pdf
September 09, 2015 - Utilizing pharmacy students in transitions-of-care
services.
September 9, 2015
L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care
services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561.
https://psnet.ahrq.gov/issue/utilizing-pharmacy-students-tran…
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - In this case, a scheduled briefing might have allowed another team member to catch the intern's lapse
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psnet.ahrq.gov/node/33733/psn-pdf
July 01, 2012 - , cross-covering of staff, and so on.(11,12) Because illness,
accidents, and pregnancies cannot be scheduled
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psnet.ahrq.gov/node/34073/psn-pdf
February 17, 2011 - Effect of reducing interns' weekly work hours on sleep
and attentional failures.
February 17, 2011
Lockley SW, Cronin JW, Evans EE, et al. Effect of reducing interns' weekly work hours on sleep and
attentional failures. N Engl J Med. 2004;351(18):1829-37.
https://psnet.ahrq.gov/issue/effect-reducing-interns-weekly…
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psnet.ahrq.gov/node/44877/psn-pdf
April 27, 2016 - Actions Needed to Help Ensure Appropriate Medication
Continuation and Prescribing Practices.
April 27, 2016
Washington, DC: United States Government Accountability Office; January 5, 2016. Publication GAO-16-
158.
https://psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-
pre…
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psnet.ahrq.gov/node/45394/psn-pdf
September 07, 2016 - Caregiver fatigue: implications for patient and staff
safety—part 1 and part 2.
September 7, 2016
Blouin AS, Smith-Miller CA, Harden J, et al. Caregiver Fatigue: Implications for Patient and Staff Safety,
Part 1. J Nurs Adm. 2016;46(6):329-35. doi:10.1097/NNA.0000000000000353.
https://psnet.ahrq.gov/issue/caregive…
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psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - The clinician caring for the patient scheduled transport for 4:00 pm and arranged for Meds-to-Beds (M2B … Scheduled transport arrived at 4:00pm and the patient was discharged without his
medications.
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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - The clinician caring for the patient scheduled transport for 4:00 pm and arranged for Meds-to-Beds (M2B … Scheduled transport arrived at 4:00pm and the patient was discharged without his medications.
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psnet.ahrq.gov/node/858171/psn-pdf
December 13, 2023 - Uncovering the risks of anticancer therapy through
incident report analysis using a newly developed medical
oncology incident taxonomy.
December 13, 2023
Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report
analysis using a newly developed medical oncology in…
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psnet.ahrq.gov/node/47580/psn-pdf
November 28, 2018 - Patient engagement in health care safety: an overview of
mixed-quality evidence.
November 28, 2018
Sharma AE, Rivadeneira NA, Barr-Walker J, et al. Patient Engagement In Health Care Safety: An Overview
Of Mixed-Quality Evidence. Health Aff (Millwood). 2018;37(11):1813-1820. doi:10.1377/hlthaff.2018.0716.
https://p…
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psnet.ahrq.gov/node/40381/psn-pdf
May 25, 2011 - Medication errors in the homes of children with chronic
conditions.
May 25, 2011
Walsh KE, Mazor KM, Stille CJ, et al. Medication errors in the homes of children with chronic conditions.
Arch Dis Child. 2011;96(6):581-6. doi:10.1136/adc.2010.204479.
https://psnet.ahrq.gov/issue/medication-errors-homes-children-chr…
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psnet.ahrq.gov/node/38057/psn-pdf
September 10, 2008 - Randomized controlled trial of a pictogram-based
intervention to reduce liquid medication dosing errors
and improve adherence among caregivers of young
children.
September 10, 2008
Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention to
reduce liquid medication do…
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psnet.ahrq.gov/node/43812/psn-pdf
January 14, 2015 - Healthcare Inspection: Evaluation of the Veterans Health
Administration's National Consult Delay Review and
Associated Fact Sheet.
January 14, 2015
Daigh JD Jr. Washington, DC: VA Office of the Inspector General; December 15, 2014. Report No. 14-
04705-62.
https://psnet.ahrq.gov/issue/healthcare-inspection-evalua…
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psnet.ahrq.gov/node/46579/psn-pdf
April 11, 2018 - Electronic medicine can send you test results quickly. But
what if they're scary?
April 11, 2018
Boodman SG. Washington Post. March 26, 2018.
https://psnet.ahrq.gov/issue/electronic-medicine-can-send-you-test-results-quickly-what-if-theyre-scary
Although providing patients with access to physician notes and test r…
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psnet.ahrq.gov/node/46132/psn-pdf
September 24, 2017 - The "Quality Minute"—a new, brief, and structured
technique for quality improvement education during the
morbidity and mortality conference.
September 24, 2017
Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality
Improvement Education During the Morbidity and Mort…
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psnet.ahrq.gov/node/46048/psn-pdf
July 05, 2017 - Association between elements of electronic health record
systems and the weekend effect in urgent general
surgery.
July 5, 2017
Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record
Systems and the Weekend Effect in Urgent General Surgery. JAMA Surg. 2017;152(6):602-…
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psnet.ahrq.gov/node/33880/psn-pdf
May 01, 2019 - and paramedics report poor sleep quality, severe fatigue at work, and inadequate recovery between
scheduled
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psnet.ahrq.gov/node/61080/psn-pdf
October 28, 2020 - At approximately 1000 on the date of transfer, the
patient was scheduled for right frontotemporal craniotomy
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psnet.ahrq.gov/node/45655/psn-pdf
November 23, 2016 - Effect of US Drug Enforcement Administration's
rescheduling of hydrocodone combination analgesic
products on opioid analgesic prescribing.
November 23, 2016
Jones CM, Lurie PG, Throckmorton DC. Effect of US Drug Enforcement Administration's Rescheduling of
Hydrocodone Combination Analgesic Products on Opioid Analg…