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psnet.ahrq.gov/node/46836/psn-pdf
February 21, 2018 - Drone delivery of medications: review of the landscape
and legal considerations.
February 21, 2018
Lin CA, Shah K, Mauntel LCC, et al. Drone delivery of medications: Review of the landscape and legal
considerations. Am J Health Syst Pharm. 2018;75(3):153-158. doi:10.2146/ajhp170196.
https://psnet.ahrq.gov/issue/dr…
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psnet.ahrq.gov/node/45705/psn-pdf
January 23, 2017 - ASPEN Safe Practices for Enteral Nutrition Therapy.
January 23, 2017
Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J
Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053.
https://psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therap…
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psnet.ahrq.gov/node/45332/psn-pdf
August 27, 2018 - Guideline implementation: prevention of retained surgical
items.
August 27, 2018
Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48.
doi:10.1016/j.aorn.2016.05.005.
https://psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
Although i…
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psnet.ahrq.gov/node/46006/psn-pdf
May 03, 2017 - Creating a Pediatric Joint Council to promote patient
safety and quality, governance, and accountability across
Johns Hopkins Medicine.
May 3, 2017
Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety
and Quality, Governance, and Accountability Across Johns Hopkins…
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psnet.ahrq.gov/node/46915/psn-pdf
April 16, 2018 - Postoperative opioid prescribing: Getting it RIGHTT.
April 16, 2018
Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707-
711. doi:10.1016/j.amjsurg.2018.02.001.
https://psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
Use of mnemonics to rec…
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psnet.ahrq.gov/node/60615/psn-pdf
June 24, 2020 - Key potentially inappropriate drugs in pediatrics: the KIDs
list.
June 24, 2020
Meyers RS, Thackray J, Matson KL, et al. Key potentially inappropriate drugs in pediatrics: the KIDs list. J
Pediatr Pharmacol Ther. 2020;25(3). doi:10.5863/1551-6776-25.3.175.
https://psnet.ahrq.gov/issue/key-potentially-inappropriate…
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psnet.ahrq.gov/node/45925/psn-pdf
April 19, 2017 - All consumer medication information is not created equal:
implications for medication safety.
April 19, 2017
Monkman H, Kushniruk AW. All Consumer Medication Information Is Not Created Equal: Implications for
Medication Safety. Stud Health Technol Inform. 2017;234:233-237.
https://psnet.ahrq.gov/issue/all-consumer…
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psnet.ahrq.gov/node/851066/psn-pdf
June 28, 2023 - Medication guides: patient medication information. A
proposed rule by the Food and Drug Administration.
June 28, 2023
May 31, 2023; Fed Register;88:35694-35728.
https://psnet.ahrq.gov/issue/medication-guides-patient-medication-information-proposed-rule-food-and-
drug-administration
Standardized medication labels …
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psnet.ahrq.gov/node/42642/psn-pdf
October 09, 2013 - The contribution of prescription chart design and
familiarity to prescribing error: a prospective,
randomised, cross-over study.
October 9, 2013
Tallentire VR, Hale RL, Dewhurst NG, et al. The contribution of prescription chart design and familiarity to
prescribing error: a prospective, randomised, cross-over stud…
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psnet.ahrq.gov/node/47641/psn-pdf
March 20, 2019 - Guided reflection interventions show no effect on
diagnostic accuracy in medical students.
March 20, 2019
Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in
Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297.
https://psnet.ahrq.gov/issue/gu…
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psnet.ahrq.gov/node/60819/psn-pdf
August 19, 2020 - Register-based research of adverse events revealing
incomplete records threatening patient safety.
August 19, 2020
Kinnunen U-M, Kivekäs E, Palojoki S, et al. Register-based research of adverse events revealing
incomplete records threatening patient safety. Stud Health Technol Inform. 2020;270:771-775.
doi:10.3233…
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psnet.ahrq.gov/node/42931/psn-pdf
April 20, 2014 - Assigning a team-based pager for on-call physicians
reduces paging errors in a large academic hospital.
April 20, 2014
Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in
a large academic hospital. Jt Comm J Qual Patient Saf. 2014;40(2):77-82.
https://psnet.…
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psnet.ahrq.gov/node/45232/psn-pdf
August 10, 2016 - Promoting patient safety with perioperative hand-off
communication.
August 10, 2016
Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs.
2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144.
https://psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-commun…
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psnet.ahrq.gov/node/47517/psn-pdf
January 27, 2019 - Defining and classifying terminology for medication
harm: a call for consensus.
January 27, 2019
Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for
consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-2567-5.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/44654/psn-pdf
November 11, 2015 - Reduction in chemotherapy order errors with
computerised physician order entry and clinical decision
support systems.
November 11, 2015
Reduction in chemotherapy order errors with computerised physician order entry and clinical decision
support systems. HIM J. 2015;44.
https://psnet.ahrq.gov/issue/reduction-chemo…
-
psnet.ahrq.gov/node/37525/psn-pdf
June 14, 2011 - Recommended guidelines for monitoring, reporting, and
conducting research on medical emergency team,
outreach, and rapid response systems: an Utstein-style
scientific statement.
June 14, 2011
Peberdy MA, Cretikos MA, Abella BS, et al. Recommended Guidelines for Monitoring, Reporting, and
Conducting Research on Me…
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psnet.ahrq.gov/node/44204/psn-pdf
June 17, 2015 - Effectiveness of interventions to improve patient
handover in surgery: a systematic review.
June 17, 2015
Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in
surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016/j.surg.2015.02.017.
https://psnet.…
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psnet.ahrq.gov/node/42783/psn-pdf
January 15, 2014 - Sign-out snapshot: cross-sectional evaluation of written
sign-outs among specialties.
January 15, 2014
Schoenfeld AR, Al-Damluji MS, Horwitz LI. Sign-out snapshot: cross-sectional evaluation of written sign-
outs among specialties. BMJ Qual Saf. 2014;23(1):66-72. doi:10.1136/bmjqs-2013-002164.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/47810/psn-pdf
March 13, 2019 - Debriefing in the OR: a quality improvement project.
March 13, 2019
Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J.
2019;109(3):336-344. doi:10.1002/aorn.12616.
https://psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project
Debriefing has emerged as a s…
-
psnet.ahrq.gov/node/38143/psn-pdf
February 18, 2011 - A multidisciplinary teamwork training program: The Triad
for Optimal Patient Safety (TOPS) experience.
February 18, 2011
Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal
Patient Safety (TOPS) experience. J Gen Intern Med. 2008;23(12):2053-7. doi:10.1007/s116…