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psnet.ahrq.gov/node/866243/psn-pdf
July 10, 2024 - Building a resilient patient safety culture: a large
healthcare organization's approach to systematically
reviewing serious harm events.
July 10, 2024
Harvey B, Dhalla IA, O'Neill C, et al. Building a resilient patient safety culture: a large healthcare
organization's approach to systematically reviewing serious h…
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psnet.ahrq.gov/node/43245/psn-pdf
June 18, 2014 - Paediatric nurses' adherence to the double-checking
process during medication administration in a children's
hospital: an observational study.
June 18, 2014
Alsulami Z, Choonara I, Conroy S. Paediatric nurses' adherence to the double-checking process during
medication administration in a children's hospital: an ob…
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psnet.ahrq.gov/node/44196/psn-pdf
March 27, 2017 - Patient Safety in Ambulance Services: A Scoping Review.
March 27, 2017
Patient Safety In Ambulance Services: A Scoping Review.
https://psnet.ahrq.gov/issue/patient-safety-ambulance-services-scoping-review
The safety of emergency medical care delivered in conjunction with ambulance services has not been
studied in …
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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/44883/psn-pdf
February 17, 2016 - Comparison of barcode scanning by pharmacy
technicians and pharmacists' visual checks for final
product verification.
February 17, 2016
Wang BN-T, Brummond P, Stevenson JG. Comparison of barcode scanning by pharmacy technicians and
pharmacists' visual checks for final product verification. Am J Health Syst Pharm. …
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psnet.ahrq.gov/node/47432/psn-pdf
September 26, 2018 - Malnutrition in the hospital: the pharmacist’s role in
prevention and treatment.
September 26, 2018
Decerbo M. Pharmacy Practice News. September 13, 2018.
https://psnet.ahrq.gov/issue/malnutrition-hospital-pharmacists-role-prevention-and-treatment
Parenteral nutrition errors can result in patient malnutrition and …
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psnet.ahrq.gov/node/43625/psn-pdf
October 29, 2014 - Assessing distractors and teamwork during surgery:
developing an event-based method for direct observation.
October 29, 2014
Seelandt JC, Tschan F, Keller S, et al. Assessing distractors and teamwork during surgery: developing an
event-based method for direct observation. BMJ Qual Saf. 2014;23(11):918-29. doi:10.11…
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psnet.ahrq.gov/node/74852/psn-pdf
February 23, 2022 - Use of a structured approach and virtual simulation
practice to improve diagnostic reasoning.
February 23, 2022
Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to
improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:10.1515/dx-2020-0160.
https://…
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psnet.ahrq.gov/node/37168/psn-pdf
February 03, 2011 - Physician scores on a national clinical skills examination
as predictors of complaints to medical regulatory
authorities.
February 3, 2011
Tamblyn R, Abrahamowicz M, Dauphinee D, et al. Physician scores on a national clinical skills examination
as predictors of complaints to medical regulatory authorities. JAMA. 2…
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psnet.ahrq.gov/node/838927/psn-pdf
October 26, 2022 - Survey results from pharmacists provide support to
enhance the organizational response to codes.
October 26, 2022
ISMP Medication Safety Alert! Acute care edition. October 6, 2022;27(20):1-5.
https://psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-
codes
Patient res…
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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - Miscommunication During the Interhospital Transport of a
Critically Ill Child
August 31, 2022
Rosenthal J, Hamline M. Miscommunication During the Interhospital Transport of a Critically Ill Child.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-c…
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - Miscommunication During the Interhospital Transport of a Critically Ill Child
Citation Text:
Rosenthal J, Hamline M. Miscommunication During the Interhospital Transport of a Critically Ill Child. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human …
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psnet.ahrq.gov/node/837856/psn-pdf
August 17, 2022 - Nurse well-being: a concept analysis.
August 17, 2022
Patrician PA, Bakerjian D, Billings R, et al. Nurse well-being: a concept analysis. Nurs Outlook.
2022;70(4):639-650. doi:10.1016/j.outlook.2022.03.014.
https://psnet.ahrq.gov/issue/nurse-well-being-concept-analysis
Clinician well-being has important implicatio…
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psnet.ahrq.gov/node/45474/psn-pdf
October 29, 2017 - Evaluation of electronic health record implementation on
pharmacist interventions related to oral chemotherapy
management.
October 29, 2017
Finn A, Bondarenka C, Edwards K, et al. Evaluation of electronic health record implementation on
pharmacist interventions related to oral chemotherapy management. J Oncol Phar…
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psnet.ahrq.gov/node/44012/psn-pdf
April 29, 2015 - Association of face-to-face handoffs and outcomes of
hospitalized internal medicine patients.
April 29, 2015
Schouten WM, Burton C, Jones LKD, et al. Association of face-to-face handoffs and outcomes of
hospitalized internal medicine patients. J Hosp Med. 2015;10(3):137-41. doi:10.1002/jhm.2293.
https://psnet.ahrq…
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psnet.ahrq.gov/node/45339/psn-pdf
August 10, 2016 - Hospital at night: an organizational design that provides
safer care at night.
August 10, 2016
Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care
at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17.
https://psnet.ahrq.gov/issue/hospi…
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psnet.ahrq.gov/node/46965/psn-pdf
March 28, 2018 - The other opioid crisis: hospital shortages lead to patient
pain, medical errors.
March 28, 2018
Bartolone P. Kaiser Health News. March 16, 2018.
https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
Drug shortages may require clinicians, pharmacists, and hospitals to…
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psnet.ahrq.gov/node/47869/psn-pdf
April 17, 2019 - Minimizing Opioid Prescribing in Surgery (MOPiS)
initiative: an analysis of implementation barriers.
April 17, 2019
Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS)
Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;239:309-319.
doi:10.1016/j.jss.20…
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psnet.ahrq.gov/node/60947/psn-pdf
September 23, 2020 - FDA Advise-ERR: reported medication errors with Veklury
(remdesivir) emergency use authorization.
September 23, 2020
ISMP Medication Safety Alert! Acute care edition. September 10, 2020;25(18)
https://psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-
authorizatio…
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psnet.ahrq.gov/node/44419/psn-pdf
September 02, 2015 - Lack of standardisation between specialties for human
factors content in postgraduate training: an analysis of
specialty curricula in the UK.
September 2, 2015
Greig PR, Higham H, Vaux E. Lack of standardisation between specialties for human factors content in
postgraduate training: an analysis of specialty curric…