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psnet.ahrq.gov/node/46760/psn-pdf
January 24, 2018 - Systematic evidence review of rates and burden of harm
of intravenous admixture drug preparation errors in
healthcare settings.
January 24, 2018
Hedlund N, Beer I, Hoppe-Tichy T, et al. Systematic evidence review of rates and burden of harm of
intravenous admixture drug preparation errors in healthcare settings. B…
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psnet.ahrq.gov/node/46670/psn-pdf
December 18, 2017 - A narrative review of the safety concerns of deprescribing
in older adults and strategies to mitigate potential harms.
December 18, 2017
Reeve E, Moriarty F, Nahas R, et al. A narrative review of the safety concerns of deprescribing in older
adults and strategies to mitigate potential harms. Expert Opin Drug Saf. 2…
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psnet.ahrq.gov/node/45844/psn-pdf
February 15, 2017 - Responsible e-prescribing needs e-discontinuation.
February 15, 2017
Fischer SH, Rose AJ. Responsible e-Prescribing Needs e-Discontinuation. JAMA. 2017;317(5):469-470.
doi:10.1001/jama.2016.19908.
https://psnet.ahrq.gov/issue/responsible-e-prescribing-needs-e-discontinuation
E-prescribing is a key strategy to impr…
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psnet.ahrq.gov/node/43623/psn-pdf
September 29, 2017 - Intolerance of error and culture of blame drive medical
excess.
September 29, 2017
Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ.
2014;349(oct14 3). doi:10.1136/bmj.g5702.
https://psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
Lack of a…
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psnet.ahrq.gov/node/48035/psn-pdf
May 29, 2019 - Is the future of medical diagnosis in computer
algorithms?
May 29, 2019
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-
e16. doi:10.1016/s2589-7500(19)30011-1.
https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
Artificial intelligence…
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psnet.ahrq.gov/node/47878/psn-pdf
June 05, 2019 - Nursing practice with hospitalised older people: safety
and harm.
June 5, 2019
Dahlke SA, Hunter KF, Negrin K. Nursing practice with hospitalised older people: Safety and harm. Int J
Older People Nurs. 2019;14(1):e12220. doi:10.1111/opn.12220.
https://psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people…
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psnet.ahrq.gov/node/45728/psn-pdf
January 23, 2017 - Executive leadership and physician well-being: nine
organizational strategies to promote engagement and
reduce burnout.
January 23, 2017
Shanafelt TD, Noseworthy JH. Executive Leadership and Physician Well-being: Nine Organizational
Strategies to Promote Engagement and Reduce Burnout. Mayo Clin Proc. 2017;92(1):12…
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psnet.ahrq.gov/node/43735/psn-pdf
January 20, 2015 - Patient safety is not elective: a debate at the NPSF Patient
Safety Congress.
January 20, 2015
McTiernan P, Wachter R, Meyer GS, et al. Patient safety is not elective: a debate at the NPSF Patient
Safety Congress. BMJ Qual Saf. 2015;24(2):162-6. doi:10.1136/bmjqs-2014-003429.
https://psnet.ahrq.gov/issue/patient-s…
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psnet.ahrq.gov/node/45242/psn-pdf
July 13, 2016 - Utilization of pharmacy technicians to increase the
accuracy of patient medication histories obtained in the
emergency department.
July 13, 2016
Rubin EC, Pisupati R, Nerenberg SF. Utilization of Pharmacy Technicians to Increase the Accuracy of
Patient Medication Histories Obtained in the Emergency Department. Hos…
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psnet.ahrq.gov/node/47107/psn-pdf
June 20, 2018 - Challenges in communication from referring clinicians to
pathologists in the electronic health record era.
June 20, 2018
Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists
in the Electronic Health Record Era. J Pathol Inform. 2018;9:8. doi:10.4103/jpi.jpi_70_1…
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psnet.ahrq.gov/node/46888/psn-pdf
June 20, 2018 - Patient-centered prescription opioid tapering in
community outpatients with chronic pain.
June 20, 2018
Darnall BD, Ziadni MS, Stieg RL, et al. Patient-Centered Prescription Opioid Tapering in Community
Outpatients With Chronic Pain. JAMA Intern Med. 2018;178(5):707-708.
doi:10.1001/jamainternmed.2017.8709.
https…
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psnet.ahrq.gov/node/43835/psn-pdf
February 11, 2015 - Doctors' experiences of adverse events in secondary
care: the professional and personal impact.
February 11, 2015
Harrison R, Lawton R, Stewart K. Doctors' experiences of adverse events in secondary care: the
professional and personal impact. Clin Med (Lond). 2014;14(6):585-90. doi:10.7861/clinmedicine.14-6-585.
h…
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psnet.ahrq.gov/node/46938/psn-pdf
April 25, 2018 - Diagnostic reasoning and cognitive biases of nurse
practitioners.
April 25, 2018
Lawson TN. Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. J Nurs Educ.
2018;57(4):203-208. doi:10.3928/01484834-20180322-03.
https://psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners…
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psnet.ahrq.gov/node/44083/psn-pdf
April 24, 2018 - How prevalent are hazardous attitudes among
orthopaedic surgeons?
April 24, 2018
Bruinsma WE, Becker SJE, Guitton TG, et al. How prevalent are hazardous attitudes among orthopaedic
surgeons? Clin Orthop Relat Res. 2015;473(5):1582-9. doi:10.1007/s11999-014-3966-2.
https://psnet.ahrq.gov/issue/how-prevalent-are-haz…
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psnet.ahrq.gov/node/47087/psn-pdf
May 02, 2018 - The Economics of Patient Safety in Primary and
Ambulatory Care: Flying Blind.
May 2, 2018
Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisation for Economic Co-operation and
Development; 2018.
https://psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind
The global eco…
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psnet.ahrq.gov/node/45421/psn-pdf
December 14, 2016 - The medication reconciliation process and classification
of discrepancies: a systematic review.
December 14, 2016
Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of
discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. doi:10.1111/bcp.13017.
https://p…
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psnet.ahrq.gov/node/44676/psn-pdf
January 22, 2016 - Nursing assessment of continuous vital sign surveillance
to improve patient safety on the medical/surgical unit.
January 22, 2016
Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve
patient safety on the medical/surgical unit. J Clin Nurs. 2016;25(1-2):278-81. doi:10.…
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psnet.ahrq.gov/node/34998/psn-pdf
June 22, 2009 - Cause and effect analysis of closed claims in obstetrics
and gynecology.
June 22, 2009
White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and
gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038.
https://psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-o…
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psnet.ahrq.gov/node/45294/psn-pdf
January 01, 2019 - Frequency of passive EHR alerts in the ICU: another form
of alert fatigue?
July 27, 2016
Kizzier-Carnahan V, Artis KA, Mohan V, et al. Frequency of Passive EHR Alerts in the ICU: Another Form
of Alert Fatigue? J Patient Saf. 2019;15(3):246-250. doi:10.1097/PTS.0000000000000270.
https://psnet.ahrq.gov/issue/frequen…
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psnet.ahrq.gov/node/46989/psn-pdf
August 15, 2018 - Frequency, comprehension and attitudes of physicians
towards abbreviations in the medical record.
August 15, 2018
Hamiel U, Hecht I, Nemet A, et al. Frequency, comprehension and attitudes of physicians towards
abbreviations in the medical record. Postgrad Med J. 2018;94(1111):254-258. doi:10.1136/postgradmedj-
201…