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psnet.ahrq.gov/node/45934/psn-pdf
March 01, 2017 - The evolving role of medical scribe: variation and
implications for organizational effectiveness and safety.
March 1, 2017
Woodcock D, Pranaat R, McGrath K, et al. The Evolving Role of Medical Scribe: Variation and Implications
for Organizational Effectiveness and Safety. Stud Health Technol Inform. 2017;234:382-38…
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psnet.ahrq.gov/node/44402/psn-pdf
January 22, 2016 - "Mr Smith's been our problem child today...": anticipatory
management communication (AMC) in VA end-of-shift
medicine and nursing handoffs.
January 22, 2016
Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory
management communication (AMC) in VA end-of-shift medicin…
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psnet.ahrq.gov/node/45465/psn-pdf
September 07, 2016 - Improving patient safety culture in primary care: a
systematic review.
September 7, 2016
Verbakel NJ, Langelaan M, Verheij TJM, et al. Improving Patient Safety Culture in Primary Care: A
Systematic Review. J Patient Saf. 2016;12(3):152-8. doi:10.1097/PTS.0000000000000075.
https://psnet.ahrq.gov/issue/improving-pat…
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psnet.ahrq.gov/node/43320/psn-pdf
September 26, 2016 - Identification and interference of intraoperative
distractions and interruptions in operating rooms.
September 26, 2016
Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative
distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-29.
doi:10.1…
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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…
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psnet.ahrq.gov/node/866073/psn-pdf
June 05, 2024 - Improving communication of diagnostic uncertainty to
families of hospitalized children.
June 5, 2024
Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of
hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/45032/psn-pdf
July 21, 2016 - From tokenism to empowerment: progressing patient and
public involvement in healthcare improvement.
July 21, 2016
Ocloo J, Matthews R. From tokenism to empowerment: progressing patient and public involvement in
healthcare improvement. BMJ Qual Saf. 2016;25(8):626-32. doi:10.1136/bmjqs-2015-004839.
https://psnet.ah…
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psnet.ahrq.gov/node/44675/psn-pdf
July 05, 2016 - Why July matters.
July 5, 2016
Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912.
doi:10.1097/ACM.0000000000001196.
https://psnet.ahrq.gov/issue/why-july-matters
Studies have reached conflicting conclusions about whether the "July Effect"—the belief that inpatient
mortality increa…
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psnet.ahrq.gov/node/45422/psn-pdf
October 12, 2016 - Maths anxiety and medication dosage calculation errors:
a scoping review.
October 12, 2016
Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse
Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005.
https://psnet.ahrq.gov/issue/maths-anxiety-and-medication-dosag…
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psnet.ahrq.gov/node/46757/psn-pdf
February 07, 2018 - Practical application of high-reliability principles in
healthcare to optimize quality and safety outcomes.
February 7, 2018
Oster CA, Deakins S. Practical Application of High-Reliability Principles in Healthcare to Optimize Quality
and Safety Outcomes. J Nurs Admin. 2017;48(1):50-55. doi:10.1097/nna.00000000000005…
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psnet.ahrq.gov/node/36494/psn-pdf
August 29, 2016 - Medication prescribing errors involving the route of
administration.
August 29, 2016
Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm.
2010;41(11):1053-1066. doi:10.1310/hpj4111-1053.
https://psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
…
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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/43470/psn-pdf
September 10, 2014 - Identifying critically ill patients at risk for inappropriate
antibiotic therapy: a pilot study of a point-of-care decision
support alert.
September 10, 2014
Micek ST, Heard KM, Gowan M, et al. Identifying critically ill patients at risk for inappropriate antibiotic
therapy: a pilot study of a point-of-care decisi…
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psnet.ahrq.gov/node/45388/psn-pdf
December 07, 2016 - Opioids prescribed after low-risk surgical procedures in
the United States, 2004–2012.
December 7, 2016
Wunsch H, Wijeysundera DN, Passarella MA, et al. Opioids Prescribed After Low-Risk Surgical Procedures
in the United States, 2004-2012. JAMA. 2016;315(15):1654-7. doi:10.1001/jama.2016.0130.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/47822/psn-pdf
July 31, 2019 - High-alert medication administration and intravenous
smart pumps: a descriptive analysis of clinical practice.
July 31, 2019
Marwitz KK, Giuliano KK, Su W-T, et al. High-alert medication administration and intravenous smart
pumps: A descriptive analysis of clinical practice. Res Social Admin Pharm. 2019;15(7):889-8…
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psnet.ahrq.gov/node/866861/psn-pdf
October 02, 2024 - Leapfrog safety grades in California hospitals: a data
analysis.
October 2, 2024
Razick D, Amani N, Ali L, et al. Leapfrog safety grades in California hospitals: a data analysis. Am J Med
Qual. 2024;39(5):251-255. doi:10.1097/jmq.0000000000000200.
https://psnet.ahrq.gov/issue/leapfrog-safety-grades-california-hosp…
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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/865808/psn-pdf
May 08, 2024 - Comparative evaluation of LLMs in clinical oncology.
May 8, 2024
Rydzewski NR, Dinakaran D, Zhao SG, et al. Comparative evaluation of LLMs in clinical oncology. NEJM
AI. 2024;1(5):AIoa2300151. doi:10.1056/aioa2300151.
https://psnet.ahrq.gov/issue/comparative-evaluation-llms-clinical-oncology
Large language models …
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psnet.ahrq.gov/node/851650/psn-pdf
July 26, 2023 - Temporal clustering of critical illness events on medical
wards.
July 26, 2023
Doshi S, Shin S, Lapointe-Shaw L, et al. Temporal clustering of critical illness events on medical wards.
JAMA Intern Med. 2023;183(9):924-932. doi:10.1001/jamainternmed.2023.2629.
https://psnet.ahrq.gov/issue/temporal-clustering-critic…
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psnet.ahrq.gov/node/48053/psn-pdf
July 17, 2019 - Review of medication errors that are new or likely to
occur more frequently with electronic medication
management systems.
July 17, 2019
Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur
more frequently with electronic medication management systems. Aust Health …