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psnet.ahrq.gov/node/43789/psn-pdf
August 05, 2015 - Do cell phones belong in the operating room?
August 5, 2015
Luthra S. Kaiser Health News. July 14, 2015.
https://psnet.ahrq.gov/issue/do-cell-phones-belong-operating-room
Distractions can lead to care and process omissions. Reporting on the prevalence of mobile technology in
the operating room and how it can hinde…
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psnet.ahrq.gov/node/46789/psn-pdf
March 20, 2018 - Healthcare professionals' views of smart glasses in
intensive care: a qualitative study.
March 20, 2018
Romare C, Hass U, Skär L. Healthcare professionals' views of smart glasses in intensive care: A qualitative
study. Intensive Crit Care Nurs. 2018;45:66-71. doi:10.1016/j.iccn.2017.11.006.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/41390/psn-pdf
January 31, 2013 - A systematic review of patient tracking systems for use
in the pediatric emergency department.
January 31, 2013
Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric
emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jemermed.2012.02.017.
https://psnet.a…
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psnet.ahrq.gov/node/40002/psn-pdf
January 19, 2011 - Considerations for the design of safe and effective
consumer health IT applications in the home.
January 19, 2011
Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT
applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67. doi:10.1136/qshc.2010.041897.
ht…
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psnet.ahrq.gov/node/37210/psn-pdf
December 19, 2011 - Effects of an integrated clinical information system on
medication safety in a multi-hospital setting.
December 19, 2011
Mahoney CD, Berard-Collins CM, Coleman R, et al. Effects of an integrated clinical information system on
medication safety in a multi-hospital setting. Am J Health Syst Pharm. 2007;64(18):1969-77…
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psnet.ahrq.gov/node/837667/psn-pdf
July 13, 2022 - Challenges and opportunities of patient safety event
reporting.
July 13, 2022
Gong Y. Challenges and opportunities of patient safety event reporting. Stud Health Technol Inform.
2022;291:133-150. doi:10.3233/shti220014.
https://psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
Repor…
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psnet.ahrq.gov/node/43399/psn-pdf
August 06, 2014 - Pediatric medication administration errors and workflow
following implementation of a bar code medication
administration system.
August 6, 2014
Hardmeier A, Tsourounis C, Moore M, et al. Pediatric medication administration errors and workflow
following implementation of a bar code medication administration system.…
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psnet.ahrq.gov/node/43737/psn-pdf
January 07, 2015 - How do community pharmacies recover from e-
prescription errors?
January 7, 2015
Odukoya OK, Stone JA, Chui MA. How do community pharmacies recover from e-prescription errors? Res
Social Adm Pharm. 2014;10(6):837-852. doi:10.1016/j.sapharm.2013.11.009.
https://psnet.ahrq.gov/issue/how-do-community-pharmacies-recov…
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psnet.ahrq.gov/node/46330/psn-pdf
September 24, 2017 - Systemic error in radiology.
September 24, 2017
Waite S, Scott JM, Legasto A, et al. Systemic Error in Radiology. AJR Am J Roentgenol. 2017;209(3):629-
639. doi:10.2214/AJR.16.17719.
https://psnet.ahrq.gov/issue/systemic-error-radiology
Radiology interpretation errors can contribute to diagnostic error. This comme…
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psnet.ahrq.gov/node/46619/psn-pdf
March 07, 2018 - Diagnostic error in stroke — reasons and proposed
solutions.
March 7, 2018
Bakradze E, Liberman AL. Diagnostic Error in Stroke-Reasons and Proposed Solutions. Curr Atheroscler
Rep. 2018;20(2):11. doi:10.1007/s11883-018-0712-3.
https://psnet.ahrq.gov/issue/diagnostic-error-stroke-reasons-and-proposed-solutions
Sto…
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psnet.ahrq.gov/node/851452/psn-pdf
July 19, 2023 - Factors influencing in-hospital prescribing errors: a
systematic review.
July 19, 2023
Mahomedradja RF, Schinkel M, Sigaloff KCE, et al. Factors influencing in?hospital prescribing errors: a
systematic review. Br J Clin Pharmacol. 2023;89(6):1724-1735. doi:10.1111/bcp.15694.
https://psnet.ahrq.gov/issue/factors-in…
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psnet.ahrq.gov/node/866169/psn-pdf
June 19, 2024 - Safe and equitable pediatric clinical use of AI.
June 19, 2024
Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr.
2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897.
https://psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai
Accepting shared res…
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psnet.ahrq.gov/node/46326/psn-pdf
October 18, 2017 - Surgical Patient Safety: A Case-Based Approach.
October 18, 2017
Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631.
https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach
Surgical residency can be a stressful learning experience. This textbook provides an introd…
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psnet.ahrq.gov/node/44630/psn-pdf
February 15, 2017 - Reduction of incorrect record accessing and charting
patient electronic medical records in the perioperative
environment.
February 15, 2017
Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic
medical records in the perioperative environment. Health Informati…
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psnet.ahrq.gov/node/41802/psn-pdf
October 31, 2012 - Relationship between high-fidelity simulation and patient
safety in prelicensure nursing education: a
comprehensive review.
October 31, 2012
Blum CA, Parcells DA. Relationship between high-fidelity simulation and patient safety in prelicensure
nursing education: a comprehensive review. J Nurs Educ. 2012;51(8):429-…
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psnet.ahrq.gov/node/41544/psn-pdf
July 25, 2012 - A performance improvement plan to increase nurse
adherence to use of medication safety software.
July 25, 2012
Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety
Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.06.004.
https://psnet.ahrq.gov/issue/perfo…
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psnet.ahrq.gov/node/42556/psn-pdf
August 28, 2013 - Findings and Lessons From the Improving Quality
Through Clinician Use of Health IT Grant Initiative.
August 28, 2013
Rockville, MD: Agency for Healthcare Research and Quality. May 2013. AHRQ Publication No 13-0042-EF.
https://psnet.ahrq.gov/issue/findings-and-lessons-improving-quality-through-clinician-use-health-i…
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psnet.ahrq.gov/node/47362/psn-pdf
January 27, 2019 - Effective approaches to control non-actionable alarms
and alarm fatigue.
January 27, 2019
Winters BD. Effective approaches to control non-actionable alarms and alarm fatigue. J Electrocardiol.
2018;51(6S):S49-S51. doi:10.1016/j.jelectrocard.2018.07.007.
https://psnet.ahrq.gov/issue/effective-approaches-control-non…
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psnet.ahrq.gov/node/41189/psn-pdf
March 07, 2012 - Risk factors in patient safety: minimally invasive surgery
versus conventional surgery.
March 7, 2012
Rodrigues SP, Wever AM, Dankelman J, et al. Risk factors in patient safety: minimally invasive surgery
versus conventional surgery. Surg Endosc. 2012;26(2):350-6. doi:10.1007/s00464-011-1874-z.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/846162/psn-pdf
July 01, 2020 - The effect of virtual nursing and missed nursing care.
July 1, 2020
Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q.
2020;44(3):280-287. doi:10.1097/naq.0000000000000419.
https://psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care
The COVID-19…