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psnet.ahrq.gov/node/45200/psn-pdf
May 09, 2017 - Safe implementation of standard concentration infusions
in paediatric intensive care.
May 9, 2017
Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in
paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5). doi:10.1111/jphp.12580.
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psnet.ahrq.gov/node/43146/psn-pdf
August 12, 2014 - Computerised provider order entry combined with clinical
decision support systems to improve medication safety: a
narrative review.
August 12, 2014
Ranji SR, Rennke S, Wachter R. Computerised provider order entry combined with clinical decision support
systems to improve medication safety: a narrative review. BMJ …
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psnet.ahrq.gov/node/45939/psn-pdf
March 01, 2017 - Examining the Copy and Paste Function in the Use of
Electronic Health Records.
March 1, 2017
Lowry SZ, Ramaiah M, Prettyman SS, et al. Gaithersburg, MD: National Institute of Standards and
Technology, United States Department of Commerce; January 19, 2017. NIST Interagency/Internal Report
(NISTIR)-8166.
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digital.ahrq.gov/document-type/checklist
January 01, 2023 - Checklist
GI Clinic Registry: Scripts, Protocols, Processes for Panel Managers
Description
This document is a comprehensive protocol for colorectal cancer screening followup using a population health management tool.
Document Source
Measuring and Improving Ambulatory…
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psnet.ahrq.gov/node/45867/psn-pdf
April 12, 2017 - The Economics of Patient Safety: Strengthening a Value-
based Approach to Reducing Patient Harm at National
Level.
April 12, 2017
Slawomirski L, Auraaen A, Klazinga N. Organisation for Economic Co-operation and Development: Paris,
France; 2017.
https://psnet.ahrq.gov/issue/economics-patient-safety-strengthening-v…
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psnet.ahrq.gov/node/45112/psn-pdf
July 01, 2016 - Surgical count process for prevention of retained surgical
items: an integrative review.
July 1, 2016
Freitas PS, Silveira RC de CP, Clark AM, et al. Surgical count process for prevention of retained surgical
items: an integrative review. J Clin Nurs. 2016;25(13-14):1835-47. doi:10.1111/jocn.13216.
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psnet.ahrq.gov/node/47538/psn-pdf
January 23, 2019 - What causes medication administration errors in a mental
health hospital? A qualitative study with nursing staff.
January 23, 2019
Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health
hospital? A qualitative study with nursing staff. PLoS One. 2018;13(10):e0206233.
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psnet.ahrq.gov/node/38332/psn-pdf
January 14, 2009 - Verifying patient identity and site of surgery: improving
compliance with protocol by audit and feedback.
January 14, 2009
Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance
with protocol by audit and feedback. Qual Saf Health Care. 2008;17(6):454-8.
doi:10.11…
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psnet.ahrq.gov/node/43111/psn-pdf
November 04, 2014 - E-prescribing errors in community pharmacies: exploring
consequences and contributing factors.
November 4, 2014
Odukoya OK, Stone JA, Chui MA. E-prescribing errors in community pharmacies: exploring consequences
and contributing factors. Int J Med Inform. 2014;83(6):427-37. doi:10.1016/j.ijmedinf.2014.02.004.
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psnet.ahrq.gov/node/37193/psn-pdf
October 06, 2011 - Incomplete EHR adoption: late uptake of patient safety
and cost control functions.
October 6, 2011
Menachemi N, Ford E, Beitsch LM, et al. Incomplete EHR adoption: late uptake of patient safety and cost
control functions. Am J Med Qual. 2007;22(5):319-26.
https://psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-u…
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psnet.ahrq.gov/node/50424/psn-pdf
September 04, 2019 - From box ticking to the black box: the evolution of
operating room safety.
September 4, 2019
Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety.
World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5.
https://psnet.ahrq.gov/issue/box-ticking-black-box-e…
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psnet.ahrq.gov/node/45843/psn-pdf
July 02, 2017 - Safety huddles to proactively identify and address
electronic health record safety.
July 2, 2017
Menon S, Singh H, Giardina TD, et al. Safety huddles to proactively identify and address electronic health
record safety. J Am Med Inform Assoc. 2017;24(2):261-267. doi:10.1093/jamia/ocw153.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/47068/psn-pdf
June 25, 2018 - The need for closed-loop systems for management of
abnormal test results.
June 25, 2018
Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal
Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425.
https://psnet.ahrq.gov/issue/need-closed-loop-systems…
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psnet.ahrq.gov/node/46426/psn-pdf
September 28, 2017 - Toward more proactive approaches to safety in the
electronic health record era.
September 28, 2017
Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt
Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005.
https://psnet.ahrq.gov/issue/toward…
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psnet.ahrq.gov/node/60697/psn-pdf
July 15, 2020 - FDA alerts health care professionals to the temporary
absence of warning statement on the vial caps of two
neuromuscular blocking agents.
July 15, 2020
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. June 2, 2020.
https://psnet.ahrq.gov/issue/fda-alerts-health-care-professionals-temporar…
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psnet.ahrq.gov/node/35045/psn-pdf
November 05, 2015 - Identifying barriers to the effective use of clinical
reminders: bootstrapping multiple methods.
November 5, 2015
Patterson ES, Doebbeling BN, Fung CH, et al. Identifying barriers to the effective use of clinical reminders:
bootstrapping multiple methods. J Biomed Inform. 2005;38(3):189-99.
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psnet.ahrq.gov/node/849135/psn-pdf
May 17, 2023 - Quality and Safety Considerations in Intensity Modulated
Radiation Therapy: An ASTRO Safety White Paper
Update.
May 17, 2023
Moran JM, Bazan JG, Dawes SL, et al. Quality and Safety Considerations in Intensity Modulated Radiation
Therapy: An ASTRO Safety White Paper Update. Pract Radiat Oncol. 2023;13(3):203-216.
…
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psnet.ahrq.gov/node/46642/psn-pdf
December 13, 2017 - Intravenous fluid prescribing errors in children: mixed
methods analysis of critical incidents.
December 13, 2017
Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods
analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:10.1371/journal.pone.0186210.
…
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psnet.ahrq.gov/node/72569/psn-pdf
January 01, 2021 - Risk factors associated with medication ordering errors.
December 16, 2020
Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J
Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264.
https://psnet.ahrq.gov/issue/risk-factors-associated-medication-orderin…
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psnet.ahrq.gov/node/47995/psn-pdf
July 24, 2019 - Standardising the classification of harm associated with
medication errors: the Harm Associated with Medication
Error Classification (HAMEC).
July 24, 2019
Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with
Medication Errors: The Harm Associated with Medication Error Cl…