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psnet.ahrq.gov/node/43336/psn-pdf
July 09, 2014 - Pharmacists in pharmacovigilance: can increased
diagnostic opportunity in community settings translate to
better vigilance?
July 9, 2014
Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic
opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…
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psnet.ahrq.gov/node/50688/psn-pdf
November 20, 2019 - Roles and role ambiguity in patient- and caregiver-
performed outpatient parenteral antimicrobial therapy.
November 20, 2019
Keller SC, Cosgrove SE, Arbaje AI, et al. Roles and Role Ambiguity in Patient- and Caregiver-Performed
Outpatient Parenteral Antimicrobial Therapy. Jt Comm J Qual Patient Saf. 2019;45(11):763…
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June 17, 2020 - Reasons for drug administration problems and perceived
needs for assistance of patients, family caregivers, and
nurses: a qualitative study.
June 17, 2020
Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for
assistance of patients, family caregivers, and nurses: a qu…
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psnet.ahrq.gov/node/48011/psn-pdf
May 29, 2019 - Is it time for safeguards in the adoption of robotic
surgery?
May 29, 2019
Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA.
2019;321(20):1971-1972. doi:10.1001/jama.2019.3736.
https://psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
The FDA recently raised …
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January 10, 2018 - The role of checklists and human factors for improved
patient safety in plastic surgery.
January 10, 2018
Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in
Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097/PRS.0000000000003892.
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January 09, 2019 - The effect of cognitive load and task complexity on
automation bias in electronic prescribing.
January 9, 2019
Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in
Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/0018720818781224.
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January 25, 2017 - Handoffs: transitions of care for children in the
emergency department.
January 25, 2017
American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of
Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association
Pediatric Committee. Pediatrics. 2016;138:…
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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/837961/psn-pdf
August 31, 2022 - Risk reduction strategy to decrease incidence of retained
surgical items.
August 31, 2022
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained
surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
https://psnet.ahrq.gov/issue/risk-reduc…
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April 25, 2016 - Lost in translation? Addressing barriers in the application
of industrial process improvement methodologies to
health care.
April 25, 2016
Gray D, Johnson KD, Watts B. Lost In Translation? Addressing Barriers in the Application of Industrial
Process Improvement Methodologies to Health Care. Jt Comm J Qual Patient …
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October 28, 2020 - Interventions and measurements of highly
reliable/resilient organization implementations: a
literature review.
October 28, 2020
Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization
implementations: a literature review. Appl Ergon. 2020;90:103241. doi:10.1016/j.…
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psnet.ahrq.gov/node/60823/psn-pdf
August 19, 2020 - Disaster ergonomics: human factors in COVID-19
pandemic emergency management.
August 19, 2020
Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic
emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428.
https://psnet.ahrq.gov/issue/disaster-e…
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August 07, 2019 - Ten ways to improve medication safety in community
pharmacies.
August 7, 2019
Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003).
2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018.
https://psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies
Med…
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October 01, 2014 - Reducing medication errors in critical care: a multimodal
approach.
October 1, 2014
Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin
Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530.
https://psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multim…
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September 16, 2020 - Enhancing departmental preparedness for COVID-19
using rapid-cycle in-situ simulation.
September 16, 2020
Dharamsi A, Hayman K, Yi S, et al. Enhancing departmental preparedness for COVID-19 using rapid-cycle
in-situ simulation. J Hosp Infect. 2020;105(4):604-607. doi:10.1016/j.jhin.2020.06.020.
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May 11, 2016 - The experiences of risk managers in providing emotional
support for health care workers after adverse events.
May 11, 2016
Edrees HH, Brock DM, Wu AW, et al. The experiences of risk managers in providing emotional support for
health care workers after adverse events. J Healthc Risk Manag. 2016;35(4):14-21.
doi:10.…
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May 11, 2022 - Patient falls in the operating room setting: an analysis of
reported safety events.
May 11, 2022
Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported
safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503.
https://psnet.ahrq.gov/issue/pati…
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psnet.ahrq.gov/node/837510/psn-pdf
June 22, 2022 - In situ simulation for adoption of new technology to
improve sepsis care in rural emergency departments.
June 22, 2022
Powell ES, Bond WF, Barker LT, et al. In situ simulation for adoption of new technology to improve sepsis
care in rural emergency departments. J Patient Saf. 2022;18(4):302-309.
doi:10.1097/pts.00…
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psnet.ahrq.gov/node/866355/psn-pdf
July 24, 2024 - Frequency and preventability of adverse drug events in
the outpatient setting.
July 24, 2024
Wasserman RL, Edrees HH, Amato MG, et al. Frequency and preventability of adverse drug events in the
outpatient setting. BMJ Qual Saf. 2024;Epub Jul 9. doi:10.1136/bmjqs-2024-017098.
https://psnet.ahrq.gov/issue/frequency-…
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psnet.ahrq.gov/node/47975/psn-pdf
May 29, 2019 - Surgical Innovation, New Techniques and Technologies:
A Guide to Good Practice.
May 29, 2019
London, UK: Royal College of Surgeons of England; 2019.
https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice
Introducing innovations in practice involves taking calculated ri…