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psnet.ahrq.gov/issue/nurse-staffing-and-education-and-hospital-mortality-nine-european-countries-retrospective
January 04, 2015 - Study
Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study.
Citation Text:
Aiken LH, Sloane DM, Bruyneel L, et al. Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational …
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psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
July 21, 2021 - Study
Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis.
Citation Text:
Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Eme…
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psnet.ahrq.gov/issue/factors-influencing-second-victim-experiences-and-support-needs-obgyn-and-pediatric
January 31, 2024 - Study
Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events.
Citation Text:
Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support needs of OB/GYN and…
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psnet.ahrq.gov/issue/patients-and-doctors-views-and-experiences-patient-safety-trajectory-breast-cancer-care
December 08, 2021 - Study
Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care.
Citation Text:
Forrest C, O'Sullivan MJ, Ryan M, et al. Patients' and doctors’ views and experiences of the patient safety trajectory of breast cancer care. Breast. 2024;75:103699. …
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psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care
June 01, 2022 - Study
Association of unexpected newborn deaths with changes in obstetric and neonatal process of care.
Citation Text:
Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589…
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psnet.ahrq.gov/issue/effect-documenting-patient-weight-kilograms-pediatric-medication-dosing-errors-emergency
October 19, 2022 - Study
The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services.
Citation Text:
Ward CE, Taylor M, Keeney C, et al. The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency med…
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psnet.ahrq.gov/issue/timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-electronic
September 20, 2011 - Study
Classic
Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential?
Citation Text:
Singh H, Thomas EJ, Mani S, et al. Timely follow-up of abnormal diagnostic imaging tes…
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psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events-children-and
March 24, 2021 - Study
National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents.
Citation Text:
Cohen AL, Budnitz DS, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events in children and …
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psnet.ahrq.gov/issue/automated-identification-postoperative-complications-within-electronic-medical-record-using
March 09, 2011 - Study
Classic
Automated identification of postoperative complications within an electronic medical record using natural language processing.
Citation Text:
Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within a…
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psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice
April 24, 2018 - Study
Classic
Readiness of US general surgery residents for independent practice.
Citation Text:
George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.00000000…
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psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-preventable-adverse-drug-events-paediatric-and
March 06, 2024 - Review
Emerging Classic
Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review.
Citation Text:
Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Me…
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psnet.ahrq.gov/issue/medication-errors-home-multisite-study-children-cancer
October 19, 2022 - Study
Medication errors in the home: a multisite study of children with cancer.
Citation Text:
Walsh KE, Roblin DW, Weingart SN, et al. Medication errors in the home: a multisite study of children with cancer. Pediatrics. 2013;131(5):e1405-14. doi:10.1542/peds.2012-2434.
Copy Citation…
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psnet.ahrq.gov/issue/impact-technology-prescribing-errors-pediatric-intensive-care-and-after-study
November 16, 2022 - Study
The impact of technology on prescribing errors in pediatric intensive care: a before and after study.
Citation Text:
Howlett MM, Butler E, Lavelle KM, et al. The impact of technology on prescribing errors in pediatric intensive care: a before and after study. Appl Clin Inform. 2020…
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psnet.ahrq.gov/issue/healing-our-own-randomized-trial-assess-benefits-peer-support
May 19, 2021 - Study
Healing our own: a randomized trial to assess benefits of peer support.
Citation Text:
Rivera-Chiauzzi EY, Smith HA, Moore-Murray T, et al. Healing our own: a randomized trial to assess benefits of peer support. J Patient Saf. 2022;18(1):e308-e314. doi:10.1097/pts.0000000000000771.…
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psnet.ahrq.gov/issue/communication-health-care-workers-regarding-health-care-associated-exposure-coronavirus-2019
August 12, 2020 - Commentary
Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure.
Citation Text:
Wickner PG, Hartley T, Salmasian H, et al. Communication with health care workers regarding health care-associated exposur…
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psnet.ahrq.gov/issue/interventions-reduce-burnout-and-improve-resilience-impact-health-systems-outcomes
January 10, 2018 - Study
Interventions to reduce burnout and improve resilience: impact on a health system's outcomes.
Citation Text:
Moffatt-Bruce SD, Nguyen MC, Steinberg B, et al. Interventions to Reduce Burnout and Improve Resilience: Impact on a Health System's Outcomes. Clin Obstet Gynecol. 2019;62(3…
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psnet.ahrq.gov/issue/program-provide-clinicians-feedback-their-diagnostic-performance-learning-health-system
October 12, 2022 - Study
A program to provide clinicians with feedback on their diagnostic performance in a learning health system.
Citation Text:
Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J …
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psnet.ahrq.gov/issue/assessing-patients-2019-experiences-medical-injury-reconciliation-processes-item-generation
June 16, 2021 - Study
Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire.
Citation Text:
Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item …
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psnet.ahrq.gov/issue/teamwork-associated-reduced-hospital-staff-burnout-military-treatment-facilities-findings
July 31, 2013 - Study
Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey.
Citation Text:
Godby Vail S, Dierst-Davies R, Kogut D, et al. Teamwork is associated with reduced hospital staff …
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psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - Vial Mistakes Involving Heparin
May 1, 2009
Vanderveen T. Vial Mistakes Involving Heparin. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
The Case
A 65-year-old man was admitted to the hospital for an elective left carotid endarterectomy. During the
procedure, the surgeon re…