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7461. Patient safety and quality improvement education: a cross-sectional study of medical students' preferences and attitudes. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-education-cross-sectional-study-medical-students
      September 23, 2020 - Study Patient safety and quality improvement education: a cross-sectional study of medical students' preferences and attitudes. Citation Text: Teigland CL, Blasiak RC, Wilson LA, et al. Patient safety and quality improvement education: a cross-sectional study of medical students' prefer…

7462. The foundational science of learning health systems. | PSNet
      psnet.ahrq.gov/issue/foundational-science-learning-health-systems
      June 26, 2019 - Commentary The foundational science of learning health systems. Citation Text: Kilbourne AM, Borsky AE, O'Brien RW, et al. The foundational science of learning health systems. Health Serv Res. 2024;59(6):e14374. doi:10.1111/1475-6773.14374. Copy Citation Format: DOI Google …

7463. Public sector organizational failure: a study of collective denial in the UK national health service. | PSNet
      psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health-service
      June 03, 2020 - Study Public sector organizational failure: a study of collective denial in the UK national health service. Citation Text: Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10…

7464. Double Dosing, by the Rules | PSNet
      psnet.ahrq.gov/web-mm/double-dosing-rules
      February 03, 2010 - Double Dosing, by the Rules Citation Text: Cohen H. Double Dosing, by the Rules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

7465. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
      January 01, 2020 - Spotlight Spotlight Fatal PCA Opioid-Induced Respiratory Depression Source and Credits • This presentation is based on the May 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm • Commentary by: Sarina Fazio, PhD, RN and Rachelle Firestone, PharmD, BCCCP o Editors in Chie…

7466. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49511/psn-pdf
      May 01, 2006 - Take-Home Points Confusing Bicitra and Polycitra or not appreciating their important differences may cause adverse … drug events.

7467. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49623/psn-pdf
      March 01, 2011 - Are We Pushing Graduate Nurses Too Fast? March 1, 2011 Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast The Case A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical…

7468. Equipped: overcoming barriers to change to improve quality of care (theories of change). | PSNet
      psnet.ahrq.gov/issue/equipped-overcoming-barriers-change-improve-quality-care-theories-change
      May 23, 2018 - Commentary Equipped: overcoming barriers to change to improve quality of care (theories of change). Citation Text: Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):1…

7469. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. | PSNet
      psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
      December 16, 2020 - Commentary Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. Citation Text: Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bm…

7470. Provider interruptions and patient perceptions of care: an observational study in the emergency department. | PSNet
      psnet.ahrq.gov/issue/provider-interruptions-and-patient-perceptions-care-observational-study-emergency-department
      June 26, 2024 - Study Provider interruptions and patient perceptions of care: an observational study in the emergency department. Citation Text: Schneider A, Wehler M, Weigl M. Provider interruptions and patient perceptions of care: an observational study in the emergency department. BMJ Qual Saf. 2019;…

7471. FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. | PSNet
      psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
      February 15, 2024 - Press Release/Announcement FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. Citation Text: FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…

7472. How teams work—or don’t—in primary care: a field study on internal medicine practices. | PSNet
      psnet.ahrq.gov/issue/how-teams-work-or-dont-primary-care-field-study-internal-medicine-practices
      November 28, 2012 - Study How teams work—or don’t—in primary care: a field study on internal medicine practices. Citation Text: Chesluk BJ, Holmboe ES. How teams work--or don't--in primary care: a field study on internal medicine practices. Health Aff (Millwood). 2010;29(5):874-879. doi:10.1377/hlthaff.2009…

7473. Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. | PSNet
      psnet.ahrq.gov/issue/flow-accuracy-iv-smart-pumps-outside-patient-rooms-during-covid-19
      October 12, 2022 - Commentary Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. Citation Text: Blake JWC, Giuliano KK. Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. AACN Adv Crit Care. 2020;31(4):357-363. doi:10.4037/aacnacc2020241. Copy Citation Fo…

7474. Inappropriate opioid prescription after surgery. | PSNet
      psnet.ahrq.gov/issue/inappropriate-opioid-prescription-after-surgery
      February 02, 2022 - Review Classic Inappropriate opioid prescription after surgery. Citation Text: Neuman MD, Bateman BT, Wunsch H. Inappropriate opioid prescription after surgery. Lancet. 2019;393(10180):1547-1557. doi:10.1016/S0140-6736(19)30428-3. Copy Citation Format: …

7475. Using human error theory to explore the supply of non-prescription medicines from community pharmacies. | PSNet
      psnet.ahrq.gov/issue/using-human-error-theory-explore-supply-non-prescription-medicines-community-pharmacies
      January 30, 2013 - Study Using human error theory to explore the supply of non-prescription medicines from community pharmacies. Citation Text: Watson MC, Bond CM, Johnston M, et al. Using human error theory to explore the supply of non-prescription medicines from community pharmacies. Qual Saf Health Ca…

7476. Identified safety risks with splitting and crushing oral medications. | PSNet
      psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
      September 24, 2010 - Commentary Identified safety risks with splitting and crushing oral medications. Citation Text: Paparella S. Identified safety risks with splitting and crushing oral medications. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…

7477. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. | PSNet
      psnet.ahrq.gov/issue/automated-dispensing-cabinet-overrides-evaluation-necessity-pediatric-emergency-department
      October 21, 2020 - Study Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. Citation Text: Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. J Emerg Nurs. 202…

7478. Decreasing errors in pediatric continuous intravenous infusions. | PSNet
      psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
      January 06, 2017 - Study Decreasing errors in pediatric continuous intravenous infusions. Citation Text: Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30. Copy Citation Format: Google Scholar PubMed …

7479. Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. | PSNet
      psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
      October 15, 2008 - Book/Report Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. Citation Text: Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…

7480. Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. | PSNet
      psnet.ahrq.gov/issue/moral-distress-compassion-fatigue-and-perceptions-about-medication-errors-certified-critical
      November 09, 2015 - Study Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Citation Text: Maiden J, Georges JM, Connelly CD. Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Dimens C…