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  1. psnet.ahrq.gov/issue/defining-estimating-and-communicating-overdiagnosis-cancer-screening
    October 13, 2018 - Commentary Defining, estimating, and communicating overdiagnosis in cancer screening. Citation Text: Davies L, Petitti DB, Martin L, et al. Defining, estimating, and communicating overdiagnosis in cancer screening. Ann Intern Med. 2018;169(1):36-43. doi:10.7326/M18-0694. Copy Citation …
  2. psnet.ahrq.gov/issue/evaluation-web-based-education-program-reducing-medication-dosing-error-multicenter
    May 18, 2022 - Study Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial. Citation Text: Frush K, Hohenhaus S, Luo X, et al. Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomiz…
  3. psnet.ahrq.gov/issue/has-improved-hand-hygiene-compliance-reduced-risk-hospital-acquired-infections-among
    July 10, 2024 - Study Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011. Citation Text: DiDiodato G. Has improved hand hygiene compliance reduced the risk of h…
  4. psnet.ahrq.gov/issue/comparison-medication-safety-effectiveness-among-nine-critical-access-hospitals
    September 07, 2022 - Study Comparison of medication safety effectiveness among nine critical access hospitals. Citation Text: Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067. Co…
  5. psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-administration-errors-and
    October 26, 2022 - Study Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas. Citation Text: Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication administration errors and a…
  6. psnet.ahrq.gov/issue/impact-clinical-decision-support-system-high-alert-medications-prevention-prescription-errors
    May 10, 2017 - Study Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Citation Text: Lee JH, Han H, Ock M, et al. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Int J Med …
  7. psnet.ahrq.gov/issue/characteristics-and-patient-impact-boarding-pediatric-emergency-department-2018-2022
    October 19, 2022 - Study Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022. Citation Text: Kappy B, Berkowitz D, Isbey S, et al. Characteristics and patient impact of boarding in the pediatric emergency department, 2018–2022. Am J Emerg Med. 2023;77:139-146. do…
  8. psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
    September 01, 2014 - A Costly Colonoscopy Leads to a Delay in Diagnosis Citation Text: Moriates C. A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861760/psn-pdf
    January 31, 2024 - https://psnet.ahrq.gov//#1 https://psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
  10. psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
    December 04, 2016 - bolus infusions further increase the likelihood of an IV medication error taking place and a subsequent adversedrug event. 21 The Institute for Safe Medication Practices (ISMP) has reported that “56% of medication … Analysis of risk factors for adverse drug events in critically ill patients.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49572/psn-pdf
    October 01, 2008 - Mistaken Identity October 1, 2008 Hall LW. Mistaken Identity. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mistaken-identity The Case An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status and a reported fall. After finding tenderness in her left hip, the p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72516/psn-pdf
    November 25, 2020 - Premature Closure: Was It Just Syncope? November 25, 2020 Maurier D, Barnes DK. Premature Closure: Was It Just Syncope? PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council fo…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33719/psn-pdf
    October 01, 2011 - The Context Is the Intervention October 1, 2011 Øvretveit J. The Context Is the Intervention. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/context-intervention Perspective Introduction What we say, do, and feel are facts. We live and work in groups, in a society, and are influenced by this context.…
  14. psnet.ahrq.gov/issue/another-fatal-failure-kingdrew
    May 03, 2017 - Newspaper/Magazine Article Another fatal failure at King/Drew. Citation Text: Another fatal failure at King/Drew. Weber T; Ornstein C. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin…
  15. psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital
    May 02, 2018 - Newspaper/Magazine Article 34 ways to survive your next trip to the hospital. Citation Text: 34 ways to survive your next trip to the hospital. Crouch M. Reader's Digest. April 2018. Copy Citation Save Save to your library Print Download PDF Shar…
  16. psnet.ahrq.gov/issue/world-alliance-patient-safety-forward-programme
    July 14, 2021 - Government Resource World Alliance for Patient Safety: forward programme. Citation Text: World Alliance for Patient Safety: forward programme. Geneva, Switzerland: World Health Organization; 2004. Copy Citation Save Save to your library Print Download …
  17. psnet.ahrq.gov/issue/deadly-deliveries
    March 30, 2022 - Newspaper/Magazine Article Deadly Deliveries. Citation Text: Deadly Deliveries. Young A, Kelly J, Schnaars C, et al. USA Today. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy …
  18. psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support
    February 25, 2019 - Newspaper/Magazine Article Future directions for diagnostic decision support. Citation Text: Future directions for diagnostic decision support. Carr S. ImproveDx. April 2016;3:1-3. Copy Citation Save Save to your library Print Download PDF Share …
  19. psnet.ahrq.gov/issue/ensuring-patient-safety-wireless-medical-device-networks
    May 03, 2006 - Newspaper/Magazine Article Ensuring patient safety in wireless medical device networks. Citation Text: Ensuring patient safety in wireless medical device networks. Gehlot V; Sloane EB. Copy Citation Save Save to your library Print Download PDF …
  20. psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
    February 01, 2023 - Newspaper/Magazine Article Double key bounce and double keying errors. Citation Text: Double key bounce and double keying errors. ISMP Medication Safety Alert! Acute care edition. January 12, 2006. Copy Citation Save Save to your library Print Downlo…

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