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2801. Development of an "infusion pump safety score". | PSNet
      psnet.ahrq.gov/issue/development-infusion-pump-safety-score
      January 06, 2017 - Commentary Development of an "infusion pump safety score". Citation Text: Carlson R, Johnson B, Ensign RH. Development of an "infusion pump safety score". Am J Health Syst Pharm. 2015;72(10):777-9. doi:10.2146/ajhp140421. Copy Citation Format: DOI Google Scholar PubMed BibT…

2802. Medical error and systems of signaling: conceptual and linguistic definition. | PSNet
      psnet.ahrq.gov/issue/medical-error-and-systems-signaling-conceptual-and-linguistic-definition
      July 12, 2019 - Commentary Medical error and systems of signaling: conceptual and linguistic definition. Citation Text: Smorti A, Cappelli F, Zarantonello R, et al. Medical error and systems of signaling: conceptual and linguistic definition. Intern Emerg Med. 2014;9(6):681-8. doi:10.1007/s11739-014-110…

2803. Analysis of laboratory critical value reporting at a large academic medical center. | PSNet
      psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center
      December 05, 2013 - Study Analysis of laboratory critical value reporting at a large academic medical center. Citation Text: Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;125(5):758-64. Copy Citation For…

2804. When things go wrong: how health care organizations deal with major failures. | PSNet
      psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
      March 13, 2013 - Commentary Classic When things go wrong: how health care organizations deal with major failures. Citation Text: Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff (Millwood). 2004;23(3):103-11. Copy …

2805. Adverse events and preventable adverse events in children. | PSNet
      psnet.ahrq.gov/issue/adverse-events-and-preventable-adverse-events-children
      March 24, 2011 - Study Classic Adverse events and preventable adverse events in children. Citation Text: Woods D, Thomas EJ, Holl JL, et al. Adverse events and preventable adverse events in children. Pediatrics. 2005;115(1):155-60. Copy Citation Format: Google Sc…

2806. Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-event-surveillance-and-drug-withdrawals-united-states-1969-2002
      October 08, 2014 - Study Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. Citation Text: Wysowski DK, Swartz L. Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002: the importance of reporting suspected reactions. Arch Intern Med. 2005…

2807. Effects of weekend admission and hospital teaching status on in-hospital mortality. | PSNet
      psnet.ahrq.gov/issue/effects-weekend-admission-and-hospital-teaching-status-hospital-mortality
      September 12, 2011 - Study Effects of weekend admission and hospital teaching status on in-hospital mortality. Citation Text: Cram P, Hillis SL, Barnett M, et al. Effects of weekend admission and hospital teaching status on in-hospital mortality. Am J Med. 2004;117(3):151-7. Copy Citation Format: …

2808. COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. | PSNet
      psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs-continue-strengthen-oversight-infection-prevention-and
      October 26, 2022 - Book/Report COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. Citation Text: COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. Washington, DC: United States Government …

2809. The incidence and cost of adverse events in Victorian hospitals 2003-04. | PSNet
      psnet.ahrq.gov/issue/incidence-and-cost-adverse-events-victorian-hospitals-2003-04
      July 13, 2010 - Study The incidence and cost of adverse events in Victorian hospitals 2003-04. Citation Text: Ehsani JP, Jackson T, Duckett SJ. The incidence and cost of adverse events in Victorian hospitals 2003-04. Med J Aust. 2006;184(11):551-5. Copy Citation Format: Google Scholar P…

2810. Measurement of adverse events using "incidence flagged" diagnosis codes. | PSNet
      psnet.ahrq.gov/issue/measurement-adverse-events-using-incidence-flagged-diagnosis-codes
      June 18, 2013 - Study Measurement of adverse events using "incidence flagged" diagnosis codes. Citation Text: Jackson T, Duckett S, Shepheard J, et al. Measurement of adverse events using "incidence flagged" diagnosis codes. J Health Serv Res Policy. 2006;11(1):21-6. Copy Citation Format: …

2811. Patient safety in psychiatric inpatient care: a literature review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-psychiatric-inpatient-care-literature-review
      September 27, 2017 - Review Patient safety in psychiatric inpatient care: a literature review. Citation Text: Kanerva A, Lammintakanen J, Kivinen T. Patient safety in psychiatric inpatient care: a literature review. J Psychiatr Ment Health Nurs. 2013;20(6):541-8. doi:10.1111/j.1365-2850.2012.01949.x. Co…

2812. Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-medication-combination-opioids-among-older-dental-patients
      March 18, 2020 - Study Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data. Citation Text: Zhou J, Calip GS, Rowan S, et al. Potentially inappropriate medication combination with opioids among older dental patients: a …

2813. Intralipid medication errors in the neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/intralipid-medication-errors-neonatal-intensive-care-unit
      January 02, 2017 - Study Intralipid medication errors in the neonatal intensive care unit. Citation Text: Chuo J, Lambert G, Hicks RW. Intralipid medication errors in the neonatal intensive care unit. Jt Comm J Qual Patient Saf. 2007;33(2):104-11. Copy Citation Format: Google Scholar PubMed B…

2814. Supporting Clinicians to Improve Decision Making and Patients' Care | Digital Healthcare Research
      digital.ahrq.gov/2019-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
      January 01, 2019 - Supporting Clinicians to Improve Decision Making and Patients' Care Research funded by AHRQ’s Digital Healthcare Research Program aims to support clinicians and other healthcare professionals in providing health services. In 2019, total program investment in research to support clinical …

2815. Medication Safety | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/medication-safety
      January 01, 2023 - Medication Safety Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using Large Language Models and Machine Learning Description This research uses large language models and machine learning to retrospectively analyze electronic health records of pa…

2816. Microsoft Word - NISVarianceReport_Notification.doc (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/reports/NISVarianceReport_Notification.pdf
      July 01, 2004 - Microsoft Word - NISVarianceReport_Notification.doc DATE: July 1, 2004 TO: Users of the HCUP Nationwide Inpatient Sample (NIS) and Kids’ Inpatient Database (KID) SUBJECT: Corrections to instructions on how to calculate variances (standard errors) Page 1 of 2 Memorandum We have recently uncove…

2817. IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. | PSNet
      psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
      February 15, 2017 - Book/Report IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Citation Text: IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015. Copy Citation …

2818. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. | PSNet
      psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
      October 20, 2010 - Study Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Citation Text: Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8. …

2819. The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. | PSNet
      psnet.ahrq.gov/issue/threats-australian-patient-safety-taps-study-incidence-reported-errors-general-practice
      March 05, 2008 - Study The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. Citation Text: Makeham MAB, Kidd MR, Saltman DC, et al. The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. Med J Aust. 20…

2820. Shedding light on the dark side of doctor–patient interactions: verbal and nonverbal messages physicians communicate during error disclosures. | PSNet
      psnet.ahrq.gov/issue/shedding-light-dark-side-doctor-patient-interactions-verbal-and-nonverbal-messages-physicians
      June 14, 2017 - Study Shedding light on the dark side of doctor–patient interactions: verbal and nonverbal messages physicians communicate during error disclosures. Citation Text: Hannawa AF. Shedding light on the dark side of doctor-patient interactions: verbal and nonverbal messages physicians commu…