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121. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34783/psn-pdf
     March 28, 2005 - The organizational and intraorganizational development of disasters. March 28, 2005 Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. https://psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters This article…

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60003/psn-pdf
     January 01, 2021 - Systemic causes of in-hospital intravenous medication errors: a systematic review. March 4, 2020 Kuitunen S, Niittynen I, Airaksinen M, et al. Systemic causes of in-hospital intravenous medication errors: a systematic review. J Patient Saf. 2021;17(8):e1660-e1668. doi:10.1097/pts.0000000000000632. https://psnet.ah…

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48013/psn-pdf
     May 29, 2019 - Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. May 29, 2019 Jacob S, Britt RB, Bryan WE, et al. Economic Outcomes Associated with Safety Interventions by a Pharmacist-Adjudicated Prior Authorization Consult Service. J Manag Care Spec Pharm. 2…

124. Psn-Pdf (pdf file)
     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…

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35697/psn-pdf
     July 12, 2010 - An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program. July 12, 2010 Hicks RW, Becker SC. An overview of intravenous-related medication administration errors as reported to MEDMARX, a national medication error-reporting program.…

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867230/psn-pdf
     December 04, 2024 - Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. December 4, 2024 Packendorff N, Magnusson C, Axelsson C, et al. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergen…

127. Premature or Overdue? | PSNet
     psnet.ahrq.gov/web-mm/premature-or-overdue
     December 23, 2020 - Premature or Overdue? Citation Text: Thomas J, Hannah M. Premature or Overdue?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39119/psn-pdf
     November 25, 2009 - Effect of a weight-based prescribing method within an electronic health record on prescribing errors. November 25, 2009 Ginzburg R, Barr WB, Harris M, et al. Effect of a weight-based prescribing method within an electronic health record on prescribing errors. Am J Health Syst Pharm. 2009;66(22):2037-41. doi:10.214…

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860724/psn-pdf
     January 17, 2024 - Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? January 17, 2024 Kneifati-Hayek JZ, Geist E, Applebaum JR, et al. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? BMJ Qual Saf. 2024;33(2):132-135. doi:10.1136/bmjqs-2023- 016…

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74151/psn-pdf
     January 01, 2022 - Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta- analysis. December 8, 2021 Marufu TC, Bower R, Hendron E, et al. Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. J Pediatr Nurs. 2022;62:e13…

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848366/psn-pdf
     May 03, 2023 - The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services. May 3, 2023 Ward CE, Taylor M, Keeney C, et al. The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services. Prehosp Emerg Care. 2…

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60726/psn-pdf
     January 01, 2021 - User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. July 29, 2020 Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. BMJ Qual …

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35749/psn-pdf
     May 09, 2014 - Chemotherapy dose limits set by users of a computer order entry system. May 9, 2014 DuBeshter B; Griggs J; Angel C; Loughner J. https://psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system To avoid excessive dosing of chemotherapeutic agents, standardized dose limits must be agreed u…

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46046/psn-pdf
     April 19, 2017 - Teaching students to administer medications safely. April 19, 2017 Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62- 66. doi:10.1097/01.NAJ.0000511573.73435.72. https://psnet.ahrq.gov/issue/teaching-students-administer-medications-safely Students are likely to m…

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36895/psn-pdf
     March 10, 2011 - A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. March 10, 2011 Handler S, Altman RL, Perera S, et al. A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse …

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44082/psn-pdf
     April 22, 2015 - Impact of including readmissions for qualifying events in the Patient Safety Indicators. April 22, 2015 Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/1062860613518341. https://psnet.ahrq.g…

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45547/psn-pdf
     October 05, 2016 - Sick children face potentially deadly danger: medication errors. October 5, 2016 Furfaro H. Wall Street Journal. September 25, 2016. https://psnet.ahrq.gov/issue/sick-children-face-potentially-deadly-danger-medication-errors Medication errors in pediatric care are common in the hospital and at home. This newspaper…

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865344/psn-pdf
     March 27, 2024 - Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review. March 27, 2024 Ruutiainen H, Holmström A-R, Kunnola E, et al. Use of computerized physician order entry with clinical decision support to prevent dose errors in pedia…

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49667/psn-pdf
     October 01, 2012 - Looking for Meds in All the Wrong Places October 1, 2012 Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places The Case A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She went to t…

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43047/psn-pdf
     August 02, 2015 - Hospital readmission after noncardiac surgery: the role of major complications. August 2, 2015 Glance LG, Kellermann AL, Osler T, et al. Hospital readmission after noncardiac surgery: the role of major complications. JAMA Surg. 2014;149(5):439-45. https://psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-…