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Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. | PSNet

psnet.ahrq.gov/issue/comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis

March 30, 2022 - Study Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Citation Text: Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 201…

An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program. | PSNet

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April 14, 2021 - Study An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program. Citation Text: Hicks RW, Becker SC. An overview of intravenous-related medication administration errors as reported to MEDMARX, a national…

Impact of including readmissions for qualifying events in the Patient Safety Indicators. | PSNet

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January 26, 2022 - Study Impact of including readmissions for qualifying events in the Patient Safety Indicators. Citation Text: 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:10.1177/10628…

Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. | PSNet

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October 06, 2021 - Study Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. Citation Text: Kaji AH, Gausche-Hill M, Conrad H, et al. Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital settin…

'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. | PSNet

psnet.ahrq.gov/issue/sorry-i-meant-patients-left-side-impact-distraction-left-right-discrimination

July 10, 2024 - Study 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. Citation Text: McKinley J, Dempster M, Gormley GJ. 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. Med Educ. 2015;49(4):427-35. doi:10.1111/me…

Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. | PSNet

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July 19, 2023 - Study Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. Citation Text: Christiansen A, Robson L, Griffith-Evans C. Creating an improvement culture for enhanced patient safety: service improvement learning in pre-reg…

Medication errors in anaesthesia and critical care. | PSNet

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January 18, 2011 - Review Medication errors in anaesthesia and critical care. Citation Text: Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

Safety improvements urged for MRI facilities. | PSNet

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February 02, 2011 - Newspaper/Magazine Article Safety improvements urged for MRI facilities. Citation Text: Mitka M. Safety improvements urged for MRI facilities. JAMA. 2005;294(17):2145-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

For non-English speakers, drug label instructions can be lost in translation. | PSNet

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September 12, 2016 - Newspaper/Magazine Article For non-English speakers, drug label instructions can be lost in translation. Citation Text: Mitka M. For non-english speakers, drug label instructions can be lost in translation. JAMA. 2007;297(23):2575-7. Copy Citation Format: Google Scholar P…

Joint Commission offers warnings, advice on adopting new health care IT systems. | PSNet

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September 12, 2016 - Newspaper/Magazine Article Joint Commission offers warnings, advice on adopting new health care IT systems. Citation Text: Mitka M. Joint commission offers warnings, advice on adopting new health care IT systems. JAMA. 2009;301(6):587-9. doi:10.1001/jama.2009.37. Copy Citation Fo…

Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. | PSNet

psnet.ahrq.gov/issue/computerized-provider-order-entry-and-prescribing-and-evidence-safe-practice-update-clinical

November 03, 2015 - Review Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. Citation Text: O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse speciali…

Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review. | PSNet

psnet.ahrq.gov/issue/use-computerized-physician-order-entry-clinical-decision-support-prevent-dose-errors

June 05, 2024 - Review Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review. Citation Text: Ruutiainen H, Holmström A-R, Kunnola E, et al. Use of computerized physician order entry with clinical decision suppo…

The fate of pediatric prescriptions in community pharmacies. | PSNet

psnet.ahrq.gov/issue/fate-pediatric-prescriptions-community-pharmacies

September 27, 2016 - Study The fate of pediatric prescriptions in community pharmacies. Citation Text: Condren ME, Desselle SP. The fate of pediatric prescriptions in community pharmacies. J Patient Saf. 2015;11(2):79-88. doi:10.1097/PTS.0b013e3182948a7d. Copy Citation Format: DOI Google Schola…

Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet

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March 15, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose Citation Text: Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…

Pediatric prehospital medication dosing errors: a national survey of paramedics. | PSNet

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August 25, 2021 - Study Pediatric prehospital medication dosing errors: a national survey of paramedics. Citation Text: Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.…

Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? | PSNet

psnet.ahrq.gov/issue/retrospective-cohort-study-wrong-patient-imaging-order-errors-how-many-reach-patient

February 22, 2023 - Study Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? Citation Text: 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):132-1…

Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. | PSNet

psnet.ahrq.gov/issue/economic-outcomes-associated-safety-interventions-pharmacist-adjudicated-prior-authorization

September 23, 2020 - Study Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. Citation Text: Jacob S, Britt RB, Bryan WE, et al. Economic Outcomes Associated with Safety Interventions by a Pharmacist-Adjudicated Prior Authorization Consult …

Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. | PSNet

psnet.ahrq.gov/issue/safety-teletriage-nurses-and-physicians-united-states-and-israel-narrative-review-and

April 29, 2020 - Study Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. Citation Text: Haimi M, Wheeler SQ. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. JMIR Hum…

Reducing prescribing errors in hospitalized children on the ketogenic diet. | PSNet

psnet.ahrq.gov/issue/reducing-prescribing-errors-hospitalized-children-ketogenic-diet

May 18, 2022 - Study Reducing prescribing errors in hospitalized children on the ketogenic diet. Citation Text: Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009. …

Fatigue in nurses and medication administration errors: a scoping review. | PSNet

psnet.ahrq.gov/issue/fatigue-nurses-and-medication-administration-errors-scoping-review

December 01, 2021 - Review Fatigue in nurses and medication administration errors: a scoping review. Citation Text: Bell T, Sprajcer M, Flenady T, et al. Fatigue in nurses and medication administration errors: a scoping review. J Clin Nurs. 2023;32(17-18):5445-5460. doi:10.1111/jocn.16620. Copy Citation …

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