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  1. Venous thromboembolism after trauma: a never event? | PSNet

    psnet.ahrq.gov/issue/venous-thromboembolism-after-trauma-never-event
    January 12, 2022 - Study Venous thromboembolism after trauma: a never event? Citation Text: Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60. Copy Citation Format: DOI Google …

  2. Association between surgeon technical skills and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/association-between-surgeon-technical-skills-and-patient-outcomes
    September 02, 2020 - Commentary Emerging Classic Association between surgeon technical skills and patient outcomes. Citation Text: Stulberg JJ, Huang R, Kreutzer L, et al. Association Between Surgeon Technical Skills and Patient Outcomes. JAMA Surg. 2022;157(3):219-220. doi:10.1001/…

  3. Missed diagnosis of critical congenital heart disease. | PSNet

    psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-disease
    September 09, 2020 - Study Missed diagnosis of critical congenital heart disease. Citation Text: Chang R-KR, Gurvitz M, Rodriguez S. Missed diagnosis of critical congenital heart disease. Arch Pediatr Adolesc Med. 2008;162(10):969-74. doi:10.1001/archpedi.162.10.969. Copy Citation Format: DOI…

  4. Condition concern: an innovative response system for enhancing hospitalized patient care and safety. | PSNet

    psnet.ahrq.gov/issue/condition-concern-innovative-response-system-enhancing-hospitalized-patient-care-and-safety
    April 24, 2018 - Commentary Condition concern: an innovative response system for enhancing hospitalized patient care and safety. Citation Text: Baird SK, Turbin LB. Condition concern: an innovative response system for enhancing hospitalized patient care and safety. J Nurs Care Qual. 2011;26(3):199-207. d…

  5. Medication administration errors: understanding the issues. | PSNet

    psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
    December 15, 2011 - Review Medication administration errors: understanding the issues. Citation Text: McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs. 2006;23(3):33-41. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  6. An innovative tool for experiential learning of nursing quality and safety competencies. | PSNet

    psnet.ahrq.gov/issue/innovative-tool-experiential-learning-nursing-quality-and-safety-competencies
    October 16, 2012 - Commentary An innovative tool for experiential learning of nursing quality and safety competencies. Citation Text: St. Onge J, Hodges T, McBride M, et al. An Innovative Tool for Experiential Learning of Nursing Quality and Safety Competencies. Nurse Educator. 2013;38(2):71-75. doi:10.10…

  7. The Shift Coupon: an innovative method to monitor adverse events. | PSNet

    psnet.ahrq.gov/issue/shift-coupon-innovative-method-monitor-adverse-events
    June 25, 2010 - Study The Shift Coupon: an innovative method to monitor adverse events. Citation Text: Kellogg VA, Havens DS. The Shift Coupon: an innovative method to monitor adverse events. J Nurs Care Qual. 2006;21(1):49-55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  8. Creative education for rapid response team implementation. | PSNet

    psnet.ahrq.gov/issue/creative-education-rapid-response-team-implementation
    October 13, 2018 - Commentary Creative education for rapid response team implementation. Citation Text: Johnson AL. Creative education for rapid response team implementation. J Contin Educ Nurs. 2009;40(1):38-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  9. Pediatric medication safety in the emergency department. | PSNet

    psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-department-0
    November 19, 2018 - Organizational Policy/Guidelines Pediatric medication safety in the emergency department. Citation Text: Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013. Copy Citation…

  10. Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.  | PSNet

    psnet.ahrq.gov/issue/randomized-controlled-trial-pictogram-based-intervention-reduce-liquid-medication-dosing
    June 04, 2014 - Study Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.  Citation Text: Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention …

  11. Jake Tapper shares harrowing story of daughter's near-fatal misdiagnosis. | PSNet

    psnet.ahrq.gov/issue/jake-tapper-shares-harrowing-story-daughters-near-fatal-misdiagnosis
    January 18, 2023 - Audiovisual Jake Tapper shares harrowing story of daughter's near-fatal misdiagnosis. Citation Text: Jake Tapper shares harrowing story of daughter's near-fatal misdiagnosis. CNN. December 15, 2022. Copy Citation Save Save to your library Print Downloa…

  12. Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated as type 2 diabetes. | PSNet

    psnet.ahrq.gov/issue/type-1-diabetes-defined-severe-insulin-deficiency-occurs-after-30-years-age-and-commonly
    October 19, 2022 - Study Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated as type 2 diabetes. Citation Text: Thomas NJ, Lynam AL, Hill A, et al. Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated…

  13. Measurement of ambulatory medication errors in children: a scoping review. | PSNet

    psnet.ahrq.gov/issue/measurement-ambulatory-medication-errors-children-scoping-review
    February 07, 2024 - Review Measurement of ambulatory medication errors in children: a scoping review. Citation Text: Rickey L, Auger K, Britto MT, et al. Measurement of ambulatory medication errors in children: a scoping review. Pediatrics. 2023;152(6):e2023061281. doi:10.1542/peds.2023-061281. Copy Citat…

  14. Computerized physician order entry: promise, perils, and experience. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-promise-perils-and-experience
    June 25, 2018 - Review Computerized physician order entry: promise, perils, and experience. Citation Text: Khanna R, Yen T. Computerized physician order entry: promise, perils, and experience. Neurohospitalist. 2014;4(1):26-33. doi:10.1177/1941874413495701. Copy Citation Format: DOI Googl…

  15. The Future of Emergency Care in the United States Health System. | PSNet

    psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
    June 16, 2012 - Book/Report The Future of Emergency Care in the United States Health System. Citation Text: The Future of Emergency Care in the United States Health System. Institute of Medicine. Washington DC; National Academies Press: 2007. Copy Citation Save Save to your l…

  16. Non–health care facility cardiovascular medication errors in the United States. | PSNet

    psnet.ahrq.gov/issue/non-health-care-facility-cardiovascular-medication-errors-united-states
    November 28, 2018 - Study Non–health care facility cardiovascular medication errors in the United States. Citation Text: Kamboj AK, Spiller HA, Casavant MJ, et al. Non-Health Care Facility Cardiovascular Medication Errors in the United States. Ann Pharmacother. 2017;51(10):825-833. doi:10.1177/1060028017714…

  17. Antibiotic prescribing in ambulatory pediatrics in the United States. | PSNet

    psnet.ahrq.gov/issue/antibiotic-prescribing-ambulatory-pediatrics-united-states
    May 25, 2016 - Study Antibiotic prescribing in ambulatory pediatrics in the United States. Citation Text: Hersh AL, Shapiro DJ, Pavia AT, et al. Antibiotic prescribing in ambulatory pediatrics in the United States. Pediatrics. 2011;128(6):1053-61. doi:10.1542/peds.2011-1337. Copy Citation Format:…

  18. Patient safety movement: history and future directions. | PSNet

    psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions
    February 21, 2015 - Review Patient safety movement: history and future directions. Citation Text: Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006. Copy Citation Format: DOI Google Scholar BibTe…

  19. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. | PSNet

    psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
    March 03, 2019 - Study Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. Citation Text: Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003…

  20. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. | PSNet

    psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and-6-years-alabama-data
    October 04, 2011 - Study Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. Citation Text: Starling J, Thosani MK, Coldiron BM. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. …
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