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  1. Emergency department visits for medical device–associated adverse events among children. | PSNet

    psnet.ahrq.gov/issue/emergency-department-visits-medical-device-associated-adverse-events-among-children
    March 03, 2019 - Study Emergency department visits for medical device–associated adverse events among children. Citation Text: Wang C, Hefflin B, Cope JU, et al. Emergency department visits for medical device-associated adverse events among children. Pediatrics. 2010;126(2):247-59. doi:10.1542/peds.2010-…

  2. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. | PSNet

    psnet.ahrq.gov/issue/error-reduction-pediatric-chemotherapy-computerized-order-entry-and-failure-modes-and-effects
    August 02, 2010 - Study Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. Citation Text: Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. Arch Pediatr Ad…

  3. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. | PSNet

    psnet.ahrq.gov/issue/association-simulation-training-rates-medical-malpractice-claims-among-obstetrician
    December 02, 2020 - Study Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Citation Text: Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Ob…

  4. The promise of big data: improving patient safety and nursing practice. | PSNet

    psnet.ahrq.gov/issue/promise-big-data-improving-patient-safety-and-nursing-practice
    March 09, 2022 - Commentary The promise of big data: improving patient safety and nursing practice. Citation Text: Linnen D. The promise of big data: Improving patient safety and nursing practice. Nursing (Brux). 2016;46(5):28-34; quiz 34-5. doi:10.1097/01.NURSE.0000482256.71143.09. Copy Citation F…

  5. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. | PSNet

    psnet.ahrq.gov/issue/do-no-harm-promoting-anti-racist-policing-pediatric-emergency-departments-through-20-practice
    August 12, 2020 - Commentary "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. Citation Text: Wells JM, Walker VP. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerati…

  6. Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/association-between-clinic-opioid-administration-and-discharge-opioid-prescription-urgent
    May 19, 2021 - Study Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study. Citation Text: Calcaterra SL, Lou Y, Everhart RM, et al. Association between in-clinic opioid administration and discharge opioid prescription in urge…

  7. Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. | PSNet

    psnet.ahrq.gov/issue/diagnostic-blood-loss-phlebotomy-and-hospital-acquired-anemia-during-acute-myocardial
    March 14, 2022 - Study Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Citation Text: Salisbury AC, Reid KJ, Alexander KP, et al. Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Arch Intern Med…

  8. Development and expression of a high-reliability organization. | PSNet

    psnet.ahrq.gov/issue/development-and-expression-high-reliability-organization
    November 03, 2021 - Commentary Development and expression of a high-reliability organization. Citation Text: Phillips RA, Schwartz RL, Sostman HD, et al. Development and expression of a high-reliability organization. NEJM Catal Innov Care Deliv. 2021;2(12). doi:10.1056/cat.21.0314. Copy Citation Forma…

  9. US emergency department visits attributed to medication harms, 2017-2019. | PSNet

    psnet.ahrq.gov/issue/us-emergency-department-visits-attributed-medication-harms-2017-2019
    December 15, 2021 - Study US emergency department visits attributed to medication harms, 2017-2019. Citation Text: Budnitz DS, Shehab N, Lovegrove MC, et al. US emergency department visits attributed to medication harms, 2017-2019. JAMA. 2021;326(13):1299. doi:10.1001/jama.2021.13844. Copy Citation Fo…

  10. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet

    psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
    November 16, 2022 - Study Wrong-site craniotomy: analysis of 35 cases and systems for prevention. Citation Text: Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. Copy Citation …

  11. What have we learnt after 15 years of research into the 'weekend effect'? | PSNet

    psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-research-weekend-effect
    December 02, 2020 - Commentary What have we learnt after 15 years of research into the 'weekend effect'? Citation Text: Bray BD, Steventon A. What have we learnt after 15 years of research into the 'weekend effect'? BMJ Qual Saf. 2017;26(8):607-610. doi:10.1136/bmjqs-2016-005793. Copy Citation Format:…

  12. Inaccuracies in assignment of clinical stage for localized prostate cancer. | PSNet

    psnet.ahrq.gov/issue/inaccuracies-assignment-clinical-stage-localized-prostate-cancer
    April 06, 2022 - Study Inaccuracies in assignment of clinical stage for localized prostate cancer. Citation Text: Reese AC, Sadetsky N, Carroll PR, et al. Inaccuracies in assignment of clinical stage for localized prostate cancer. Cancer. 2011;117(2):283-9. doi:10.1002/cncr.25596. Copy Citation Fo…

  13. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. | PSNet

    psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
    August 04, 2021 - Study Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Citation Text: Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…

  14. Revisiting old slides—how worthwhile is it? | PSNet

    psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
    October 05, 2022 - Study Revisiting old slides—how worthwhile is it? Citation Text: Agarwal S, Wadhwa N. Revisiting old slides--how worthwhile is it? Pathol Res Pract. 2010;206(6):368-71. doi:10.1016/j.prp.2010.01.006. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  15. My brother's keeper: must a physician disclose another's medical error and potential negligence? | PSNet

    psnet.ahrq.gov/issue/my-brothers-keeper-must-physician-disclose-anothers-medical-error-and-potential-negligence
    February 01, 2023 - Commentary My brother's keeper: must a physician disclose another's medical error and potential negligence? Citation Text: Liang BA, Smith C by DS. My brother's keeper: must a physician disclose another's medical error and potential negligence? J Clin Anesth. 2007;19(7):558-562. doi:10…

  16. What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet

    psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors
    November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication errors? Citation Text: Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9…

  17. Certified registered nurse anesthetist perceptions of factors impacting patient safety. | PSNet

    psnet.ahrq.gov/issue/certified-registered-nurse-anesthetist-perceptions-factors-impacting-patient-safety
    May 18, 2022 - Study Certified registered nurse anesthetist perceptions of factors impacting patient safety. Citation Text: McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69. Copy Citation …

  18. Tracking with virtual slides: a tool to study diagnostic error in histopathology. | PSNet

    psnet.ahrq.gov/issue/tracking-virtual-slides-tool-study-diagnostic-error-histopathology
    January 08, 2020 - Study Tracking with virtual slides: a tool to study diagnostic error in histopathology. Citation Text: Treanor D, Lim CH, Magee D, et al. Tracking with virtual slides: a tool to study diagnostic error in histopathology. Histopathology. 2009;55(1):37-45. doi:10.1111/j.1365-2559.2009.033…

  19. Measuring hospital-acquired complications associated with low-value care. | PSNet

    psnet.ahrq.gov/issue/measuring-hospital-acquired-complications-associated-low-value-care
    August 11, 2021 - Study Emerging Classic Measuring hospital-acquired complications associated with low-value care. Citation Text: Badgery-Parker T, Pearson S-A, Dunn S, et al. Measuring Hospital-Acquired Complications Associated With Low-Value Care. JAMA Intern Med. 2019;179(4):4…

  20. Learning from errors and resilience. | PSNet

    psnet.ahrq.gov/issue/learning-errors-and-resilience
    December 18, 2019 - Review Learning from errors and resilience. Citation Text: Arnal-Velasco D, Heras-Hernando V. Learning from errors and resilience. Curr Opin Anaesthesiol. 2023;36(3):376-381. doi:10.1097/aco.0000000000001257. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…
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