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9481. How health care systems let our patients down: a systematic review into suicide deaths. | PSNet
      psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths
      October 19, 2022 - Review How health care systems let our patients down: a systematic review into suicide deaths. Citation Text: Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1…

9482. Opioid abuse and poisoning: trends in inpatient and emergency department discharges. | PSNet
      psnet.ahrq.gov/issue/opioid-abuse-and-poisoning-trends-inpatient-and-emergency-department-discharges
      June 03, 2020 - Study Opioid abuse and poisoning: trends in inpatient and emergency department discharges. Citation Text: Tedesco D, Asch SM, Curtin C, et al. Opioid Abuse And Poisoning: Trends In Inpatient And Emergency Department Discharges. Health Aff (Millwood). 2017;36(10):1748-1753. doi:10.1377/hl…

9483. Improving shared situation awareness for high-risk therapies in hospitalized children. | PSNet
      psnet.ahrq.gov/issue/improving-shared-situation-awareness-high-risk-therapies-hospitalized-children
      October 20, 2021 - Study Improving shared situation awareness for high-risk therapies in hospitalized children. Citation Text: Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.202…

9484. Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. | PSNet
      psnet.ahrq.gov/issue/early-diagnostic-suggestions-improve-accuracy-family-physicians-randomized-controlled-trial
      April 07, 2021 - Study Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Citation Text: Kostopoulou O, Lionis C, Angelaki A, et al. Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Fam P…

9485. Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. | PSNet
      psnet.ahrq.gov/issue/preventable-adverse-drug-events-hospitalized-patients-comparative-study-intensive-care-and
      March 31, 2021 - Study Classic Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. Citation Text: Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Me…

9486. Duty hours, quality of care, and patient safety: general surgery resident perceptions. | PSNet
      psnet.ahrq.gov/issue/duty-hours-quality-care-and-patient-safety-general-surgery-resident-perceptions
      July 02, 2014 - Study Duty hours, quality of care, and patient safety: general surgery resident perceptions. Citation Text: Borman KR, Jones AT, Shea JA. Duty hours, quality of care, and patient safety: general surgery resident perceptions. J Am Coll Surg. 2012;215(1):70-7; discussion 77-9. doi:10.101…

9487. The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. | PSNet
      psnet.ahrq.gov/issue/national-healthcare-safety-networks-digital-quality-measures-cdcs-automated-measures
      September 23, 2020 - Study The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. Citation Text: Shehab N, Alschuler L, McILvenna S, et al. The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for …

9488. Critical errors in infrequently performed trauma procedures after training. | PSNet
      psnet.ahrq.gov/issue/critical-errors-infrequently-performed-trauma-procedures-after-training
      June 27, 2018 - Study Critical errors in infrequently performed trauma procedures after training. Citation Text: Mackenzie CF, Shackelford SA, Tisherman SA, et al. Critical errors in infrequently performed trauma procedures after training. Surgery. 2019;166(5):835-843. doi:10.1016/j.surg.2019.05.031. …

9489. How safe are paediatric emergency departments? A national prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/how-safe-are-paediatric-emergency-departments-national-prospective-cohort-study
      May 20, 2020 - Study How safe are paediatric emergency departments? A national prospective cohort study. Citation Text: Plint AC, Newton AS, Stang A, et al. How safe are paediatric emergency departments? A national prospective cohort study. BMJ Qual Saf. 2022;31(11):806-817. doi:10.1136/bmjqs-2021-0146…

9490. Transformational improvement in quality care and health systems: the next decade. | PSNet
      psnet.ahrq.gov/issue/transformational-improvement-quality-care-and-health-systems-next-decade
      October 14, 2020 - Commentary Transformational improvement in quality care and health systems: the next decade. Citation Text: Braithwaite J, Vincent CA, Garcia-Elorrio E, et al. Transformational improvement in quality care and health systems: the next decade. BMC Med. 2020;18(1):340. doi:10.1186/s12916-02…

9491. A text mining approach to categorize patient safety event reports by medication error type. | PSNet
      psnet.ahrq.gov/issue/text-mining-approach-categorize-patient-safety-event-reports-medication-error-type
      December 07, 2022 - Study A text mining approach to categorize patient safety event reports by medication error type. Citation Text: Boxley C, Fujimoto M, Ratwani RM, et al. A text mining approach to categorize patient safety event reports by medication error type. Sci Rep. 2023;13(1):18354. doi:10.1038/s41…

9492. Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office. | PSNet
      psnet.ahrq.gov/issue/implementation-health-information-technology-safety-classification-system-veterans-health
      August 04, 2021 - Study Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office. Citation Text: Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system in the…

9493. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet
      psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
      December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit Eduard E. Vasilevskis, MD; E. Wesley Ely, MD, MPH; Robert S. Dittus, MD, MPH | December 1, 2012  Also Read a Conversation View more articles from the same authors. …

9494. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - paroxysmal atrial fibrillation, an ascending aortic aneurysm, and a bicuspid aortic valve, presented to clinic

9495. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet
      psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
      January 23, 2017 - reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic

9496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38947/psn-pdf
      September 09, 2009 - Patients get power of fast response. September 9, 2009 Landro L. Wall Street Journal. September 1, 2009:D2. https://psnet.ahrq.gov/issue/patients-get-power-fast-response This column explains that some hospitals now afford patients and families the right to summon an immediate clinical response to a patient's worse…

9497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39152/psn-pdf
      January 28, 2011 - Medical simulation gets real. January 28, 2011 Voelker R. Medical Simulation Gets Real. JAMA. 2009;302(20). doi:10.1001/jama.2009.1677. https://psnet.ahrq.gov/issue/medical-simulation-gets-real This news article reports on the growth of simulation as a teaching tool and describes several examples of its successful…

9498. Amended Lab Results: Communication Slip | PSNet
      psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
      September 26, 2012 - Amended Lab Results: Communication Slip Citation Text: Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

9499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73554/psn-pdf
      July 28, 2021 - EMS Patient Safety in the Field July 28, 2021 Augustine JJ, Fitall E, Hall KK, et al. EMS Patient Safety in the Field. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/ems-patient-safety-field Introduction Emergency medical services (EMS) personnel serve a critical role within the care continuum. They ar…

9500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33779/psn-pdf
      March 01, 2015 - Handoffs and Transitions January 22, 2014 Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/handoffs-and-transitions Annual Perspective 2014 Despite recent efforts to promote clinical integration, the United States health care system remains highly fragmented. From it…