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psnet.ahrq.gov/issue/effect-sedation-weaning-protocol-safety-and-medication-use-among-hospitalized-children-post
August 04, 2021 - Journal Article
Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness
Citation Text:
Solodiuk JC, Greco CD, O'Donnell KA, et al. Effect of a Sedation Weaning Protocol on Safety and Medication Use among Hospitalized Children P…
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psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-ags-beers-criteria-potentially-inappropriate
June 12, 2019 - Organizational Policy/Guidelines
American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.
Citation Text:
American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adul…
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psnet.ahrq.gov/issue/perceptions-standards-based-electronic-prescribing-systems-implemented-outpatient-primary
September 23, 2020 - Study
Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey.
Citation Text:
Wang J, Patel MH, Schueth AJ, et al. Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care…
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psnet.ahrq.gov/issue/reducing-adverse-events-blood-transfusion
June 25, 2008 - Commentary
Reducing adverse events in blood transfusion.
Citation Text:
Stainsby D, Russell J, Cohen H, et al. Reducing adverse events in blood transfusion. Br J Haematol. 2005;131(1). doi:10.1111/j.1365-2141.2005.05702.x.
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DOI Google Scholar BibTeX E…
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psnet.ahrq.gov/node/33603/psn-pdf
September 15, 2024 - Surgical Site Infections
September 15, 2024
Surgical Site Infections. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/surgical-site-infections
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety …
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psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
June 22, 2022 - Study
Care transition of trauma patients: processes with articulation work before and after handoff.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with articulation work before and after handoff. Appl Ergon. 2022;98:103606. d…
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psnet.ahrq.gov/node/49803/psn-pdf
January 01, 2018 - Reducing pain during vaccine injections:
clinical practice guideline. CMAJ. 2015;187:975-982.
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psnet.ahrq.gov/issue/patients-perspectives-diagnostic-error-qualitative-study
February 10, 2012 - Study
Patients' perspectives of diagnostic error: a qualitative study.
Citation Text:
Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642.
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Forma…
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - meta-analysis,15 did not find any
evidence to support the use of chair or bed alarms, while a 2022 Clinical … Practice
Guideline included a weak recommendation only because an alarm might cause more
rapid treatment … Fall prevention in hospitals and nursing homes: Clinical practice guideline.
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psnet.ahrq.gov/issue/improving-handoffs-perioperative-environment-conceptual-framework-key-theories-system-factors
November 16, 2022 - Commentary
Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success.
Citation Text:
Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conc…
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psnet.ahrq.gov/issue/concordance-urgent-referral-guidelines-patients-presenting-any-six-alarm-features-possible
February 17, 2021 - Study
Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records.
Citation Text:
Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral gui…
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psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
February 01, 2012 - Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer:
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - meta-analysis, 15 did not find any evidence to support the use of chair or bed alarms, while a 2022 Clinical … Practice Guideline included a weak recommendation only because an alarm might cause more rapid treatment … Fall prevention in hospitals and nursing homes: clinical practice guideline.
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psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion-pumps
June 07, 2017 - Organizational Policy/Guidelines
ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps.
Citation Text:
ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. Horsham, PA: Institute for Safe Medication Practices; 2020.
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psnet.ahrq.gov/issue/observation-assessment-clinician-performance-narrative-review
September 09, 2015 - Review
Observation for assessment of clinician performance: a narrative review.
Citation Text:
Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171.
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psnet.ahrq.gov/issue/greatest-impact-safe-harbor-rule-may-be-improve-patient-safety-not-reduce-liability-claims
July 05, 2017 - Study
Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians.
Citation Text:
Kachalia A, Little A, Isavoran M, et al. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by p…
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psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - Opioid prescribing for acute pain management in children and adolescents in outpatient settings: clinical … practice guideline.
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psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - national-patient-safety-goals
https://psnet.ahrq.gov/issue/partnership-patients
https://psnet.ahrq.gov/issue/cdc-clinical-practice-guideline-prescribing-opioids-pain-united-states
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psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-identified
February 01, 2017 - Study
Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational survey.
Citation Text:
Villafranca A, Fast I, Turick M, et al. Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multination…
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psnet.ahrq.gov/issue/trends-opioid-use-commercially-insured-and-medicare-advantage-populations-2007-16
March 13, 2018 - Study
Trends in opioid use in commercially insured and Medicare Advantage populations in 2007–16: retrospective cohort study.
Citation Text:
Jeffery MM, Hooten M, Henk HJ, et al. Trends in opioid use in commercially insured and Medicare Advantage populations in 2007-16: retrospective coh…