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  1. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. | PSNet

    psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
    August 28, 2019 - Study Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Citation Text: Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.2…

  2. Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. | PSNet

    psnet.ahrq.gov/issue/prehospital-naloxone-and-emergency-department-adverse-events-dose-dependent-relationship
    March 02, 2022 - Study Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. Citation Text: Maloney LM, Alptunaer T, Coleman G, et al. Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. J Emerg Med. 2020;59(6):872-883. doi:1…

  3. Missed opportunities in the primary care management of early acute ischemic heart disease. | PSNet

    psnet.ahrq.gov/issue/missed-opportunities-primary-care-management-early-acute-ischemic-heart-disease
    January 08, 2016 - Study Missed opportunities in the primary care management of early acute ischemic heart disease. Citation Text: Sequist TD, Marshall R, Lampert S, et al. Missed opportunities in the primary care management of early acute ischemic heart disease. Arch Intern Med. 2006;166(20):2237-43. …

  4. Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. | PSNet

    psnet.ahrq.gov/issue/burden-hospitalizations-related-adverse-drug-events-usa-retrospective-analysis-large
    April 15, 2020 - Study Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. Citation Text: Poudel DR, Acharya P, Ghimire S, et al. Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from l…

  5. Follow-up of outpatient test results: a survey of house-staff practices and perceptions. | PSNet

    psnet.ahrq.gov/issue/follow-outpatient-test-results-survey-house-staff-practices-and-perceptions
    July 14, 2010 - Study Follow-up of outpatient test results: a survey of house-staff practices and perceptions. Citation Text: Lin JJ, Dunn A, Moore C. Follow-up of outpatient test results: a survey of house-staff practices and perceptions. Am J Med Qual. 2006;21(3):178-84. Copy Citation Format: …

  6. Hospital patients' reports of medical errors and undesirable events in their health care. | PSNet

    psnet.ahrq.gov/issue/hospital-patients-reports-medical-errors-and-undesirable-events-their-health-care
    July 06, 2012 - Study Hospital patients' reports of medical errors and undesirable events in their health care. Citation Text: Davis R, Sevdalis N, Neale G, et al. Hospital patients' reports of medical errors and undesirable events in their health care. J Eval Clin Pract. 2013;19(5):875-81. doi:10.11…

  7. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. | PSNet

    psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine
    November 05, 2014 - Study 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. Citation Text: Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh a…

  8. Computerized physician order entry in US hospitals: results of a 2002 survey. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-us-hospitals-results-2002-survey
    April 29, 2018 - Study Computerized physician order entry in US hospitals: results of a 2002 survey. Citation Text: Ash JS, Gorman PN, Seshadri V, et al. Computerized physician order entry in U.S. hospitals: results of a 2002 survey. J Am Med Inform Assoc. 2004;11(2):95-9. Copy Citation Format: …

  9. Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management | PSNet

    psnet.ahrq.gov/issue/delayed-admissions-pediatric-intensive-care-unit-progression-disease-or-errors-emergency
    June 14, 2019 - Journal Article Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management Citation Text: Czolgosz T, Cashen K, Farooqi A, et al. Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in…

  10. Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? | PSNet

    psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality
    August 20, 2018 - Study Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? Citation Text: Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Bu…

  11. Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions. | PSNet

    psnet.ahrq.gov/issue/taking-detour-positive-and-negative-effects-supervisors-interruptions-during-admission-case
    November 21, 2018 - Study Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions. Citation Text: Goldszmidt M, Aziz N, Lingard LA. Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discuss…

  12. Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/vital-sign-abnormalities-rapid-response-and-adverse-outcomes-hospitalized-patients
    December 21, 2014 - Study Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients. Citation Text: Fagan K, Sabel A, Mehler PS, et al. Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients. Am J Med Qual. 2012;27(6):480-6. doi:10.1177/1062860…

  13. Lessons learned: use of event reporting by nurses to improve patient safety and quality. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality
    May 19, 2013 - Study Lessons learned: use of event reporting by nurses to improve patient safety and quality. Citation Text: Hession-Laband E, Mantell P. Lessons learned: use of event reporting by nurses to improve patient safety and quality. J Pediatr Nurs. 2011;26(2):149-55. doi:10.1016/j.pedn.2010…

  14. Patient identification errors: the detective in the laboratory. | PSNet

    psnet.ahrq.gov/issue/patient-identification-errors-detective-laboratory
    March 09, 2022 - Study Patient identification errors: the detective in the laboratory. Citation Text: Salinas M, López-Garrigós M, Lillo R, et al. Patient identification errors: the detective in the laboratory. Clin Biochem. 2013;46(16-17):1767-9. doi:10.1016/j.clinbiochem.2013.08.005. Copy Citation …

  15. Analysis of medication errors in simulated pediatric resuscitation by residents. | PSNet

    psnet.ahrq.gov/issue/analysis-medication-errors-simulated-pediatric-resuscitation-residents
    January 22, 2016 - Study Analysis of medication errors in simulated pediatric resuscitation by residents. Citation Text: Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922. Cop…

  16. The effect of health information technology on quality in U.S. hospitals. | PSNet

    psnet.ahrq.gov/issue/effect-health-information-technology-quality-us-hospitals
    September 27, 2010 - Study The effect of health information technology on quality in U.S. hospitals. Citation Text: McCullough JS, Casey M, Moscovice I, et al. The effect of health information technology on quality in U.S. hospitals. Health Aff (Millwood). 2010;29(4):647-654. doi:10.1377/hlthaff.2010.0155. …

  17. Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study. | PSNet

    psnet.ahrq.gov/issue/crowdsourcing-diagnosis-exploring-accuracy-size-and-type-group-diagnosis-experimental-study
    October 27, 2021 - Study Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study. Citation Text: Sherbino J, Sibbald M, Norman GR, et al. Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study…

  18. Patient safety on the otolaryngology service: the role of an established rapid response system. | PSNet

    psnet.ahrq.gov/issue/patient-safety-otolaryngology-service-role-established-rapid-response-system
    October 19, 2022 - Study Patient safety on the otolaryngology service: the role of an established rapid response system. Citation Text: Oliver CL, Devita MA, Dunwoody CJ, et al. Patient safety on the otolaryngology service: the role of an established rapid response system. Quality and Safety in Health Ca…

  19. Maximizing the Use of State Adverse Event Data to Improve Patient Safety. | PSNet

    psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
    November 29, 2009 - Book/Report Maximizing the Use of State Adverse Event Data to Improve Patient Safety. Citation Text: Maximizing the Use of State Adverse Event Data to Improve Patient Safety. Rosenthal J, Booth M. National Academy for State Health Policy; 2005. Copy Citation Sav…

  20. Workforce planning and safe workload in sterile compounding hospital pharmacy services. | PSNet

    psnet.ahrq.gov/issue/workforce-planning-and-safe-workload-sterile-compounding-hospital-pharmacy-services
    October 19, 2022 - Study Workforce planning and safe workload in sterile compounding hospital pharmacy services. Citation Text: Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.10…
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