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  1. psnet.ahrq.gov/web-mm/pca-overdose
    April 01, 2017 - PCA Overdose Citation Text: Doyle JD. PCA Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…
  2. psnet.ahrq.gov/issue/patients-concerns-about-medical-errors-during-hospitalization
    December 22, 2008 - Study Classic Patients' concerns about medical errors during hospitalization. Citation Text: Burroughs TE, Waterman AD, Gallagher TH, et al. Patients' concerns about medical errors during hospitalization. Jt Comm J Qual Patient Saf. 2007;33(1):5-14. Copy Citat…
  3. psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs
    June 27, 2011 - Study Apologies following an adverse medical event: the importance of focusing on the consumer's needs. Citation Text: Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):10…
  4. psnet.ahrq.gov/issue/developing-implementing-evaluating-electronic-apparent-cause-analysis-across-health-care
    February 07, 2018 - Study Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Citation Text: Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2…
  5. psnet.ahrq.gov/issue/bariatric-surgery-operating-room-teams-stayed-fixed-during-day-multicenter-study-analyzing
    December 21, 2014 - Study Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration. Citation Text: Stepaniak PS, Heij C, Buise MP, et al. Bariatric surgery with operating r…
  6. psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar
    June 28, 2010 - Study Classic Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. Citation Text: Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events …
  7. psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analysis-diagnostic-errors
    August 20, 2018 - Study CT for suspected appendicitis in children: an analysis of diagnostic errors. Citation Text: Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of diagnostic errors. Pediatr Radiol. 2006;36(4):331-7. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatient-settings
    December 07, 2016 - Study Classic A trigger tool to detect harm in pediatric inpatient settings. Citation Text: Stockwell DC, Bisarya H, Classen D, et al. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics. 2015;135(6):1036-42. doi:10.1542/peds.2014-2152. C…
  9. psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
    December 20, 2017 - Study Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Citation Text: Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Scand J …
  10. psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-outpatient-anticoagulation-management-consortium
    March 28, 2012 - Study Root cause analysis of adverse events in an outpatient anticoagulation management consortium. Citation Text: Graves CM, Haymart B, Kline-Rogers E, et al. Root Cause Analysis of Adverse Events in an Outpatient Anticoagulation Management Consortium. Jt Comm J Qual Patient Saf. 2017;4…
  11. psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
    September 30, 2010 - Study Classic Incidence, patterns, and prevention of wrong-site surgery. Citation Text: Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. Copy Citation Format: Goog…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867672/psn-pdf
    February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations February 26, 2025 Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. 2025. https://psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction…
  13. psnet.ahrq.gov/issue/human-based-errors-involving-smart-infusion-pumps-catalog-error-types-and-prevention
    November 16, 2022 - Review Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Citation Text: Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Drug Saf. 2020;43(1…
  14. psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-organization-surgical
    March 29, 2023 - Review Classic Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. Citation Text: de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events in…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33576/psn-pdf
    December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editoria…
  16. psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
    March 29, 2023 - Walking Out of a Hospital After Attempted Suicide Citation Text: Bourgeois JA, Xiong G. Walking Out of a Hospital After Attempted Suicide. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Googl…
  17. psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
    November 25, 2020 - Misdiagnosis of a Pelvic Mass versus Pregnancy Citation Text: Leiserowitz GS, Herding H. Misdiagnosis of a Pelvic Mass versus Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google …
  18. psnet.ahrq.gov/issue/diagnostic-concordance-among-pathologists-interpreting-breast-biopsy-specimens
    July 13, 2016 - Study Classic Diagnostic concordance among pathologists interpreting breast biopsy specimens. Citation Text: Elmore JG, Longton GM, Carney PA, et al. Diagnostic concordance among pathologists interpreting breast biopsy specimens. JAMA. 2015;313(11):1122-1132. do…
  19. psnet.ahrq.gov/issue/development-electronic-pediatric-all-cause-harm-measurement-tool-using-modified-delphi-method
    July 03, 2016 - Study Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method. Citation Text: Stockwell DC, Bisarya H, Classen D, et al. Development of an Electronic Pediatric All-Cause Harm Measurement Tool Using a Modified Delphi Method. J Patient Saf. 201…
  20. psnet.ahrq.gov/issue/diagnostic-accuracy-gps-when-using-early-intervention-decision-support-system-high-fidelity
    April 03, 2018 - Study Diagnostic accuracy of GPs when using an early-intervention decision support system: a high-fidelity simulation. Citation Text: Kostopoulou O, Porat T, Corrigan D, et al. Diagnostic accuracy of GPs when using an early-intervention decision support system: a high-fidelity simulation…

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