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  1. psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse
    March 10, 2011 - Study Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. Citation Text: Resler J, Hackworth J, Mayo E, et al. Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse pr…
  2. psnet.ahrq.gov/issue/impact-medical-errors-ninety-day-costs-and-outcomes-examination-surgical-patients
    August 03, 2017 - Study The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Citation Text: Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Health Serv Res. 2008;43(6):2067-85. do…
  3. psnet.ahrq.gov/issue/sign-right-here-and-youre-good-go-content-analysis-audiotaped-emergency-department-discharge
    December 18, 2013 - Study "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Citation Text: Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Ann Emer…
  4. psnet.ahrq.gov/issue/how-does-routine-disclosure-medical-error-affect-patients-propensity-sue-and-their-assessment
    December 04, 2016 - Study How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data. Citation Text: Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients' propensity to …
  5. psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
    December 07, 2009 - blood sugar was now 450 mg/dL and she had moderate ketones on a urinalysis (showing early signs of diabetic
  6. psnet.ahrq.gov/issue/drug-errors-are-dangerous-preventable
    March 27, 2024 - Newspaper/Magazine Article Drug errors are dangerous but preventable. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 8, 2010 This newspaper article describes steps p…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866279/psn-pdf
    July 10, 2024 - Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. July 10, 2024 Pronovost PJ, Carrington EM. Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. BMJ Qual Saf. 2024;33(11):755-758. doi…
  8. psnet.ahrq.gov/issue/us-emergency-department-visits-outpatient-adverse-drug-events-2013-2014
    February 23, 2018 - Study Classic US emergency department visits for outpatient adverse drug events, 2013–2014. Citation Text: Shehab N, Lovegrove MC, Geller AI, et al. US Emergency Department Visits for Outpatient Adverse Drug Events, 2013-2014. JAMA. 2016;316(20):2115-2125. doi:1…
  9. psnet.ahrq.gov/issue/associations-between-attending-physician-workload-teaching-effectiveness-and-patient-safety
    July 02, 2014 - Study Associations between attending physician workload, teaching effectiveness, and patient safety. Citation Text: Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:…
  10. psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
    April 24, 2018 - Study Frequency of failure to inform patients of clinically significant outpatient test results. Citation Text: Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10…
  11. psnet.ahrq.gov/issue/clinician-perspectives-management-abnormal-subcritical-tests-urban-academic-safety-net-health
    February 22, 2011 - Study Clinician perspectives on the management of abnormal subcritical tests in an urban academic safety-net health care system. Citation Text: Clarity C, Sarkar U, Lee J, et al. Clinician Perspectives on the Management of Abnormal Subcritical Tests in an Urban Academic Safety-Net Health…
  12. psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
    November 04, 2015 - Study Do patient safety events increase readmissions? Citation Text: Friedman B, Encinosa W, Jiang J, et al. Do patient safety events increase readmissions? Med Care. 2009;47(5):583-90. doi:10.1097/MLR.0b013e31819434da. Copy Citation Format: DOI Google Scholar PubMed BibT…
  13. psnet.ahrq.gov/issue/complication-rates-central-venous-catheters-systematic-review-and-meta-analysis
    December 07, 2016 - Review Complication rates of central venous catheters: a systematic review and meta-analysis. Citation Text: Teja B, Bosch NA, Diep C, et al. Complication rates of central venous catheters: a systematic review and meta-analysis. JAMA Intern Med. 2024;184(5):474-482. doi:10.1001/jamainter…
  14. psnet.ahrq.gov/issue/sustained-decrease-latent-safety-threats-through-regular-interprofessional-situ-simulation
    June 15, 2016 - Study Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies. Citation Text: Mileder LP, Schwaberger B, Baik-Schneditz N, et al. Sustained decrease in latent safety threats through regular interprofessional in sit…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74842/psn-pdf
    February 16, 2022 - An initiative to reduce insulin-related adverse drug events in a children's hospital. February 16, 2022 Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds.2020-004937. https://psnet.ah…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50884/psn-pdf
    February 12, 2020 - Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. February 12, 2020 Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. JACC Heart Fail. 2019;8(1):25-34. do…
  17. psnet.ahrq.gov/issue/youre-boss-hospital
    February 28, 2024 - Newspaper/Magazine Article You're the boss at the hospital. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November 28, 2016 This article shares guidelines for accompanying a fa…
  18. psnet.ahrq.gov/periodic-issue/periodic-issue-405
    August 30, 2023 - 31-year-old pregnant patient with type 1 diabetes on an insulin pump was hospitalized for euglycemic diabetic
  19. psnet.ahrq.gov/periodic-issue/periodic-issue-402
    August 30, 2023 - 31-year-old pregnant patient with type 1 diabetes on an insulin pump was hospitalized for euglycemic diabetic
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50816/psn-pdf
    January 29, 2020 - Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program January 29, 2020 Pacheco TB, Hettinger AZ, Ratwani RM. Identifying Potential Patient Safety Issues From the Federal Electronic Health Record Surveillance Program. JAMA. 2019;322(23):2339-2340. doi:10.1001/jam…

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