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  1. Adverse events associated with home blood transfusion: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/adverse-events-associated-home-blood-transfusion-retrospective-cohort-study
    October 20, 2021 - Study Adverse events associated with home blood transfusion: a retrospective cohort study. Citation Text: Sharp R, Turner L, Altschwager J, et al. Adverse events associated with home blood transfusion: a retrospective cohort study. J Clin Nurs. 2021;30(11-12):1751-1759. doi:10.1111/jocn.…

  2. Impact of sample size on variation of adverse events and preventable adverse events: systematic review on epidemiology and contributing factors. | PSNet

    psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events-systematic-review
    May 15, 2024 - Review Impact of sample size on variation of adverse events and preventable adverse events: systematic review on epidemiology and contributing factors. Citation Text: Lessing C, Schmitz A, Albers B, et al. Impact of sample size on variation of adverse events and preventable adverse eve…

  3. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-surgical-patient-safety-system-surpass-checklist
    March 23, 2011 - Study Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Citation Text: de Vries EN, Hollmann MW, Smorenburg SM, et al. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Qual Saf Health Care. 2009;18(2):121-6. doi:1…

  4. An observational study of adult admissions to a medical ICU due to adverse drug events. | PSNet

    psnet.ahrq.gov/issue/observational-study-adult-admissions-medical-icu-due-adverse-drug-events
    January 28, 2015 - Study An observational study of adult admissions to a medical ICU due to adverse drug events. Citation Text: Jolivot P-A, Pichereau C, Hindlet P, et al. An observational study of adult admissions to a medical ICU due to adverse drug events. Ann Intensive Care. 2016;6(1):9. doi:10.1186/s1…

  5. Adverse drug events in pediatric outpatients. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients
    February 06, 2008 - Study Adverse drug events in pediatric outpatients. Citation Text: Kaushal R, Goldmann DA, Keohane C, et al. Adverse drug events in pediatric outpatients. Ambul Pediatr. 2007;7(5):383-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

  6. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. | PSNet

    psnet.ahrq.gov/issue/difficult-diagnosis-icu-making-right-call-beware-uncertainty-and-bias
    May 19, 2021 - Review Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Citation Text: Pisciotta W, Arina P, Hofmaenner D, et al. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Anaesthesia. 2023;78(4):501-509. doi:10.1111/anae…

  7. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. | PSNet

    psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization
    February 27, 2009 - Study Classic Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. Citation Text: Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. …

  8. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. | PSNet

    psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine
    June 05, 2019 - Study Medical error: using storytelling and reflection to impact error response factors in family medicine residents. Citation Text: Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. J Med …

  9. Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/healthcare-professional-and-patient-codesign-and-validation-mechanism-service-users-feedback
    January 08, 2020 - Study Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. Citation Text: Scott J, Heavey E, Waring J, et al. Healthcare professional and patient codesign and va…

  10. Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. | PSNet

    psnet.ahrq.gov/issue/review-patient-safety-incidents-submitted-critical-care-units-england-wales-uk-national
    July 16, 2008 - Study Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. Citation Text: Thomas AN, Panchagnula U, Taylor RJ. Review of patient safety incidents submitted from Critical Care Units in England & Wales to the U…

  11. Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? | PSNet

    psnet.ahrq.gov/issue/medication-errors-how-reliable-are-severity-ratings-reported-national-reporting-and-learning
    September 09, 2015 - Study Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? Citation Text: Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national reporting and learning system? Int J Qual He…

  12. Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units. | PSNet

    psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process-paediatric-and-neonatal
    December 17, 2014 - Study Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units. Citation Text: De Giorgi I, Fonzo-Christe C, Cingria L, et al. Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric an…

  13. Test result communication in primary care: clinical and office staff perspectives. | PSNet

    psnet.ahrq.gov/issue/test-result-communication-primary-care-clinical-and-office-staff-perspectives
    November 20, 2015 - Study Test result communication in primary care: clinical and office staff perspectives. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: clinical and office staff perspectives. Fam Pract. 2014;31(5):592-7. doi:10.1093/fampra/cmu041. …

  14. Clinical outcomes and mortality associated with weekend admission to psychiatric hospital. | PSNet

    psnet.ahrq.gov/issue/clinical-outcomes-and-mortality-associated-weekend-admission-psychiatric-hospital
    September 23, 2020 - Study Clinical outcomes and mortality associated with weekend admission to psychiatric hospital. Citation Text: Patel R, Chesney E, Cullen AE, et al. Clinical outcomes and mortality associated with weekend admission to psychiatric hospital. Br J Psychiatry. 2016;209(1):29-34. doi:10.1192…

  15. Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-health-information-technology-interventions-improve-medication-laboratory-monitoring
    August 11, 2010 - Review Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review. Citation Text: Fischer SH, Tjia J, Field T. Impact of health information technology interventions to improve medication laboratory moni…

  16. Are verbal orders a threat to patient safety? | PSNet

    psnet.ahrq.gov/issue/are-verbal-orders-threat-patient-safety
    July 31, 2008 - Review Are verbal orders a threat to patient safety? Citation Text: Wakefield DS, Wakefield BJ. Are verbal orders a threat to patient safety? Qual Saf Health Care. 2009;18(3):165-168. doi:10.1136/qshc.2009.034041. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  17. Nursing Protocol Training_Nasal Mupirocin (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-mupirocin.pdf
    March 01, 2022 - Nursing Protocol Training_Nasal Mupirocin AHRQ Pub. No. 20(22)-0036 March 2022 Decolonization of Non-ICU Patients With Devices Section 11-7 Nursing Protocol Training Nasal Mupirocin Decolonization of Non-ICU Patients With Devices Targeted Decolonization Introduction  Our hospital is adopting a targeted decol…

  18. Mortality among patients with acute myocardial infarction: the influences of patient-centered care and evidence-based medicine. | PSNet

    psnet.ahrq.gov/issue/mortality-among-patients-acute-myocardial-infarction-influences-patient-centered-care-and
    April 10, 2024 - Study Mortality among patients with acute myocardial infarction: the influences of patient-centered care and evidence-based medicine. Citation Text: Meterko M, Wright S, Lin H, et al. Mortality among patients with acute myocardial infarction: the influences of patient-centered care and…

  19. Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions. | PSNet

    psnet.ahrq.gov/issue/blood-bank-specimen-mislabeling-college-american-pathologists-q-probes-study-41333-blood-bank
    November 16, 2022 - Study Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions. Citation Text: Novis DA, Lindholm PF, Ramsey G, et al. Blood Bank Specimen Mislabeling: A College of American Pathologists Q-Probes Study of 41 333 …

  20. Nursing Protocol Training_Nasal Iodophor (10% Povidone-Iodine) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-iodophor.pdf
    March 01, 2022 - Nursing Protocol Training_Nasal Iodophor (10% Povidone-Iodine) Decolonization of Non-ICU Patients With Devices Section 11-8 Nursing Protocol Training Nasal Iodophor (10% Povidone-Iodine) AHRQ Pub. No. 20(22)-0036 March 2022 Decolonization of Non-ICU Patients With Devices Targeted Decolonization Introduction …
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