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  1. Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory. | PSNet

    psnet.ahrq.gov/issue/comparison-and-interpretation-urinalysis-performed-nephrologist-versus-hospital-based
    March 14, 2016 - Study Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory. Citation Text: Tsai JJ, Yeun JY, Kumar VA, et al. Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laborato…

  2. Development and evaluation of the Institute for Healthcare Improvement global trigger tool. | PSNet

    psnet.ahrq.gov/issue/development-and-evaluation-institute-healthcare-improvement-global-trigger-tool
    February 10, 2015 - Commentary Development and evaluation of the Institute for Healthcare Improvement global trigger tool. Citation Text: Classen DC, Lloyd RC, Provost LP, et al. Development and Evaluation of the Institute for Healthcare Improvement Global Trigger Tool. J Patient Saf. 2008;4(3). doi:10.10…

  3. Deaths among opioid users: impact of potential inappropriate prescribing practices. | PSNet

    psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-practices
    October 19, 2011 - Study Deaths among opioid users: impact of potential inappropriate prescribing practices. Citation Text: Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate prescribing practices. Am J Manag Care. 2019;25(4):e98-e103. Copy Citation Form…

  4. Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. | PSNet

    psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
    April 24, 2018 - Study Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. Citation Text: Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors commo…

  5. Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. | PSNet

    psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system
    April 19, 2023 - Book/Report Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. Citation Text: Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. Washington, DC: Department of Vet…

  6. Errors in laboratory medicine: practical lessons to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
    February 14, 2024 - Commentary Classic Errors in laboratory medicine: practical lessons to improve patient safety. Citation Text: Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261. Copy Citation …

  7. The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. | PSNet

    psnet.ahrq.gov/issue/commercialised-experience-operating-embodied-preferences-ambiguous-variations-and-explaining
    August 24, 2022 - Study The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. Citation Text: Ducey A, Donoso C, Ross S, et al. The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining …

  8. Body mass index category and adverse events in hospitalized children. | PSNet

    psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children
    August 03, 2022 - Study Body mass index category and adverse events in hospitalized children. Citation Text: Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004. Copy Citation …

  9. Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. | PSNet

    psnet.ahrq.gov/issue/adverse-events-and-hospital-acquired-conditions-associated-potential-low-value-care-medicare
    May 19, 2021 - Study Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. Citation Text: Chalmers K, Gopinath V, Brownlee S, et al. Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare benefic…

  10. Battling alarm fatigue in the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/battling-alarm-fatigue-pediatric-intensive-care-unit
    July 22, 2020 - Commentary Battling alarm fatigue in the pediatric intensive care unit. Citation Text: Herrera H, Wood D. Battling alarm fatigue in the pediatric intensive care unit. Crit Care Nurs Clin North Am. 2023;35(3):347-355. doi:10.1016/j.cnc.2023.05.003. Copy Citation Format: DOI …

  11. Wound-care teams for preventing and treating pressure ulcers. | PSNet

    psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers
    June 05, 2019 - Review Wound-care teams for preventing and treating pressure ulcers. Citation Text: Moore ZEH, Webster J, Samuriwo R. Wound-care teams for preventing and treating pressure ulcers. Cochrane Database Syst Rev. 2015;9:CD011011. doi:10.1002/14651858.CD011011.pub2. Copy Citation Format:…

  12. Medical errors in US pediatric inpatients with chronic conditions. | PSNet

    psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic-conditions
    November 04, 2014 - Study Medical errors in US pediatric inpatients with chronic conditions. Citation Text: Ahuja N, Zhao W, Xiang H. Medical errors in US pediatric inpatients with chronic conditions. Pediatrics. 2012;130(4):e786-e793. doi:10.1542/peds.2011-2555. Copy Citation Format: DOI Goog…

  13. Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/identification-and-characterization-failures-infectious-agent-transmission-precaution
    October 13, 2018 - Study Emerging Classic Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. Citation Text: Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in …

  14. Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. | PSNet

    psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative
    October 14, 2020 - Study Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. Citation Text: M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. Anesth …

  15. Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. | PSNet

    psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital
    August 07, 2024 - Study Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. Citation Text: Doherty C, Donnell CM. Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. Pediatrics. 2012;129(5):916-924. doi:10.1542/peds.2011-2…

  16. Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-predictors-delayed-clinical-diagnosis-type-2-diabetes-longitudinal-cohort
    August 04, 2021 - Study Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. Citation Text: Gopalan A, Mishra P, Alexeeff SE, et al. Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. Diabet Med. 2018…

  17. The quality, safety and content of telephone and face-to-face consultations: a comparative study. | PSNet

    psnet.ahrq.gov/issue/quality-safety-and-content-telephone-and-face-face-consultations-comparative-study
    August 04, 2021 - Study The quality, safety and content of telephone and face-to-face consultations: a comparative study. Citation Text: McKinstry B, Hammersley V, Burton C, et al. The quality, safety and content of telephone and face-to-face consultations: a comparative study. Qual Saf Health Care. 201…

  18. Personal health records: a randomized trial of effects on elder medication safety. | PSNet

    psnet.ahrq.gov/issue/personal-health-records-randomized-trial-effects-elder-medication-safety
    November 16, 2022 - Study Personal health records: a randomized trial of effects on elder medication safety. Citation Text: Chrischilles EA, Hourcade JP, Doucette W, et al. Personal health records: a randomized trial of effects on elder medication safety. J Am Med Inform Assoc. 2014;21(4):679-86. doi:10.113…

  19. Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/developing-conceptual-framework-patient-safety-culture-emergency-department-review-literature
    March 02, 2011 - Review Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. Citation Text: Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the litera…

  20. Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide. | PSNet

    psnet.ahrq.gov/issue/field-test-world-health-organization-multi-professional-patient-safety-curriculum-guide
    June 04, 2014 - Study Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide. Citation Text: Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1…
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