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US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. | PSNet

psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016

January 23, 2017 - Study US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. Citation Text: Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558. doi:10.1001/jam…

Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/outcome-adverse-events-and-medical-errors-intensive-care-unit-systematic-review-and-meta

March 16, 2022 - Review Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Citation Text: Ahmed AH, Giri J, Kashyap R, et al. Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Am J M…

Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff. | PSNet

psnet.ahrq.gov/issue/patient-safety-patients-who-occupy-beds-clinically-inappropriate-wards-qualitative-interview

January 12, 2022 - Study Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff. Citation Text: Goulding L, Adamson J, Watt I, et al. Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview s…

The Harvard Medical Practice Study trigger system performance in deceased patients. | PSNet

psnet.ahrq.gov/issue/harvard-medical-practice-study-trigger-system-performance-deceased-patients

March 02, 2022 - Study The Harvard Medical Practice Study trigger system performance in deceased patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. The Harvard medical practice study trigger system performance in deceased patients. BMC Health Serv Res. 2019;19(1):16. doi:10.1186/s129…

Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. | PSNet

psnet.ahrq.gov/issue/role-communicating-diagnostic-uncertainty-safety-netting-process-insights-vignette-study

February 20, 2019 - Study Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. Citation Text: Cox C, Hatfield T, Fritz Z. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. BMJ Qual Saf. 2024;33(1…

Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications. | PSNet

psnet.ahrq.gov/issue/using-simulation-improve-first-year-pharmacy-students-ability-identify-medication-errors

January 23, 2017 - Study Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications. Citation Text: Atayee RS, Awdishu L, Namba J. Using Simulation to Improve First-Year Pharmacy Students' Ability to Identify Medication Err…

Safety participation at the direct care level: results of a patient questionnaire. | PSNet

psnet.ahrq.gov/issue/safety-participation-direct-care-level-results-patient-questionnaire

August 26, 2020 - Study Safety participation at the direct care level: results of a patient questionnaire. Citation Text: Duhn L, Gumapac N, Medves J. Safety participation at the direct care level: results of a patient questionnaire. Patient Exp J. 2021;8(1):59-68. doi:10.35680/2372-0247.1506. Copy Cita…

Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories. | PSNet

psnet.ahrq.gov/issue/accuracy-send-out-test-ordering-college-american-pathologists-q-probes-study-ordering

November 12, 2008 - Study Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories. Citation Text: Valenstein PN, Walsh MK, Stankovic AK. Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of o…

More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors in patients with feeding tubes. | PSNet

psnet.ahrq.gov/issue/more-just-crushing-prospective-pre-post-intervention-study-reduce-drug-preparation-errors

November 02, 2010 - Study More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors in patients with feeding tubes. Citation Text: Lohmann K, Gartner D, Kurze R, et al. More than just crushing: a prospective pre-post intervention study to reduce drug preparation er…

Utilization of a role-based head covering system to decrease misidentification in the operating room. | PSNet

psnet.ahrq.gov/issue/utilization-role-based-head-covering-system-decrease-misidentification-operating-room

September 23, 2020 - Study Utilization of a role-based head covering system to decrease misidentification in the operating room. Citation Text: Rosen DA, Criser AL, Petrone AB, et al. Utilization of a Role-Based Head Covering System to Decrease Misidentification in the Operating Room. J Patient Saf. 2019;15(…

Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. | PSNet

psnet.ahrq.gov/issue/missed-opportunities-initiate-endoscopic-evaluation-colorectal-cancer-diagnosis

February 15, 2011 - Study Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. Citation Text: Singh H, Daci K, Petersen L, et al. Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. Am J Gastroenterol. 2009;104(10):2543-2554. doi:10.103…

The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. | PSNet

psnet.ahrq.gov/issue/role-dynamic-trade-offs-creating-safety-qualitative-study-handover-across-care-boundaries

January 21, 2015 - Study The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. Citation Text: Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emerg…

Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. | PSNet

psnet.ahrq.gov/issue/can-medical-students-identify-potentially-serious-acetaminophen-dosing-error-simulated

March 30, 2011 - Study Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. Citation Text: Dudas RA, Barone MA. Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? a case control…

Pediatric obesity and safety in inpatient settings: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/pediatric-obesity-and-safety-inpatient-settings-systematic-literature-review

November 12, 2014 - Review Pediatric obesity and safety in inpatient settings: a systematic literature review. Citation Text: Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/000992281…

Using risk stratification to reduce medical errors in cervical cancer prevention. | PSNet

psnet.ahrq.gov/issue/using-risk-stratification-reduce-medical-errors-cervical-cancer-prevention

September 05, 2012 - Commentary Using risk stratification to reduce medical errors in cervical cancer prevention. Citation Text: Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed…

Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. | PSNet

psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and-transfer

May 23, 2013 - Study Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. Citation Text: Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retent…

Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/medication-errors-prospective-cohort-study-hand-written-and-computerised-physician-order

March 06, 2013 - Study Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Citation Text: Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order …

How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. | PSNet

psnet.ahrq.gov/issue/how-do-stakeholders-experience-adoption-electronic-prescribing-systems-hospitals-systematic

December 16, 2020 - Review How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. Citation Text: Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing syst…

A hospital is not just a factory, but a complex adaptive system—implications for perioperative care. | PSNet

psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative-care

May 11, 2019 - Commentary A hospital is not just a factory, but a complex adaptive system—implications for perioperative care. Citation Text: Mahajan A, Islam SD, Schwartz MJ, et al. A Hospital Is Not Just a Factory, but a Complex Adaptive System-Implications for Perioperative Care. Anesth Analg. 2017;…

A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. | PSNet

psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error

March 11, 2013 - Study A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. Citation Text: Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…

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