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psnet.ahrq.gov/issue/charges-and-lengths-stay-attributable-adverse-patient-care-events-using-pediatric-specific
January 04, 2021 - Study
Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality indicators: a multicenter study of freestanding children's hospitals.
Citation Text:
Kronman MP, Hall M, Slonim A, et al. Charges and lengths of stay attributable to adverse p…
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psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals
June 21, 2016 - Toolkit
Toolkit for Reducing CAUTI in Hospitals.
Citation Text:
Toolkit for Reducing CAUTI in Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; October 2015.
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psnet.ahrq.gov/issue/broselow-tape-effective-medication-dosing-instrument-review-literature
April 09, 2009 - Review
The Broselow tape as an effective medication dosing instrument: a review of the literature.
Citation Text:
Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.…
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psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
June 29, 2011 - Study
Excess mortality caused by medical injury.
Citation Text:
Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6.
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psnet.ahrq.gov/issue/strategies-reduce-diagnostic-errors-systematic-review
February 02, 2022 - Review
Strategies to reduce diagnostic errors: a systematic review
Citation Text:
Abimanyi-Ochom J, Mudiyanselage SB, Catchpool M, et al. Strategies to reduce diagnostic errors: a systematic review. BMC Med Inform Decis Mak. 2019;19(1):174. doi:10.1186/s12911-019-0901-1.
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psnet.ahrq.gov/issue/evaluation-accuracy-ihi-trigger-tool-identifying-adverse-drug-events-prospective
October 18, 2023 - Study
Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study.
Citation Text:
Silva M das DG, Martins MAP, Viana L de G, et al. Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observatio…
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psnet.ahrq.gov/node/867145/psn-pdf
November 13, 2024 - Technology, Education and Safety.
November 13, 2024
Technology, Education and Safety. Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37(6):666-742.
https://psnet.ahrq.gov/issue/technology-education-and-safety-3
Despite consummate efforts to improve safety, errors still occur in anesthesiology. This special collection…
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psnet.ahrq.gov/issue/prevalence-and-impact-potentially-inappropriate-prescribing-among-older-persons-primary-care
July 24, 2019 - Review
Emerging Classic
The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis.
Citation Text:
Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropri…
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psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings
February 17, 2021 - Study
Classic
Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis.
Citation Text:
Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across…
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psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
June 03, 2020 - Study
Burden of serious harms from diagnostic error in the USA.
Citation Text:
Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130.
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psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors
April 06, 2022 - Commentary
Weight and size descriptors for drug dosing: too many options and too many errors.
Citation Text:
Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…
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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - Anticoagulation: Held Too Long
Citation Text:
Dunn AS. Anticoagulation: Held Too Long. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/node/866934/psn-pdf
October 09, 2024 - How America’s health care system fails women in pain.
October 9, 2024
Neklason A. How America’s health care system fails women in pain. The Hill. September 23, 2024;
https://psnet.ahrq.gov/issue/how-americas-health-care-system-fails-women-pain
Appropriate treatment of pain is a complicated process vulnerable to rac…
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psnet.ahrq.gov/node/837980/psn-pdf
March 21, 2024 - Diagnostic errors.
March 21, 2024
Raffel K, Ranji S. UpToDate. February 8, 2024.
https://psnet.ahrq.gov/issue/diagnostic-errors
Diagnostic mistakes are common contributors to preventable patient harm. This review highlights primary
areas of diagnostic error concerns (vascular events, infections, and cancers) …
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psnet.ahrq.gov/node/47678/psn-pdf
December 19, 2018 - When mistakes happen.
December 19, 2018
Beck DL. ASH Clinical News. December 1, 2018.
https://psnet.ahrq.gov/issue/when-mistakes-happen
This article provides an overview of efforts to understand and improve patient safety and covers topics
such as the epidemiology of error, its impact on the individuals involved, …
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psnet.ahrq.gov/issue/emergency-hospitalizations-unsupervised-prescription-medication-ingestions-young-children
April 22, 2020 - Study
Emergency hospitalizations for unsupervised prescription medication ingestions by young children.
Citation Text:
Lovegrove MC, Mathew J, Hampp C, et al. Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Pediatrics. 2014;134(4):e1009-1…
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psnet.ahrq.gov/node/42476/psn-pdf
September 27, 2016 - Lives and Dollars Lost Calculator.
September 27, 2016
Leapfrog Group.
https://psnet.ahrq.gov/issue/lives-and-dollars-lost-calculator
This Web site provides resources to help employers and purchasers estimate latent costs related to unsafe
care.
https://psnet.ahrq.gov/issue/lives-and-dollars-lost-calculator
https:…
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psnet.ahrq.gov/issue/advances-prevention-and-control-hais
August 20, 2018 - Book/Report
Advances in the Prevention and Control of HAIs.
Citation Text:
Advances in the Prevention and Control of HAIs. Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Rockville, MD: Agency for Healthcare Research and Quality; June 2014. AHRQ Publication No. 14-0003.
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psnet.ahrq.gov/issue/environmental-cleaning-prevention-healthcare-associated-infections-hais
October 02, 2013 - Government Resource
Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs).
Citation Text:
Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs). Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Rockville, MD:…
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psnet.ahrq.gov/node/841788/psn-pdf
December 21, 2022 - From heart disease to IUDs: how doctors dismiss
women’s pain.
December 21, 2022
Bever L. Washington Post. December 13, 2022.
https://psnet.ahrq.gov/issue/heart-disease-iuds-how-doctors-dismiss-womens-pain
Gender and racial bias contributes to inadequate and delayed care. This story focuses on women who
have exper…