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  1. psnet.ahrq.gov/issue/using-spare-medication-vial-store-multiple-medications-potentially-fatal-home-medication
    June 24, 2020 - Commentary Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error. Citation Text: Leonard JB, Klein-Schwartz W. Using a spare medication vial to store multiple medications: A potentially fatal in-home medication error. Ame J Health-syst …
  2. psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer
    November 02, 2016 - Commentary Learning from the design, development and implementation of the Medication Safety Thermometer. Citation Text: Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2…
  3. psnet.ahrq.gov/issue/automated-dynamic-radiation-oncology-prescription-checking-system
    October 27, 2010 - Study An automated, dynamic radiation oncology prescription checking system. Citation Text: Pashtan IM, Kosak T, Shin K-Y, et al. An automated, dynamic radiation oncology prescription checking system. Pract Radiat Oncol. 2024;14(4):343-352. doi:10.1016/j.prro.2023.12.002. Copy Citation…
  4. psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-propofol-procedures
    April 11, 2011 - Study The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. Citation Text: Cravero JP, Beach ML, Blike G, et al. The incidence and nature of adve…
  5. psnet.ahrq.gov/issue/comparison-adverse-events-during-procedural-sedation-between-specially-trained-pediatric
    August 21, 2008 - Study Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel. Citation Text: Shavit I, Steiner IP, Idelman S, et al. Comparison of adverse events during procedural sedation between specially tra…
  6. psnet.ahrq.gov/issue/comparison-broselow-tape-measurements-versus-physician-estimations-pediatric-weights
    November 15, 2017 - Study Comparison of Broselow tape measurements versus physician estimations of pediatric weights. Citation Text: Rosenberg M, Greenberger S, Rawal A, et al. Comparison of Broselow tape measurements versus physician estimations of pediatric weights. Am J Emerg Med. 2011;29(5):482-8. doi…
  7. psnet.ahrq.gov/issue/time-motion-study-pediatric-emergency-department-and-after-computer-physician-order-entry
    October 19, 2022 - Study Time motion study in a pediatric emergency department before and after computer physician order entry. Citation Text: Yen K, Shane EL, Pawar SS, et al. Time motion study in a pediatric emergency department before and after computer physician order entry. Ann Emerg Med. 2009;53(4)…
  8. psnet.ahrq.gov/issue/factors-associated-potentially-missed-diagnosis-appendicitis-emergency-department
    December 16, 2020 - Study Factors associated with potentially missed diagnosis of appendicitis in the emergency department. Citation Text: Mahajan P, Basu T, Pai C-W, et al. Factors associated with potentially missed diagnosis of appendicitis in the emergency department. JAMA Netw Open. 2020;3(3):e200612. d…
  9. psnet.ahrq.gov/issue/patient-preferences-participation-patient-care-and-safety-activities-hospitals
    July 17, 2024 - Study Patient preferences for participation in patient care and safety activities in hospitals. Citation Text: Ringdal M, Chaboyer W, Ulin K, et al. Patient preferences for participation in patient care and safety activities in hospitals. BMC Nurs. 2017;16:69. doi:10.1186/s12912-017-0266…
  10. psnet.ahrq.gov/issue/diagnostic-delays-paediatric-stroke
    April 24, 2018 - Study Diagnostic delays in paediatric stroke. Citation Text: Mallick AA, Ganesan V, Kirkham FJ, et al. Diagnostic delays in paediatric stroke. J Neurol Neurosurg Psychiatry. 2015;86(8):917-21. doi:10.1136/jnnp-2014-309188. Copy Citation Format: DOI Google Scholar PubMed Bib…
  11. psnet.ahrq.gov/issue/effect-medical-emergency-teams-patient-outcome-review-literature
    September 23, 2020 - Review The effect of medical emergency teams on patient outcome: a review of the literature. Citation Text: Laurens NH, Dwyer TA. The effect of medical emergency teams on patient outcome: a review of the literature. Int J Nurs Pract. 2010;16(6):533-44. doi:10.1111/j.1440-172X.2010.0187…
  12. psnet.ahrq.gov/issue/rescue-me-saving-vulnerable-non-icu-patient-population
    June 01, 2011 - Study Rescue me: saving the vulnerable non-ICU patient population. Citation Text: Bader MK, Neal B, Johnson L, et al. Rescue me: saving the vulnerable non-ICU patient population. Jt Comm J Qual Patient Saf. 2009;35(4):199-205. Copy Citation Format: Google Scholar PubMed Bib…
  13. psnet.ahrq.gov/issue/implementation-pediatric-rapid-response-team-experience-hospital-sick-children-toronto
    September 10, 2014 - Commentary Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Citation Text: Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Indian …
  14. psnet.ahrq.gov/issue/applying-requisite-imagination-safeguard-electronic-health-record-transitions
    August 25, 2021 - Commentary Applying requisite imagination to safeguard electronic health record transitions. Citation Text: Sittig DF, Lakhani P, Singh H. Applying requisite imagination to safeguard electronic health record transitions. J Am Med Inform Assoc. 2022;29(5):1014-1018. doi:10.1093/jamia/ocab…
  15. psnet.ahrq.gov/issue/bridging-communication-gap-operating-room-medical-team-training
    March 05, 2025 - Study Bridging the communication gap in the operating room with medical team training. Citation Text: Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. 2005;190(5):770-4. Copy Citation Format: …
  16. psnet.ahrq.gov/issue/understanding-test-results-follow-ambulatory-setting-analysis-multiple-perspectives
    May 20, 2019 - Study Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives. Citation Text: Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44…
  17. psnet.ahrq.gov/issue/impact-computerized-physician-medication-order-entry-hospitalized-patients-systematic-review
    February 14, 2024 - Review The impact of computerized physician medication order entry in hospitalized patients—a systematic review. Citation Text: Eslami S, de Keizer NF, Abu-Hanna A. The impact of computerized physician medication order entry in hospitalized patients--a systematic review. Int J Med Info…
  18. psnet.ahrq.gov/issue/medication-reconciliation-admission-and-discharge-analysis-prevalence-and-associated-risk
    December 02, 2020 - Study Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. Citation Text: Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission and discharge: an analysis of prevalence and associate…
  19. psnet.ahrq.gov/issue/effectiveness-interventions-designed-promote-patient-involvement-enhance-safety-systematic
    January 19, 2011 - Review Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review. Citation Text: Hall J, Peat M, Birks Y, et al. Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review. Qual Saf Hea…
  20. psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-prescription-errors
    October 26, 2022 - Study Reducing pediatric emergency department prescription errors. Citation Text: Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors. Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696. Copy Citation Format: …

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