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The role of advice in medication administration errors in the pediatric ambulatory setting. | PSNet

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February 06, 2008 - Study The role of advice in medication administration errors in the pediatric ambulatory setting. Citation Text: Lemer C, Bates DW, Yoon CS, et al. The role of advice in medication administration errors in the pediatric ambulatory setting. J Patient Saf. 2009;5(3):168-75. doi:10.1097/P…

Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness | PSNet

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August 04, 2021 - Journal Article Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness Citation Text: Solodiuk JC, Greco CD, O'Donnell KA, et al. Effect of a Sedation Weaning Protocol on Safety and Medication Use among Hospitalized Children P…

Errors and omissions in anesthesia: a pilot study using a pilot's checklist. | PSNet

psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist

September 23, 2020 - Study Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Citation Text: Hart EM, Owen H. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Anesth Analg. 2005;101(1):246-50, table of contents. Copy Citation Format: Googl…

Costs and benefits of an early-alert surveillance system for hospital inpatients. | PSNet

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January 24, 2024 - Study Costs and benefits of an early-alert surveillance system for hospital inpatients. Citation Text: Marchetti A, Jacobs J, Young M, et al. Costs and benefits of an early-alert surveillance system for hospital inpatients. Curr Med Res Opin. 2007;23(1):9-16. Copy Citation Format…

Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. | PSNet

psnet.ahrq.gov/issue/point-care-testing-error-sources-and-amplifiers-taxonomy-prevention-strategies-and-detection

January 08, 2016 - Study Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Citation Text: Meier FA, Jones BA. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Arch Pathol Lab Med. 2005…

Abdominal pain in the emergency department: missed diagnoses. | PSNet

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September 16, 2020 - Commentary Abdominal pain in the emergency department: missed diagnoses. Citation Text: Halsey-Nichols M, McCoin N. Abdominal pain in the emergency department: missed diagnoses. Emerg Med Clin North Am. 2021;39(4):703-717. doi:10.1016/j.emc.2021.07.005. Copy Citation Format: …

What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. | PSNet

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February 15, 2011 - Study What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Citation Text: Horwitz LI, Moin T, Krumholz HM, et al. What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Qua…

We are going to name names and call you out! Improving the team in the academic operating room environment. | PSNet

psnet.ahrq.gov/issue/we-are-going-name-names-and-call-you-out-improving-team-academic-operating-room-environment

September 23, 2020 - Study We are going to name names and call you out! Improving the team in the academic operating room environment. Citation Text: Bodor R, Nguyen BJ, Broder K. We Are Going to Name Names and Call You Out! Improving the Team in the Academic Operating Room Environment. Ann Plast Surg. 2017;…

Contextual errors in medical decision making: overlooked and understudied. | PSNet

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May 01, 2020 - Commentary Contextual errors in medical decision making: overlooked and understudied. Citation Text: Weiner SJ, Schwartz A. Contextual Errors in Medical Decision Making: Overlooked and Understudied. Acad Med. 2016;91(5):657-62. doi:10.1097/ACM.0000000000001017. Copy Citation Format…

A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. | PSNet

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July 01, 2019 - Review A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. Citation Text: Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes…

Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. | PSNet

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October 17, 2017 - Review Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. Citation Text: Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient Safety and Infection Prevention. Infect Dis C…

Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. | PSNet

psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation-and-emission-pet

December 22, 2018 - Study Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. Citation Text: Gould L, Pan T, Loghin C, et al. Frequent diagnostic errors in cardiac PET/CT due to misre…

Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. | PSNet

psnet.ahrq.gov/issue/role-remediation-cases-serious-misconduct-uk-healthcare-regulators-qualitative-study

June 02, 2021 - Study Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. Citation Text: Price T, Reynolds E, O’Brien T, et al. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. BMJ Qual Saf. 2025…

Agreement of expert judgment in causality assessment of adverse drug reactions. | PSNet

psnet.ahrq.gov/issue/agreement-expert-judgment-causality-assessment-adverse-drug-reactions

November 29, 2023 - Study Agreement of expert judgment in causality assessment of adverse drug reactions. Citation Text: Arimone Y, Bégaud B, Miremont-Salamé G, et al. Agreement of expert judgment in causality assessment of adverse drug reactions. Eur J Clin Pharmacol. 2005;61(3):169-73. Copy Citation …

Competence and certification of registered nurses and safety of patients in intensive care units. | PSNet

psnet.ahrq.gov/issue/competence-and-certification-registered-nurses-and-safety-patients-intensive-care-units

May 01, 2006 - Study Competence and certification of registered nurses and safety of patients in intensive care units. Citation Text: Kendall-Gallagher D, Blegen MA. Competence and certification of registered nurses and safety of patients in intensive care units. Am J Crit Care. 2009;18(2):106-113; q…

Case-control analysis of the financial cost of medication errors in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/case-control-analysis-financial-cost-medication-errors-hospitalized-patients

January 15, 2025 - Study Case-control analysis of the financial cost of medication errors in hospitalized patients. Citation Text: Pinilla J, Murillo C, Carrasco G, et al. Case-control analysis of the financial cost of medication errors in hospitalized patients. Eur J Health Econ. 2006;7(1):66-71. Copy…

Evolution of a rapid response system from voluntary to mandatory activation. | PSNet

psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation

June 07, 2023 - Commentary Evolution of a rapid response system from voluntary to mandatory activation. Citation Text: Jones CM, Bleyer AJ, Petree B. Evolution of a rapid response system from voluntary to mandatory activation. Jt Comm J Qual Patient Saf. 2010;36(6):266-70, 241. Copy Citation Forma…

Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. | PSNet

psnet.ahrq.gov/issue/improving-quality-written-prescriptions-general-hospital-influence-10-years-serial-audits-and

August 24, 2022 - Study Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. Citation Text: Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital: the influence of …

Determinants of adverse events in hospitals—the potential role of patient safety culture. | PSNet

psnet.ahrq.gov/issue/determinants-adverse-events-hospitals-potential-role-patient-safety-culture

October 22, 2008 - Study Determinants of adverse events in hospitals—the potential role of patient safety culture. Citation Text: Kline TJB, Willness C, Ghali WA. Determinants of adverse events in hospitals--the potential role of patient safety culture. J Healthc Qual. 2008;30(1):11-7. Copy Citation …

The sensitivity of adverse event cost estimates to diagnostic coding error. | PSNet

psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error

March 03, 2011 - Study The sensitivity of adverse event cost estimates to diagnostic coding error. Citation Text: Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.0…

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