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Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. | PSNet

psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths

March 24, 2021 - Study Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. Citation Text: Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. d…

Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. | PSNet

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March 16, 2022 - Review Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. Citation Text: Mimmo L, Harrison R, Hinchcliff R. Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic r…

Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. | PSNet

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July 08, 2020 - Study Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. Citation Text: McMullan M, Jones R, Lea S. Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. J Adv Nurs. 2010;66(4). …

A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution. | PSNet

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August 10, 2022 - Study A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution. Citation Text: Savely SM, Muraca PW, Eller MF, et al. A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution. J Patient …

The effect of bedrails on falls and injury: a systematic review of clinical studies. | PSNet

psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies

March 15, 2016 - Review The effect of bedrails on falls and injury: a systematic review of clinical studies. Citation Text: Healey F, Oliver D, Milne A, et al. The effect of bedrails on falls and injury: a systematic review of clinical studies. Age Ageing. 2008;37(4):368-78. doi:10.1093/ageing/afn112. …

Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. | PSNet

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November 12, 2014 - Review Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Citation Text: Kelly SP, Ophthalmologists RC of. Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Eye (Lond). 2009;23(12):2143-51. doi:10.1038/eye.2009.…

Personal digital assistant-based drug information sources: potential to improve medication safety. | PSNet

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July 14, 2010 - Study Personal digital assistant-based drug information sources: potential to improve medication safety. Citation Text: Galt K, Rule AM, Houghton B, et al. Personal digital assistant-based drug information sources: potential to improve medication safety. J Med Libr Assoc. 2005;93(2):22…

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

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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: …

Accuracy of adverse-drug-event reports collected using an automated dispensing system. | PSNet

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April 06, 2022 - Study Accuracy of adverse-drug-event reports collected using an automated dispensing system. Citation Text: Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing system. Am J Health Syst Pharm. 2005;62(13):1375-80. Copy Citation Forma…

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

psnet.ahrq.gov/issue/what-are-covering-doctors-told-about-their-patients-analysis-sign-out-among-internal-medicine

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;…

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

psnet.ahrq.gov/issue/realist-synthesis-interprofessional-patient-safety-activities-and-healthcare-student

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

psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and

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…

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 …

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