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Identification of patient safety threats in a post-intensive care clinic. | PSNet

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November 21, 2021 - Study Identification of patient safety threats in a post-intensive care clinic. Citation Text: Karlic KJ, Valley TS, Cagino LM, et al. Identification of patient safety threats in a post-intensive care clinic. Am J Med Qual. 2023;38(3):117-121. doi:10.1097/jmq.0000000000000118. Copy Cit…

The additional cost of perioperative medication errors | PSNet

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July 24, 2024 - Study The additional cost of perioperative medication errors Citation Text: Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136. Copy Citation Format: DOI Google…

Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. | PSNet

psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety

April 01, 2020 - Commentary Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. Citation Text: Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;…

Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. | PSNet

psnet.ahrq.gov/issue/chronic-pain-diagnoses-and-opioid-dispensings-among-insured-individuals-serious-mental

November 29, 2023 - Study Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. Citation Text: Owen-Smith A, Stewart C, Sesay MM, et al. Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. BMC Psych. 2020;20(1):4…

Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care. | PSNet

psnet.ahrq.gov/issue/validating-decision-tree-serious-infection-diagnostic-accuracy-acutely-ill-children

December 02, 2020 - Study Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care. Citation Text: Verbakel JY, Lemiengre MB, De Burghgraeve T, et al. Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambu…

Medication reconciliation and patient safety in trauma: Applicability of existing strategies. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-and-patient-safety-trauma-applicability-existing-strategies

September 23, 2020 - Review Medication reconciliation and patient safety in trauma: Applicability of existing strategies. Citation Text: DeAntonio JH, Leichtle SW, Hobgood S, et al. Medication reconciliation and patient safety in trauma: Applicability of existing strategies. J Surg Res. 2019;246:482-489. doi…

Accuracy and safety of medication histories obtained at the time of intensive care unit admission of delirious or mechanically ventilated patients. | PSNet

psnet.ahrq.gov/issue/accuracy-and-safety-medication-histories-obtained-time-intensive-care-unit-admission

October 20, 2021 - Study Accuracy and safety of medication histories obtained at the time of intensive care unit admission of delirious or mechanically ventilated patients. Citation Text: Cicci CD, Fudzie SS, Campbell-Bright S, et al. Accuracy and safety of medication histories obtained at the time of inte…

Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. | PSNet

psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside

March 01, 2011 - Study Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. Citation Text: Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatr…

Pediatric adverse drug events in the outpatient setting: an 11-year national analysis. | PSNet

psnet.ahrq.gov/issue/pediatric-adverse-drug-events-outpatient-setting-11-year-national-analysis

September 09, 2010 - Study Pediatric adverse drug events in the outpatient setting: an 11-year national analysis. Citation Text: Bourgeois FT, Mandl KD, Valim C, et al. Pediatric adverse drug events in the outpatient setting: an 11-year national analysis. Pediatrics. 2009;124(4):e744-e750. doi:10.1542/peds…

Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. | PSNet

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June 01, 1989 - Study Classic Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. Citation Text: Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Advers…

Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? | PSNet

psnet.ahrq.gov/issue/use-paediatric-early-warning-systems-great-britain-has-there-been-change-practice-last-7

September 23, 2020 - Study Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? Citation Text: Roland D, Oliver A, Edwards ED, et al. Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 yea…

Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event

July 24, 2024 - Study Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest eve…

Safety huddles to proactively identify and address electronic health record safety. | PSNet

psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety

January 23, 2019 - Study Safety huddles to proactively identify and address electronic health record safety. Citation Text: Menon S, Singh H, Giardina TD, et al. Safety huddles to proactively identify and address electronic health record safety. J Am Med Inform Assoc. 2017;24(2):261-267. doi:10.1093/jamia/…

How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. | PSNet

psnet.ahrq.gov/issue/how-hospitals-select-their-patient-safety-priorities-exploratory-study-four-veterans-health

March 15, 2016 - Study How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. Citation Text: George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:…

Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. | PSNet

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July 26, 2023 - Book/Report Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. Citation Text: Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division…

Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. | PSNet

psnet.ahrq.gov/issue/appropriateness-commercially-available-and-partially-customized-medication-dosing-alerts

July 16, 2015 - Study Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. Citation Text: Stultz JS, Nahata MC. Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. J Am Med …

Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident

October 19, 2016 - Commentary Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. Citation Text: Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…

Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/inappropriateness-medication-prescriptions-elderly-patients-primary-care-setting-systematic

February 14, 2024 - Review Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic review. Citation Text: Opondo D, Eslami S, Visscher S, et al. Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic r…

Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. | PSNet

psnet.ahrq.gov/issue/physicians-perspectives-regarding-prescription-drug-monitoring-program-use-within-department

February 17, 2017 - Study Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. Citation Text: Radomski TR, Bixler FR, Zickmund SL, et al. Physicians' Perspectives Regarding Prescription Drug Monitoring Program…

Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure

July 20, 2022 - Study Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. Citation Text: Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. J Tissue Viability. 2021;30(3):3…

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