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3321. ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2
      December 27, 2018 - Newspaper/Magazine Article ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. Citation Text: ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;…

3322. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. | PSNet
      psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
      June 27, 2012 - Commentary Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Citation Text: Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…

3323. Voluntarily reported emergency department errors. | PSNet
      psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors
      June 20, 2011 - Study Voluntarily reported emergency department errors. Citation Text: Henneman PL, Blank FSJ, Smithline HA, et al. Voluntarily Reported Emergency Department Errors. J Patient Saf. 2008;1(3):126-132. doi:10.1097/01.jps.0000175694.39559.12. Copy Citation Format: DOI Google…

3324. Pharmacist-supported medication review training for general practitioners: feasibility and acceptability. | PSNet
      psnet.ahrq.gov/issue/pharmacist-supported-medication-review-training-general-practitioners-feasibility-and
      July 29, 2020 - Study Pharmacist-supported medication review training for general practitioners: feasibility and acceptability. Citation Text: Krska J, Gill D, Hansford D. Pharmacist-supported medication review training for general practitioners: feasibility and acceptability. Med Educ. 2006;40(12). d…

3325. Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. | PSNet
      psnet.ahrq.gov/issue/natural-history-retained-surgical-items-supports-need-team-training-early-recognition-and
      January 18, 2013 - Study Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. Citation Text: Stawicki P, Cook CH, Anderson HL, et al. Natural history of retained surgical items supports the need for team training, early recognition, and pr…

3326. Only 1 in 5 people with opioid addiction get the medications to treat it, study finds. | PSNet
      psnet.ahrq.gov/issue/only-1-5-people-opioid-addiction-get-medications-treat-it-study-finds
      October 21, 2020 - Newspaper/Magazine Article Only 1 in 5 people with opioid addiction get the medications to treat it, study finds. Citation Text: Only 1 in 5 people with opioid addiction get the medications to treat it, study finds. Mann B. Health Shots. National Public Radio. August 7, 2023. Copy Ci…

3327. Safety of care by caregivers of cancer patients. | PSNet
      psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
      March 02, 2012 - Review Safety of care by caregivers of cancer patients. Citation Text: Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379. doi:10.1016/j.soncn.2019.06.011. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

3328. Leveraging consistent communication tools and organizational values to promote accountability among health care providers. | PSNet
      psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
      January 18, 2023 - Commentary Leveraging consistent communication tools and organizational values to promote accountability among health care providers. Citation Text: Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote accountability among health care provi…

3329. EMS helicopter crashes: what influences fatal outcome? | PSNet
      psnet.ahrq.gov/issue/ems-helicopter-crashes-what-influences-fatal-outcome
      September 23, 2020 - Study EMS helicopter crashes: what influences fatal outcome? Citation Text: Baker SP, Grabowski JG, Dodd RS, et al. EMS helicopter crashes: what influences fatal outcome? Ann Emerg Med. 2006;47(4):351-356. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

3330. State sepsis mandates—a new era for regulation of hospital quality. | PSNet
      psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital-quality
      October 02, 2019 - Commentary State sepsis mandates—a new era for regulation of hospital quality. Citation Text: Hershey TB, Kahn JM. State Sepsis Mandates - A New Era for Regulation of Hospital Quality. N Engl J Med. 2017;376(24):2311-2313. doi:10.1056/NEJMp1611928. Copy Citation Format: DOI…

3331. COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. | PSNet
      psnet.ahrq.gov/issue/covid-19-and-healthcare-facilities-decalogue-design-strategies-resilient-hospitals
      February 23, 2022 - Commentary COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. Citation Text: COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. Capolongo S, Gola M, Brambilla A, et al. Acta Biomed. 2020;91(9-s):50-60.&…

3332. How to develop a second victim support program: a toolkit for health care organizations. | PSNet
      psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations
      April 03, 2019 - Commentary How to develop a second victim support program: a toolkit for health care organizations. Citation Text: Pratt SD, Kenney L, Scott SD, et al. How to develop a second victim support program: a toolkit for health care organizations. Jt Comm J Qual Patient Saf. 2012;38(5):235-40, …

3333. Addressing prehospital patient safety using the science of injury prevention and control. | PSNet
      psnet.ahrq.gov/issue/addressing-prehospital-patient-safety-using-science-injury-prevention-and-control
      April 12, 2019 - Commentary Addressing prehospital patient safety using the science of injury prevention and control. Citation Text: Meisel ZF, Hargarten S, Vernick J. Addressing prehospital patient safety using the science of injury prevention and control. Prehosp Emerg Care. 2008;12(4):411-6. doi:10.1…

3334. Potential medication dosing errors in outpatient pediatrics. | PSNet
      psnet.ahrq.gov/issue/potential-medication-dosing-errors-outpatient-pediatrics
      July 29, 2020 - Study Potential medication dosing errors in outpatient pediatrics. Citation Text: McPhillips HA, Stille CJ, Smith DH, et al. Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

3335. Tablet-splitting: a common yet not so innocent practice. | PSNet
      psnet.ahrq.gov/issue/tablet-splitting-common-yet-not-so-innocent-practice
      August 31, 2022 - Study Tablet-splitting: a common yet not so innocent practice. Citation Text: Verrue C, Mehuys E, Boussery K, et al. Tablet-splitting: a common yet not so innocent practice. J Adv Nurs. 2011;67(1):26-32. doi:10.1111/j.1365-2648.2010.05477.x. Copy Citation Format: DOI Goog…

3336. Patient safety event reporting in a large radiology department. | PSNet
      psnet.ahrq.gov/issue/patient-safety-event-reporting-large-radiology-department
      March 04, 2015 - Commentary Patient safety event reporting in a large radiology department. Citation Text: Schultz SR, Watson RE, Prescott SL, et al. Patient Safety Event Reporting in a Large Radiology Department. American Journal of Roentgenology. 2011;197(3). doi:10.2214/ajr.11.6718. Copy Citation …

3337. Unintended doses in radiotherapy—over, under and outside? | PSNet
      psnet.ahrq.gov/issue/unintended-doses-radiotherapy-over-under-and-outside
      August 27, 2009 - Commentary Unintended doses in radiotherapy—over, under and outside? Citation Text: Eaton DJ, Byrne JP, Cosgrove VP, et al. Unintended doses in radiotherapy-over, under and outside? Br J Radiol. 2018;91(1084):20170863. doi:10.1259/bjr.20170863. Copy Citation Format: DOI Goo…

3338. Patient safety: Part II. Opportunities for improvement in patient safety. | PSNet
      psnet.ahrq.gov/issue/patient-safety-part-ii-opportunities-improvement-patient-safety
      August 19, 2009 - Review Patient safety: Part II. Opportunities for improvement in patient safety. Citation Text: Elston DM, Stratman E, Johnson-Jahangir H, et al. Patient safety: Part II. Opportunities for improvement in patient safety. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206. doi:10.1016/j.ja…

3339. Nurse reports of adverse events during sedation procedures at a pediatric hospital. | PSNet
      psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital
      November 02, 2016 - Study Nurse reports of adverse events during sedation procedures at a pediatric hospital. Citation Text: Lightdale JR, Mahoney LB, Fredette ME, et al. Nurse reports of adverse events during sedation procedures at a pediatric hospital. J Perianesth Nurs. 2009;24(5):300-6. doi:10.1016/j.j…

3340. Patient safety in North America: beyond "operate through your initials" and "sign your site." | PSNet
      psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site
      March 18, 2009 - Meeting/Conference Proceedings Patient safety in North America: beyond "operate through your initials" and "sign your site." Citation Text: Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…