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3461. 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…

3462. Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/medication-administration-variances-and-after-implementation-computerized-physician-order
      July 19, 2023 - Study Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. Citation Text: Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation of computerized phy…

3463. Regional surveillance of emergency-department visits for outpatient adverse drug events. | PSNet
      psnet.ahrq.gov/issue/regional-surveillance-emergency-department-visits-outpatient-adverse-drug-events
      September 21, 2022 - Study Regional surveillance of emergency-department visits for outpatient adverse drug events. Citation Text: Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.100…

3464. Deploying Six Sigma in a health care system as a work in progress. | PSNet
      psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-work-progress
      March 04, 2011 - Study Deploying Six Sigma in a health care system as a work in progress. Citation Text: Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13. Copy Citation Format: Goo…

3465. Checklists change communication about key elements of patient care. | PSNet
      psnet.ahrq.gov/issue/checklists-change-communication-about-key-elements-patient-care
      November 16, 2022 - Study Checklists change communication about key elements of patient care. Citation Text: Newkirk M, Pamplin JC, Kuwamoto R, et al. Checklists change communication about key elements of patient care. J Trauma Acute Care Surg. 2012;73(2 Suppl 1):S75-82. doi:10.1097/TA.0b013e3182606239. …

3466. Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score? | PSNet
      psnet.ahrq.gov/issue/inappropriate-opioid-dosing-and-prescribing-children-unintended-consequence-clinical-pain
      October 14, 2020 - Commentary Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score? Citation Text: Voepel-Lewis T, Malviya S, Tait AR. Inappropriate Opioid Dosing and Prescribing for Children: An Unintended Consequence of the Clinical Pain Score? JA…

3467. EHR safety: the way forward to safe and effective systems. | PSNet
      psnet.ahrq.gov/issue/ehr-safety-way-forward-safe-and-effective-systems
      December 12, 2012 - Commentary EHR safety: the way forward to safe and effective systems. Citation Text: Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618. Copy Citation Format: …

3468. Defining and classifying terminology for medication harm: a call for consensus. | PSNet
      psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus
      June 22, 2022 - Review Defining and classifying terminology for medication harm: a call for consensus. Citation Text: Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-25…

3469. Current approaches to punitive action for medication errors by boards of pharmacy. | PSNet
      psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
      May 26, 2011 - Study Current approaches to punitive action for medication errors by boards of pharmacy. Citation Text: Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …

3470. Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department. | PSNet
      psnet.ahrq.gov/issue/impact-and-culture-change-after-implementation-preprocedural-checklist-interventional
      May 05, 2021 - Study Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department. Citation Text: Wong SSN, Cleverly S, Tan KT, et al. Impact and Culture Change After the Implementation of a Preprocedural Checklist in an Interventional Radiol…

3471. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. | PSNet
      psnet.ahrq.gov/issue/cost-effectiveness-electronic-medication-ordering-and-administration-system-reducing-adverse
      June 01, 2012 - Study Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. Citation Text: Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …

3472. Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? | PSNet
      psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality
      August 20, 2018 - Study Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? Citation Text: Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Bu…

3473. Long-term reduction in adverse drug events: an evidence-based improvement model. | PSNet
      psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
      August 28, 2024 - Study Long-term reduction in adverse drug events: an evidence-based improvement model. Citation Text: Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902. Copy Citation …

3474. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. | PSNet
      psnet.ahrq.gov/issue/unintended-consequences-electronic-health-record-and-cognitive-load-emergency-department
      June 22, 2011 - Study Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Citation Text: Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. …

3475. MEPS Survey Interview Context Flow
      meps.ahrq.gov/survey_comp/hcquest_contextflow.shtml
      January 01, 2017 - MEPS Survey Interview Context Flow   Skip to main content An official website of the Department of Health & Human Services More Back Search ahrq.gov …

3476. Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. | PSNet
      psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
      March 27, 2024 - Study Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. Citation Text: Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medi…

3477. AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. | PSNet
      psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-reduce-emergency-department-boarding-and
      November 12, 2008 - Press Release/Announcement AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Citation Text: AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Agency for Healt…

3478. Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. | PSNet
      psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth
      September 01, 2016 - Study Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. Citation Text: Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operat…

3479. Healthcare staff wellbeing, burnout, and patient safety: a systematic review. | PSNet
      psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
      November 13, 2024 - Review Healthcare staff wellbeing, burnout, and patient safety: a systematic review. Citation Text: Hall LH, Johnson J, Watt I, et al. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016;11(7):e0159015. doi:10.1371/journal.pone.0159015. Copy Cit…

3480. Improving maternal safety at scale with the mentor model of collaborative improvement. | PSNet
      psnet.ahrq.gov/issue/improving-maternal-safety-scale-mentor-model-collaborative-improvement
      March 31, 2021 - Study Improving maternal safety at scale with the mentor model of collaborative improvement. Citation Text: Main EK, Dhurjati R, Cape V, et al. Improving Maternal Safety at Scale with the Mentor Model of Collaborative Improvement. Jt Comm J Qual Patient Saf. 2018;44(5):250-259. doi:10.10…