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psnet.ahrq.gov/node/74262/psn-pdf
January 19, 2022 - Associations between safety outcomes and
communication practices among pediatric nurses in the
United States.
January 19, 2022
Gampetro PJ, Segvich JP, Hughes AM, et al. Associations between safety outcomes and communication
practices among pediatric nurses in the United States. J Pediatr Nurs. 2022;63:20-27.
doi…
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psnet.ahrq.gov/node/36205/psn-pdf
May 27, 2011 - Physician characteristics, attitudes, and use of
computerized order entry.
May 27, 2011
Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized
order entry. J Hosp Med. 2006;1(4):221-30.
https://psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computeri…
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psnet.ahrq.gov/node/46034/psn-pdf
April 05, 2017 - Design and reliability of a specific instrument to evaluate
patient safety for patients with acute myocardial
infarction treated in a predefined care track: a
retrospective patient record review study in a single
tertiary hospital in the Netherlands.
April 5, 2017
Eindhoven DC, Borleffs JW, Dietz MF, et al. Desig…
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psnet.ahrq.gov/node/34671/psn-pdf
June 15, 2011 - Confidential clinician-reported surveillance of adverse
events among medical inpatients.
June 15, 2011
Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among
medical inpatients. J Gen Intern Med. 2003;15(7). doi:10.1046/j.1525-1497.2000.06269.x.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/60657/psn-pdf
July 08, 2020 - Predictors of serious opioid-related adverse drug events
in hospitalized patients.
July 8, 2020
Minhaj FS, Rappaport SH, Foster J, et al. Predictors of serious opioid-related adverse drug events in
hospitalized patients. J Patient Saf. 2020;17(8):e1585-e1588. doi:10.1097/pts.0000000000000735.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/837067/psn-pdf
May 11, 2022 - Responding to safe care: healthcare staff experiences
caring for a child with intellectual disability in hospital.
Implications for practice and training.
May 11, 2022
Ong N, Long JC, Weise J, et al. Responding to safe care: healthcare staff experiences caring for a child
with intellectual disability in hospital. …
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psnet.ahrq.gov/node/865585/psn-pdf
April 17, 2024 - Estimating the impact on patient safety of enabling the
digital transfer of patients' prescription information in the
English NHS.
April 17, 2024
Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital
transfer of patients’ prescription information in the English NHS. …
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psnet.ahrq.gov/node/836984/psn-pdf
April 27, 2022 - A 6-year thematic review of reported incidents associated
with cardiopulmonary resuscitation calls in a United
Kingdom hospital.
April 27, 2022
Beed M, Hussain S, Woodier N, et al. A 6-year thematic review of reported incidents associated with
cardiopulmonary resuscitation calls in a United Kingdom hospital. J Pat…
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psnet.ahrq.gov/node/39233/psn-pdf
August 02, 2013 - Rapid response teams: a systematic review and meta-
analysis.
August 2, 2013
Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis.
Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424.
https://psnet.ahrq.gov/issue/rapid-response-teams-systematic-review…
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psnet.ahrq.gov/node/841480/psn-pdf
December 14, 2022 - Patient safety culture as a space of social struggle:
understanding infection prevention practice and patient
safety culture within hospital isolation settings - a
qualitative study.
December 14, 2022
Hunt J, Gammon J, Williams S, et al. Patient safety culture as a space of social struggle: understanding
infectio…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
June 01, 2011 - Spotlight Case July 2008
Spotlight Case
The ECG is Not Normal
*
*
Source and Credits
This presentation is based on the June 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Abigail Zuger, MD, Columbia University
Editor, AHRQ WebM&M: Robe…
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - SPOTLIGHT CASE
Harm From Alarm Fatigue
Citation Text:
Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 X…
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psnet.ahrq.gov/web-mm/ecg-not-normal
November 10, 2015 - SPOTLIGHT CASE
The ECG Is Not Normal
Citation Text:
Zuger A. The ECG Is Not Normal. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - In Conversation With… Didier Pittet, MD, MS
May 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - Emergency Error
August 21, 2013
Symons NRA. Emergency Error. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/emergency-error
Case Objectives
State that emergency surgery is high risk and has high mortality.
Appreciate that emergency laparotomy is a particularly high-risk procedure with a high likelihood of
…
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psnet.ahrq.gov/issue/successful-implementation-standardized-multidisciplinary-bedside-rounds-including-daily-goals
September 03, 2011 - Study
Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU.
Citation Text:
Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediat…
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psnet.ahrq.gov/issue/physicians-training-attitudes-patient-safety-2003-2008
May 04, 2022 - Study
Physicians-in-training attitudes on patient safety: 2003 to 2008.
Citation Text:
Sorokin R, Riggio JM, Moleski S, et al. Physicians-in-training attitudes on patient safety: 2003 to 2008. J Patient Saf. 2011;7(3):133-138. doi:10.1097/PTS.0b013e31822a9c5e.
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Forma…
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psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care
November 16, 2022 - Study
The Human Factors Analysis Classification System (HFACS) applied to health care.
Citation Text:
Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623. …
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psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom
December 19, 2012 - Commentary
As she lay dying: how I fought to stop medical errors from killing my mom.
Citation Text:
Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833.
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For…
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psnet.ahrq.gov/issue/effect-communication-errors-during-calls-antimicrobial-stewardship-program
June 22, 2022 - Study
Effect of communication errors during calls to an antimicrobial stewardship program.
Citation Text:
Linkin DR, Fishman NO, Landis R, et al. Effect of communication errors during calls to an antimicrobial stewardship program. Infect Control Hosp Epidemiol. 2007;28(12):1374-1381.
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