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  1. Analysis of paediatric long-term ventilation incidents in the community | PSNet

    psnet.ahrq.gov/issue/analysis-paediatric-long-term-ventilation-incidents-community
    November 06, 2024 - Study Analysis of paediatric long-term ventilation incidents in the community Citation Text: Nawaz RF, Page B, Harrop E, et al. Analysis of paediatric long-term ventilation incidents in the community. Arch Dis Child. 2020;105(5):446-451. doi:10.1136/archdischild-2019-317965. Copy Citat…

  2. The impact of health information management professionals on patient safety: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-health-information-management-professionals-patient-safety-systematic-review
    August 25, 2021 - Review The impact of health information management professionals on patient safety: a systematic review. Citation Text: Kemp T, Butler‐Henderson K, Allen P, et al. The impact of health information management professionals on patient safety: a systematic review. Health Info Libr J. 2021;3…

  3. Prevalence of medication transfer errors in nephrology patients and potential risk factors. | PSNet

    psnet.ahrq.gov/issue/prevalence-medication-transfer-errors-nephrology-patients-and-potential-risk-factors
    January 26, 2022 - Study Prevalence of medication transfer errors in nephrology patients and potential risk factors. Citation Text: Ebbens MM, Errami H, Moes DJAR, et al. Prevalence of medication transfer errors in nephrology patients and potential risk factors. Eur J Intern Med. 2019;70:50-53. doi:10.1016…

  4. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. | PSNet

    psnet.ahrq.gov/issue/perceptions-risk-patient-safety-pediatric-icu-study-american-pediatric-intensivists
    August 28, 2017 - Study Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Citation Text: Bauer P, Hoffmann RG, Bragg D, et al. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Saf Sci. 2012;53. d…

  5. Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. | PSNet

    psnet.ahrq.gov/issue/inappropriate-dosing-direct-oral-anticoagulants-patients-atrial-fibrillation
    August 04, 2021 - Study Emerging Classic Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. Citation Text: Sugrue A, Sanborn D, Amin M, et al. Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. Am J Cardi…

  6. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. | PSNet

    psnet.ahrq.gov/issue/lawrence-d-dorr-surgical-techniques-technologies-award-running-two-rooms-does-not-compromise
    July 29, 2020 - Study The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. Citation Text: Hamilton WG, Ho H, Parks NL, et al. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running Two Ro…

  7. Information-gathering patterns associated with higher rates of diagnostic error. | PSNet

    psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error
    June 27, 2018 - Study Information-gathering patterns associated with higher rates of diagnostic error. Citation Text: Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…

  8. Leveraging patient safety research: efforts made fifteen years since To Err Is Human. | PSNet

    psnet.ahrq.gov/issue/leveraging-patient-safety-research-efforts-made-fifteen-years-err-human
    March 24, 2019 - Study Leveraging patient safety research: efforts made fifteen years since To Err Is Human. Citation Text: Liang C, Miao Q, Kang H, et al. Leveraging Patient Safety Research: Efforts Made Fifteen Years Since To Err Is Human. Stud Health Technol Inform. 2019;264:983-987. doi:10.3233/SHTI1…

  9. Pediatric medication safety considerations for pharmacists in an adult hospital setting. | PSNet

    psnet.ahrq.gov/issue/pediatric-medication-safety-considerations-pharmacists-adult-hospital-setting
    January 29, 2020 - Commentary Pediatric medication safety considerations for pharmacists in an adult hospital setting. Citation Text: Kennedy AR, Massey LR. Pediatric medication safety considerations for pharmacists in an adult hospital setting. Am J Health Syst Pharm. 2019;76(19):1481-1491. doi:10.1093/aj…

  10. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. | PSNet

    psnet.ahrq.gov/issue/effects-enhanced-discharge-planning-intervention-hospitalized-older-adults-randomized-trial
    September 21, 2016 - Study Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Citation Text: Altfeld SJ, Shier GE, Rooney M, et al. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Gerontologist.…

  11. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/active-surveillance-using-electronic-triggers-detect-adverse-events-hospitalized-patients
    October 03, 2017 - Study Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Citation Text: Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15(3…

  12. Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland. | PSNet

    psnet.ahrq.gov/issue/assessing-excess-costs-hospital-adverse-events-covered-ahrqs-patient-safety-indicators
    January 10, 2024 - Study Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland. Citation Text: Giese A, Khanam R, Nghiem S, et al. Assessing the excess costs of the in-hospital adverse events covered by the AHRQ’s Patient Safety Indicato…

  13. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve-patient-safety
    December 29, 2014 - Study Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Citation Text: Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;…

  14. Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration. | PSNet

    psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug
    August 07, 2024 - Study Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration. Citation Text: Brajovic S, Piazza-Hepp T, Swartz L, et al. Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administratio…

  15. Taking the pulse of health care systems: experiences of patients with health problems in six countries. | PSNet

    psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six-countries
    December 23, 2012 - Multi-use Website Classic Taking the pulse of health care systems: experiences of patients with health problems in six countries. Citation Text: Schoen C, Osborn R, Huynh PT, et al. Taking The Pulse Of Health Care Systems: Experiences Of Patients With Health P…

  16. Contingency planning for electronic health record–based care continuity: a survey of recommended practices. | PSNet

    psnet.ahrq.gov/issue/contingency-planning-electronic-health-record-based-care-continuity-survey-recommended
    November 11, 2020 - Study Contingency planning for electronic health record–based care continuity: a survey of recommended practices. Citation Text: Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a survey of recommended practices. Int J Med Inform. 2…

  17. Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/frequency-hiv-related-medication-errors-and-associated-risk-factors-hospitalized-patients
    April 24, 2018 - Study Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. Citation Text: Pastakia SD, Corbett AH, Raasch RH, et al. Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. Ann Pharmacother. 2008;42(4)…

  18. Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/effects-clinical-pharmacist-service-health-related-quality-life-and-prescribing-drugs
    December 14, 2022 - Study Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled trial. Citation Text: Bladh L, Ottosson E, Karlsson J, et al. Effects of a clinical pharmacist service on health-related quality of life and prescribing of…

  19. Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. | PSNet

    psnet.ahrq.gov/issue/opioids-prescribed-after-low-risk-surgical-procedures-united-states-2004-2012
    May 29, 2024 - Study Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. Citation Text: Wunsch H, Wijeysundera DN, Passarella MA, et al. Opioids Prescribed After Low-Risk Surgical Procedures in the United States, 2004-2012. JAMA. 2016;315(15):1654-7. doi:10.1001/jama.…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49571/psn-pdf
    October 01, 2008 - Coming Up Short October 1, 2008 Hochberg Z'ev. Coming Up Short. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/coming-short The Case A 12-year-old Hispanic female was seen for a well-child check. The child was delivered 2 months prematurely (likely due to domestic violence) in Puerto Rico. She had an intra…
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