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psnet.ahrq.gov/issue/observational-study-changes-long-term-medication-after-admission-intensive-care-unit
January 06, 2018 - November 29, 2023
Effect of illness severity and comorbidity on patient safety and adverse
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psnet.ahrq.gov/node/45956/psn-pdf
March 15, 2017 - Discrepancies between clinical diagnoses and autopsy
findings in critically ill children: a prospective study.
March 15, 2017
Carlotti APCP, Bachette LG, Carmona F, et al. Discrepancies Between Clinical Diagnoses and Autopsy
Findings in Critically Ill Children: A Prospective Study. Am J Clin Pathol. 2016;146(6):701…
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psnet.ahrq.gov/node/45507/psn-pdf
November 02, 2016 - Information handoff and outcomes of critically ill patients
transferred between hospitals.
November 2, 2016
Usher MG, Fanning C, Wu D, et al. Information handoff and outcomes of critically ill patients transferred
between hospitals. J Crit Care. 2016;36:240-245. doi:10.1016/j.jcrc.2016.08.006.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/38781/psn-pdf
July 15, 2009 - Medical errors and consequent adverse events in
critically ill surgical patients in a tertiary care teaching
hospital in Delhi.
July 15, 2009
Kumar S, Chaudhary S. Medical errors and consequent adverse events in critically ill surgical patients in a
tertiary care teaching hospital in Delhi. J Emerg Trauma Shock. 2…
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psnet.ahrq.gov/node/46248/psn-pdf
October 23, 2018 - Medical errors, malpractice, and defensive medicine: an
ill-fated triad.
October 23, 2018
Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berl).
2017;4(3):133-139. doi:10.1515/dx-2017-0007.
https://psnet.ahrq.gov/issue/medical-errors-malpractice-and-defensive-medicine-…
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psnet.ahrq.gov/node/43470/psn-pdf
September 10, 2014 - Identifying critically ill patients at risk for inappropriate
antibiotic therapy: a pilot study of a point-of-care decision
support alert.
September 10, 2014
Micek ST, Heard KM, Gowan M, et al. Identifying critically ill patients at risk for inappropriate antibiotic
therapy: a pilot study of a point-of-care decisi…
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psnet.ahrq.gov/node/45378/psn-pdf
January 23, 2017 - Quantitative analysis of the content of EMS handoff of
critically ill and injured patients to the emergency
department.
January 23, 2017
Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically
Ill and Injured Patients to the Emergency Department. Prehosp Emerg Ca…
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psnet.ahrq.gov/node/42459/psn-pdf
July 31, 2013 - Improving adverse drug event detection in critically ill
patients through screening intensive care unit transfer
summaries.
July 31, 2013
Anthes AM, Harinstein LM, Smithburger PL, et al. Improving adverse drug event detection in critically ill
patients through screening intensive care unit transfer summaries. Phar…
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psnet.ahrq.gov/node/40725/psn-pdf
October 16, 2012 - While some medication discontinuation is not surprising in the setting of a
critical illness that may
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psnet.ahrq.gov/node/42548/psn-pdf
December 29, 2014 - did not include
geriatric syndromes like delirium that may result as a complication of underlying illness
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psnet.ahrq.gov/node/46481/psn-pdf
August 20, 2018 - escalation would be more likely to be due to a preventable patient safety
problem than underlying illness
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
September 01, 2008 - Steroids
Whenever initiating glucocorticoid therapy empirically without certainty of the underlying illness … systemic process that could be generating an excess inflammatory cytokine release, “cytokine storm”
Illness … factors for osteoporosis
Take-Home Points
For a patient with a glucocorticoid-responsive chronic illness
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psnet.ahrq.gov/node/74256/psn-pdf
January 19, 2022 - Potentially severe incidents during interhospital transport
of critically ill patients, frequently occurring but rarely
reported: a prospective study.
January 19, 2022
Eiding H, Røise O, Kongsgaard UE. Potentially severe incidents during interhospital transport of critically ill
patients, frequently occurring but …
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psnet.ahrq.gov/node/42916/psn-pdf
February 05, 2014 - Are autopsy findings still relevant to the management of
critically ill patients in the modern era?
February 5, 2014
Fröhlich S, Ryan O, Murphy N, et al. Are autopsy findings still relevant to the management of critically ill
patients in the modern era? Crit Care Med. 2014;42(2):336-43. doi:10.1097/CCM.0b013e3182a2…
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psnet.ahrq.gov/node/34921/psn-pdf
February 27, 2009 - A controlled trial of smart infusion pumps to improve
medication safety in critically ill patients.
February 27, 2009
Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication
safety in critically ill patients. Crit Care Med. 2005;33(3):533-540.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/46014/psn-pdf
April 05, 2017 - Immersive high fidelity simulation of critically ill patients
to study cognitive errors: a pilot study.
April 5, 2017
Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study
cognitive errors: a pilot study. BMC Med Educ. 2017;17(1):36. doi:10.1186/s12909-017-0871-x…
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psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-children-systematic-review
October 14, 2020 - Review
Adverse events during intrahospital transport of critically ill children: a systematic review.
Citation Text:
Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review. Anesth Analg. 2020;131(4):1135-1145. …
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psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes
January 24, 2024 - September 6, 2016
FDA begins inquiry after death and illness from saline bags meant for
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psnet.ahrq.gov/node/36852/psn-pdf
August 29, 2011 - Medication errors among acutely ill and injured children
treated in rural emergency departments.
August 29, 2011
Marcin JP, Dharmar M, Cho M, et al. Medication errors among acutely ill and injured children treated in
rural emergency departments. Ann Emerg Med. 2007;50(4):361-7, 367.e1-2.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/36407/psn-pdf
April 19, 2011 - Adverse events experienced while transferring the
critically ill patient from the emergency department to the
intensive care unit.
April 19, 2011
Gillman L, Leslie G, Williams T, et al. Adverse events experienced while transferring the critically ill patient
from the emergency department to the intensive care unit…