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  1. Adverse events during intrahospital transport of critically ill children: a systematic review. | PSNet

    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. …

  2. Patients' concerns about medical errors during hospitalization. | PSNet

    psnet.ahrq.gov/issue/patients-concerns-about-medical-errors-during-hospitalization
    December 22, 2008 - Study Classic Patients' concerns about medical errors during hospitalization. Citation Text: Burroughs TE, Waterman AD, Gallagher TH, et al. Patients' concerns about medical errors during hospitalization. Jt Comm J Qual Patient Saf. 2007;33(1):5-14. Copy Citat…

  3. Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. | PSNet

    psnet.ahrq.gov/issue/measuring-team-hierarchy-during-high-stakes-clinical-decision-making-development-and
    April 05, 2023 - Study Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. Citation Text: Johansson AC, Manago B, Sell J, et al. Measuring team hierarchy during high-stakes clinical decision making: development and valid…

  4. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription-accuracy
    May 27, 2011 - Study Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Citation Text: Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sc…

  5. COVID-19: an emerging threat to antibiotic stewardship in the emergency department. | PSNet

    psnet.ahrq.gov/issue/covid-19-emerging-threat-antibiotic-stewardship-emergency-department
    October 21, 2020 - Commentary COVID-19: an emerging threat to antibiotic stewardship in the emergency department. Citation Text: Pulia M, Wolf I, Schulz L, et al. COVID-19: an emerging threat to antibiotic stewardship in the emergency department. West J Emerg Med. 2020;21(5):1283-1286. doi:10.5811/westjem.…

  6. The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data. | PSNet

    psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers-and-educational
    September 29, 2017 - Study The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data. Citation Text: Van den Heede K, Lesaffre E, Diya L, et al. The relationship between inpatient cardiac surgery mortality and nurse numbers and edu…

  7. Examining the relationship between nurse fatigue, alertness, and medication errors. | PSNet

    psnet.ahrq.gov/issue/examining-relationship-between-nurse-fatigue-alertness-and-medication-errors
    October 10, 2015 - Study Examining the relationship between nurse fatigue, alertness, and medication errors. Citation Text: Farag A, Gallagher J, Carr L. Examining the relationship between nurse fatigue, alertness, and medication errors. West J Nurs Res. 2024;46(4):288-295. doi:10.1177/01939459241236631. …

  8. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. | PSNet

    psnet.ahrq.gov/issue/hospital-based-transfusion-error-tracking-2005-2010-identifying-key-errors-threatening
    March 09, 2022 - Study Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. Citation Text: Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening …

  9. Medication accuracy in electronic health records for microbial keratitis. | PSNet

    psnet.ahrq.gov/issue/medication-accuracy-electronic-health-records-microbial-keratitis
    September 29, 2021 - Study Medication accuracy in electronic health records for microbial keratitis. Citation Text: Ashfaq HA, Lester CA, Ballouz D, et al. Medication Accuracy in Electronic Health Records for Microbial Keratitis. JAMA Ophthalmal. 2019;137(8):929-931. doi:10.1001/jamaophthalmol.2019.1444. C…

  10. Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. | PSNet

    psnet.ahrq.gov/issue/multilevel-factors-associated-time-biopsy-after-abnormal-screening-mammography-results-race
    March 24, 2021 - Study Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. Citation Text: Lawson MB, Bissell MCS, Miglioretti DL, et al. Multilevel factors associated with time to biopsy after abnormal screening mammography results by race…

  11. A proposed approach to allegations of sexual boundary violation in health care. | PSNet

    psnet.ahrq.gov/issue/proposed-approach-allegations-sexual-boundary-violation-health-care
    October 19, 2022 - Study A proposed approach to allegations of sexual boundary violation in health care. Citation Text: Cooper WO, Foster JJ, Hickson GB, et al. A proposed approach to allegations of sexual boundary violation in health care. Jt Comm J Qual Patient Saf. 2023;49(12):671-679. doi:10.1016/j.jcj…

  12. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. | PSNet

    psnet.ahrq.gov/issue/radiologist-errors-modality-anatomic-region-and-pathology-16-million-exams-what-we-have
    October 18, 2023 - Study Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Citation Text: Lamoureux C, Hanna TN, Sprecher D, et al. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Emerg Rad…

  13. A war on two fronts: cancer care in the time of COVID-19. | PSNet

    psnet.ahrq.gov/issue/war-two-fronts-cancer-care-time-covid-19
    March 12, 2025 - Commentary A war on two fronts: cancer care in the time of COVID-19. Citation Text: Kutikov A, Weinberg DS, Edelman MJ, et al. A war on two fronts: cancer care in the time of COVID-19. Ann Intern Med. 2020;172(11):756-758. doi:10.7326/m20-1133. Copy Citation Format: DOI Goo…

  14. Visual acuity, literacy, and unintentional misuse of nonprescription medications. | PSNet

    psnet.ahrq.gov/issue/visual-acuity-literacy-and-unintentional-misuse-nonprescription-medications
    November 26, 2014 - Study Visual acuity, literacy, and unintentional misuse of nonprescription medications. Citation Text: Mullen RJ, Curtis LM, O'Conor R, et al. Visual acuity, literacy, and unintentional misuse of nonprescription medications. Am J Health-Syst Pharm. 2018;75(9):e213-e220. doi:10.2146/ajhp1…

  15. Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program. | PSNet

    psnet.ahrq.gov/issue/engaging-residents-and-fellows-improve-institution-wide-quality-first-six-years-novel
    May 05, 2010 - Study Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program. Citation Text: Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a no…

  16. Diagnostic error in children presenting with acute medical illness to a community hospital. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-children-presenting-acute-medical-illness-community-hospital
    September 25, 2011 - Study Diagnostic error in children presenting with acute medical illness to a community hospital. Citation Text: Warrick C, Patel P, Hyer W, et al. Diagnostic error in children presenting with acute medical illness to a community hospital. Int J Qual Health Care. 2014;26(5):538-46. doi:1…

  17. US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. | PSNet

    psnet.ahrq.gov/issue/us-internal-medicine-program-director-perceptions-alignment-graduate-medical-education-and
    July 02, 2014 - Study US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. Citation Text: Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Ali…

  18. Can we rely on patients' reports of adverse events? | PSNet

    psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events
    December 29, 2014 - Study Classic Can we rely on patients' reports of adverse events? Citation Text: Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. Copy Citation Format…

  19. Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease. | PSNet

    psnet.ahrq.gov/issue/missed-diagnosis-new-onset-systolic-heart-failure-first-presentation-children-no-known-heart
    August 18, 2021 - Study Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease. Citation Text: Puri K, Singh H, Denfield SW, et al. Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease…

  20. Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. | PSNet

    psnet.ahrq.gov/issue/pharmacist-counseling-when-dispensing-naloxone-standing-order-secret-shopper-study-4-chain
    March 17, 2021 - Study Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. Citation Text: Contreras J, Baus C, Brandt C, et al. Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. J Am …
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