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  1. Undertriage of elderly trauma patients to state-designated trauma centers. | PSNet

    psnet.ahrq.gov/issue/undertriage-elderly-trauma-patients-state-designated-trauma-centers
    December 08, 2021 - Study Undertriage of elderly trauma patients to state-designated trauma centers. Citation Text: Chang DC, Bass RR, Cornwell EE, et al. Undertriage of elderly trauma patients to state-designated trauma centers. Arch Surg. 2008;143(8):776-782. doi:10.1001/archsurg.143.8.776. Copy Citati…

  2. Severe hyperglycemia in patients incorrectly using insulin pens at home. | PSNet

    psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrectly-using-insulin-pens-home
    December 15, 2021 - Press Release/Announcement Severe hyperglycemia in patients incorrectly using insulin pens at home. Citation Text: Severe hyperglycemia in patients incorrectly using insulin pens at home. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American…

  3. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. | PSNet

    psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
    June 27, 2012 - Commentary Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Citation Text: Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…

  4. Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. | PSNet

    psnet.ahrq.gov/issue/potentially-dangerous-confusion-between-bloxiverz-neostigmine-injection-and-vazculep
    July 08, 2015 - Press Release/Announcement Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. Citation Text: Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. National Alert Net…

  5. As industry automates, adverse events continue to haunt caregivers. | PSNet

    psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
    February 08, 2023 - Newspaper/Magazine Article As industry automates, adverse events continue to haunt caregivers. Citation Text: Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim. Copy Citation Format: Google Scholar PubM…

  6. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. | PSNet

    psnet.ahrq.gov/issue/advancing-science-measurement-diagnostic-errors-healthcare-safer-dx-framework
    December 06, 2023 - Commentary Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. Citation Text: Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf. 2015;24(2):103-110. doi:10.1136/bm…

  7. What is new in paediatric medication safety? | PSNet

    psnet.ahrq.gov/issue/what-new-paediatric-medication-safety
    June 28, 2017 - Review What is new in paediatric medication safety? Citation Text: Kahn S, Abramson EL. What is new in paediatric medication safety? Arch Dis Child. 2019;104(6):596-599. doi:10.1136/archdischild-2018-315175. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

  8. Electronic health records and National Patient-Safety Goals. | PSNet

    psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safety-goals
    December 06, 2023 - Commentary Electronic health records and National Patient-Safety Goals. Citation Text: Sittig DF, Singh H. Electronic Health Records and National Patient-Safety Goals. New England Journal of Medicine. 2012;367(19). doi:10.1056/nejmsb1205420. Copy Citation Format: DOI Goog…

  9. Hiding in plain sight—resurrecting the power of inspecting the patient. | PSNet

    psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
    September 16, 2020 - Commentary Hiding in plain sight—resurrecting the power of inspecting the patient. Citation Text: Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634. Copy Citatio…

  10. New technology for transfusion safety. | PSNet

    psnet.ahrq.gov/issue/new-technology-transfusion-safety
    September 09, 2020 - Commentary New technology for transfusion safety. Citation Text: Dzik WH. New technology for transfusion safety. Br J Haematol. 2006;136(2). doi:10.1111/j.1365-2141.2006.06373.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  11. Electronic health records and malpractice claims in office practice. | PSNet

    psnet.ahrq.gov/issue/electronic-health-records-and-malpractice-claims-office-practice
    December 31, 2014 - Study Electronic health records and malpractice claims in office practice. Citation Text: Virapongse A, Bates DW, Shi P, et al. Electronic health records and malpractice claims in office practice. Arch Intern Med. 2008;168(21):2362-7. doi:10.1001/archinte.168.21.2362. Copy Citation …

  12. Incorporating indications into medication ordering—time to enter the age of reason. | PSNet

    psnet.ahrq.gov/issue/incorporating-indications-medication-ordering-time-enter-age-reason
    June 05, 2018 - Commentary Incorporating indications into medication ordering—time to enter the age of reason. Citation Text: Schiff G, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter the Age of Reason. N Engl J Med. 2016;375(4):306-9. doi:10.1056/NEJMp16039…

  13. An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. | PSNet

    psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
    May 16, 2012 - Book/Report An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. Citation Text: An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…

  14. Adverse events following an emergency department visit. | PSNet

    psnet.ahrq.gov/issue/adverse-events-following-emergency-department-visit
    April 22, 2011 - Study Adverse events following an emergency department visit. Citation Text: Forster AJ, Rose NGW, van Walraven C, et al. Adverse events following an emergency department visit. Qual Saf Health Care. 2007;16(1):17-22. Copy Citation Format: Google Scholar PubMed BibTeX End…

  15. Health literacy in primary care practice. | PSNet

    psnet.ahrq.gov/issue/health-literacy-primary-care-practice
    September 06, 2017 - Commentary Health literacy in primary care practice. Citation Text: Hersh L, Salzman B, Snyderman D. Health Literacy in Primary Care Practice. Am Fam Physician. 2015;92(2):118-124. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  16. Quality improvement in medical education: current state and future directions. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-medical-education-current-state-and-future-directions
    June 09, 2015 - Review Quality improvement in medical education: current state and future directions. Citation Text: Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x. Cop…

  17. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. | PSNet

    psnet.ahrq.gov/issue/sources-and-types-discrepancies-between-electronic-medical-records-and-actual-outpatient
    July 19, 2023 - Study Sources and types of discrepancies between electronic medical records and actual outpatient medication use. Citation Text: Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. J Manag Care Pharm. 2008;14(7):626-631…

  18. Standardised proformas improve patient handover: audit of trauma handover practice. | PSNet

    psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
    October 19, 2022 - Study Standardised proformas improve patient handover: audit of trauma handover practice. Citation Text: Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24. C…

  19. Patients' and health care professionals' attitudes towards the PINK patient safety video. | PSNet

    psnet.ahrq.gov/issue/patients-and-health-care-professionals-attitudes-towards-pink-patient-safety-video
    December 16, 2013 - Study Patients' and health care professionals' attitudes towards the PINK patient safety video. Citation Text: Davis R, Pinto A, Sevdalis N, et al. Patients' and health care professionals' attitudes towards the PINK patient safety video. J Eval Clin Pract. 2012;18(4):848-53. doi:10.111…

  20. Do safety checklists improve teamwork and communication in the operating room? A systematic review. | PSNet

    psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
    January 19, 2016 - Review Do safety checklists improve teamwork and communication in the operating room? A systematic review. Citation Text: Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg. 2013;258(6):856-71. …
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