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3681. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39521/psn-pdf
      May 12, 2010 - Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution. May 12, 2010 Kanwar M, Irvin CB, Frank JJ, et al. Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution. Ann Emerg Med. 2010;55(…

3682. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43075/psn-pdf
      August 02, 2015 - National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations. August 2, 2015 Geller AI, Shehab N, Lovegrove MC, et al. National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations. JAMA Intern …

3683. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43863/psn-pdf
      July 16, 2015 - Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. July 16, 2015 Goldberg A, Silverman E, Samuelson S, et al. Learning through simulated independent practice leads to better future performance in a simulated …

3684. Sources of KID Data and State-Specific Restrictions 2003
      hcup-us.ahrq.gov/db/nation/kid/kid_2003_stspecific_restr.jsp
      January 01, 2000 - Sources of KID Data and State-Specific Restrictions 2003 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

3685. Kid Sources And Restrictions 2003 (pdf file)
      hcup-us.ahrq.gov/db/nation/kid/KID_Sources_and_Restrictions_2003.pdf
      January 01, 2003 - Sources of KID Data and State-Specific Restrictions 2003 AZ Arizona Department of Health Services No restrictions CA Office of Statewide Health Planning & Development Confidentiality of Records • To meet California confidentiality requirements, admission month (AMONTH), age in ye…

3686. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36813/psn-pdf
      March 24, 2011 - Ambulatory care adverse events and preventable adverse events leading to a hospital admission. March 24, 2011 Woods D, Thomas EJ, Holl JL, et al. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. Qual Saf Health Care. 2007;16(2):127-131. https://psnet.ahrq.gov/issue/amb…

3687. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38577/psn-pdf
      April 22, 2009 - Leading your organization to high reliability. April 22, 2009 Kemper C, Boyle DK. Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. doi:10.1097/01.NUMA.0000349684.24165.68. https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability This commentary describes high reliability …

3688. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45225/psn-pdf
      June 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016 Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. J Investig Med High Impact Case R…

3689. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36416/psn-pdf
      December 22, 2010 - A medical error leads to tragedy: how do we inform the patient? December 22, 2010 Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21. https://psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient This roundtable discussion p…

3690. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38886/psn-pdf
      August 26, 2009 - Medication overdoses leading to emergency department visits among children. August 26, 2009 Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018. https://psnet.ahrq.gov/issue/medication…

3691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40641/psn-pdf
      July 27, 2011 - Error in body weight estimation leads to inadequate parenteral anticoagulation. July 27, 2011 Macedo LG dos R, de Oliveira L, Pintão MC, et al. Error in body weight estimation leads to inadequate parenteral anticoagulation. Am J Emerg Med. 2011;29(6):613-7. doi:10.1016/j.ajem.2010.01.006. https://psnet.ahrq.gov/is…

3692. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46463/psn-pdf
      October 04, 2017 - Effectively leading for quality. October 4, 2017 Lachman P, Nicklin W. Effectively leading for quality. Healthc Manage Forum. 2017;30(5):233-236. doi:10.1177/0840470417706705. https://psnet.ahrq.gov/issue/effectively-leading-quality Hospital boards and executives can help drive safety improvement. This commentary …

3693. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41331/psn-pdf
      October 03, 2017 - Leading a highly visible hospital through a serious reportable event. October 3, 2017 Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6. https://psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-repor…

3694. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37417/psn-pdf
      March 28, 2012 - Medication use leading to emergency department visits for adverse drug events in older adults. March 28, 2012 Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. Ann Intern Med. 2007;147(11):755-765. https://psnet.ahrq.gov/issue/med…

3695. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38619/psn-pdf
      May 07, 2018 - Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2. https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea- involuntary-manslaughter …

3696. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39110/psn-pdf
      June 10, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 5, 2009;14:1-3. https://psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time- leading-dru…

3697. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46081/psn-pdf
      April 19, 2017 - Why are medical errors still a leading cause of death? April 19, 2017 Headley M. https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death This magazine article explores the need for robust research and effective reporting to better understand the prevalence of medical errors and how to prevent…

3698. Sources of NIS Data and State-Specific Restrictions 2005
      hcup-us.ahrq.gov/db/nation/nis/nis_2005_stspecific_restr.jsp
      January 01, 2005 - Sources of NIS Data and State-Specific Restrictions 2005 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

3699. Sources of NIS Data and State-Specific Restrictions 2004
      hcup-us.ahrq.gov/db/nation/nis/nis_2004_stspecific_restr.jsp
      January 01, 2004 - Sources of NIS Data and State-Specific Restrictions 2004 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

3700. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44239/psn-pdf
      September 29, 2017 - When medical care leads to harm—difficulty finding words: a teachable moment. September 29, 2017 Chamberlain E, DiVeronica M, Segura R. When medical care leads to harm- difficulty finding words: a teachable moment. JAMA Intern Med. 2015;175(8):1271-1272. doi:10.1001/jamainternmed.2015.2334. https://psnet.ahrq.gov/…