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Analysis of medication prescribing errors in critically ill children. | PSNet

psnet.ahrq.gov/issue/analysis-medication-prescribing-errors-critically-ill-children

March 28, 2012 - Study Analysis of medication prescribing errors in critically ill children. Citation Text: Glanzmann C, Frey B, Meier CR, et al. Analysis of medication prescribing errors in critically ill children. Eur J Pediatr. 2015;174(10):1347-1355. doi:10.1007/s00431-015-2542-4. Copy Citation …

Can we make postoperative patient handovers safer? A systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/can-we-make-postoperative-patient-handovers-safer-systematic-review-literature

June 10, 2015 - Review Can we make postoperative patient handovers safer? A systematic review of the literature. Citation Text: Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012;115(1):102-15. doi:1…

Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. | PSNet

psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed

September 01, 2021 - Study Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. Citation Text: Schulz CM, Burden A, Posner KL, et al. Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims Anal…

Outcomes after out-of-hospital endotracheal intubation errors. | PSNet

psnet.ahrq.gov/issue/outcomes-after-out-hospital-endotracheal-intubation-errors

July 20, 2010 - Study Outcomes after out-of-hospital endotracheal intubation errors. Citation Text: Wang HE, Cook LJ, Chang C-CH, et al. Outcomes after out-of-hospital endotracheal intubation errors. Resuscitation. 2009;80(1):50-5. doi:10.1016/j.resuscitation.2008.08.016. Copy Citation Format…

Development of a modified early warning score using the electronic medical record. | PSNet

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April 28, 2021 - Commentary Development of a modified early warning score using the electronic medical record. Citation Text: Albert BL, Huesman L. Development of a modified early warning score using the electronic medical record. Dimens Crit Care Nurs. 2011;30(5):283-292. doi:10.1097/DCC.0b013e3182277…

Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era. | PSNet

psnet.ahrq.gov/issue/horus-meets-nightingale-modern-age-how-nursing-communicates-pharmacy-hcit-era

July 10, 2008 - Study Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era. Citation Text: Armstrong I, Cox MA. Horus meets Nightingale in the modern age: How nursing communicates with pharmacy in HCIT era. Stud Health Technol Inform. 2006;122:585-6. Copy Cit…

FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. | PSNet

psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-patient-injury

October 19, 2022 - Press Release/Announcement FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. Citation Text: FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

Patient safety informatics: meeting the challenges of emerging digital health. | PSNet

psnet.ahrq.gov/issue/patient-safety-informatics-meeting-challenges-emerging-digital-health

June 08, 2022 - Commentary Patient safety informatics: meeting the challenges of emerging digital health. Citation Text: McInerney C, Benn J, Dowding D, et al. Patient safety informatics: meeting the challenges of emerging digital health. Stud Health Technol Inform. 2022;290:364-368. doi:10.3233/shti220…

Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery. | PSNet

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September 27, 2016 - Study Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery. Citation Text: Henrickson SE, Wadhera RK, Elbardissi AW, et al. Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery. J Am Coll Surg. 2009;20…

Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. | PSNet

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January 12, 2022 - Review Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. Citation Text: Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …

French national survey of inpatient adverse events prospectively assessed with ward staff. | PSNet

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March 06, 2005 - Study French national survey of inpatient adverse events prospectively assessed with ward staff. Citation Text: Michel P, Quenon JL, Djihoud A, et al. French national survey of inpatient adverse events prospectively assessed with ward staff. Qual Saf Health Care. 2007;16(5):369-77. C…

Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations to healthcare. | PSNet

psnet.ahrq.gov/issue/near-misses-are-opportunity-improve-patient-safety-adapting-strategies-high-reliability

July 01, 2011 - Review Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations to healthcare. Citation Text: Van Spall H, Kassam A, Tollefson TT. Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability orga…

A systematic review of team training in health care: ten questions. | PSNet

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September 11, 2016 - Review A systematic review of team training in health care: ten questions. Citation Text: Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004. Copy Cita…

Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. | PSNet

psnet.ahrq.gov/issue/adverse-events-robotic-surgery-retrospective-study-14-years-fda-data

June 24, 2020 - Study Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. Citation Text: Alemzadeh H, Raman J, Leveson N, et al. Adverse Events in Robotic Surgery: A Retrospective Study of 14 Years of FDA Data. PLoS One. 2016;11(4):e0151470. doi:10.1371/journal.pone.0151470…

Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. | PSNet

psnet.ahrq.gov/issue/computerized-physician-order-entry-injectable-antineoplastic-drugs-epidemiologic-study

October 19, 2022 - Study Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. Citation Text: Nerich V, Limat S, Demarchi M, et al. Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of pr…

Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. | PSNet

psnet.ahrq.gov/issue/radiologist-initiated-double-reading-abdominal-ct-retrospective-analysis-clinical-importance

September 01, 2016 - Study Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. Citation Text: Lauritzen PM, Andersen JG, Stokke MV, et al. Radiologist-initiated double reading of abdominal CT: retrospective analysis of the c…

The influence of resident involvement on surgical outcomes. | PSNet

psnet.ahrq.gov/issue/influence-resident-involvement-surgical-outcomes

October 11, 2017 - Study The influence of resident involvement on surgical outcomes. Citation Text: Raval M, Wang X, Cohen ME, et al. The influence of resident involvement on surgical outcomes. J Am Coll Surg. 2011;212(5):889-98. doi:10.1016/j.jamcollsurg.2010.12.029. Copy Citation Format: …

Reducing central line–associated bloodstream infections in North Carolina NICUs. | PSNet

psnet.ahrq.gov/issue/reducing-central-line-associated-bloodstream-infections-north-carolina-nicus

February 15, 2011 - Study Reducing central line–associated bloodstream infections in North Carolina NICUs. Citation Text: Fisher D, Cochran KM, Provost LP, et al. Reducing central line-associated bloodstream infections in North Carolina NICUs. Pediatrics. 2013;132(6):e1664-71. doi:10.1542/peds.2013-2000. …

Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. | PSNet

psnet.ahrq.gov/issue/optimising-surgical-training-use-feedback-reduce-errors-during-simulated-surgical-procedure

February 19, 2014 - Study Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. Citation Text: Boyle E, Al-Akash M, Gallagher AG, et al. Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. Postgrad Med J. 201…

Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. | PSNet

psnet.ahrq.gov/issue/reporting-and-disclosing-medical-errors-pediatricians-attitudes-and-behaviors

April 30, 2014 - Study Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Citation Text: Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med. 2007;161(2):179-85. Copy Citatio…

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