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  1. psnet.ahrq.gov/issue/pediatric-obesity-and-safety-inpatient-settings-systematic-literature-review
    November 12, 2014 - Review Pediatric obesity and safety in inpatient settings: a systematic literature review. Citation Text: Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/000992281…
  2. psnet.ahrq.gov/issue/opioid-dependence-and-overdose-after-surgery-rate-risk-factors-and-reasons
    August 05, 2020 - Study Opioid dependence and overdose after surgery: rate, risk factors, and reasons. Citation Text: Wylie JA, Kong L, Barth RJ. Opioid dependence and overdose after surgery: rate, risk factors, and reasons. Ann Surg. 2022;276(3):e192-e198. doi:10.1097/sla.0000000000005546. Copy Citatio…
  3. psnet.ahrq.gov/issue/putting-knowledge-practice-does-information-adverse-drug-interactions-influence-peoples
    June 14, 2023 - Study Putting knowledge into practice: does information on adverse drug interactions influence people's dosing behaviour? Citation Text: Dohle S, Dawson IGJ. Putting knowledge into practice: Does information on adverse drug interactions influence people's dosing behaviour? Br J Health Ps…
  4. psnet.ahrq.gov/issue/effects-team-based-assessment-and-intervention-patient-safety-culture-general-practice-open
    August 14, 2013 - Study Effects of a team-based assessment and intervention on patient safety culture in general practice: an open randomised controlled trial. Citation Text: Hoffmann B, Müller V, Rochon J, et al. Effects of a team-based assessment and intervention on patient safety culture in general p…
  5. psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general-practice
    January 08, 2014 - Study "Every error counts": a web-based incident reporting and learning system for general practice. Citation Text: Hoffmann B, Beyer M, Rohe J, et al. "Every error counts": a web-based incident reporting and learning system for general practice. Qual Saf Health Care. 2008;17(4):307-12…
  6. psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
    March 10, 2021 - Study The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. Citation Text: Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in R…
  7. psnet.ahrq.gov/issue/harvard-medical-practice-study-trigger-system-performance-deceased-patients
    March 02, 2022 - Study The Harvard Medical Practice Study trigger system performance in deceased patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. The Harvard medical practice study trigger system performance in deceased patients. BMC Health Serv Res. 2019;19(1):16. doi:10.1186/s129…
  8. psnet.ahrq.gov/issue/effect-rapid-response-system-patients-shock-time-treatment-and-mortality-during-5-years
    October 19, 2022 - Study Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Citation Text: Sebat F, Musthafa AA, Johnson D, et al. Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Crit Care M…
  9. psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
    February 07, 2024 - Study Estimating the hospital costs of inpatient harms. Citation Text: Anand P, Kranker K, Chen AY. Estimating the hospital costs of inpatient harms. Health Serv Res. 2019;54(1):86-96. doi:10.1111/1475-6773.13066. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…
  10. psnet.ahrq.gov/issue/crew-resource-management-intensive-care-unit-prospective-3-year-cohort-study
    August 10, 2022 - Study Crew resource management in the intensive care unit: a prospective 3-year cohort study. Citation Text: Haerkens MHTM, Kox M, Lemson J, et al. Crew Resource Management in the Intensive Care Unit: a prospective 3-year cohort study. Acta Anaesthesiol Scand. 2015;59(10):1319-29. doi:10…
  11. psnet.ahrq.gov/issue/association-electronic-health-record-design-and-use-factors-clinician-stress-and-burnout
    January 23, 2017 - Study Classic Association of electronic health record design and use factors with clinician stress and burnout. Citation Text: Kroth PJ, Morioka-Douglas N, Veres S, et al. Association of electronic health record design and use factors with clinician stress and b…
  12. psnet.ahrq.gov/issue/new-category-never-events-ending-harmful-hospital-policies
    September 07, 2022 - Commentary A new category of "never events"-ending harmful hospital policies. Citation Text: Chokshi DA, Beckman AL. A new category of "never events"-ending harmful hospital policies. JAMA Health Forum. 2022;3(10):e224703. doi:10.1001/jamahealthforum.2022.4703. Copy Citation Format…
  13. psnet.ahrq.gov/issue/impact-stewardship-interventions-antiretroviral-medication-errors-urban-medical-center-three
    February 10, 2016 - Study Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. Citation Text: Zucker J, Mittal J, Jen S-P, et al. Impact of Stewardship Interventions on Antiretroviral Medication Errors in an Urban Medical Center…
  14. psnet.ahrq.gov/issue/beyond-team-understanding-interprofessional-work-two-north-american-icus
    January 14, 2014 - Study Beyond the team: understanding interprofessional work in two North American ICUs. Citation Text: Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.000000000000113…
  15. psnet.ahrq.gov/issue/designing-critical-care-nurse-led-rapid-response-team-using-only-available-resources-6-years
    December 21, 2014 - Study Designing a critical care nurse–led rapid response team using only available resources: 6 years later. Citation Text: Mitchell A, Schatz M, Francis H. Designing a critical care nurse-led rapid response team using only available resources: 6 years later. Crit Care Nurse. 2014;34(3):…
  16. psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency
    December 16, 2020 - Study Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. Citation Text: Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric eme…
  17. psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department
    October 27, 2016 - Study Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. Citation Text: Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…
  18. psnet.ahrq.gov/issue/defining-avoidable-healthcare-associated-harm-prisons-mixed-method-development-study
    August 04, 2021 - Study Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. Citation Text: Keers RN, Wainwright V, McFadzean J, et al. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. PLOS One. 2023;18(3):e0282021. doi:10.1…
  19. psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients
    September 29, 2017 - Study Adherence to black box warnings for prescription medications in outpatients. Citation Text: Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44. Copy Citation Format: Goog…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49630/psn-pdf
    July 01, 2011 - doctor at the time of discharge, or immediately faxed a discharge summary or letter to convey the last measured … Effect of a simple two-step warfarin dosing algorithm on anticoagulant control as measured by time in

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