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psnet.ahrq.gov/issue/combining-ratings-multiple-physician-reviewers-helped-overcome-uncertainty-associated-adverse
December 22, 2010 - Study
Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification.
Citation Text:
Forster AJ, O'Rourke K, Shojania KG, et al. Combining ratings from multiple physician reviewers helped to overcome the uncertainty a…
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psnet.ahrq.gov/issue/safety-through-redundancy-case-study-hospital-patient-transfers
November 03, 2015 - Study
Safety through redundancy: a case study of in-hospital patient transfers.
Citation Text:
Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972.
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psnet.ahrq.gov/issue/perceived-adverse-patient-outcomes-correlated-nurses-workload-medical-and-surgical-wards
February 01, 2013 - Study
Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait.
Citation Text:
Al-Kandari F, Thomas D. Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected ho…
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psnet.ahrq.gov/issue/patient-safety-obstetrics-what-aviators-firefighters-and-others-can-teach-us
January 22, 2017 - Commentary
Patient safety in obstetrics: what aviators, firefighters and others can teach us.
Citation Text:
Guise J-M, Lowe NK, Connell L. Patient Safety in Obstetrics: What Aviators, Firefighters and Others Can Teach Us. Nurs Womens Health. 2008;12(3):208-215. doi:10.1111/j.1751-486x…
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psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during
September 03, 2011 - Study
Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration.
Citation Text:
Kelly T, Roper C, Elsom S, et al. Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during …
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psnet.ahrq.gov/issue/prevalence-medication-administration-errors-two-medical-units-automated-prescription-and
February 26, 2020 - Study
Prevalence of medication administration errors in two medical units with automated prescription and dispensing.
Citation Text:
Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. Prevalence of medication administration errors in two medical units with automated presc…
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psnet.ahrq.gov/issue/measurement-and-monitoring-patient-safety-prehospital-care-systematic-review
November 17, 2021 - Review
Measurement and monitoring patient safety in prehospital care: a systematic review.
Citation Text:
O’Connor P, O’malley R, Oglesby A-M, et al. Measurement and monitoring patient safety in prehospital care: a systematic review. Int J Health Care Qual. 2021;33(1):mzab013. doi:10.109…
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psnet.ahrq.gov/issue/pediatric-transport-safety-collaborative-adverse-events-parental-presence-during-pediatric
December 09, 2020 - Study
Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport.
Citation Text:
Ali A, Miller MR, Cameron S, et al. Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical car…
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psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-2009-consensus-development
November 16, 2022 - Commentary
The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference.
Citation Text:
Rodriguez R. The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. Hos…
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psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses
May 25, 2022 - Study
Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children.
Citation Text:
Packendorff N, Magnusson C, Axelsson C, et al. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and nea…
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psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct
August 17, 2022 - Study
The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants.
Citation Text:
Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…
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psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
September 29, 2021 - Review
Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review.
Citation Text:
Mohanna Z, Kusljic S, Jarden R. Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: a systematic revi…
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psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed
October 27, 2021 - Study
Use of e-triggers to identify diagnostic errors in the paediatric ED.
Citation Text:
Lam D, Dominguez F, Leonard J, et al. Use of e-triggers to identify diagnostic errors in the paediatric ED. BMJ Qual Saf. 2022;31(10):735-743. doi:10.1136/bmjqs-2021-013683.
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psnet.ahrq.gov/issue/frequency-type-and-degree-potential-harm-adverse-safety-events-among-pediatric-emergency
October 19, 2022 - Study
Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters.
Citation Text:
Cicero MX, Baird J, Brown L, et al. Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical …
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psnet.ahrq.gov/issue/can-targeted-educational-approach-improve-situational-awareness-paramedicine-during-911
October 05, 2022 - Study
Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls?
Citation Text:
Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? Int Emerg Nu…
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psnet.ahrq.gov/node/72739/psn-pdf
February 10, 2021 - Approximately five
minutes later, she developed acute signs of stroke. … ACR) defines three time frame categories for actionable findings that
require communication: within minutes
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psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - His peak airway
pressures were initially 23-25 cm H2O but suddenly increased to 48-52 about 30 minutes … Thirty minutes into the operation the airway pressures suddenly increased from 25 to 50 cm of H2O and
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - Busy PCPs who may only have 15 minutes for a visit cannot be expected to complete a detailed neurologic … Yet, a brief, focused, high-yield exam can be performed in 5 minutes and help avoid missing key diagnoses
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psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - For patients without contraindications, neostigmine 2 mg intravenously over 3–5 minutes is generally … stimulating colonic contraction and decompression.( 4 ) Stool production is generally swift, within 15 minutes
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - this institution, culture specimens are ultimately tested at the microbiology laboratory located 10 minutes … samples from the patient care sites. 5 For this patient case, the microbiology laboratory was located 10 minutes