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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60169/psn-pdf
    March 25, 2020 - Is that solution for IV or irrigation?: Fluid administration errors in the operating room. March 25, 2020 Bohringer C. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-erro…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49520/psn-pdf
    September 01, 2006 - DNR in the OR and Afterwards September 1, 2006 Lo B. DNR in the OR and Afterwards. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/dnr-or-and-afterwards The Case An 85-year-old woman with dementia took a mechanical fall at her skilled nursing facility (SNF) and suffered a fractured femur. After initial eval…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853774/psn-pdf
    September 27, 2023 - Delayed Evaluation of Abdominal Pain in an Elderly Patient. September 27, 2023 Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient The Case An 85-year-old woman presente…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49403/psn-pdf
    June 01, 2003 - Missed Appendicitis June 1, 2003 Adams JG. Missed Appendicitis. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/missed-appendicitis Case Objectives Appreciate the variable presentations of appendicitis List complications of missed appendicitis Understand the advantages and disadvantages of CT in diagnosing…

  5. Near miss research in the healthcare system: a scoping review. | PSNet

    psnet.ahrq.gov/issue/near-miss-research-healthcare-system-scoping-review
    July 15, 2020 - Review Near miss research in the healthcare system: a scoping review. Citation Text: Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124. Copy Citation Format: …

  6. Zero harm in health care. | PSNet

    psnet.ahrq.gov/issue/zero-harm-health-care
    August 12, 2020 - Commentary Zero harm in health care. Citation Text: Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2). doi:10.1056/cat.19.1137. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  7. Integrating the intensive care unit safety reporting system with existing incident reporting systems. | PSNet

    psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems
    January 12, 2011 - Study Integrating the intensive care unit safety reporting system with existing incident reporting systems. Citation Text: Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…

  8. Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. | PSNet

    psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-healthcare-practitioners-speak-yet-again
    February 23, 2022 - Newspaper/Magazine Article Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. Citation Text: Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. ISMP Medicatio…

  9. Cognitive biases in surgery: systematic review. | PSNet

    psnet.ahrq.gov/issue/cognitive-biases-surgery-systematic-review
    April 27, 2022 - Review Cognitive biases in surgery: systematic review. Citation Text: Armstrong BA, Dutescu IA, Tung A, et al. Cognitive biases in surgery: systematic review. Br J Surg. 2023;110(6):645-654. doi:10.1093/bjs/znad004. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

  10. Characterization of prescribing errors in an internal medicine clinic. | PSNet

    psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
    March 04, 2011 - Study Characterization of prescribing errors in an internal medicine clinic. Citation Text: Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70. Copy Citation Format: …

  11. Economic evaluation in patient safety: a literature review of methods. | PSNet

    psnet.ahrq.gov/issue/economic-evaluation-patient-safety-literature-review-methods
    March 05, 2025 - Review Economic evaluation in patient safety: a literature review of methods. Citation Text: de Rezende BA, Or Z, Com-Ruelle L, et al. Economic evaluation in patient safety: a literature review of methods. BMJ Qual Saf. 2012;21(6):457-65. doi:10.1136/bmjqs-2011-000191. Copy Citation …

  12. Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitalized-paediatric-patients-systematic-review-and-meta-regression
    February 25, 2015 - Review Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. Citation Text: Berchialla P, Scaioli G, Passi S, et al. Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. J Eval Clin Pract…

  13. Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. | PSNet

    psnet.ahrq.gov/issue/identification-and-safe-storage-look-alike-sound-alike-medicines-automated-dispensing
    June 23, 2009 - Study Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Citation Text: Ruutiainen HK, Kallio MM, Kuitunen SK. Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Eur J Hosp Pharm. 2021…

  14. Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients. | PSNet

    psnet.ahrq.gov/issue/specificity-computerized-physician-order-entry-has-significant-effect-efficiency-workflow
    March 14, 2022 - Study Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients. Citation Text: Ali NA, Mekhjian HS, Kuehn L, et al. Specificity of computerized physician order entry has a significant effect on the efficiency o…

  15. Interprofessional teamwork and team interventions in chronic care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interprofessional-teamwork-and-team-interventions-chronic-care-systematic-review
    April 24, 2019 - Review Interprofessional teamwork and team interventions in chronic care: a systematic review. Citation Text: Körner M, Bütof S, Müller C, et al. Interprofessional teamwork and team interventions in chronic care: A systematic review. J Interprof Care. 2016;30(1):15-28. doi:10.3109/135618…

  16. Safety and diagnostic accuracy of tumor biopsies in children with cancer. | PSNet

    psnet.ahrq.gov/issue/safety-and-diagnostic-accuracy-tumor-biopsies-children-cancer
    September 23, 2020 - Study Safety and diagnostic accuracy of tumor biopsies in children with cancer. Citation Text: Interiano RB, Loh AHP, Hinkle N, et al. Safety and diagnostic accuracy of tumor biopsies in children with cancer. Cancer. 2015;121(7):1098-107. doi:10.1002/cncr.29167. Copy Citation Forma…

  17. Investigating teamwork in the operating room: engaging stakeholders and setting the agenda. | PSNet

    psnet.ahrq.gov/issue/investigating-teamwork-operating-room-engaging-stakeholders-and-setting-agenda
    January 31, 2018 - Study Investigating teamwork in the operating room: engaging stakeholders and setting the agenda. Citation Text: Frasier LL, Quamme SRP, Becker A, et al. Investigating Teamwork in the Operating Room: Engaging Stakeholders and Setting the Agenda. JAMA Surg. 2017;152(1):109-111. doi:10.100…

  18. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. | PSNet

    psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically
    March 15, 2016 - Study A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. Citation Text: Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of…

  19. Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. | PSNet

    psnet.ahrq.gov/issue/predictors-treatment-error-children-uncomplicated-malaria-seen-outpatients-blantyre-district
    May 18, 2022 - Study Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. Citation Text: Osterholt DM, Rowe AK, Hamel MJ, et al. Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre dis…

  20. Detection and prevention of medication misadventures in general practice. | PSNet

    psnet.ahrq.gov/issue/detection-and-prevention-medication-misadventures-general-practice
    May 13, 2020 - Study Detection and prevention of medication misadventures in general practice. Citation Text: Tam KWT, Kwok KH, Fan YMC, et al. Detection and prevention of medication misadventures in general practice. Int J Qual Health Care. 2008;20(3):192-9. doi:10.1093/intqhc/mzn002. Copy Citatio…
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