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  1. Reducing accidental extubation in neonates. | PSNet

    psnet.ahrq.gov/issue/reducing-accidental-extubation-neonates
    September 09, 2011 - Study Reducing accidental extubation in neonates. Citation Text: Loughead JL, Brennan RA, DeJuilio P, et al. Reducing accidental extubation in neonates. Jt Comm J Qual Patient Saf. 2008;34(3):164-170, 125. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  2. The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
    October 12, 2022 - Review The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. Citation Text: Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patien…

  3. The threat within: mitigating the risk of medical error. | PSNet

    psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error
    July 15, 2020 - Book/Report The threat within: mitigating the risk of medical error. Citation Text: Bennett S. The Threat Within: Mitigating The Risk Of Medical Error. Springer International Publishing; 2020. doi:10.1007/978-3-030-23491-1_3. Copy Citation Format: DOI Google Scholar BibTeX…

  4. Methicillin-resistant Staphylococcus aureus disease in three communities. | PSNet

    psnet.ahrq.gov/issue/methicillin-resistant-staphylococcus-aureus-disease-three-communities
    July 03, 2014 - Study Methicillin-resistant Staphylococcus aureus disease in three communities. Citation Text: Fridkin SK, Hageman JC, Morrison M, et al. Methicillin-resistant Staphylococcus aureus disease in three communities. N Engl J Med. 2005;352(14):1436-44. Copy Citation Format: Go…

  5. Performance measures in neurosurgical patient care: differing applications of patient safety indicators. | PSNet

    psnet.ahrq.gov/issue/performance-measures-neurosurgical-patient-care-differing-applications-patient-safety
    June 03, 2020 - Study Performance measures in neurosurgical patient care: differing applications of patient safety indicators. Citation Text: Moghavem N, McDonald KM, Ratliff JK, et al. Performance Measures in Neurosurgical Patient Care: Differing Applications of Patient Safety Indicators. Med Care. 201…

  6. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? | PSNet

    psnet.ahrq.gov/issue/post-event-debriefings-during-neonatal-care-why-are-we-not-doing-them-and-how-can-we-start
    January 15, 2014 - Commentary Post-event debriefings during neonatal care: why are we not doing them, and how can we start? Citation Text: Sawyer T, Loren D, Halamek LP. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? J Perinatol. 2016;36(6):415-9. doi:10.1038/…

  7. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-acute-myocardial-infarction-systematic-review-literature
    July 28, 2021 - Review Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Citation Text: Kwok CS, Bennett S, Azam Z, et al. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Crit Pathw Cardiol. 2021;20(3):155-162. doi:10.1097/hpc.0000000…

  8. Ff 2009 Exhibit1 5 (pdf file)

    hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit1_5.pdf
    January 01, 2009 - 1.5A HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009 20 EXHIBIT 1.5 Patient Age 11,799 271 860 1,155 3,319 6,047 1,278 10,977 229 874 1,213 3,084 5,463 1,284 0 2,000 4,000 6,000 8,000 10,000 12,000 14,000 <1 1-17 18-44 45-64 65-84 85+ All Ages Stays p…

  9. Design for patient safety: a systems-based risk identification framework. | PSNet

    psnet.ahrq.gov/issue/design-patient-safety-systems-based-risk-identification-framework
    February 03, 2021 - Study Emerging Classic Design for patient safety: a systems-based risk identification framework. Citation Text: Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10…

  10. Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. | PSNet

    psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
    October 31, 2014 - Review Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. Citation Text: Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…

  11. Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds. | PSNet

    psnet.ahrq.gov/issue/bar-code-medication-administration-technology-characterization-high-alert-medication-triggers
    April 24, 2018 - Study Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds. Citation Text: Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of High-Alert Medication Triggers and Cl…

  12. Automated identification of extreme-risk events in clinical incident reports. | PSNet

    psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports
    November 03, 2015 - Study Automated identification of extreme-risk events in clinical incident reports. Citation Text: Ong M-S, Magrabi F, Coiera E. Automated identification of extreme-risk events in clinical incident reports. J Am Med Inform Assoc. 2012;19(e1):e110-8. Copy Citation Format: Go…

  13. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. | PSNet

    psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective-evaluation
    February 10, 2015 - Study Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. Citation Text: Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial app…

  14. Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. | PSNet

    psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
    September 07, 2016 - Government Resource Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Citation Text: Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16-328.…

  15. Transforming the morbidity and mortality conference to promote safety and quality in a PICU. | PSNet

    psnet.ahrq.gov/issue/transforming-morbidity-and-mortality-conference-promote-safety-and-quality-picu
    April 28, 2021 - Study Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Citation Text: Cifra CL, Bembea MM, Fackler JC, et al. Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Crit Care Med. 2016;17(1):58-66. doi:10.1…

  16. Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/prospective-observational-study-incidence-medication-errors-during-simulated-resuscitation
    April 22, 2011 - Study Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. Citation Text: Kozer E, Seto W, Verjee Z, et al. Prospective observational study on the incidence of medication errors during simulated resus…

  17. Controlled substance drug diversion by healthcare workers as a threat to patient safety. | PSNet

    psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
    April 05, 2023 - Special or Theme Issue Controlled substance drug diversion by healthcare workers as a threat to patient safety. Citation Text: Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…

  18. Surgical never events in the United States. | PSNet

    psnet.ahrq.gov/issue/surgical-never-events-united-states
    September 10, 2014 - Study Surgical never events in the United States. Citation Text: Mehtsun WT, Ibrahim AM, Diener-West M, et al. Surgical never events in the United States. Surgery. 2013;153(4):465-472. doi:10.1016/j.surg.2012.10.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  19. Patient falls in the operating room: why is this still a problem in 2024? | PSNet

    psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
    May 08, 2024 - Commentary Patient falls in the operating room: why is this still a problem in 2024? Citation Text: Pellegrino A, Brook K. Patient falls in the operating room: why is this still a problem in 2024? J Patient Saf. 2024;20(6):e87-e90. doi:10.1097/pts.0000000000001248. Copy Citation Fo…

  20. An intervention to enhance nursing staff teamwork and engagement. | PSNet

    psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
    June 21, 2010 - Study An intervention to enhance nursing staff teamwork and engagement. Citation Text: Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J Nurs Adm. 2007;37(2):77-84. Copy Citation Format: Google Scholar PubMed BibTeX EndN…
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