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  1. Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive
    January 24, 2024 - Commentary Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. Citation Text: Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive…

  2. How informatics nurses use bar code technology to reduce medication errors. | PSNet

    psnet.ahrq.gov/issue/how-informatics-nurses-use-bar-code-technology-reduce-medication-errors
    August 04, 2021 - Commentary How informatics nurses use bar code technology to reduce medication errors. Citation Text: Gann M. How informatics nurses use bar code technology to reduce medication errors. Nursing (Brux). 2015;45(3):60-6. doi:10.1097/01.NURSE.0000458923.18468.37. Copy Citation Format:…

  3. Impact of intensive care unit discharge time on patient outcome. | PSNet

    psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome
    December 14, 2022 - Study Impact of intensive care unit discharge time on patient outcome. Citation Text: Priestap FA, Martin CM. Impact of intensive care unit discharge time on patient outcome. Crit Care Med. 2006;34(12):2946-2951. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  4. Making care better in the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit
    September 02, 2020 - Review Making care better in the pediatric intensive care unit. Citation Text: Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267-274. doi:10.21037/tp.2018.09.10. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  5. Do HSMRs really measure patient safety?  | PSNet

    psnet.ahrq.gov/issue/do-hsmrs-really-measure-patient-safety
    June 22, 2009 - Special or Theme Issue Do HSMRs really measure patient safety?  Citation Text: Do HSMRs really measure patient safety?  Leatt P; Wen E; Sandoval C; Zelmer J; Webster G; Jarman B; McKinley J; Gibson D; Ardal S; Zahn C; Baker M; MacNaughton J; Flemming C; Bell R; Figler S; Brien SE; Gh…

  6. Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry. | PSNet

    psnet.ahrq.gov/issue/interventional-procedures-outside-operating-room-results-national-anesthesia-clinical
    March 06, 2019 - Study Emerging Classic Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry. Citation Text: Chang B, Kaye AD, Diaz JH, et al. Interventional Procedures Outside of the Operating Room: Results Fro…

  7. FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two neuromuscular blocking agents. | PSNet

    psnet.ahrq.gov/issue/fda-alerts-health-care-professionals-temporary-absence-warning-statement-vial-caps-two
    June 22, 2011 - Press Release/Announcement FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two neuromuscular blocking agents. Citation Text: FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two n…

  8. Roxane Laboratories initiates a nationwide voluntary recall of a single manufacturing lot of Azathioprine tablets in the U.S. and Puerto Rico. | PSNet

    psnet.ahrq.gov/issue/roxane-laboratories-initiates-nationwide-voluntary-recall-single-manufacturing-lot
    June 22, 2011 - Press Release/Announcement Roxane Laboratories initiates a nationwide voluntary recall of a single manufacturing lot of Azathioprine tablets in the U.S. and Puerto Rico. Citation Text: Roxane Laboratories initiates a nationwide voluntary recall of a single manufacturing lot of Azathiop…

  9. Bias and racism teaching rounds at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-center
    August 12, 2020 - Commentary Bias and racism teaching rounds at an academic medical center. Citation Text: Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073. Copy Citation Format: DOI Goog…

  10. Validity of selected patient safety indicators: opportunities and concerns. | PSNet

    psnet.ahrq.gov/issue/validity-selected-patient-safety-indicators-opportunities-and-concerns
    June 04, 2014 - Study Validity of selected patient safety indicators: opportunities and concerns. Citation Text: Kaafarani HMA, Borzecki AM, Itani KMF, et al. Validity of Selected Patient Safety Indicators: Opportunities and Concerns. J Am Coll Surg. 2010;212(6):924-934. doi:10.1016/j.jamcollsurg.2010…

  11. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. | PSNet

    psnet.ahrq.gov/issue/electronic-prescribing-improving-efficiency-and-accuracy-prescribing-ambulatory-care-setting
    March 16, 2022 - Review Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Citation Text: Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspec…

  12. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. | PSNet

    psnet.ahrq.gov/issue/practice-indicators-suboptimal-care-and-avoidable-adverse-events-content-analysis-national
    May 13, 2015 - Study Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. Citation Text: Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a natio…

  13. Health outcomes associated with potentially inappropriate medication use in older adults. | PSNet

    psnet.ahrq.gov/issue/health-outcomes-associated-potentially-inappropriate-medication-use-older-adults
    June 29, 2011 - Study Health outcomes associated with potentially inappropriate medication use in older adults. Citation Text: Fick DM, Mion LC, Beers MH, et al. Health outcomes associated with potentially inappropriate medication use in older adults. Res Nurs Health. 2008;31(1):42-51. doi:10.1002/nur…

  14. Resident duty-hour reform associated with increased morbidity following hip fracture. | PSNet

    psnet.ahrq.gov/issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip-fracture
    October 19, 2022 - Study Resident duty-hour reform associated with increased morbidity following hip fracture. Citation Text: Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJ…

  15. A growth mindset approach to preparing trainees for medical error. | PSNet

    psnet.ahrq.gov/issue/growth-mindset-approach-preparing-trainees-medical-error
    August 19, 2020 - Commentary A growth mindset approach to preparing trainees for medical error. Citation Text: Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. Copy Citation Forma…

  16. A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution. | PSNet

    psnet.ahrq.gov/issue/patient-safety-rounds-pilot-program-clinics-affiliated-large-research-and-education
    August 10, 2022 - Study A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution. Citation Text: Savely SM, Muraca PW, Eller MF, et al. A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution. J Patient …

  17. Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. | PSNet

    psnet.ahrq.gov/issue/safe-practices-copy-and-paste-ehr-systematic-review-recommendations-and-novel-model-health-it
    April 08, 2018 - Review Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. Citation Text: Tsou AY, Lehmann CU, Michel J, et al. Safe Practices for Copy and Paste in the EHR. Systematic Review, Recommendations, and Novel Model for…

  18. Cognitive testing of older clinicians prior to recredentialing. | PSNet

    psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
    January 08, 2020 - Commentary Cognitive testing of older clinicians prior to recredentialing. Citation Text: Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. Copy Citation Format: DOI Google Scholar B…

  19. Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates. | PSNet

    psnet.ahrq.gov/issue/use-medical-abbreviations-and-acronyms-knowledge-among-medical-students-and-postgraduates
    August 23, 2023 - Study Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates. Citation Text: Awan S, Abid S, Tariq M, et al. Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates. Postgrad Med J. 2016;92(1094):721-725. doi:10…

  20. Ensuring access to medications in the US during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/ensuring-access-medications-us-during-covid-19-pandemic
    May 08, 2017 - March 30, 2022 Prescription opioid analgesics commonly unused after surgery: a systematic
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