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2541. Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. | PSNet
      psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-evidence-linked-administrative-data
      August 23, 2017 - Book/Report Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. Citation Text: Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. Kennedy-Moulton K, Miller S, Persson P, et al. Cambridge, MA: National Bureau of Econo…

2542. Inpatient notes: diagnostic excellence starts with an incessant watch. | PSNet
      psnet.ahrq.gov/issue/inpatient-notes-diagnostic-excellence-starts-incessant-watch
      August 31, 2022 - Commentary Inpatient notes: diagnostic excellence starts with an incessant watch. Citation Text: Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447. Copy Citation Form…

2543. Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. | PSNet
      psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and-improve
      July 22, 2024 - Meeting/Conference Proceedings Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Citation Text: Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Agency for Healthcare Research a…

2544. System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. | PSNet
      psnet.ahrq.gov/issue/system-governance-towards-improved-patient-safety-key-functions-approaches-and-pathways
      October 07, 2020 - Book/Report System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. Citation Text: System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. Auraaen A, Saar K, Klazinga N for the Organ…

2545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49824/psn-pdf
      March 01, 2018 - She was treated with opioids for mild ongoing pain, and no additional ECGs or laboratory tests were

2546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50928/psn-pdf
      February 21, 2020 - Updates in the Role of Health IT in Patient Safety February 21, 2020 Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety Background Health information technology (HIT) has the potential…

2547. Check Twice, Transport Once | PSNet
      psnet.ahrq.gov/web-mm/check-twice-transport-once
      March 15, 2023 - Check Twice, Transport Once Citation Text: DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

2548. Complaints as Safety Surveillance | PSNet
      psnet.ahrq.gov/web-mm/complaints-safety-surveillance
      May 05, 2021 - Complaints as Safety Surveillance Citation Text: Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

2549. An Untimely End Despite End-of-Life Care Planning | PSNet
      psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
      February 01, 2012 - text-align: left} Return huddle checklist to charge nurse when completed Ensure you have adequate range of opioids

2550. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet
      psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
      March 01, 2015 - She was treated with opioids for mild ongoing pain, and no additional ECGs or laboratory tests were ordered

2551. Application of lean thinking to health care: issues and observations. | PSNet
      psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
      May 28, 2015 - Commentary Application of lean thinking to health care: issues and observations. Citation Text: Joosten T, Bongers I, Janssen R. Application of lean thinking to health care: issues and observations. International Journal for Quality in Health Care. 2009;21(5). doi:10.1093/intqhc/mzp036…

2552. How communication "failed" or "saved the day": counterfactual accounts of medical errors. | PSNet
      psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
      September 21, 2022 - Study How communication "failed" or "saved the day": counterfactual accounts of medical errors. Citation Text: Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1…

2553. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. | PSNet
      psnet.ahrq.gov/issue/incidence-and-nature-prescribing-and-medication-administration-errors-paediatric-inpatients
      July 08, 2008 - Study The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Citation Text: Ghaleb M, Barber N, Franklin BD, et al. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child. 201…

2554. The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. | PSNet
      psnet.ahrq.gov/issue/role-clinical-learning-environments-preparing-new-clinicians-engage-patient-safety
      November 18, 2020 - Book/Report The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Citation Text: The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National C…

2555. Preventing surgical site infections: implementing strategies throughout the perioperative continuum. | PSNet
      psnet.ahrq.gov/issue/preventing-surgical-site-infections-implementing-strategies-throughout-perioperative
      January 15, 2025 - Commentary Preventing surgical site infections: implementing strategies throughout the perioperative continuum. Citation Text: Rosa R, Sposato K, Abbo LM. Preventing surgical site infections: implementing strategies throughout the perioperative continuum. AORN J. 2023;117(5):300-311. doi…

2556. Pediatric medication safety in the emergency department. | PSNet
      psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-department-0
      November 19, 2018 - Organizational Policy/Guidelines Pediatric medication safety in the emergency department. Citation Text: Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013. Copy Citation…

2557. Patient safety attitudes of paediatric trainee physicians. | PSNet
      psnet.ahrq.gov/issue/patient-safety-attitudes-paediatric-trainee-physicians
      December 01, 2010 - Study Patient safety attitudes of paediatric trainee physicians. Citation Text: Parry G, Horowitz L, Goldmann D. Patient safety attitudes of paediatric trainee physicians. Qual Saf Health Care. 2009;18(6):462-6. doi:10.1136/qshc.2006.020230. Copy Citation Format: DOI Goog…

2558. Addressing medicine's bias against patients who are overweight. | PSNet
      psnet.ahrq.gov/issue/addressing-medicines-bias-against-patients-who-are-overweight
      May 15, 2019 - Commentary Addressing medicine's bias against patients who are overweight. Citation Text: Rubin R. Addressing Medicine's Bias Against Patients Who Are Overweight. JAMA. 2019;321(10):925-927. doi:10.1001/jama.2019.0048. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

2559. An innovative tool for experiential learning of nursing quality and safety competencies. | PSNet
      psnet.ahrq.gov/issue/innovative-tool-experiential-learning-nursing-quality-and-safety-competencies
      October 16, 2012 - Commentary An innovative tool for experiential learning of nursing quality and safety competencies. Citation Text: St. Onge J, Hodges T, McBride M, et al. An Innovative Tool for Experiential Learning of Nursing Quality and Safety Competencies. Nurse Educator. 2013;38(2):71-75. doi:10.10…

2560. Analgesic prescribing errors and associated medication characteristics. | PSNet
      psnet.ahrq.gov/issue/analgesic-prescribing-errors-and-associated-medication-characteristics
      November 01, 2003 - Study Analgesic prescribing errors and associated medication characteristics. Citation Text: Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. The journal of pain : official journal of the American Pain Society. 2011;12(1):29-40. doi:10.1016/j.…