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8721. Pharmacist's Role in Medication Safety | PSNet
      psnet.ahrq.gov/primer/pharmacists-role-medication-safety
      March 14, 2018 - medications; identifying and evaluating high-risk processes (e.g., total parenteral nutrition, compounding, pediatric

8722. Handoffs | PSNet
      psnet.ahrq.gov/primer/handoffs
      October 18, 2023 - The I-PASS handoff tool has been effective in cancer care and pediatric emergency care.

8723. Communication Between Clinicians | PSNet
      psnet.ahrq.gov/primer/communication-between-clinicians
      September 15, 2024 - April 6, 2022 Associations between safety outcomes and communication practices among pediatric nurses

8724. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet
      psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
      May 01, 2016 - Crying wolf: false alarms in a pediatric intensive care unit. Crit Care Med. 1994;22:981-985.

8725. Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs | PSNet
      psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
      March 27, 2024 - Complex care hospital use and postdischarge coaching: A randomized controlled trial (for pediatric patients … assets.ctfassets.net/ld0m6d2hhals/2RzFIwytpqHmOoT49EjpKd/393eab1a260bca4328da6603df2d527c/Ryan-Coller-Pediatric-Care-Transitions-Article.pdf

8726. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851971/psn-pdf
      July 31, 2023 - Major adverse events and relationship to Nil per Os status in pediatric sedation/anesthesia outside … the operating room: a report of the Pediatric Sedation Research Consortium.

8727. In Conversation With… Richard Hoppmann, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
      June 01, 2018 - We also got both adult and pediatric cardiology engaged from the beginning. … Take for example pediatric safety and quality around appendicitis—if a patient comes in with physical

8728. In Conversation With… Rebecca Smith-Bindman, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
      October 01, 2013 - This concept is strongly endorsed by the Society for Pediatric Radiology, particularly in procedures … ALARA in pediatric interventional and fluoroscopic imaging: striving to keep radiation doses as low as … possible during fluoroscopy of pediatric patients—a white paper executive summary.

8729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49751/psn-pdf
      January 01, 2016 - New Patient Mistakenly Checked in as Another January 1, 2016 Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another The Case A 55-year-old man, presented to a primary care physician's office for an initial vis…

8730. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50769/psn-pdf
      February 15, 2017 - experienced adverse events, and that harm was more likely to be severe.[11] These findings extend to pediatric

8731. The Dropped "No" | PSNet
      psnet.ahrq.gov/web-mm/dropped-no
      October 30, 2019 - September 23, 2020 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

8732. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
      June 01, 2012 - Pediatric specialized transport teams are associated with improved outcomes.

8733. The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. | PSNet
      psnet.ahrq.gov/issue/safety-electronic-prescribing-manifestations-mechanisms-and-rates-system-related-errors
      February 15, 2012 - Study The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. Citation Text: Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and rates…

8734. A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. | PSNet
      psnet.ahrq.gov/issue/systematic-review-types-and-causes-prescribing-errors-generated-using-computerized-provider
      July 02, 2019 - Review A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. Citation Text: Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing err…

8735. Drug-drug interactions and actual harm to hospitalized patients: a multicentre study examining the prevalence pre- and post-electronic medication system implementation. | PSNet
      psnet.ahrq.gov/issue/drug-drug-interactions-and-actual-harm-hospitalized-patients-multicentre-study-examining
      August 26, 2020 - Study Drug-drug interactions and actual harm to hospitalized patients: a multicentre study examining the prevalence pre- and post-electronic medication system implementation. Citation Text: Li L, Baker J, Quirk R, et al. Drug-drug interactions and actual harm to hospitalized patients: a …

8736. Verbal Orders and Medication Overrides: A Dangerous Combination | PSNet
      psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
      September 27, 2023 - Cases The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric … , 2023 Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric

8737. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33594/psn-pdf
      November 18, 2021 - case or situation may provide cause for a debrief, highly emotional resuscitations, those involving pediatric … what-and-when-debrief-scoping-review-examining-interprofessional-clinical-debriefing https://psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric-resuscitation-quality

8738. Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet
      psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
      May 31, 2023 - Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric … April 11, 2011 Comparing errors in ED computer-assisted vs conventional pediatric drug

8739. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33612/psn-pdf
      May 01, 2005 - Eight years ago, we established and nurtured adult and pediatric patient and family advisory councils

8740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33586/psn-pdf
      December 15, 2024 - patient safety issue, with recent research exploring alert fatigue in nursing, intensive care, and pediatric