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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35096/psn-pdf
    June 22, 2009 - Paediatric adverse drug reactions reported in Sweden from 1987 to 2001. June 22, 2009 Kimland E, Rane A, Ufer M, et al. Paediatric adverse drug reactions reported in Sweden from 1987 to 2001. Pharmacoepidemiol Drug Saf. 2005;14(7):493-9. https://psnet.ahrq.gov/issue/paediatric-adverse-drug-reactions-reported-swede…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47658/psn-pdf
    December 12, 2018 - Heartbroken. December 12, 2018 McGrory K, Bedi N. Tampa Bay Times. November 28, 2018. https://psnet.ahrq.gov/issue/heartbroken Pediatric cardiac surgery is a high-risk practice. This news investigation reports on a series of serious patient safety incidents at a health care institute dedicated to treating heart pr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72665/psn-pdf
    January 20, 2021 - The hard talk: dealing with the disruptive physician. January 20, 2021 Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315. https://psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician Disruptive behav…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36215/psn-pdf
    September 30, 2010 - Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. September 30, 2010 Taylor JA, Winter L, Geyer LJ, et al. Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. Cancer. 2006;107(6):1400-6. https://psnet.ahrq.gov/issue/oral-outpatie…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35888/psn-pdf
    July 23, 2010 - Medication errors and patient complications with continuous renal replacement therapy. July 23, 2010 Barletta JF, Barletta G-M, Brophy PD, et al. Medication errors and patient complications with continuous renal replacement therapy. Pediatr Nephrol. 2006;21(6):842-5. https://psnet.ahrq.gov/issue/medication-errors-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40886/psn-pdf
    September 29, 2017 - Patient safety in the context of neonatal intensive care: research and educational opportunities. September 29, 2017 Raju TNK, Suresh G, Higgins RD. Patient safety in the context of neonatal intensive care: research and educational opportunities. Pediatr Res. 2011;70(1):109-15. doi:10.1203/PDR.0b013e3182182853. ht…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43382/psn-pdf
    September 17, 2014 - Using improvement science methods to increase accuracy of surgical consents. September 17, 2014 Mercurio P, Ellis AS, Schoettker PJ, et al. Using improvement science methods to increase accuracy of surgical consents. AORN J. 2014;100(1):42-53. doi:10.1016/j.aorn.2013.07.023. https://psnet.ahrq.gov/issue/using-impr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44198/psn-pdf
    July 01, 2016 - Safety and diagnostic accuracy of tumor biopsies in children with cancer. July 1, 2016 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. https://psnet.ahrq.gov/issue/safety-and-diagnostic-accuracy-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40126/psn-pdf
    January 12, 2011 - Analgesic prescribing errors and associated medication characteristics. January 12, 2011 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.jpain.2010.04.007. https://psnet.…
  10. psnet.ahrq.gov/web-mm/picking-cause-stroke
    August 07, 2024 - Picking Up the Cause of the Stroke Citation Text: Chopra V. Picking Up the Cause of the Stroke. 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 EndNote 7 X…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33637/psn-pdf
    August 01, 2006 - In Conversation with...Lucian Leape, MD August 1, 2006 In Conversation with..Lucian Leape, MD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withlucian-leape-md Dr. Robert Wachter, Editor, AHRQ WebM&M: What kind of career did you fashion for yourself prior to getting involved in safety an…
  12. psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
    July 08, 2022 - SPOTLIGHT CASE Patient Safety Events Involving Opioid Dose Stacking Citation Text: Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Cita…
  13. psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
    January 31, 2024 - Annual Perspective Improving Diagnostic Safety and Quality Jawad Al-Khafaji, MD, MHSA, Merton Lee, PhD, PharmD, Sarah Mossburg, RN, PhD | April 26, 2023  View more articles from the same authors. Citation Text: Al-Khafaji J, Lee M, Mossburg S. Improving Di…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45307/psn-pdf
    September 07, 2016 - End Sepsis. September 7, 2016 1212 Avenue of the Americas, 5th Floor, New York, NY 10036. 212-244- 6294 contact@endsepsis.org https://psnet.ahrq.gov/issue/rory-staunton-foundation-sepsis-prevention Sepsis is a serious condition that can be rapidly fatal if it is not promptly diagnosed and treated. T…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42090/psn-pdf
    March 06, 2013 - Adverse drug events in a paediatric intensive care unit: a prospective cohort. March 6, 2013 Silva DCB, Araujo OR, Arduini RG, et al. Adverse drug events in a paediatric intensive care unit: a prospective cohort. BMJ Open. 2013;3(2):e001868. doi:10.1136/bmjopen-2012-001868. https://psnet.ahrq.gov/issue/adverse-dru…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39319/psn-pdf
    March 05, 2010 - The incidence and nature of prescribing and medication administration errors in paediatric inpatients. March 5, 2010 Ghaleb M, Barber N, Franklin BD, et al. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child. 2010;95(2):113-8. doi:10.1136/adc.2009.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47477/psn-pdf
    November 14, 2018 - Losing Laura. November 14, 2018 DeMarco P. Globe Magazine. November 3, 2018. https://psnet.ahrq.gov/issue/losing-laura This magazine article reports on the preventable death of a patient during an acute asthma attack. Written by the patient's husband, the article outlines the failures that led to her death despite…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39184/psn-pdf
    January 06, 2010 - Patient safety attitudes of paediatric trainee physicians. January 6, 2010 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. https://psnet.ahrq.gov/issue/patient-safety-attitudes-paediatric-trainee-physic…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41631/psn-pdf
    September 24, 2016 - Interruption handling strategies during paediatric medication administration. September 24, 2016 Colligan L, Bass EJ. Interruption handling strategies during paediatric medication administration. BMJ Qual Saf. 2012;21(11):912-7. doi:10.1136/bmjqs-2011-000292. https://psnet.ahrq.gov/issue/interruption-handling-stra…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61052/psn-pdf
    April 01, 2019 - Inadvertent Administration of an Oral Liquid Medicine into a Vein. April 1, 2019 Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. https://psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein Wrong route medication administration is a never event. This report examined the co…

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