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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…
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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…
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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…
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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…
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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-…
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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…
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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…
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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-…
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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.…
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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.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
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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…
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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.
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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…
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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…
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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…
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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.…
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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…
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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…
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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…
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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…