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4501. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40490/psn-pdf
      June 01, 2011 - Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. June 1, 2011 Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit*. Pediatric Critical Care Medicine. 2010…

4502. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44879/psn-pdf
      February 10, 2016 - Soaring numbers of 111 callers forced to wait for a call back. February 10, 2016 Donnelly L. The Telegraph. January 31, 2016. https://psnet.ahrq.gov/issue/soaring-numbers-111-callers-forced-wait-call-back Delays in care and diagnosis can result in patient harm. This news article reports on the trend of delays in …

4503. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46520/psn-pdf
      December 19, 2017 - The emotional fallout from the culture of blame and shame. December 19, 2017 Ferguson CC. The emotional fallout from the culture of blame and shame. JAMA Pediatr. 2017;171(12):1141. doi:10.1001/jamapediatrics.2017.2691. https://psnet.ahrq.gov/issue/emotional-fallout-culture-blame-and-shame In this commentary, a p…

4504. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72679/psn-pdf
      January 27, 2021 - Association of physician burnout with suicidal ideation and medical errors. January 27, 2021 Menon NK, Shanafelt TD, Sinsky CA, et al. Association of Physician Burnout With Suicidal Ideation and Medical Errors. JAMA Netw Open. 2020;3(12):e2028780. doi:10.1001/jamanetworkopen.2020.28780. https://psnet.ahrq.gov/issu…

4505. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44339/psn-pdf
      July 29, 2015 - Rapid response systems: a systematic review and meta- analysis. July 29, 2015 Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y. https://psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis…

4506. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35468/psn-pdf
      April 12, 2011 - Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. April 12, 2011 Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissions, and clinician referrals: detect…

4507. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46677/psn-pdf
      June 25, 2018 - Diagnostic errors in paediatric cardiac intensive care. June 25, 2018 Bhat PN, Costello JM, Aiyagari R, et al. Diagnostic errors in paediatric cardiac intensive care. Cardiol Young. 2018;28(5):675-682. doi:10.1017/S1047951117002906. https://psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care R…

4508. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50842/psn-pdf
      January 29, 2020 - Pediatrics. U.S.

4509. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43198/psn-pdf
      July 19, 2023 - TeamSTEPPS Core Curriculum. July 19, 2023 Rockville, MD: Agency for Healthcare Research and Quality; July 2023. https://psnet.ahrq.gov/issue/teamstepps-core-curriculum The TeamSTEPPS® program was developed to support effective communication and teamwork in health care. The curriculum offers training for participan…

4510. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43366/psn-pdf
      March 04, 2015 - Safety of medication use in primary care. March 4, 2015 Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract. 2015;23(1):3-20. doi:10.1111/ijpp.12120. https://psnet.ahrq.gov/issue/safety-medication-use-primary-care This systematic review found that incidence rates of…

4511. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44054/psn-pdf
      November 16, 2015 - Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. November 16, 2015 ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;20:1-4. https://psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2 This newsletter se…

4512. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40875/psn-pdf
      November 21, 2016 - Implementation of Condition Help: family teaching and evaluation of family understanding. November 21, 2016 Hueckel RM, Mericle JM, Frush K, et al. Implementation of condition help: family teaching and evaluation of family understanding. J Nurs Care Qual. 2012;27(2):176-81. doi:10.1097/NCQ.0b013e318235bdec. https:…

4513. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39274/psn-pdf
      November 23, 2016 - Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. November 23, 2016 Wilson BL. Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. J Spec Pediatr Nurs. 2010;15(1):84-7. doi:10.1111/j.17…

4514. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847047/psn-pdf
      April 05, 2023 - Making polypharmacy safer for children with medical complexity. April 5, 2023 Feinstein JA, Orth LE. Making polypharmacy safer for children with medical complexity. J Pediatr. 2023;254:4-10. doi:10.1016/j.jpeds.2022.10.012. https://psnet.ahrq.gov/issue/making-polypharmacy-safer-children-medical-complexity Childre…

4515. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36027/psn-pdf
      March 28, 2011 - Medical injuries among hospitalized children. March 28, 2011 Meurer JR, Yang H, Guse CE, et al. Medical injuries among hospitalized children. Qual Saf Health Care. 2006;15(3):202-7. https://psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children This AHRQ–funded study applied new screening criteria to ca…

4516. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45481/psn-pdf
      September 14, 2016 - "Use as directed" can cause confusion for both patients and practitioners. September 14, 2016 ISMP Medication Safety Alert! Acute Care Edition. August 25, 2016;21:1-3. https://psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners Reporting the results of a survey on "as directed" in…

4517. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60831/psn-pdf
      August 19, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. August 19, 2020 Smith KM, Hunte HE, Graber ML. Rockville MD: Agency for Healthcare Research and Quality; August 2020. AHRQ Publication No. 20-0040-2-EF. https://psnet.ahrq.gov/issue/telediagnosis-acute-care-implications-quality-and…

4518. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865818/psn-pdf
      May 08, 2024 - The role for policy in AI-assisted medical diagnosis. May 8, 2024 Newman-Toker DE, Sharfstein JM. The role for policy in AI-assisted medical diagnosis. JAMA Health Forum. 2024;5(4):e241339. doi:10.1001/jamahealthforum.2024.1339. https://psnet.ahrq.gov/issue/role-policy-ai-assisted-medical-diagnosis Artificial inte…

4519. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40081/psn-pdf
      December 21, 2014 - Electronic health record adoption by children's hospitals in the United States. December 21, 2014 Nakamura MM, Ferris T, DesRoches CM, et al. Electronic health record adoption by children's hospitals in the United States. Arch Pediatr Adolesc Med. 2010;164(12):1145-51. doi:10.1001/archpediatrics.2010.234. https://…

4520. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45560/psn-pdf
      October 19, 2016 - Learning from excellence in healthcare: a new approach to incident reporting. October 19, 2016 Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting. Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021. https://psnet.ahrq.gov/issue/learning…