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  1. 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…

  2. Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: A qualitative analysis. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/getting-same-page-leveraging-inpatient-portal-engage-families-hospitalized-children/citation/parent
    January 01, 2023 - Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: A qualitative analysis. Citation Kieren MQ, Kelly MM, Garcia MA, Chen T, Ngo T, Baird J, Haskell H, Luff D, Mercer A, Quiñones-Pérez B, Williams D, Khan A. Parent experiences with the process…

  3. KID Database Documentation

    hcup-us.ahrq.gov/db/nation/kid/kiddbdocumentation.jsp
    April 01, 2025 - Kids' Inpatient Database (KID) Database Documentation The Kids' Inpatient Database (KID) is the largest publicly available all-payer pediatric inpatient care database in the United States, containing data from two to three million hospital stays each year. Its large sample size is ideal for developing national and …

  4. 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…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845352/psn-pdf
    September 06, 2023 - Understanding and Improving Diagnostic Safety in Ambulatory Care. September 6, 2023 Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023. https://psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care The articulation of diagnostic error in the ambulatory setting i…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45572/psn-pdf
    March 22, 2017 - Ordering interruptions in a tertiary care center: a prospective observational study. March 22, 2017 Dadlez NM, Azzarone G, Sinnett MJ, et al. Ordering Interruptions in a Tertiary Care Center: A Prospective Observational Study. Hosp Pediatr. 2017;7(3):134-139. doi:10.1542/hpeds.2016-0127. https://psnet.ahrq.gov/iss…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856640/psn-pdf
    November 29, 2023 - Research from webAIRS incident reporting system. November 29, 2023 Anaesth Intensive Care. 2023;51(6):372-421. https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system Centralized de-identified reports of patient safety events serve a core purpose for learning and improvement. This article collectio…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45930/psn-pdf
    April 26, 2017 - A boy's life is lost to sepsis. Thousands are saved in his wake. April 26, 2017 Dwyer J. New York Times. April 13, 2017. https://psnet.ahrq.gov/issue/boys-life-lost-sepsis-thousands-are-saved-his-wake Stories of patient harm due to medical mistakes can serve as catalysts for organizational improvement. This newsp…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38211/psn-pdf
    May 21, 2009 - Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. May 21, 2009 Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration system in reducing preventable adverse…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36711/psn-pdf
    July 25, 2011 - Designing decision support for insulin ordering in a computerized provider order entry system. July 25, 2011 Wright L, Feldott CC, Hargrove FR. Designing Decision Support for Insulin Ordering in a Computerized Provider Order Entry System. Hosp Pharm. 2010;42(2). doi:10.1310/hpj4202-158. https://psnet.ahrq.gov/issu…

  11. 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…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39119/psn-pdf
    November 25, 2009 - Effect of a weight-based prescribing method within an electronic health record on prescribing errors. November 25, 2009 Ginzburg R, Barr WB, Harris M, et al. Effect of a weight-based prescribing method within an electronic health record on prescribing errors. Am J Health Syst Pharm. 2009;66(22):2037-41. doi:10.214…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38838/psn-pdf
    May 25, 2010 - Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. May 25, 2010 Serrano-Fabiá A, Albert-Marí A, Almenar-Cubells D, et al. Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. J Oncol Pharm Pract. 2010;16(2):105-12. doi:10.1177/10781552093404…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43229/psn-pdf
    June 04, 2014 - Liquid medication dosing errors in children: role of provider counseling strategies. June 4, 2014 Yin S, Dreyer BP, Moreira HA, et al. Liquid medication dosing errors in children: role of provider counseling strategies. Acad Pediatr. 2014;14(3):262-70. doi:10.1016/j.acap.2014.01.003. https://psnet.ahrq.gov/issue/l…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838929/psn-pdf
    October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care. October 26, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care Inappropriate antibiotic prescribing is associated with increased risk potential. This toolkit a…

  16. 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…

  17. SOPS Bibliography | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/sops/bibliography/index.html?page=1
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 51-100 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …

  18. SOPS Bibliography | Agency for Healthcare Research and Quality

    www.ahrq.gov/sops/bibliography/index.html?page=1
    January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 51-100 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49742/psn-pdf
    September 01, 2015 - A Fumbled Handoff to Inpatient Rehab September 1, 2015 Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab The Case An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…

  20. Introducing the CAHPS Child Hospital Survey_Transcript (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/introducing-cahps-child-hospital-survey-transcript.pdf
    January 01, 2015 - Introducing the CAHPS Child Hospital Survey_Transcript Introducing the CAHPS Child Hospital Survey January 2015  Webcast Speakers Mark Schuster, MD, PhD, Boston Children’s Hospital, Harvard Medical School, Boston Barbara Burke, MA, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago Sandra Schul…
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