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  1. digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights/citation/risk
    January 01, 2023 - Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. Citation Adelman JS, Applebaum JR, Southern WN, Schechter CB, Aschner JL, Berger MA, Racine AD, Chacko B, Dadlez NM, Goffman D, Babineau J, Green RA, Vawdrey DK, M…
  2. digital.ahrq.gov/organization/childrens-research-institute
    January 01, 2023 - Research Institute at Nationwide Children’s Hospital A Randomized Clinical Trial of Smartphone Virtual Reality for Pain Management During Burn Care Transition Description This research will adapt a pain management virtual reality application for use on a smartphone to manage p…
  3. digital.ahrq.gov/organization/medical-college-wisconsin
    January 01, 2023 - Medical College of Wisconsin Perception and Use of a Patient Care Window to Improve Care and Family Engagement Description This project evaluated the use of an in-room interactive monitor to improve patient-centered care and family engagement within a pediatric intensive care …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44989/psn-pdf
    July 01, 2016 - Can medical record reviewers reliably identify errors and adverse events in the ED? July 1, 2016 Klasco RS, Wolfe RE, Lee T, et al. Can medical record reviewers reliably identify errors and adverse events in the ED? Am J Emerg Med. 2016;34(6):1043-8. doi:10.1016/j.ajem.2016.03.001. https://psnet.ahrq.gov/issue/can…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47122/psn-pdf
    June 13, 2018 - Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. June 13, 2018 Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:10.1200/JOP.17.00007. https://psne…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44407/psn-pdf
    April 15, 2016 - Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. April 15, 2016 MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a Large Children's Hospital After Im…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74185/psn-pdf
    January 01, 2022 - The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. December 15, 2021 Hannawa AF, Wu AW, Kolyada A, et al. The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. Patient Educ Couns. 2022;105(6):1561-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853058/psn-pdf
    August 30, 2023 - Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. August 30, 2023 Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-068207. https://psnet.ahrq.gov/iss…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44888/psn-pdf
    April 06, 2016 - Transforming the morbidity and mortality conference to promote safety and quality in a PICU. April 6, 2016 Cifra CL, Bembea MM, Fackler JC, et al. Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Crit Care Med. 2016;17(1):58-66. doi:10.1097/PCC.0000000000000539. https://…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34730/psn-pdf
    October 29, 2013 - Medication Errors. 2nd ed. October 29, 2013 Cohen MR, ed. Washington DC: American Pharmacists Association; 2007. https://psnet.ahrq.gov/issue/medication-errors-2nd-ed Cohen, executive director of the Institute for Safe Medication Practices (ISMP), combined 25 years of experience as a leader in medication safety wi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45717/psn-pdf
    July 21, 2017 - What have we learnt after 15 years of research into the 'weekend effect'? July 21, 2017 Bray BD, Steventon A. What have we learnt after 15 years of research into the 'weekend effect'? BMJ Qual Saf. 2017;26(8):607-610. doi:10.1136/bmjqs-2016-005793. https://psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-re…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845345/psn-pdf
    March 01, 2023 - The role of language barriers on efficacy of rapid response teams. March 1, 2023 Raff L, Moore C, Raff E. The role of language barriers on efficacy of rapid response teams. Hosp Pract (1995). 2023;51(1):29-34. doi:10.1080/21548331.2022.2150416. https://psnet.ahrq.gov/issue/role-language-barriers-efficacy-rapid-res…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72659/psn-pdf
    January 20, 2021 - Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. January 20, 2021 Kannampallil TG, Lew D, Pfeifer EE, et al. Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. BMJ Qual Saf. 2021;30(9):755-763. doi:10.1136/bmj…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38804/psn-pdf
    July 22, 2009 - Tenfold therapeutic dosing errors in young children reported to US poison control centers. July 22, 2009 Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10.2146/080377. https://psnet.ahrq.go…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45281/psn-pdf
    September 01, 2016 - Screen flashes and pop-up reminders: 'alert fatigue' spreads through medicine. September 1, 2016 Luthra S. Kaiser Health News. June 15, 2016. https://psnet.ahrq.gov/issue/screen-flashes-and-pop-reminders-alert-fatigue-spreads-through-medicine Alert fatigue is known to contribute to medical error. This news article…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40530/psn-pdf
    September 25, 2011 - Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. September 25, 2011 Monroe K, Wang D, Vincent CA, et al. Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. BMJ Qual Saf. 2011;20(10):863-8. do…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38777/psn-pdf
    March 04, 2011 - Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey. March 4, 2011 Wang J, Patel MH, Schueth AJ, et al. Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey. J Am Med Infor…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43284/psn-pdf
    November 28, 2016 - Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. November 28, 2016 Corbally MT, Tierney E. Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. Int J Pediatr. 2014;2014:791490. doi:10.1155/2014/791490. htt…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46909/psn-pdf
    August 01, 2018 - Guidance on Safe Medical Staffing: Report of a Working Party. August 1, 2018 London, UK: Royal College of Physicians; 2018. ISBN: 9781860167270. https://psnet.ahrq.gov/issue/guidance-safe-medical-staffing-report-working-party Lack of appropriate staffing can diminish the safety and effectiveness of medical service…
  20. effectivehealthcare.ahrq.gov/products/stem-cell-children-future/research