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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846167/psn-pdf
    March 15, 2023 - Diagnostic stewardship to prevent diagnostic error. March 15, 2023 Morgan DJ, Malani PN, Diekema DJ. Diagnostic stewardship to prevent diagnostic error. JAMA. 2023;329(15):1255-1256. doi:10.1001/jama.2023.1678. https://psnet.ahrq.gov/issue/diagnostic-stewardship-prevent-diagnostic-error The effective use of resour…
  2. 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…
  3. 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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46136/psn-pdf
    September 27, 2017 - Medication errors in injured patients. September 27, 2017 Dolejs SC, Janowak CF, Zarzaur BL. Medication Errors in Injured Patients. Am Surg. 2017;83(7):780-785. https://psnet.ahrq.gov/issue/medication-errors-injured-patients Despite the widespread adoption of health information technology, medication errors remain …
  5. 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…
  6. 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…
  7. 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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41436/psn-pdf
    October 19, 2012 - Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? October 19, 2012 Raine J, Scarrott D. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? Eur J Pediatr. 2012;171(10):1449-52. https://psnet.ahrq.go…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43700/psn-pdf
    November 19, 2014 - Appropriate use of medical interpreters. November 19, 2014 Juckett G, Unger K. Appropriate use of medical interpreters. Am Fam Physician. 2014;90(7):476-80. https://psnet.ahrq.gov/issue/appropriate-use-medical-interpreters Language barriers between patients and providers can contribute to misunderstandings and lead…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73885/psn-pdf
    September 29, 2021 - Reporting of unsafe conditions at an academic women and children's hospital. September 29, 2021 Grabinski ZG, Babineau J, Jamal N, et al. Reporting of unsafe conditions at an academic women and children's hospital. Jt Comm J Qual Patient Saf. 2021;47(11):731-738. doi:10.1016/j.jcjq.2021.08.004. https://psnet.ahrq.…
  12. 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…
  13. 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…
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-figures1-2.pdf
    April 21, 2015 - Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Figures 1 & 2 Figure 1 Figure 2 From: American College of Radiology Expert Panel on Pediatric Imaging: Hayes LL, Coley BD, Karmazyn B, et al. ACR Appropriateness Criteria: Headache — child. American College of…
  15. 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35106/psn-pdf
    April 06, 2011 - A case of the birth and death of a high reliability healthcare organisation. April 6, 2011 Roberts KH, Madsen P, Desai V, et al. A case of the birth and death of a high reliability healthcare organisation. Qual Saf Health Care. 2005;14(3):216-20. https://psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-h…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38803/psn-pdf
    December 14, 2016 - Improving patient safety: effects of a safety program on performance and culture in a department of radiology. December 14, 2016 Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety: effects of a safety program on performance and culture in a department of radiology. AJR Am J Roentgenol. 2009;1…
  18. 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41738/psn-pdf
    June 10, 2018 - Inappropriate use of pharmacy bulk packages of IV contrast media increases risk of infections. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. September 20, 2012;17:1,3-4. https://psnet.ahrq.gov/issue/inappropriate-use-pharmacy-bulk-packages-iv-contrast-media-increases-risk- infections This articl…
  20. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/clinical-decision
    January 01, 2023 - Clinical Decision Support System Satisfaction Survey This is a questionnaire designed to be completed by clinical and office staff in a pediatric setting. The tool includes questions to assess staff attitudes and assessment of a clinical decision support tool. Survey Document Clinical Decision…