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  1. Pediatric medical errors part 1: the case. A pediatric drug overdose case. | PSNet

    psnet.ahrq.gov/issue/pediatric-medical-errors-part-1-case-pediatric-drug-overdose-case
    April 22, 2020 - Study Pediatric medical errors part 1: the case. A pediatric drug overdose case. Citation Text: Dowdell EB. Pediatric medical errors part 1: the case. A pediatric drug overdose case. Pediatr Nurs. 2004;30(4):328-30. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  2. Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings. | PSNet

    psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-outside-intensive-care-unit-expanding
    January 18, 2023 - Commentary Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings. Citation Text: Kallen AJ, Patel PR, O'Grady NP. Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention …

  3. Characteristics associated with postdischarge medication errors. | PSNet

    psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors
    April 12, 2023 - Study Characteristics associated with postdischarge medication errors. Citation Text: Mixon A, Myers AP, Leak CL, et al. Characteristics associated with postdischarge medication errors. Mayo Clin Proc. 2014;89(8):1042-51. doi:10.1016/j.mayocp.2014.04.023. Copy Citation Format: …

  4. How surgeons disclose medical errors to patients: a study using standardized patients.   | PSNet

    psnet.ahrq.gov/issue/how-surgeons-disclose-medical-errors-patients-study-using-standardized-patients
    July 10, 2008 - Study How surgeons disclose medical errors to patients: a study using standardized patients.   Citation Text: Chan DK, Gallagher TH, Reznick R, et al. How surgeons disclose medical errors to patients: a study using standardized patients. Surgery. 2005;138(5):851-8. Copy Citation …

  5. New solutions to reduce wrong route medication errors. | PSNet

    psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
    March 20, 2019 - Review New solutions to reduce wrong route medication errors. Citation Text: Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279. Copy Citation Format: DOI Google Scholar PubMed Bib…

  6. Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. | PSNet

    psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety-communication
    October 28, 2020 - Press Release/Announcement Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. Citation Text: Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug A…

  7. Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays. | PSNet

    psnet.ahrq.gov/issue/serious-adverse-events-accidental-ingestion-children-over-counter-eye-drops-and-nasal-sprays
    November 03, 2009 - Press Release/Announcement Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays. Citation Text: Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays. MedWatch Safety Alert. S…

  8. Revisiting old slides—how worthwhile is it? | PSNet

    psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
    October 05, 2022 - Study Revisiting old slides—how worthwhile is it? Citation Text: Agarwal S, Wadhwa N. Revisiting old slides--how worthwhile is it? Pathol Res Pract. 2010;206(6):368-71. doi:10.1016/j.prp.2010.01.006. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  9. The role of South--North partnerships in promoting shared learning and knowledge transfer. | PSNet

    psnet.ahrq.gov/issue/role-south-north-partnerships-promoting-shared-learning-and-knowledge-transfer
    July 29, 2020 - Commentary The role of South--North partnerships in promoting shared learning and knowledge transfer. Citation Text: Basu L, Pronovost P, Molello NE, et al. The role of South-North partnerships in promoting shared learning and knowledge transfer. Global Health. 2017;13(1):64. doi:10.1186…

  10. Zero tolerance for deadly hospital-acquired infections. | PSNet

    psnet.ahrq.gov/issue/zero-tolerance-deadly-hospital-acquired-infections
    March 11, 2020 - Newspaper/Magazine Article Zero tolerance for deadly hospital-acquired infections. Citation Text: Levine H. Zero Tolerance for Deadly Hospital-Acquired Infections. Consum Rep. 2017;82(1):32-40. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  11. Partial do-not-resuscitate orders: a hazard to patient safety and clinical outcomes? | PSNet

    psnet.ahrq.gov/issue/partial-do-not-resuscitate-orders-hazard-patient-safety-and-clinical-outcomes
    April 24, 2018 - Review Partial do-not-resuscitate orders: a hazard to patient safety and clinical outcomes? Citation Text: Sanders A, Schepp M, Baird M. Partial do-not-resuscitate orders: A hazard to patient safety and clinical outcomes? Crit Care Med. 2011;39(1):14-8. doi:10.1097/CCM.0b013e3181feb8f6…

  12. What is the value and impact of quality and safety teams? A scoping review. | PSNet

    psnet.ahrq.gov/issue/what-value-and-impact-quality-and-safety-teams-scoping-review
    December 06, 2017 - Review What is the value and impact of quality and safety teams? A scoping review. Citation Text: White DE, Straus SE, Stelfox T, et al. What is the value and impact of quality and safety teams? A scoping review. Implement Sci. 2011;6:97. doi:10.1186/1748-5908-6-97. Copy Citation …

  13. Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text-messaging-quality
    May 08, 2017 - Study Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. Citation Text: Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/…

  14. Communication errors in dispatch of air medical transport. | PSNet

    psnet.ahrq.gov/issue/communication-errors-dispatch-air-medical-transport
    July 03, 2014 - Study Communication errors in dispatch of air medical transport. Citation Text: Vilensky D, MacDonald RD. Communication errors in dispatch of air medical transport. Prehosp Emerg Care. 2011;15(1):39-43. doi:10.3109/10903127.2011.519817. Copy Citation Format: DOI Google Sc…

  15. Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. | PSNet

    psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department
    March 18, 2020 - Study Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. Citation Text: Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:…

  16. A living will misinterpreted as a DNR order: confusion compromises patient care. | PSNet

    psnet.ahrq.gov/issue/living-will-misinterpreted-dnr-order-confusion-compromises-patient-care
    September 11, 2019 - Commentary A living will misinterpreted as a DNR order: confusion compromises patient care. Citation Text: Katsetos AD, Mirarchi FL. A living will misinterpreted as a DNR order: confusion compromises patient care. J Emerg Med. 2011;40(6):629-32. doi:10.1016/j.jemermed.2008.11.014. Co…

  17. Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children. | PSNet

    psnet.ahrq.gov/issue/consensus-based-recommendations-standardizing-terminology-and-reporting-adverse-events
    December 22, 2018 - Commentary Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children. Citation Text: Bhatt M, Kennedy RM, Osmond MH, et al. Consensus-Based Recommendations for Standardizing Terminol…

  18. A daily dose of communication to improve quality and safety outcomes. | PSNet

    psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes
    September 15, 2009 - Review A daily dose of communication to improve quality and safety outcomes. Citation Text: Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care. 2024;33(4):305-310. doi:10.4037/ajcc2024318. Copy Citation Format: DOI Google Scholar B…

  19. Delirium in hospitalized older adults. | PSNet

    psnet.ahrq.gov/issue/delirium-hospitalized-older-adults
    December 15, 2008 - Commentary Delirium in hospitalized older adults. Citation Text: Marcantonio ER. Delirium in Hospitalized Older Adults. N Engl J Med. 2017;377(15):1456-1466. doi:10.1056/NEJMcp1605501. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

  20. Can the aviation industry be useful in teaching oncology about safety? | PSNet

    psnet.ahrq.gov/issue/can-aviation-industry-be-useful-teaching-oncology-about-safety
    June 13, 2011 - Commentary Can the aviation industry be useful in teaching oncology about safety? Citation Text: Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol (R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007. Copy Citation …
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