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9801. Diagnostic pitfalls in paediatric ischaemic stroke. | PSNet
      psnet.ahrq.gov/issue/diagnostic-pitfalls-paediatric-ischaemic-stroke
      December 14, 2016 - Study Diagnostic pitfalls in paediatric ischaemic stroke. Citation Text: Braun KPJ, Kappelle J, Kirkham FJ, et al. Diagnostic pitfalls in paediatric ischaemic stroke. Dev Med Child Neurol. 2006;48(12):985-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

9802. Evaluation of drug interaction software to identify alerts for transplant medications. | PSNet
      psnet.ahrq.gov/issue/evaluation-drug-interaction-software-identify-alerts-transplant-medications
      November 16, 2022 - Study Evaluation of drug interaction software to identify alerts for transplant medications. Citation Text: Smith WD, Hatton RC, Fann AL, et al. Evaluation of drug interaction software to identify alerts for transplant medications. Ann Pharmacother. 2005;39(1):45-50. Copy Citation …

9803. Medical device alarm safety in hospitals. | PSNet
      psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
      December 23, 2016 - Sentinel Event Alerts Medical device alarm safety in hospitals. Citation Text: Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9804. How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. | PSNet
      psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
      February 03, 2021 - Newspaper/Magazine Article How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Citation Text: How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Ganguli I. Washington Post. January 5, 2020. Copy Citati…

9805. Medication errors—new approaches to prevention. | PSNet
      psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
      November 18, 2016 - Review Medication errors—new approaches to prevention. Citation Text: Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

9806. Medication orders with future start dates: how far away is too far? | PSNet
      psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
      March 15, 2022 - Newspaper/Magazine Article Medication orders with future start dates: how far away is too far? Citation Text: Medication orders with future start dates: how far away is too far? ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4. Copy Citation Sa…

9807. Work system design for patient safety: the SEIPS model. | PSNet
      psnet.ahrq.gov/issue/work-system-design-patient-safety-seips-model
      December 18, 2013 - Commentary Work system design for patient safety: the SEIPS model. Citation Text: Carayon P, Schoofs Hundt A, Karsh B-T, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care. 2006;15(suppl 1):i50-i58. doi:10.1136/qshc.2005.015842. Copy Citation Form…

9808. Adaptive regulation or governmentality: patient safety and the changing regulation of medicine. | PSNet
      psnet.ahrq.gov/issue/adaptive-regulation-or-governmentality-patient-safety-and-changing-regulation-medicine
      December 09, 2020 - Commentary Adaptive regulation or governmentality: patient safety and the changing regulation of medicine. Citation Text: Waring J. Adaptive regulation or governmentality: patient safety and the changing regulation of medicine. Sociol Health Illn. 2007;29(2):163-79. Copy Citation …

9809. Safer out of hours primary care. | PSNet
      psnet.ahrq.gov/issue/safer-out-hours-primary-care
      March 14, 2022 - Commentary Safer out of hours primary care. Citation Text: Cosford PA, Thomas JM. Safer out of hours primary care. BMJ. 2010;340:c3194. doi:10.1136/bmj.c3194. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9810. Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. | PSNet
      psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
      September 29, 2017 - Commentary Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. Citation Text: Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 201…

9811. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. | PSNet
      psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
      April 24, 2018 - Commentary Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. Citation Text: Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…

9812. What is the effectiveness of reporting systems in promoting learning in healthcare? | PSNet
      psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare
      September 23, 2020 - Review What is the effectiveness of reporting systems in promoting learning in healthcare? Citation Text: Sehgal A. What is the effectiveness of reporting systems in promoting learning in healthcare? Br J Hosp Med (Lond). 2024;85(4):1-9. doi:10.12968/hmed.2023.0444. Copy Citation F…

9813. Cognitive balanced model: a conceptual scheme of diagnostic decision making. | PSNet
      psnet.ahrq.gov/issue/cognitive-balanced-model-conceptual-scheme-diagnostic-decision-making
      July 10, 2013 - Study Cognitive balanced model: a conceptual scheme of diagnostic decision making. Citation Text: Lucchiari C, Pravettoni G. Cognitive balanced model: a conceptual scheme of diagnostic decision making. J Eval Clin Pract. 2012;18(1):82-8. doi:10.1111/j.1365-2753.2011.01771.x. Copy Cit…

9814. Inattentional blindness in medicine. | PSNet
      psnet.ahrq.gov/issue/inattentional-blindness-medicine
      March 31, 2021 - Review Inattentional blindness in medicine. Citation Text: Hults CM, Ding Y, Xie GG, et al. Inattentional blindness in medicine. Cogn Res Princ Implic. 2024;9(1):18. doi:10.1186/s41235-024-00537-x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

9815. The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. | PSNet
      psnet.ahrq.gov/issue/time-out-procedure-institutional-ethnography-how-it-conducted-actual-clinical-practice
      November 06, 2015 - Study The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. Citation Text: Braaf S, Manias E, Riley R. The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. BMJ Qual Saf. 2013;22(8)…

9816. Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France. | PSNet
      psnet.ahrq.gov/issue/medication-errors-intravenous-drug-preparation-and-administration-multicentre-audit-uk
      December 04, 2015 - Study Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France. Citation Text: Cousins DH, Sabatier B, Begue D, et al. Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Ger…

9817. Development and validation of a tool to improve paediatric referral/consultation communication. | PSNet
      psnet.ahrq.gov/issue/development-and-validation-tool-improve-paediatric-referralconsultation-communication
      May 25, 2011 - Study Development and validation of a tool to improve paediatric referral/consultation communication. Citation Text: Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. do…

9818. Communication outcomes of critical imaging results in a computerized notification system. | PSNet
      psnet.ahrq.gov/issue/communication-outcomes-critical-imaging-results-computerized-notification-system
      April 04, 2011 - Study Communication outcomes of critical imaging results in a computerized notification system. Citation Text: Singh H, Arora HS, Vij MS, et al. Communication outcomes of critical imaging results in a computerized notification system. J Am Med Inform Assoc. 2007;14(4):459-66. Copy Ci…

9819. Appendix C. Training and Learning Network Webinars | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apc.html
      October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix C. Training and Learning Network Webinars Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Chart A…

9820. Beyond "see one, do one, teach one": toward a different training paradigm. | PSNet
      psnet.ahrq.gov/issue/beyond-see-one-do-one-teach-one-toward-different-training-paradigm
      March 01, 2011 - Commentary Beyond "see one, do one, teach one": toward a different training paradigm. Citation Text: Rodriguez-Paz JM, Kennedy M, Salas E, et al. Beyond "see one, do one, teach one": toward a different training paradigm. Qual Saf Health Care. 2009;18(1):63-8. doi:10.1136/qshc.2007.02…