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  1. Core principles of quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
    August 01, 2018 - Review Core principles of quality improvement and patient safety. Citation Text: Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  2. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
    December 31, 2014 - Study Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. Citation Text: Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…

  3. The use of human factors methods to identify and mitigate safety issues in radiation therapy. | PSNet

    psnet.ahrq.gov/issue/use-human-factors-methods-identify-and-mitigate-safety-issues-radiation-therapy
    March 22, 2011 - Study The use of human factors methods to identify and mitigate safety issues in radiation therapy. Citation Text: Chan AJ, Islam MK, Rosewall T, et al. The use of human factors methods to identify and mitigate safety issues in radiation therapy. Radiother Oncol. 2010;97(3):596-600. do…

  4. Table 2. Studies on the Effect of Screening and Feedback | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/resources/depression/depsumtab2.html
    April 01, 2013 - Table 2. Studies on the Effect of Screening and Feedback Screening for Depression in Adults: Summary of the Evidence The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, counseling, and chemopr…

  5. FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. | PSNet

    psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosing-errors-when-switching-between
    April 08, 2020 - Government Resource FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. Citation Text: FDA Drug Safety Communication: FDA cautions about dosing errors when switchi…

  6. What did the doctor say? Health literacy and recall of medical instructions. | PSNet

    psnet.ahrq.gov/issue/what-did-doctor-say-health-literacy-and-recall-medical-instructions
    December 21, 2014 - Study What did the doctor say? Health literacy and recall of medical instructions. Citation Text: McCarthy D, Waite KR, Curtis LM, et al. What did the doctor say? Health literacy and recall of medical instructions. Med Care. 2012;50(4):277-82. doi:10.1097/MLR.0b013e318241e8e1. Copy C…

  7. The World Health Organization '5 moments of hand hygiene': the scientific foundation. | PSNet

    psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation
    October 19, 2022 - Commentary The World Health Organization '5 moments of hand hygiene': the scientific foundation. Citation Text: Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0…

  8. Disclosure of harmful medical errors in out-of-hospital care. | PSNet

    psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-out-hospital-care
    June 18, 2014 - Review Disclosure of harmful medical errors in out-of-hospital care. Citation Text: Lu DW, Guenther E, Wesley AK, et al. Disclosure of harmful medical errors in out-of-hospital care. Ann Emerg Med. 2013;61(2):215-21. doi:10.1016/j.annemergmed.2012.07.004. Copy Citation Format: …

  9. FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. | PSNet

    psnet.ahrq.gov/issue/fda-preliminary-public-health-notification-unpredictable-events-medical-equipment-due-new
    June 02, 2021 - Government Resource FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. Citation Text: FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time chang…

  10. Mortality rate after nonelective hospital admission. | PSNet

    psnet.ahrq.gov/issue/mortality-rate-after-nonelective-hospital-admission
    January 22, 2016 - Study Mortality rate after nonelective hospital admission. Citation Text: Ricciardi R, Roberts PL, Read TE, et al. Mortality rate after nonelective hospital admission. Arch Surg. 2011;146(5):545-51. doi:10.1001/archsurg.2011.106. Copy Citation Format: DOI Google Scholar P…

  11. Evaluation of a redesign initiative in an internal-medicine residency. | PSNet

    psnet.ahrq.gov/issue/evaluation-redesign-initiative-internal-medicine-residency
    February 17, 2011 - Study Evaluation of a redesign initiative in an internal-medicine residency. Citation Text: McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136. Copy Citation …

  12. Minimizing surgical error by incorporating objective assessment into surgical education. | PSNet

    psnet.ahrq.gov/issue/minimizing-surgical-error-incorporating-objective-assessment-surgical-education
    January 12, 2022 - Review Minimizing surgical error by incorporating objective assessment into surgical education. Citation Text: Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsu…

  13. Perceptions of preventable medical errors in Alberta, Canada. | PSNet

    psnet.ahrq.gov/issue/perceptions-preventable-medical-errors-alberta-canada
    January 21, 2019 - Study Perceptions of preventable medical errors in Alberta, Canada. Citation Text: Northcott H, Vanderheyden L, Northcott J, et al. Perceptions of preventable medical errors in Alberta, Canada. Int J Qual Health Care. 2007;20(2):115-122. doi:10.1093/intqhc/mzm067. Copy Citation F…

  14. 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…

  15. Patient safety in the context of neonatal intensive care: research and educational opportunities. | PSNet

    psnet.ahrq.gov/issue/patient-safety-context-neonatal-intensive-care-research-and-educational-opportunities
    April 11, 2011 - Commentary Patient safety in the context of neonatal intensive care: research and educational opportunities. Citation Text: Raju TNK, Suresh G, Higgins RD. Patient safety in the context of neonatal intensive care: research and educational opportunities. Pediatr Res. 2011;70(1):109-15. do…

  16. NICU Family Information Packet, Appendix B, Short Bowel Syndrome (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sbs.pdf
    June 02, 2025 - NICU Family Information Packet, Appendix B, Short Bowel Syndrome Short Bowel Syndrome Pathophysiology ■ Functional disorder caused by alterations of normal intestinal anatomy and physiology. ■ Shortened bowel combined with malabsorption; dependent on parenteral nutrition >3 months. ■ May result from: necrotizin…

  17. Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs. | PSNet

    psnet.ahrq.gov/issue/adverse-events-associated-procedural-sedation-and-analgesia-pediatric-emergency-department
    June 12, 2019 - Study Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs. Citation Text: Roback MG, Wathen JE, Bajaj L, et al. Adverse events associated with procedural sedation and analgesia in a pediatric emer…

  18. The power of regret. | PSNet

    psnet.ahrq.gov/issue/power-regret
    February 17, 2011 - Commentary The power of regret. Citation Text: Groopman J, Hartzband P. The Power of Regret. N Engl J Med. 2017;377(16):1507-1509. doi:10.1056/NEJMp1709917. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  19. When less is better, but physicians are afraid not to intervene. | PSNet

    psnet.ahrq.gov/issue/when-less-better-physicians-are-afraid-not-intervene
    July 29, 2020 - Commentary When less is better, but physicians are afraid not to intervene. Citation Text: Esserman L. When Less Is Better, but Physicians Are Afraid Not to Intervene. JAMA Intern Med. 2016;176(7):888-9. doi:10.1001/jamainternmed.2016.2257. Copy Citation Format: DOI Google …

  20. Electronic prescribing in pediatrics: toward safer and more effective medication management. | PSNet

    psnet.ahrq.gov/issue/electronic-prescribing-pediatrics-toward-safer-and-more-effective-medication-management
    October 04, 2011 - Organizational Policy/Guidelines Electronic prescribing in pediatrics: toward safer and more effective medication management. Citation Text: Committee 2011–2012 AA of PC on CITE. Electronic prescribing in pediatrics: toward safer and more effective medication management. Pediatrics. 2…
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