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  1. psnet.ahrq.gov/issue/evaluation-inpatient-admissions-and-potential-antimicrobial-and-analgesic-dosing-errors
    September 23, 2020 - Study Evaluation of inpatient admissions and potential antimicrobial and analgesic dosing errors in overweight children. Citation Text: Miller JL, Johnson PN, Harrison DL, et al. Evaluation of inpatient admissions and potential antimicrobial and analgesic dosing errors in overweight chi…
  2. psnet.ahrq.gov/issue/impact-adverse-events-prescribing-warfarin-patients-atrial-fibrillation-matched-pair-analysis
    August 15, 2018 - Study Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. Citation Text: Choudhry NK, Anderson G, Laupacis A, et al. Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. B…
  3. psnet.ahrq.gov/issue/effects-technological-interventions-safety-medication-use-system
    May 11, 2016 - Study Effects of technological interventions on the safety of a medication-use system. Citation Text: Skibinski K, White BA, Lin LI-K, et al. Effects of technological interventions on the safety of a medication-use system. Am J Health Syst Pharm. 2007;64(1):90-6. Copy Citation Fo…
  4. www.ahrq.gov/news/newsroom/case-studies/202402.html
    July 01, 2024 - Sierra Vista Hospital Uses AHRQ Toolkit To Slash Catheter Use and Eliminate Infections Search All Impact Case Studies July 2024 Sierra Vista Hospital, an 11-bed critical access hospital in Truth or Consequences, New Mexico, implemented practices from AHRQ’s Toolkit for Reducing Catheter-Associated Urinary …
  5. psnet.ahrq.gov/issue/medication-errors-family-practice-hospitals-and-after-discharge-hospital-ethical-analysis
    September 23, 2020 - Commentary Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. Citation Text: Clark PA. Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. J Law Med Ethics. 2004;32(2)…
  6. psnet.ahrq.gov/issue/more-tick-box-medical-checklist-development-design-and-use
    December 02, 2020 - Commentary More than a tick box: medical checklist development, design, and use. Citation Text: Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286. Copy Citat…
  7. psnet.ahrq.gov/issue/effect-pharmacist-adverse-drug-events-and-medication-errors-outpatients-cardiovascular
    July 31, 2013 - Study Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Citation Text: Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Arch …
  8. psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
    December 02, 2020 - Review Alarm fatigue: impacts on patient safety. Citation Text: Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …
  9. psnet.ahrq.gov/issue/framework-direct-observation-performance-and-safety-healthcare
    November 15, 2023 - Commentary Framework for direct observation of performance and safety in healthcare. Citation Text: Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407. …
  10. psnet.ahrq.gov/issue/surgeon-reported-conflict-intensivists-about-postoperative-goals-care
    September 26, 2012 - Study Surgeon-reported conflict with intensivists about postoperative goals of care. Citation Text: Olson TJP, Brasel KJ, Redmann AJ, et al. Surgeon-reported conflict with intensivists about postoperative goals of care. JAMA Surg. 2013;148(1):29-35. doi:10.1001/jamasurgery.2013.403. Co…
  11. Nedsbrochure 050218 (pdf file)

    hcup-us.ahrq.gov/news/exhibit_booth/NEDSBrochure_050218.pdf
    May 16, 2018 - What is the NEDS? The Nationwide Emergency Department Sample (NEDS) is part of the family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). The NEDS produces national estimates about emergency department visits across the country. The NEDS describes emergency department v…
  12. psnet.ahrq.gov/issue/managing-unnecessary-variability-patient-demand-reduce-nursing-stress-and-improve-patient
    August 04, 2021 - Study Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. Citation Text: Litvak E, Buerhaus P, Davidoff F, et al. Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. Jt Comm J Qual Pat…
  13. psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-initiative
    October 17, 2012 - Commentary Promoting patient safety: results of a TeamSTEPPS initiative. Citation Text: Gaston T, Short N, Ralyea C, et al. Promoting patient safety: results of a TeamSTEPPS initiative. J Nurs Adm. 2016;46(4):201-207. doi:10.1097/nna.0000000000000333. Copy Citation Format: …
  14. psnet.ahrq.gov/issue/anticoagulation-patient-safety-goal-compliance-university-health-system-methods-achieving
    March 09, 2022 - Commentary Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal. Citation Text: Franco AC, Maxwell P, Green K, et al. Anticoagulation Patient Safety Goal Compliance at a University Health System: Methods for Achieving the Goal. Hosp…
  15. psnet.ahrq.gov/issue/pediatric-quality-and-safety-nursing-perspective
    February 15, 2017 - Review Pediatric quality and safety: a nursing perspective. Citation Text: Butler GA, Hupp DS. Pediatric Quality and Safety. Pediatr Clin North Am. 2016;63(2). doi:10.1016/j.pcl.2015.11.005. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
  16. psnet.ahrq.gov/issue/interventions-reducing-medication-errors-children-hospital
    May 19, 2018 - Review Interventions for reducing medication errors in children in hospital. Citation Text: Maaskant JM, Vermeulen H, Apampa B, et al. Interventions for reducing medication errors in children in hospital. Cochrane Database Syst Rev. 2015;(3):CD006208. doi:10.1002/14651858.CD006208.pub3. …
  17. psnet.ahrq.gov/issue/teamwork-and-error-operating-room-analysis-skills-and-roles
    April 15, 2009 - Study Teamwork and error in the operating room: analysis of skills and roles. Citation Text: Catchpole K, Mishra A, Handa A, et al. Teamwork and error in the operating room: analysis of skills and roles. Ann Surg. 2008;247(4):699-706. doi:10.1097/SLA.0b013e3181642ec8. Copy Citation …
  18. psnet.ahrq.gov/issue/assessing-diagnostic-reasoning-consensus-statement-summarizing-theory-practice-and-future
    August 11, 2015 - Commentary Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs. Citation Text: Ilgen JS, Humbert AJ, Kuhn G, et al. Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs. Acad Emerg Med. 20…
  19. psnet.ahrq.gov/issue/automatic-errors-case-series-errors-inherent-electronic-prescribing
    March 14, 2022 - Commentary Automatic errors: a case series on the errors inherent in electronic prescribing. Citation Text: Lourenco LM, Bursua A, Groo VL. Automatic Errors: A Case Series on the Errors Inherent in Electronic Prescribing. J Gen Intern Med. 2016;31(7):808-811. doi:10.1007/s11606-016-3606-…
  20. psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
    December 04, 2019 - Commentary Is it time for safeguards in the adoption of robotic surgery? Citation Text: Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA. 2019;321(20):1971-1972. doi:10.1001/jama.2019.3736. Copy Citation Format: DOI Google Scholar Pub…