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Tenfold therapeutic dosing errors in young children reported to US poison control centers. | PSNet

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July 10, 2024 - Study Tenfold therapeutic dosing errors in young children reported to US poison control centers. Citation Text: Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10…

Intensive care unit alarms—how many do we need? | PSNet

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March 01, 2011 - Study Intensive care unit alarms—how many do we need? Citation Text: Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med. 2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888. Copy Citation Format: DOI Google Scholar PubMed BibT…

Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. | PSNet

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October 19, 2022 - Study Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. Citation Text: Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with h…

Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. | PSNet

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May 13, 2009 - Study Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Citation Text: Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Acta Paediatr. …

Urban outpatient views on quality and safety in primary care. | PSNet

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May 18, 2019 - Study Urban outpatient views on quality and safety in primary care. Citation Text: Dowell D, Manwell LB, Maguire A, et al. Urban outpatient views on quality and safety in primary care. Healthc Q. 2005;8(2):suppl 2-8. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

The computerized rounding report: implementation of a model system to support transitions of care. | PSNet

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October 19, 2022 - Study The computerized rounding report: implementation of a model system to support transitions of care. Citation Text: Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7.…

Living with the aftermath: the second victim experience among certified registered nurse anesthetists. | PSNet

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April 12, 2019 - Study Living with the aftermath: the second victim experience among certified registered nurse anesthetists. Citation Text: Kruse JA, Podojil-Kostecki P, Smith B. Living with the aftermath: the second victim experience among certified registered nurse anesthetists. AANA J. 2024;92(3):173…

Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. | PSNet

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January 27, 2016 - Study Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Citation Text: Young JQ, Pringle Z, Wachter R. Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Jt Comm J Qual Patient Saf. 2011;37(7):300-308. Copy Cita…

Emotional impact of patient safety incidents on family physicians and their office staff. | PSNet

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December 11, 2013 - Study Emotional impact of patient safety incidents on family physicians and their office staff. Citation Text: O'Beirne M, Sterling P, Palacios-Derflingher L, et al. Emotional impact of patient safety incidents on family physicians and their office staff. J Am Board Fam Med. 2012;25(2)…

Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery. | PSNet

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March 18, 2020 - Study Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery. Citation Text: Anderson DE, Watts B. Application of an engineering problem-solving methodology to address persistent…

Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. | PSNet

psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts

September 25, 2013 - Study Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. Citation Text: Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…

Analysis of medical emergency team calls comparing subjective to "objective" call criteria. | PSNet

psnet.ahrq.gov/issue/analysis-medical-emergency-team-calls-comparing-subjective-objective-call-criteria

December 01, 2008 - Study Analysis of medical emergency team calls comparing subjective to "objective" call criteria. Citation Text: Santiano N, Young L, Hillman K, et al. Analysis of medical emergency team calls comparing subjective to "objective" call criteria. Resuscitation. 2009;80(1):44-9. doi:10.101…

The tipping point: the relationship between volume and patient harm. | PSNet

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September 10, 2014 - Study The tipping point: the relationship between volume and patient harm. Citation Text: Pedroja AT. The tipping point: the relationship between volume and patient harm. Am J Med Qual. 2008;23(5):336-41. doi:10.1177/1062860608320628. Copy Citation Format: DOI Google Scho…

Vital signs: overdoses of prescription opioid pain relievers- United States, 1999-2008. | PSNet

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February 27, 2019 - Study Vital signs: overdoses of prescription opioid pain relievers- United States, 1999-2008. Citation Text: Prevention C for DC and. Vital signs: overdoses of prescription opioid pain relievers---United States, 1999--2008. MMWR Morb Mortal Wkly Rep. 2011;60(43):1487-92. Copy Citatio…

Using a medical emergency team to manage anaphylactic shock. | PSNet

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June 26, 2024 - Commentary Using a medical emergency team to manage anaphylactic shock. Citation Text: Burns B, Beckett J, Jones D, et al. Using a medical emergency team to manage anaphylactic shock. Jt Comm J Qual Patient Saf. 2008;34(6):360-3. Copy Citation Format: Google Scholar PubMed …

Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution. | PSNet

psnet.ahrq.gov/issue/operating-room-clinicians-attitudes-and-perceptions-pediatric-surgical-safety-checklist-1

July 14, 2010 - Study Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution. Citation Text: Norton EK, Singer SJ, Sparks W, et al. Operating Room Clinicians' Attitudes and Perceptions of a Pediatric Surgical Safety Checklist at 1 Institution. J Pa…

Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center. | PSNet

psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-academic-medical

October 19, 2022 - Study Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center. Citation Text: Ramanathan R, Leavell P, Stockslager G, et al. Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical cen…

Prevention of opioid overdose. | PSNet

psnet.ahrq.gov/issue/prevention-opioid-overdose

July 18, 2018 - Review Emerging Classic Prevention of opioid overdose. Citation Text: Babu KM, Brent J, Juurlink DN. Prevention of opioid overdose. N Engl J Med. 2019;380(23):2246-2255. doi:10.1056/NEJMra1807054. Copy Citation Format: DOI Google Scholar PubMed Bi…

Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. | PSNet

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March 20, 2019 - Study Emerging Classic Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. Citation Text: Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentine…

The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. | PSNet

psnet.ahrq.gov/issue/hospital-score-predicts-potentially-preventable-30-day-readmissions-conditions-targeted

May 08, 2017 - Study The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. Citation Text: Burke RE, Schnipper JL, Williams M, et al. The HOSPITAL Score Predicts Potentially Preventable 30-Day Readmissions in Condit…

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