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9901. Color coded medication safety system reduces community pediatric emergency nursing medication errors. | PSNet
      psnet.ahrq.gov/issue/color-coded-medication-safety-system-reduces-community-pediatric-emergency-nursing-medication
      April 05, 2023 - Study Color coded medication safety system reduces community pediatric emergency nursing medication errors. Citation Text: Feleke R, Kalynych CJ, Lundblom B, et al. Color coded medication safety system reduces community pediatric emergency nursing medication errors. J Patient Saf. 2009…

9902. Pediatric weight errors and resultant medication dosing errors in the emergency department. | PSNet
      psnet.ahrq.gov/issue/pediatric-weight-errors-and-resultant-medication-dosing-errors-emergency-department
      August 04, 2021 - Study Pediatric weight errors and resultant medication dosing errors in the emergency department. Citation Text: Hirata KM, Kang AH, Ramirez G, et al. Pediatric Weight Errors and Resultant Medication Dosing Errors in the Emergency Department. Pediatr Emerg Care. 2019;35(9):637-642. doi:1…

9903. Patient safety incidents in hospice care: observations from interdisciplinary case conferences. | PSNet
      psnet.ahrq.gov/issue/patient-safety-incidents-hospice-care-observations-interdisciplinary-case-conferences
      June 15, 2022 - Study Patient safety incidents in hospice care: observations from interdisciplinary case conferences. Citation Text: Oliver DP, Demiris G, Wittenberg-Lyles E, et al. Patient safety incidents in hospice care: observations from interdisciplinary case conferences. J Palliat Med. 2013;16(1…

9904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33578/psn-pdf
      September 15, 2024 - Human Factors Engineering September 15, 2024 Human Factors Engineering. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/human-factors-engineering PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safe…

9905. Rapid Response Systems | PSNet
      psnet.ahrq.gov/curated-library/rapid-response-systems
      September 15, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Rapid Response Systems  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: AHRQ Date Created: January 24, 20…

9906. Disclosure of Errors | PSNet
      psnet.ahrq.gov/primer/disclosure-errors
      September 15, 2024 - Disclosure of Errors Citation Text: Disclosure of Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33569/psn-pdf
      June 15, 2024 - Readmissions and Adverse Events After Discharge June 15, 2024 Readmissions and Adverse Events After Discharge. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that t…

9908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35122/psn-pdf
      December 10, 2008 - Walk inside, have surgery. But is it safe? December 10, 2008 Brooks A. https://psnet.ahrq.gov/issue/walk-inside-have-surgery-it-safe This article provides a brief review of safety concerns associated with free-standing surgical centers. https://psnet.ahrq.gov/issue/walk-inside-have-surgery-it-safe

9909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33711/psn-pdf
      May 01, 2011 - The Second Victim Phenomenon: A Harsh Reality of Health Care Professions May 1, 2011 Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions Perspective The Instit…

9910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50612/psn-pdf
      October 30, 2019 - The Safety Challenges of Supervision and Night Coverage in Academic Residency October 30, 2019 Raffel K. The Safety Challenges of Supervision and Night Coverage in Academic Residency. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency The Case…

9911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49504/psn-pdf
      March 01, 2006 - Liposuction Gone Awry March 1, 2006 Yates JA. Liposuction Gone Awry. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/liposuction-gone-awry The Case A 54-year-old man with HIV was referred to a plastic surgeon for cosmetic surgery. In the plastic surgeon’s office, he underwent neck and facial liposuction wit…

9912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49662/psn-pdf
      August 01, 2012 - Wrong Turn through Colon: Misplaced PEG August 1, 2012 Sorokin R, Conn M. Wrong Turn through Colon: Misplaced PEG. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg The Case An 87-year-old man was admitted for congestive heart failure (CHF) exacerbation. In addition, a pa…

9913. Discharge Planning and Transitions of Care | PSNet
      psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
      June 15, 2024 - Discharge Planning and Transitions of Care Citation Text: Bajorek SA, McElroy V. Discharge Planning and Transitions of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibT…

9914. Adverse Event During Intrahospital Transport | PSNet
      psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
      June 16, 2021 - Adverse Event During Intrahospital Transport Citation Text: Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar …

9915. Primary Workaround, Secondary Complication | PSNet
      psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
      January 24, 2018 - Primary Workaround, Secondary Complication Citation Text: Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar B…

9916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49562/psn-pdf
      May 01, 2008 - The Inside of a Time Out May 1, 2008 Feldman DL. The Inside of a Time Out. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/inside-time-out The Case A 65-year-old man was scheduled for an elective endovascular repair of an abdominal aortic aneurysm. The patient had an allergy to "IV contrast dye" that was no…

9917. In Conversation with…Robert M. Wachter, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
      October 01, 2008 - In Conversation with…Robert M. Wachter, MD October 1, 2008  Also Read an Essay Citation Text: In Conversation with…Robert M. Wachter, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008…

9918. In Conversation With… Robert Hirschtick, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
      January 01, 2018 - In Conversation With… Robert Hirschtick, MD January 1, 2018  Also Read an Essay Citation Text: In Conversation With… Robert Hirschtick, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

9919. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care | PSNet
      psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
      November 25, 2020 - SPOTLIGHT CASE Some Patients Can't Wait: Improving Timeliness of Emergency Department Care Citation Text: Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of…

9920. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34121/psn-pdf
      November 02, 2014 - Safety as You Go from Hospital to Home. November 2, 2014 National Patient Safety Foundation; NPSF https://psnet.ahrq.gov/issue/safety-you-go-hospital-home A review of steps for patients to make their transition home as safe as possible. https://psnet.ahrq.gov/issue/safety-you-go-hospital-home