-
psnet.ahrq.gov/node/60958/psn-pdf
September 30, 2020 - Characteristics and unexpected COVID-19 diagnoses in
resuscitation room patients during the COVID-19 outbreak
- a retrospective case series.
September 30, 2020
Bergrath S, Aretz O, Haake H, et al. Characteristics and unexpected COVID-19 diagnoses in resuscitation
room patients during the COVID-19 outbreak - a retr…
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psnet.ahrq.gov/node/50745/psn-pdf
December 18, 2019 - Medication errors during simulated paediatric
resuscitations: a prospective, observational human
reliability analysis.
December 18, 2019
Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a
prospective, observational human reliability analysis. BMJ Open. 2019;9(1…
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psnet.ahrq.gov/node/34886/psn-pdf
February 03, 2011 - Potentially inappropriate medication use among elderly
home care patients in Europe.
February 3, 2011
Fialová D, Topinková E, Gambassi G, et al. Potentially inappropriate medication use among elderly home
care patients in Europe. JAMA. 2005;293(11):1348-58.
https://psnet.ahrq.gov/issue/potentially-inappropriate-me…
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psnet.ahrq.gov/node/38517/psn-pdf
February 17, 2011 - Use of electronic health records in US hospitals.
February 17, 2011
Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals.
doi:10.1056/NEJMsa0900592.
https://psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
Increasing the use of electronic health records (EHRs)…
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psnet.ahrq.gov/node/36314/psn-pdf
June 13, 2011 - Discontinuity of chronic medications in patients
discharged from the intensive care unit.
June 13, 2011
Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the
intensive care unit. J Gen Intern Med. 2006;21(9):937-41.
https://psnet.ahrq.gov/issue/discontinuity-chro…
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psnet.ahrq.gov/node/45765/psn-pdf
April 05, 2017 - Clinical reasoning in the context of active decision
support during medication prescribing.
April 5, 2017
Horsky J, Aarts J, Verheul L, et al. Clinical reasoning in the context of active decision support during
medication prescribing. Int J Med Inform. 2017;97:1-11. doi:10.1016/j.ijmedinf.2016.09.004.
https://psne…
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psnet.ahrq.gov/node/73492/psn-pdf
July 14, 2021 - How can regulatory authorities improve safety in
organizations by influencing safety culture? A conceptual
model of the relationships and a discussion of
implications.
July 14, 2021
Nævestad T-O, Storesund Hesjevoll I, Elvik R. How can regulatory authorities improve safety in
organizations by influencing safety c…
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psnet.ahrq.gov/node/37995/psn-pdf
September 19, 2016 - Inpatient suicide and suicide attempts in Veterans Affairs
hospitals.
September 19, 2016
Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
Jt Comm J Qual Patient Saf. 2008;34(8):482-488.
https://psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts…
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psnet.ahrq.gov/node/837705/psn-pdf
July 20, 2022 - Understanding hazards for adverse drug events among
older adults after hospital discharge: insights from
frontline care professionals.
July 20, 2022
Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after
hospital discharge: insights from frontline care professionals…
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psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
January 25, 2010 - December 1, 2011
Are temporary staff associated with more severe emergency department
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psnet.ahrq.gov/issue/ismp-quarterwatch-reports
June 07, 2017 - June 13, 2018
Severe hyperglycemia in patients incorrectly using insulin pens at home
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psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory-pharmacy
June 07, 2017 - May 11, 2017
Severe hyperglycemia in patients incorrectly using insulin pens at home.
-
psnet.ahrq.gov/issue/patient-safety-24
December 01, 2011 - July 8, 2013
Are temporary staff associated with more severe emergency department medication
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psnet.ahrq.gov/issue/nursing-care-quality-nqf
September 06, 2011 - July 8, 2009
Antecedents of severe and nonsevere medication errors.
-
psnet.ahrq.gov/node/49811/psn-pdf
November 01, 2017 - worsening respiratory status, liver abnormalities, and colonic pseudo-obstruction were all
consistent with severe … These are rare but life-threatening conditions that result from either decompensated
thyrotoxicosis or severe … Effects Score
Absent 0
Mild (agitation) 10
Moderate (delirium, psychosis, extreme lethargy) 20
Severe … 25
Congestive Heart Failure Score
Absent 0
Mild (pedal edema) 5
Moderate (bibasilar rales) 10
Severe
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - advanced care discussions
Case: Code Status Confusion
A 60-year-old woman with a history of severe … preferences in scenarios with uncertain outcomes
i.e., successful cardiac resuscitation with resultant severe
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psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
February 06, 2019 - June 13, 2018
Severe hyperglycemia in patients incorrectly using insulin pens at home
-
psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
June 07, 2017 - June 13, 2018
Severe hyperglycemia in patients incorrectly using insulin pens at home
-
psnet.ahrq.gov/issue/clinical-issues-series
July 05, 2006 - 2006
National Partnership for Maternal Safety: consensus bundle on support after a severe
-
psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
April 29, 2018 - September 12, 2016
ALERT: reports of severe harm after intravenous administration of