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  1. A Lot of Pain (Medications) | PSNet

    psnet.ahrq.gov/web-mm/lot-pain-medications
    September 23, 2020 - hospitalized patients.( 12 ) The most severe adverse event, opioid overdose, is difficult to estimate owing to varied … definitions of this endpoint and varied patient populations; however, estimates range from 0.2%–4% of

  2. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. | PSNet

    psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
    November 25, 2020 - The leading causes also varied by race. … to distinguish between cases (79) and controls (123). 10 The test performances of the four systems varied

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866395/psn-pdf
    July 23, 2024 - American College of Surgeons National Surgical Quality Improvement Program.4 The study found widely varied

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49565/psn-pdf
    July 01, 2008 - difference in medication error rates across RNs, LPNs, and CMTs (5,6) , perhaps indicating that the varied

  5. The correlation between neonatal intensive care unit safety culture and quality of care. | PSNet

    psnet.ahrq.gov/issue/correlation-between-neonatal-intensive-care-unit-safety-culture-and-quality-care
    November 20, 2019 - Study The correlation between neonatal intensive care unit safety culture and quality of care. Citation Text: Profit J, Sharek PJ, Cui X, et al. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. J Patient Saf. 2020;16(4):e310-e316. doi:10.1097/PTS.0…

  6. The Result Stopped Here | PSNet

    psnet.ahrq.gov/web-mm/result-stopped-here
    December 01, 2006 - The Result Stopped Here Citation Text: Astion ML. The Result Stopped Here. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  7. Rescue Improvement Conference Innovation Summary | PSNet

    psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
    September 23, 2024 - American College of Surgeons National Surgical Quality Improvement Program. 4 The study found widely varied

  8. Comparing NICU teamwork and safety climate across two commonly used survey instruments. | PSNet

    psnet.ahrq.gov/issue/comparing-nicu-teamwork-and-safety-climate-across-two-commonly-used-survey-instruments
    November 20, 2019 - Study Comparing NICU teamwork and safety climate across two commonly used survey instruments. Citation Text: Profit J, Lee HC, Sharek PJ, et al. Comparing NICU teamwork and safety climate across two commonly used survey instruments. BMJ Qual Saf. 2016;25(12):954-961. doi:10.1136/bmjqs-20…

  9. Evaluating incident learning systems and safety culture in two radiation oncology departments. | PSNet

    psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments
    June 30, 2021 - Study Evaluating incident learning systems and safety culture in two radiation oncology departments. Citation Text: Adamson L, Beldham‐Collins R, Sykes J, et al. Evaluating incident learning systems and safety culture in two radiation oncology departments. J Med Radiat Sci. 2022;69(2):2…

  10. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet

    psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
    March 12, 2021 - Several copies of the same kit were opened following the event, and the spatial arrangement of items varied

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33593/psn-pdf
    June 15, 2024 - Measurement of Patient Safety June 15, 2024 Measurement of Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/measurement-patient-safety 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 …

  12. Measurement of Patient Safety | PSNet

    psnet.ahrq.gov/primer/measurement-patient-safety
    September 15, 2024 - Measurement of Patient Safety Citation Text: Measurement of Patient Safety. 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 Pu…

  13. Patient safety perceptions in pediatric out-of-hospital emergency care: Children's Safety Initiative. | PSNet

    psnet.ahrq.gov/issue/patient-safety-perceptions-pediatric-out-hospital-emergency-care-childrens-safety-initiative
    March 22, 2017 - Study Patient safety perceptions in pediatric out-of-hospital emergency care: Children's Safety Initiative. Citation Text: Guise J-M, Meckler G, O'Brien K, et al. Patient Safety Perceptions in Pediatric Out-of-Hospital Emergency Care: Children's Safety Initiative. J Pediatr. 2015;167(5):…

  14. Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS. | PSNet

    psnet.ahrq.gov/issue/patient-safety-events-out-hospital-paediatric-airway-management-medical-record-review-csi-ems
    June 25, 2018 - Study Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS. Citation Text: Hansen M, Meckler G, Lambert W, et al. Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS. BMJ Op…

  15. Wrong Route for Nutrients | PSNet

    psnet.ahrq.gov/web-mm/wrong-route-nutrients
    September 04, 2010 - difference in medication error rates across RNs, LPNs, and CMTs ( 5,6 ) , perhaps indicating that the varied

  16. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-471
    December 31, 2024 - Over the 2-year project period, overall hand hygiene rates improved, but rates among individual units varied

  17. Continuity Errors in Resident Clinic | PSNet

    psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
    October 02, 2019 - resident–patient relationships, but no actual patient outcomes data were collected.( 12 ) Although studies of varied

  18. Silent Pain in the Neck | PSNet

    psnet.ahrq.gov/web-mm/silent-pain-neck
    August 19, 2020 - Silent Pain in the Neck Citation Text: Bittner EA. Silent Pain in the Neck. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33602/psn-pdf
    March 15, 2025 - Individual Clinician Performance Issues March 15, 2025 Individual Clinician Performance Issues. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/individual-clinician-performance-issues PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current res…

  20. Preventing PICC Complications: Whose Line Is It? | PSNet

    psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
    October 01, 2017 - The patient in this particular case had varied services involved, from multiple organizations.
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