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Successful use of a rapid response team in the pediatric oncology outpatient setting. | PSNet

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December 21, 2016 - Commentary Successful use of a rapid response team in the pediatric oncology outpatient setting. Citation Text: Avent Y, Johnson S, Henderson N, et al. Successful use of a rapid response team in the pediatric oncology outpatient setting. Jt Comm J Qual Patient Saf. 2010;36(1):43-5. Cop…

Outpatient prescribing errors and the impact of computerized prescribing. | PSNet

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February 18, 2011 - Study Outpatient prescribing errors and the impact of computerized prescribing. Citation Text: Gandhi TK, Weingart SN, Seger AC, et al. Outpatient prescribing errors and the impact of computerized prescribing. J Gen Intern Med. 2005;20(9):837-841. doi:10.1111/j.1525-1497.2005.0194.x. …

Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. | PSNet

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August 07, 2024 - Book/Report Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Citation Text: Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Q…

Cognitive errors detected in anaesthesiology: a literature review and pilot study. | PSNet

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November 21, 2012 - Study Cognitive errors detected in anaesthesiology: a literature review and pilot study. Citation Text: Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/ae…

Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. | PSNet

psnet.ahrq.gov/issue/classification-failures-perception-conversational-agents-cas-and-their-implications-patient

July 06, 2022 - Study Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Citation Text: Aftab H, Shah SHH, Habli I. Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Stu…

Physician engagement in malpractice risk reduction: a UPHS case study. | PSNet

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June 02, 2019 - Commentary Physician engagement in malpractice risk reduction: a UPHS case study. Citation Text: Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.…

A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. | PSNet

psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically

March 15, 2016 - Study A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. Citation Text: Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of…

Longitudinal trends in U.S. drug shortages for medications used in emergency departments (2001–2014). | PSNet

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July 19, 2023 - Study Longitudinal trends in U.S. drug shortages for medications used in emergency departments (2001–2014). Citation Text: Hawley KL, Mazer-Amirshahi M, Zocchi MS, et al. Longitudinal Trends in U.S. Drug Shortages for Medications Used in Emergency Departments (2001-2014). Acad Emerg Med.…

When COVID-19 hit, many elderly were left to die. | PSNet

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June 24, 2020 - Newspaper/Magazine Article When COVID-19 hit, many elderly were left to die. Citation Text: Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

Reducing anticoagulant medication adverse events and avoidable patient harm. | PSNet

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May 19, 2021 - Study Reducing anticoagulant medication adverse events and avoidable patient harm. Citation Text: Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200. Copy Citation …

Hospitalists as emerging leaders in patient safety: targeting a few to affect many. | PSNet

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January 29, 2010 - Commentary Hospitalists as emerging leaders in patient safety: targeting a few to affect many. Citation Text: Flanders SA, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: targeting a few to affect many. J Patient Saf. 2005;1(2):78-82. doi:10.1097/pts.0b0…

Racial and ethnic differences in the experience and treatment of noncancer pain. | PSNet

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June 01, 2022 - Review Emerging Classic Racial and ethnic differences in the experience and treatment of noncancer pain. Citation Text: Meints SM, Cortes A, Morais CA, et al. Racial and ethnic differences in the experience and treatment of noncancer pain. Pain Manag. 2019;9(3):…

Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. | PSNet

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November 11, 2020 - Commentary Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. Citation Text: Liese KL, Davis-Floyd R, Stewart K, et al. Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, an…

Learning not to take it seriously: junior doctors' accounts of error. | PSNet

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December 16, 2015 - Study Learning not to take it seriously: junior doctors' accounts of error. Citation Text: Kroll L, Singleton A, Collier J, et al. Learning not to take it seriously: junior doctors' accounts of error. Med Educ. 2008;42(10):982-90. doi:10.1111/j.1365-2923.2008.03151.x. Copy Citation…

Simulation in graduate medical education 2008: a review for emergency medicine. | PSNet

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July 13, 2010 - Commentary Simulation in graduate medical education 2008: a review for emergency medicine. Citation Text: McLaughlin S, Fitch MT, Goyal DG, et al. Simulation in graduate medical education 2008: a review for emergency medicine. Acad Emerg Med. 2008;15(11):1117-29. doi:10.1111/j.1553-271…

Teams under pressure in the emergency department: an interview study. | PSNet

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June 03, 2013 - Study Teams under pressure in the emergency department: an interview study. Citation Text: Flowerdew L, Brown R, Russ S, et al. Teams under pressure in the emergency department: an interview study. Emerg Med J. 2012;29(12):e2. doi:10.1136/emermed-2011-200084. Copy Citation Format…

Identifying missed care in pediatric nursing: a scoping review. | PSNet

psnet.ahrq.gov/issue/identifying-missed-care-pediatric-nursing-scoping-review

August 15, 2012 - Review Identifying missed care in pediatric nursing: a scoping review. Citation Text: Maffeo M, Parente E, Ciofi D. Identifying missed care in pediatric nursing: a scoping review. J Pediatr Nurs. 2024;80:115-120. doi:10.1016/j.pedn.2024.11.017. Copy Citation Format: DOI Goo…

Frontiers in measuring structural racism and its health effects. | PSNet

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April 06, 2022 - Commentary Frontiers in measuring structural racism and its health effects. Citation Text: Brown TH, Homan PA. Frontiers in measuring structural racism and its health effects. Health Serv Res. 2022;57(3):443-447. doi:10.1111/1475-6773.13978. Copy Citation Format: DOI Google…

Safety of patients isolated for infection control. | PSNet

psnet.ahrq.gov/issue/safety-patients-isolated-infection-control

January 15, 2020 - Study Classic Safety of patients isolated for infection control. Citation Text: Stelfox HT, Bates DW, Redelmeier DA. Safety of patients isolated for infection control. JAMA. 2003;290(14):1899-1905. Copy Citation Format: Google Scholar PubMed BibT…

Causes of use errors in ventilation devices--systematic review. | PSNet

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October 12, 2022 - Review Causes of use errors in ventilation devices--systematic review. Citation Text: Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544. Copy Citation Format: D…

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