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psnet.ahrq.gov/issue/characteristics-initial-prescription-episodes-and-likelihood-long-term-opioid-use-united
April 24, 2018 - mandate to case review patients with opioid prescriptions on mortality among patients with opioid use disorder
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psnet.ahrq.gov/issue/medication-errors-associated-code-situations-us-hospitals-direct-and-collateral-damage
June 29, 2011 - Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder
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psnet.ahrq.gov/node/47984/psn-pdf
May 01, 2019 - Incidence of multiple sclerosis misdiagnosis in referrals
to two academic centers.
May 1, 2019
Kaisey M, Solomon AJ, Luu M, et al. Incidence of multiple sclerosis misdiagnosis in referrals to two
academic centers. Mult Scler Relat Disord. 2019;30:51-56. doi:10.1016/j.msard.2019.01.048.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Care for Pregnant and Postpartum People with Substance Use Disorder (AIM)
Perinatal Mental Health Conditions … perinatal-care/index.html
https://saferbirth.org/psbs/care-for-pregnant-and-postpartum-people-with-substance-use-disorder … Preeclampsia is typically defined as a disorder of pregnancy associated with new-onset
hypertension
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psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - common risk factors for SEA are diabetes mellitus, intravenous drug use, trauma, and alcohol use
disorder
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - had substantially increased in the past few weeks to the point that he self-referred to a local sleep disorder … have preferred to have received some level of medication counseling from his physician in the sleep disorder … While the indication for use (i.e., sleep disorder) is probably not the issue in this case, many pharmacists
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psnet.ahrq.gov/node/38159/psn-pdf
October 22, 2008 - Missed diagnosis of critical congenital heart disease.
October 22, 2008
Chang R-KR, Gurvitz M, Rodriguez S. Missed diagnosis of critical congenital heart disease. Arch Pediatr
Adolesc Med. 2008;162(10):969-74. doi:10.1001/archpedi.162.10.969.
https://psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-d…
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psnet.ahrq.gov/node/73546/psn-pdf
July 28, 2021 - A tragic death shows how ERs fail patients who struggle
with addiction.
July 28, 2021
Pattani A. Health Shots. National Public Radio. July 14, 2021.
https://psnet.ahrq.gov/issue/tragic-death-shows-how-ers-fail-patients-who-struggle-addiction
Patients with substance abuse disorders face challenges to safe…
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psnet.ahrq.gov/issue/health-care-crossroads-strategies-improving-medical-liability-system-and-preventing-patient
September 07, 2005 - 5, 2023
Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder … naloxone with all patients when prescribing opioid pain relievers or medicines to treat opioid use disorder
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psnet.ahrq.gov/node/46711/psn-pdf
July 01, 2019 - The STOP Measure. Safe and Transparent Opioid
Prescribing to Promote Patient Safety and Reduced Risk
of Opioid Misuse.
July 1, 2019
Washington, DC: America's Health Insurance Plans; 2019.
https://psnet.ahrq.gov/issue/stop-measure-safe-and-transparent-opioid-prescribing-promote-patient-safety-
and-reduced-risk
Gu…
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psnet.ahrq.gov/node/46857/psn-pdf
May 16, 2018 - The best medical care in the world.
May 16, 2018
Reilly BM. The Best Medical Care in the World. N Engl J Med. 2018;378(18):1741-1743.
doi:10.1056/NEJMms1802026.
https://psnet.ahrq.gov/issue/best-medical-care-world
Patients with serious psychiatric disorders are vulnerable to problems with their care. This commenta…
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - Case & Commentary—Part 1: A 77-year-old woman with chronic myelodysplastic syndrome (a disorder of … appear to be actively bleeding, and the anemia was likely due to her underlying chronic hematologic disorder … A better solution would be to use erythropoietin, which is effective in some patients with this disorder
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psnet.ahrq.gov/node/49605/psn-pdf
June 01, 2010 - Acute Respiratory Arrest in Pregnancy
June 1, 2010
Sibai B. Acute Respiratory Arrest in Pregnancy. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
The Case
A 35-year-old woman was 38 weeks pregnant with twins (G3P2). When she developed acute onset of
shortness of breath an…
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psnet.ahrq.gov/issue/evaluating-safety-mental-health-related-prescribing-uk-primary-care-cross-sectional-study
August 14, 2019 - Study
Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).
Citation Text:
Khawagi WY, Steinke DT, Carr MJ, et al. Evaluating the safety of mental health-related prescribing in UK prima…
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psnet.ahrq.gov/node/46469/psn-pdf
October 25, 2017 - RxAwareness.
October 25, 2017
Centers for Disease Control and Prevention; CDC.
https://psnet.ahrq.gov/issue/rxawareness
The opioid crisis is a persisting patient safety problem. One approach to prevent misuse of opioids is to
raise awareness of the addictive nature of the medication. This national campaign enlists…
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psnet.ahrq.gov/node/46295/psn-pdf
September 06, 2017 - Pain assessment and management standards for
hospitals.
September 6, 2017
R3 Report. August 29, 2017;11:1-7.
https://psnet.ahrq.gov/issue/pain-assessment-and-management-standards-hospitals
Strategies to manage pain safely have been reexamined in light of the opioid epidemic. This report
highlights Joint Commissio…
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psnet.ahrq.gov/node/73982/psn-pdf
October 20, 2021 - US emergency department visits attributed to medication
harms, 2017-2019.
October 20, 2021
Budnitz DS, Shehab N, Lovegrove MC, et al. US emergency department visits attributed to medication
harms, 2017-2019. JAMA. 2021;326(13):1299. doi:10.1001/jama.2021.13844.
https://psnet.ahrq.gov/issue/us-emergency-department-…
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psnet.ahrq.gov/node/866397/psn-pdf
July 31, 2024 - Exploring the fear of clinical errors: associations with
socio-demographic, professional, burnout, and mental
health factors in healthcare workers - a nationwide cross-
sectional study.
July 31, 2024
Boyer L, Wu AW, Fernandes S, et al. Exploring the fear of clinical errors: associations with socio-
demographic, p…
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psnet.ahrq.gov/node/72776/psn-pdf
February 24, 2021 - Mental health of staff working in intensive care during
COVID-19.
February 24, 2021
Greenberg N, Weston D, Hall C, et al. Mental health of staff working in intensive care during COVID-19.
Occup Med (Lond). 2020;71(2):62-67. doi:10.1093/occmed/kqaa220.
https://psnet.ahrq.gov/issue/mental-health-staff-working-intens…
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psnet.ahrq.gov/node/73562/psn-pdf
August 04, 2021 - Medication safety in mental health hospitals: a mixed-
methods analysis of incidents reported to the National
Reporting and Learning System.
August 4, 2021
Alshehri GH, Keers RN, Carson-Stevens A, et al. Medication safety in mental health hospitals: a mixed-
methods analysis of incidents reported to the National R…