-
psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
September 21, 2008 - Study
Pediatric antidepressant medication errors in a national error reporting database.
Citation Text:
Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e…
-
psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
August 15, 2017 - In the early National Institute of Neurological Disorders and Stroke trial, the rate of symptomatic hemorrhage … National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group.
-
psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - Preeclampsia and other hypertensive disorders of pregnancy are complex, occur on a spectrum of severity … and include a wide array of disorders. 26 The most severe forms can have dire consequences for both … Cardiac dysfunction is a complication referring to disorders of the cardiovascular system which may impact
-
psnet.ahrq.gov/node/61079/psn-pdf
October 28, 2020 - Besides psychotic
disorders, chlorpromazine is also approved by the United States Food and Drug Administration … following indications and uses: nausea and vomiting, agitation or aggression associated with psychiatric
disorders
-
psnet.ahrq.gov/issue/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution-treatment
August 25, 2021 - Study
A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales.
Citation Text:
Gibson R, MacLeod N, Donaldson LJ, et al. A mixed‐methods analysis of patient safety incidents i…
-
psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental-health-veterans-health
July 13, 2022 - Book/Report
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020.
Citation Text:
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Fac…
-
psnet.ahrq.gov/issue/potentially-inappropriate-opioid-prescribing-overdose-and-mortality-massachusetts-2011-2015
January 23, 2019 - Study
Potentially inappropriate opioid prescribing, overdose, and mortality in Massachusetts, 2011–2015.
Citation Text:
Rose AJ, Bernson D, Chui KKH, et al. Potentially Inappropriate Opioid Prescribing, Overdose, and Mortality in Massachusetts, 2011-2015. J Gen Intern Med. 2018;33(9):151…
-
psnet.ahrq.gov/issue/design-endoscopic-retrograde-cholangiopancreatography-ercp-duodenoscopes-may-impede-effective
March 11, 2015 - Government Resource
Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning.
Citation Text:
Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. FDA Safety Communication. Silver Sp…
-
psnet.ahrq.gov/issue/safety-warnings-regarding-use-fentanyl-transdermal-skin-patches
August 12, 2015 - Government Resource
Fentanyl transdermal system (marketed as Duragesic) information.
Citation Text:
Fentanyl transdermal system (marketed as Duragesic) information. US Food and Drug Administration. MedWatch. July 10, 2015.
Copy Citation
Save
Save to your library…
-
psnet.ahrq.gov/issue/diagnostic-delays-paediatric-stroke
April 24, 2018 - Study
Diagnostic delays in paediatric stroke.
Citation Text:
Mallick AA, Ganesan V, Kirkham FJ, et al. Diagnostic delays in paediatric stroke. J Neurol Neurosurg Psychiatry. 2015;86(8):917-21. doi:10.1136/jnnp-2014-309188.
Copy Citation
Format:
DOI Google Scholar PubMed Bib…
-
psnet.ahrq.gov/node/49426/psn-pdf
November 01, 2003 - attendant
changes in social and work function can contribute to the emergence of vulnerability to these disorders … Clinical management of psychiatric disorders in patients with HIV disease.
-
psnet.ahrq.gov/node/49830/psn-pdf
May 01, 2018 - Risk factors for inpatient suicide include
affective disorders, depressive symptoms, schizophrenia,
-
psnet.ahrq.gov/node/49644/psn-pdf
December 01, 2011 - perform an appropriate eye-focused history and physical examination, recognize vision-threatening
disorders … perform an appropriate eye-focused history and physical examination, recognize vision-
threatening disorders
-
psnet.ahrq.gov/issue/physician-prescribing-opioids-patients-increased-risk-overdose-benzodiazepine-use-united
September 27, 2016 - Study
Emerging Classic
Physician prescribing of opioids to patients at increased risk of overdose from benzodiazepine use in the United States.
Citation Text:
Ladapo JA, Larochelle MR, Chen A, et al. Physician Prescribing of Opioids to Patients at Increased Risk…
-
psnet.ahrq.gov/issue/underdiagnosis-dementia-observational-study-patterns-diagnosis-and-awareness-us-older-adults
October 14, 2016 - Study
Classic
Underdiagnosis of dementia: an observational study of patterns in diagnosis and awareness in US older adults.
Citation Text:
Amjad H, Roth DL, Sheehan OC, et al. Underdiagnosis of Dementia: an Observational Study of Patterns in Diagnosis and Awaren…
-
psnet.ahrq.gov/issue/implantable-infusion-pumps-magnetic-resonance-mr-environment-fda-safety-communication
February 07, 2018 - Press Release/Announcement
Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precautions.
Citation Text:
Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precaut…
-
psnet.ahrq.gov/node/853250/psn-pdf
September 06, 2023 - ‘The Retrievals’ reveals painful experiences of female
patients are often ignored.
September 6, 2023
Desjardins L. PBS NewsHour. August 29, 2023.
https://psnet.ahrq.gov/issue/retrievals-reveals-painful-experiences-female-patients-are-often-ignored
Disregard for women’s pain is a persistent problem in health care. …
-
psnet.ahrq.gov/issue/how-effective-are-patient-safety-initiatives-retrospective-patient-record-review-study
March 18, 2013 - January 16, 2019
Prescription opioid use, misuse, and use disorders in U.S. adults: 2015
-
psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Spotlight: Mistaken Attribution, Diagnostic Misstep
January 1, 2019
Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
Case Objectives
List the patient safety events that are unique to in…
-
psnet.ahrq.gov/node/852279/psn-pdf
August 09, 2023 - Why stigma matters in addressing alcohol harm.
August 9, 2023
Morris J, Schomerus G. Why stigma matters in addressing alcohol harm. Drug Alcohol Rev.
2023;42(5):1264-1268. doi:10.1111/dar.13660.
https://psnet.ahrq.gov/issue/why-stigma-matters-addressing-alcohol-harm
Stigma and bias in healthcare undermine patient …