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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846170/psn-pdf
    March 15, 2023 - Duplicate Therapies in Retail Pharmacy March 15, 2023 Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy The Cases Case 1: A middle-aged man with a past medical history of heart failure with reduced ejection f…

  2. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
    January 01, 2022 - Spotlight Spotlight Patient Safety Events Involving Opioid Dose Stacking Source and Credits • This presentation is based on the January 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74713/psn-pdf
    January 26, 2022 - Patient Safety Events Involving Opioid Dose Stacking January 26, 2022 Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking Disclosure of Relevant Financial Relationships: As a provider ac…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33770/psn-pdf
    August 01, 2014 - In Conversation With… Urmimala Sarkar, MD, MPH August 1, 2014 In Conversation With… Urmimala Sarkar, MD, MPH. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph Editor's note: Urmimala Sarkar, MD, MPH, is associate professor of medicine at the University of California, S…

  5. U.S. Department of Health and Human Services Guidance Regarding Patient Safety Organizations' Reporting Obligations and the Patient Safety and Quality Improvement Act of 2005 (pdf file)

    pso.ahrq.gov/sites/default/files/wysiwyg/fda-guidance-pso.pdf
    December 01, 2010 - U.S. Department of Health and Human Services Guidance Regarding Patient Safety Organizations' Reporting Obligations and the Patient Safety and Quality Improvement Act of 2005 Department of Health and Human Services Guidance Regarding Patient Safety Organizations’ Reporting Obligations and th…

  6. Medication Safety Events Related to Diagnostic Imaging | PSNet

    psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
    January 26, 2022 - Medication Safety Events Related to Diagnostic Imaging Citation Text: Sanchez L, Porras H, Lammers C. Medication Safety Events Related to Diagnostic Imaging. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Fo…

  7. Recommendation: Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication
    January 29, 2019 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication January 29, 2019 Recommendations made by the USPSTF are inde…

  8. Sb260-Appendix (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb260-appendix.pdf
    December 25, 2022 - 1 Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Statistical Brief #260: Social Determinants of Health and County Population Rates of Opioid-Related Inpatient Stays and Emergency Department Visits, 2016 (Owens PL, Weiss AJ, Barrett ML, Reid LD) Appendix A.1. Supplemental d…

  9. Patient safety and artificial intelligence in clinical care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligence-clinical-care
    December 21, 2022 - Commentary Patient safety and artificial intelligence in clinical care. Citation Text: Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514. Copy Citation Format: …

  10. The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. | PSNet

    psnet.ahrq.gov/issue/incidence-and-cost-unexpected-hospital-use-after-scheduled-outpatient-endoscopy
    October 31, 2012 - Study The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Citation Text: Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/arc…

  11. Medication errors among adults and children with cancer in the outpatient setting. | PSNet

    psnet.ahrq.gov/issue/medication-errors-among-adults-and-children-cancer-outpatient-setting
    January 16, 2010 - Study Medication errors among adults and children with cancer in the outpatient setting. Citation Text: Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.60…

  12. US poison control center calls for infants 6 months of age and younger. | PSNet

    psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-months-age-and-younger
    November 16, 2022 - Study US poison control center calls for infants 6 months of age and younger. Citation Text: Kang M, Brooks DE. US Poison Control Center Calls for Infants 6 Months of Age and Younger. Pediatrics. 2016;137(2):e20151865. doi:10.1542/peds.2015-1865. Copy Citation Format: DOI G…

  13. Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. | PSNet

    psnet.ahrq.gov/issue/early-diagnostic-suggestions-improve-accuracy-family-physicians-randomized-controlled-trial
    April 07, 2021 - Study Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Citation Text: Kostopoulou O, Lionis C, Angelaki A, et al. Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Fam P…

  14. Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic
    September 01, 2016 - Study Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. Citation Text: Burus T, Lei F, Huang B, et al. Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. JAMA Oncol. 2024;10(4):500-507. doi:10.1001/jamaoncol.2023.…

  15. Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. | PSNet

    psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric-cardiac-catheterization
    March 24, 2019 - Study Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. Citation Text: Huang Y-C, Chang J-S, Lai Y-C, et al. Importance of prevention and early intervention of adverse events in pediatric cardi…

  16. Toward learning from patient safety reporting systems. | PSNet

    psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
    January 02, 2017 - Study Toward learning from patient safety reporting systems. Citation Text: Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  17. Creating a safer health care system: finding the constraint. | PSNet

    psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
    February 24, 2011 - Commentary Creating a safer health care system: finding the constraint. Citation Text: Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  18. Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. | PSNet

    psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hospital-mixed-methods-evaluation-newly-implemented
    August 30, 2023 - Study Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. Citation Text: Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised prov…

  19. Sources of medication omissions among hospitalized older adults with polypharmacy. | PSNet

    psnet.ahrq.gov/issue/sources-medication-omissions-among-hospitalized-older-adults-polypharmacy
    January 18, 2023 - Study Sources of medication omissions among hospitalized older adults with polypharmacy. Citation Text: Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jg…

  20. Omissions of care in nursing home settings: a narrative review. | PSNet

    psnet.ahrq.gov/issue/omissions-care-nursing-home-settings-narrative-review
    November 18, 2020 - Review Omissions of care in nursing home settings: a narrative review. Citation Text: Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. Copy Citation F…
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