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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49564/psn-pdf
    July 01, 2008 - Dependence vs. Pain July 1, 2008 Gordon AJ. Dependence vs. Pain . PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/dependence-vs-pain Case Objectives Define opioid dependence and opioid withdrawal syndrome. Describe the treatment of opioid withdrawal syndrome including the use of the Clinical Opioid Withdra…
  2. Psn-Pdf (pdf file)

    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…
  3. psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
    July 01, 2011 - SPOTLIGHT CASE Spotlight: Mistaken Attribution, Diagnostic Misstep Citation Text: Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citat…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45329/psn-pdf
    April 24, 2018 - State legal restrictions and prescription-opioid use among disabled adults. April 24, 2018 Meara E, Horwitz JR, Powell W, et al. State Legal Restrictions and Prescription-Opioid Use among Disabled Adults. N Engl J Med. 2016;375(1):44-53. doi:10.1056/NEJMsa1514387. https://psnet.ahrq.gov/issue/state-legal-restricti…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47603/psn-pdf
    March 20, 2019 - Electronic patient identification for sample labeling reduces wrong blood in tube errors. March 20, 2019 Kaufman RM, Dinh A, Cohn CS, et al. Electronic patient identification for sample labeling reduces wrong blood in tube errors. Transfusion (Paris). 2019;59(3):972-980. doi:10.1111/trf.15102. https://psnet.ahrq.g…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46616/psn-pdf
    July 02, 2019 - Medication-related clinical decision support alert overrides in inpatients. July 2, 2019 Nanji KC, Seger DL, Slight SP, et al. Medication-related clinical decision support alert overrides in inpatients. J Am Med Inform Assoc. 2018;25(5):476-481. doi:10.1093/jamia/ocx115. https://psnet.ahrq.gov/issue/medication-rel…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45681/psn-pdf
    January 25, 2017 - Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review. January 25, 2017 Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for Bloodstream Infections Related to Central Catheters: A Systema…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43037/psn-pdf
    October 31, 2014 - Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. October 31, 2014 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; February 2014. Report No. OEI-06-11-00370. https://psnet.ahrq.gov/issue/adverse-events-skilled-nu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45065/psn-pdf
    June 01, 2016 - Variation in quality of urgent health care provided during commercial virtual visits. June 1, 2016 Schoenfeld AJ, Davies JM, Marafino BJ, et al. Variation in Quality of Urgent Health Care Provided During Commercial Virtual Visits. JAMA Intern Med. 2016;176(5):635-42. doi:10.1001/jamainternmed.2015.8248. https://ps…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43617/psn-pdf
    September 24, 2016 - Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? September 24, 2016 Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.acra.2014.08.001. https://psne…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45319/psn-pdf
    September 01, 2018 - Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. September 1, 2018 Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395-2648. https://psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability Medical liability refor…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46203/psn-pdf
    June 14, 2017 - Prescription errors related to the use of computerized provider order-entry system for pediatric patients. June 14, 2017 Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Int J Med Inform. 2017;103:15-19. doi:10.1016/j…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43074/psn-pdf
    December 18, 2014 - Graded autonomy in medical education—managing things that go bump in the night. December 18, 2014 Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. https://psnet.ahrq.gov/issue/graded-autonomy-medic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37908/psn-pdf
    June 10, 2010 - Incidence and characteristics of potential and actual retained foreign object events in surgical patients. June 10, 2010 Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg. 2008;207(1):80-7. doi:10.1016/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38983/psn-pdf
    February 10, 2015 - Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. February 10, 2015 Jha AK, Chan DC, Ridgway AB, et al. Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. Health Aff (Millwood). 2009;28(5):1475-1484. doi:10.1377/hlthaff.28.5.1475. https://psnet.ahrq.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46173/psn-pdf
    August 20, 2018 - Advances in Patient Safety and Medical Liability. August 20, 2018 Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No. 17-0017-EF. https://psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability This publication describes the re…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39337/psn-pdf
    May 07, 2014 - Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia. May 7, 2014 Eber MR, Laxminarayan R, Perencevich E, et al. Clinical and economic outcomes attributable to health care-associated sepsis and pneumonia. Arch Intern Med. 2010;170(4):347-53. doi:10.1001/archinternmed.2009.509.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74230/psn-pdf
    January 12, 2022 - Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. January 12, 2022 Cooper A, Carson-Stevens A, Cooke M, et al. Learning from diagnostic errors to improve patient safety when…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46612/psn-pdf
    February 22, 2018 - Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. February 22, 2018 Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital performance in care of patients with acute …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44993/psn-pdf
    April 17, 2017 - Surgical patient safety outcomes in critical access hospitals: how do they compare? April 17, 2017 Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176. https://psnet.ahrq.gov/issue/surgica…

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