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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - Urine drug testing may have helped identify some of the abuses.
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psnet.ahrq.gov/node/42510/psn-pdf
August 21, 2013 - Root cause analysis reports help identify common factors
in delayed diagnosis and treatment of outpatients.
August 21, 2013
Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in
delayed diagnosis and treatment of outpatients. Health Aff (Millwood). 2013;32(8):1368-75.…
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psnet.ahrq.gov/node/44394/psn-pdf
August 24, 2018 - Getting the wrong person's medicine at the pharmacy:
easy steps consumers can take to help eliminate these
errors.
August 24, 2018
ISMP Safe Medicine. July/August 2015;13:1-3.
https://psnet.ahrq.gov/issue/getting-wrong-persons-medicine-pharmacy-easy-steps-consumers-can-take-
help-eliminate-these
Dispensing error…
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psnet.ahrq.gov/node/46482/psn-pdf
October 11, 2017 - What can physicians do to help curb the opioid crisis?
October 11, 2017
Bendix J.
https://psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis
The persistent problem of opioid-related harm calls for changes in pain management practices and system
processes in all care settings. This magazine article…
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psnet.ahrq.gov/node/44877/psn-pdf
April 27, 2016 - Actions Needed to Help Ensure Appropriate Medication
Continuation and Prescribing Practices.
April 27, 2016
Washington, DC: United States Government Accountability Office; January 5, 2016. Publication GAO-16-
158.
https://psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-
pre…
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psnet.ahrq.gov/node/33845/psn-pdf
November 01, 2017 - In Conversation With… Wanda Pratt, PhD
November 1, 2017
In Conversation With… Wanda Pratt, PhD. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
Editor's note: Wanda Pratt is a Professor in the Information School with an adjunct appointment in the
Division of Biomedical and …
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psnet.ahrq.gov/node/45542/psn-pdf
October 05, 2016 - Bipartisan Consensus: The Public Wants Well-Rested
Medical Residents to Help Ensure Safe Patient Care.
October 5, 2016
Almashat S, Carome M, Wolfe S, Landrigan CP, Czeisler C. Washington, DC: Public Citizen; September
13, 2016.
https://psnet.ahrq.gov/issue/bipartisan-consensus-public-wants-well-rested-medical-resi…
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psnet.ahrq.gov/node/36348/psn-pdf
March 09, 2009 - Reducing medical error in the Military Health System: how
can team training help?
March 9, 2009
Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can
team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/38533/psn-pdf
January 31, 2011 - Measuring preventable harm: helping science keep pace
with policy.
January 31, 2011
Pronovost P, Colantuoni E. Measuring preventable harm: helping science keep pace with policy. JAMA.
2009;301(12):1273-5. doi:10.1001/jama.2009.388.
https://psnet.ahrq.gov/issue/measuring-preventable-harm-helping-science-keep-pace…
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psnet.ahrq.gov/node/43117/psn-pdf
December 12, 2014 - Is your hospital really as safe as you think? Our updated
hospital safety score can help you find out.
December 12, 2014
Consumer Reports. March 27, 2014.
https://psnet.ahrq.gov/issue/your-hospital-really-safe-you-think-our-updated-hospital-safety-score-can-help-
you-find-out
Despite lack of consensus on the valu…
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psnet.ahrq.gov/issue/quick-tips-when-planning-surgery-0
December 18, 2008 - Fact Sheet/FAQs
Quick Tips--When Planning for Surgery.
Citation Text:
Quick Tips--When Planning for Surgery. Rockville, MD: Agency for Health Care Policy and Research; 2005. AHRQ Pub. No. 01-0040d.
Copy Citation
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psnet.ahrq.gov/node/35993/psn-pdf
June 07, 2006 - Video games can help cut surgical errors.
June 7, 2006
Baertlein L.
https://psnet.ahrq.gov/issue/video-games-can-help-cut-surgical-errors
This article reports on a study that found that playing video games before surgery enhanced surgical
dexterity and minimized errors.
https://psnet.ahrq.gov/issue/video-games-ca…
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psnet.ahrq.gov/node/37961/psn-pdf
May 05, 2010 - Does the Leapfrog program help identify high-quality
hospitals?
May 5, 2010
Jha AK, Orav J, Ridgway AB, et al. Does the Leapfrog program help identify high-quality hospitals? Jt
Comm J Qual Patient Saf. 2008;34(6):318-325.
https://psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals
The…
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psnet.ahrq.gov/node/33907/psn-pdf
November 21, 2016 - Ways You Can Help Your Family Prevent Medical Errors!
November 21, 2016
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/ways-you-can-help-your-family-prevent-medical-errors
A brief presentation of "pearls" to allow consumers to take an active role in preventing medical errors.
https:…
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psnet.ahrq.gov/node/39738/psn-pdf
June 10, 2018 - Preventing catheter/tubing misconnections: much needed
help is on the way.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2.
https://psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
This piece describes reports of tubing misconnections and discu…
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psnet.ahrq.gov/node/49457/psn-pdf
September 01, 2004 - Doctor, Don't Treat Thyself
September 1, 2004
Rosvold EO. Doctor, Don't Treat Thyself. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
The Case
A 50-year-old radiologist presented to the emergency department of the community hospital where he
worked and reported increasing shortnes…
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psnet.ahrq.gov/node/41977/psn-pdf
October 11, 2016 - Patient safety tool helps ID hospital errors.
October 11, 2016
Clark C. HealthLeaders Media. December 2012.
https://psnet.ahrq.gov/issue/patient-safety-tool-helps-id-hospital-errors
This magazine article discusses how the AHRQ common formats tool has been used to identify, track, and
report near misses in hospital…