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  1. psnet.ahrq.gov/issue/changes-early-high-risk-opioid-prescribing-practices-after-policy-interventions-washington
    November 03, 2021 - explore associations between opioid prescribing policy interventions implemented at different times (including … September 24, 2016 Prescribers' perspectives on including reason for use information
  2. psnet.ahrq.gov/issue/exploring-nurses-attitudes-skills-and-beliefs-medication-safety-practices
    October 21, 2020 - Nurses are responsible for several steps in the medication-use process, including preparation, administration … October 19, 2022 Bundle interventions including nontechnical skills for surgeons can
  3. psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review
    March 18, 2020 - In this systematic review including 159 studies, the authors explored factors influencing successful … The researchers identified several common factors supporting effective implementation, including clinical
  4. psnet.ahrq.gov/issue/girl-who-cried-pain-bias-against-women-treatment-pain
    February 08, 2023 - Findings show there are many reasons for the underappreciation and undertreatment of women’s pain, including … August 3, 2022 A retrospective audit of postoperative days alive and out of hospital, including
  5. psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions-and-medications
    November 16, 2022 - Opioid medications are associated with an increased risk of adverse drug events , including overdose … Researchers found that those with underlying psychiatric and behavioral conditions (including opioid
  6. psnet.ahrq.gov/issue/healthcare-fragmentation-multimorbidity-potentially-inappropriate-medication-and-mortality
    April 12, 2019 - This population-based cohort study including 4.7 million Danish adults who interacted with primary or … The researchers found that higher levels of care fragmentation were associated with adverse outcomes, including
  7. psnet.ahrq.gov/issue/safety-health-care-ethnic-minority-patients-systematic-review
    May 25, 2022 - The authors identified several factors contributing to the increased risk, including language proficiency … November 17, 2021 Bundle interventions including nontechnical skills for surgeons can
  8. psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-long-term-care-and-its-relationship-probable-delirium
    September 23, 2020 - Potentially inappropriate prescribing (PIP) is common and can contribute to patient harm, including … This population-based study including over 171,000 long-term care residents in Ontario, Canada, examined
  9. psnet.ahrq.gov/issue/adverse-outcomes-polypharmacy-older-people-systematic-review-reviews
    May 29, 2019 - The authors describe conflicting evidence on associating polypharmacy with adverse outcomes, including … Quality standards for safe medication in nursing homes: development through a multistep approach including
  10. psnet.ahrq.gov/issue/fostering-just-culture-healthcare-organizations-experiences-practice
    August 10, 2022 - This qualitative study including five healthcare organizations in the Netherlands concluded that open … Researchers also identified several challenges in fostering a just culture, including how individual
  11. psnet.ahrq.gov/issue/patients-willingness-and-ability-participate-actively-reduction-clinical-errors-systematic
    February 24, 2021 - potential barriers to patients' involvement in safety: illness severity, cognitive characteristics (including … language barriers), poor physician–patient communication, and organizational factors (including safety
  12. psnet.ahrq.gov/issue/prevalence-contributory-factors-and-severity-medication-errors-associated-direct-acting-oral
    December 22, 2021 - Prescribing errors constituted the majority of error types, and common causes were active failures, including … April 7, 2021 Contributory factors and patient harm including deaths associated direct
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44082/psn-pdf
    April 22, 2015 - Impact of including readmissions for qualifying events in the Patient Safety Indicators. … Impact of including readmissions for qualifying events in the patient safety indicators. … https://psnet.ahrq.gov/issue/impact-including-readmissions-qualifying-events-patient-safety-indicators … https://psnet.ahrq.gov/issue/impact-including-readmissions-qualifying-events-patient-safety-indicators
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846935/psn-pdf
    March 29, 2023 - strategies and practices that aim to prevent adverse outcomes for both the mother and the newborn, including … Healthcare Research and Quality (AHRQ) leads several initiatives focused on improving perinatal safety, including … It is essential to address patient safety challenges across the different healthcare settings, including … Healthcare providers should routinely screen for perinatal mental health problems, including depression … A variety of mental health screening tools is available, including the Edinburgh Postnatal Depression
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836811/psn-pdf
    April 07, 2022 - Standardized response to watcher patients, including licensed independent practitioner (LIP) assessment … , collaborative communication between the care team, and development of a tailored plan including interventions … Centralized watcher huddles providing twice-daily reports on watcher patients, including watcher criteria … These huddles are led by the house supervisor and including nursing representatives, on-call hospitalist
  16. psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-work-environments-been-transformed
    April 04, 2018 - brief discusses what has changed since the Keeping Patients Safe report was released a decade ago, including … Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including
  17. psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
    February 15, 2023 - use after active cancer treatment was associated with a 15-fold increase in risk of adverse events (including … overdose) and an increased risk in adverse events related to opioid use, including falls, fractures,
  18. psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
    June 16, 2021 - qualitative study of patient safety experts delineates multiple challenges of current reporting systems, including … January 19, 2022 Patient-assisted incident reporting: including the patient in patient
  19. psnet.ahrq.gov/issue/pain-management-best-practices-multispecialty-organizations-during-covid-19-pandemic-and
    November 16, 2022 - address a need for national guidance on pain management practices during the COVID-19 pandemic, a panel including … Any pain management plan must consider many facets including patients’ clinical circumstances and providers
  20. psnet.ahrq.gov/issue/safety-and-acceptability-using-telehealth-follow-patients-following-cancer-surgery-systematic
    December 23, 2020 - The COVID-19 pandemic has increased adoption of telehealth across various medical specialties, including … This systematic review including 11 studies (3,336 patients) explored the impact of virtual follow-up

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