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  1. psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
    April 01, 2005 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 30, 2023 View more articles from the…
  2. psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx Spotlight The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department Source and Credits • This presentation is based on the April 2023 AH…
  3. psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
    January 23, 2017 - SPOTLIGHT CASE The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. Citation Text: Amashta ML, Barnes DK. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department.. PSNet [internet]. Rockv…
  4. psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial
    December 21, 2017 - Study Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. Citation Text: Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305…
  5. psnet.ahrq.gov/issue/risk-wrong-patient-orders-among-multiple-vs-singleton-births-neonatal-intensive-care-units-2
    December 21, 2017 - Study Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. Citation Text: Adelman JS, Applebaum JR, Southern WN, et al. Risk of Wrong-Patient Orders Among Multiple vs Singleton Births in the Neonatal Int…
  6. psnet.ahrq.gov/issue/characteristics-initial-prescription-episodes-and-likelihood-long-term-opioid-use-united
    April 24, 2018 - Study Classic Characteristics of initial prescription episodes and likelihood of long-term opioid use—United States, 2006–2015. Citation Text: Shah A, Hayes CJ, Martin BC. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use - …
  7. psnet.ahrq.gov/issue/effect-veterans-health-administration-mandate-case-review-patients-opioid-prescriptions
    May 18, 2022 - Study Effect of a Veterans Health Administration mandate to case review patients with opioid prescriptions on mortality among patients with opioid use disorder: a secondary analysis of the STORM randomized control trial. Citation Text: Auty SG, Barr KD, Frakt AB, et al. Effect of a Veter…
  8. psnet.ahrq.gov/issue/burnout-and-its-relationship-self-reported-quality-patient-care-and-adverse-events-during
    August 25, 2021 - Study Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses. Citation Text: Kakemam E, Chegini Z, Rouhi A, et al. Burnout and its relationship to self‐reported quality of patient care and adv…
  9. psnet.ahrq.gov/issue/influence-opioid-prescription-policy-overdoses-and-related-adverse-effects-primary-care
    March 24, 2021 - Study Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. Citation Text: Harder VS, Plante TB, Koh I, et al. Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. J Gen Int…
  10. psnet.ahrq.gov/issue/prescription-opioid-use-misuse-and-use-disorders-us-adults-2015-national-survey-drug-use-and
    October 17, 2012 - Study Classic Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health. Citation Text: Han B, Compton WM, Blanco C, et al. Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Surv…
  11. psnet.ahrq.gov/issue/engaging-patients-medication-reconciliation-patient-portal-following-hospital-discharge
    February 03, 2011 - Study Engaging patients in medication reconciliation via a patient portal following hospital discharge. Citation Text: Heyworth L, Paquin AM, Clark J, et al. Engaging patients in medication reconciliation via a patient portal following hospital discharge. J Am Med Inform Assoc. 2014;21(e…
  12. psnet.ahrq.gov/innovation/clinician-collaboration-improve-clinical-decision-support-clickbusters-initiative
    October 21, 2020 - EMERGING INNOVATIONS Clinician collaboration to improve clinical decision support: the Clickbusters initiative. Citation Text: Clinician collaboration to improve clinical decision support: the Clickbusters initiative. Mc Coy AB, Russo EM, Johnson KB, et al. Clinician collaboration to improve clini…
  13. psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
    June 29, 2022 - EMERGING INNOVATIONS Reducing hospital harm: establishing a command centre to foster situational awareness. Citation Text: Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885. Copy Citation …
  14. psnet.ahrq.gov/issue/effect-delays-2-week-wait-cancer-referral-pathway-during-covid-19-pandemic-cancer-survival-uk
    October 21, 2020 - Study Emerging Classic Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study. Citation Text: Sud A, Torr B, Jones ME, et al. Effect of delays in the 2-week-wait cancer referral pa…
  15. psnet.ahrq.gov/issue/concordance-urgent-referral-guidelines-patients-presenting-any-six-alarm-features-possible
    February 17, 2021 - Study Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records. Citation Text: Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral gui…
  16. psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
    October 30, 2024 - Study Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. Citation Text: Padula WV, Black JM, Davidson PM, et al. Adverse Effects of the Medicare PSI-90 Hospital Penalty System on Revenue-Neutral Hospital-Acquired Conditions. J …
  17. psnet.ahrq.gov/issue/good-care-slow-enough-be-able-pay-attention-primary-care-time-scarcity-and-patient-safety
    August 04, 2015 - Study "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. Citation Text: Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. J Gen Intern …
  18. psnet.ahrq.gov/issue/clinical-reasoning-education-us-medical-schools-results-national-survey-internal-medicine
    October 12, 2022 - Study Clinical reasoning education at US medical schools: results from a national survey of internal medicine clerkship directors. Citation Text: Rencic J, Trowbridge RL, Fagan M, et al. Clinical Reasoning Education at US Medical Schools: Results from a National Survey of Internal Medici…
  19. psnet.ahrq.gov/issue/evaluation-association-between-hospital-survey-patient-safety-culture-hsops-measures-and
    December 21, 2017 - Study Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives. Citation Text: Meddings J, Reichert H, Greene T, et al. Evaluation of the association between Hospital Survey…
  20. psnet.ahrq.gov/issue/using-medication-containers-during-pharmacist-transitional-care-visits-and-impact-medication
    March 08, 2023 - Study Using medication containers during pharmacist transitional care visits and impact on medication discrepancies identified and hospital readmission risk. Citation Text: Herges JR, Garrison GM, Mara KC, et al. Using medication containers during pharmacist transitional care visits and …

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