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8801. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
      psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
      May 26, 2021 - SPOTLIGHT CASE Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression Citation Text: Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…

8802. Meeting Minutes, July 2018 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2018-07-nac/nacmtg0718-minutes.html
      July 01, 2021 - Meeting Minutes, July 2018 National Advisory Council Minutes from the July 18, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of March 16, 2018, Meeting Summary Director's Welcome and Update Update on AHRQ Data…

8803. Improving Patient Safety in Long-Term Care Facilities, Module 3 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
      June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 3 Improving Patient Safety in Long-Term Care Facilities Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Module 3. Falls Prevention and Management Student Workbook These training materials were dev…

8804. Leverage Technology for Integrated Behavioral Health | The Academy
      integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/leverage-technology-for-ibh
      January 01, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

8805. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
      January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD; Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS; Bradley N. Do…

8806. What can physicians do to help curb the opioid crisis? | PSNet
      psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis
      December 18, 2019 - Newspaper/Magazine Article What can physicians do to help curb the opioid crisis? Citation Text: What can physicians do to help curb the opioid crisis? Bendix J. Copy Citation Save Save to your library Print Download PDF Share Facebook …

8807. Health Information Technology and Patient Safety: A Dynamic Discussion. | PSNet
      psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-dynamic-discussion
      November 07, 2012 - Book/Report Health Information Technology and Patient Safety: A Dynamic Discussion. Citation Text: Health Information Technology and Patient Safety: A Dynamic Discussion. Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; May 2011. Copy Citation …

8808. Medication safety issue brief. Counterfeit drug prevention and identification. | PSNet
      psnet.ahrq.gov/issue/medication-safety-issue-brief-counterfeit-drug-prevention-and-identification
      June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Counterfeit drug prevention and identification. Citation Text: Medication safety issue brief. Counterfeit drug prevention and identification. American Hospital Association, American Society of Health-System Pharmacists. Hosp Health Netw. 200…

8809. Creating a Foundation for the Design of Culturally-Informed Health Information Technology - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/creating-foundation-design-culturally-informed-health-information-technology/annual-summary/2012
      January 01, 2012 - Creating a Foundation for the Design of Culturally-Informed Health Information Technology - 2012 Project Name Creating a Foundation for the Design of Culturally-Informed Health Information Technology Principal Investigator Valdez, Rupa Sheth Organization University of Wiscons…

8810. Patient Safety Certificate Course. | PSNet
      psnet.ahrq.gov/issue/patient-safety-certificate-course
      August 07, 2013 - Course Material/Curriculum Patient Safety Certificate Course. Citation Text: Patient Safety Certificate Course. American Board of Quality Assurance and Utilization Review Physicians; ABQAURP. Copy Citation Save Save to your library Print Download PDF …

8811. National Action Plan to Improve Health Literacy. | PSNet
      psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy
      October 21, 2016 - Book/Report National Action Plan to Improve Health Literacy. Citation Text: National Action Plan to Improve Health Literacy. Washington, DC: United States Department of Health and Human Services; 2010.   Copy Citation Save Save to your library Pri…

8812. Scanner beep only means the barcode has been scanned. | PSNet
      psnet.ahrq.gov/issue/scanner-beep-only-means-barcode-has-been-scanned
      June 10, 2018 - Newspaper/Magazine Article Scanner beep only means the barcode has been scanned. Citation Text: Scanner beep only means the barcode has been scanned. ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2. Copy Citation Save Save to your library …

8813. Patient Safety in Dialysis Access. | PSNet
      psnet.ahrq.gov/issue/patient-safety-dialysis-access
      September 29, 2017 - Book/Report Patient Safety in Dialysis Access. Citation Text: Patient Safety in Dialysis Access. Widmer MK, Malik J, eds. Contrib Nephrol. 2015;184:1-270. ISBN: 9783318027051. Copy Citation Save Save to your library Print Download PDF Share …

8814. ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications. | PSNet
      psnet.ahrq.gov/issue/ashp-statement-bar-code-verification-during-inventory-preparation-and-dispensing-medications
      June 17, 2014 - Organizational Policy/Guidelines ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications. Citation Text: ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications. Am J Health-Syst Pharm. 2011;68:44…

8815. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Systems Analysis, Change and Implementation Theories Group Report Day 2 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Systems%20Analysis,%20Change%20and%20Implementation%20Theories%20Group%20Report%20Day%202.pdf
      September 21, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Systems Analysis, Change and Implementation Theories Group Report Day 2 Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop Monday, September 21, 2009 Systems Analysis, Change and Implementa…

8816. COVID-19: The Diagnostic Challenge. | PSNet
      psnet.ahrq.gov/issue/covid-19-diagnostic-challenge
      August 26, 2020 - Special or Theme Issue COVID-19: The Diagnostic Challenge. Citation Text: COVID-19: The Diagnostic Challenge. Diagnosis (Berl). 2020;7(4):345-411. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

8817. National Diabetes Inpatient Audit -- Harms. | PSNet
      psnet.ahrq.gov/issue/national-diabetes-inpatient-audit-2017
      January 27, 2016 - Book/Report National Diabetes Inpatient Audit -- Harms. Citation Text: National Diabetes Inpatient Audit -- Harms. Leeds, UK: Health and Social Care Information Centre. Copy Citation Save Save to your library Print Download PDF Share Facebook…

8818. ALERT: reports of severe harm after intravenous administration of breast milk to infants. | PSNet
      psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants
      May 02, 2018 - Newspaper/Magazine Article ALERT: reports of severe harm after intravenous administration of breast milk to infants. Citation Text: ALERT: reports of severe harm after intravenous administration of breast milk to infants. ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.   …

8819. Should doctors apologize for mistakes? | PSNet
      psnet.ahrq.gov/issue/should-doctors-apologize-mistakes
      December 18, 2019 - Newspaper/Magazine Article Should doctors apologize for mistakes? Citation Text: Should doctors apologize for mistakes? Bendix J. Medical Economics. November 10, 2019;96(21):17. Copy Citation Save Save to your library Print Download PDF Share …

8820. Safety in Anaesthesia. | PSNet
      psnet.ahrq.gov/issue/safety-anaesthesia
      April 07, 2021 - Special or Theme Issue Safety in Anaesthesia. Citation Text: Safety in Anaesthesia. Staender S, ed. Best Pract Res Clin Anaesthesiol. 2011;25(2):109-304.   Copy Citation Save Save to your library Print Download PDF Share Facebook …