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psnet.ahrq.gov/issue/long-term-risk-overdose-or-mental-health-crisis-after-opioid-dose-tapering
August 25, 2021 - Study
Long-term risk of overdose or mental health crisis after opioid dose tapering.
Citation Text:
Fenton JJ, Magnan E, Tseregounis IE, et al. Long-term risk of overdose or mental health crisis after opioid dose tapering. JAMA Netw Open. 2022;5(6):e2216726. doi:10.1001/jamanetworkopen.2…
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psnet.ahrq.gov/web-mm/did-we-forget-something
April 28, 2021 - He received multiple courses of broad-spectrum antibiotics over a 2-month hospitalization.
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psnet.ahrq.gov/node/38969/psn-pdf
May 25, 2016 - Josie's Story.
May 25, 2016
King S. New York, NY: Atlantic Monthly Press; 2009. ISBN: 9780802119209.
https://psnet.ahrq.gov/issue/josies-story
This memoir shares the story of Sorrel King's crusade to make medical care safer. Sorrel King is the
mother of Josie King, who died tragically in 2001 at age 18 months beca…
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psnet.ahrq.gov/issue/using-data-matrix-coded-sponge-counting-system-across-surgical-practice-impact-after-18
January 02, 2017 - Study
Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months.
Citation Text:
Cima RR, Kollengode A, Clark J, et al. Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/node/49580/psn-pdf
March 21, 2009 - admitted to a hospital in Denmark failed to
report 27% of prescription medications filled in the last month … self-reported medication
use during a home visit and found that 18% of medications filled in the last month
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psnet.ahrq.gov/node/38307/psn-pdf
January 07, 2009 - Falls in English and Welsh hospitals: a national
observational study based on retrospective analysis of 12
months of patient safety incident reports.
January 7, 2009
Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study
based on retrospective analysis of 12 month…
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psnet.ahrq.gov/print/pdf/node/865864
January 01, 2024 - Over a 12-month period, 5.6% of readmissions were found
to contain at least one diagnostic error... … Over a 12-month period, 5.6% of readmissions were found
to contain at least one diagnostic error...
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psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
October 28, 2020 - Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue.
Citation Text:
Jimenez S, Crossen S. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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psnet.ahrq.gov/node/853963/psn-pdf
September 27, 2023 - Pediatric ADHD medication errors reported to United
States poison centers, 2000 to 2021.
September 27, 2023
DeCoster MM, Spiller HA, Badeti J, et al. Pediatric ADHD medication errors reported to United States
poison centers, 2000 to 2021. Pediatrics. 2023;152(4):e2023061942. doi:10.1542/peds.2023-061942.
https://p…
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psnet.ahrq.gov/node/847544/psn-pdf
April 12, 2023 - A nationwide study of the "July Effect" concerning
postpartum hemorrhage and its risk factors at teaching
hospitals across the United States.
April 12, 2023
Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum
hemorrhage and its risk factors at teaching hospitals acr…
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psnet.ahrq.gov/node/40182/psn-pdf
September 25, 2011 - Using a data-matrix–coded sponge counting system
across a surgical practice: impact after 18 months.
September 25, 2011
Cima RR, Kollengode A, Clark J, et al. Using a data-matrix-coded sponge counting system across a
surgical practice: impact after 18 months. Jt Comm J Qual Patient Saf. 2011;37(2):51-58.
https://p…
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psnet.ahrq.gov/node/35130/psn-pdf
March 11, 2011 - A trial of automated decision support alerts for
contraindicated medications using computerized
physician order entry.
March 11, 2011
Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated
medications using computerized physician order entry. J Am Med Inform Assoc…
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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - direct cost of providing the GRACE program is $1,260 per patient per year, or $105 per patient per month … to the reduction in costs, evaluation of the program demonstrated an 11% increase in per member per month … direct cost of providing the GRACE program is $1,260 per patient per year, or $105 per patient per month
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psnet.ahrq.gov/node/60825/psn-pdf
August 19, 2020 - 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.
August 19, 2020
Sud A, Torr B, Jones ME, et al. Effect of delays in the 2-week-wait cancer referral pathway during the
COVID-19 pandemic on cancer survival in the UK: a modellin…
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psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - distribution program in one health system, the number of naloxone prescriptions
increased from 4.5 per month … to 46 prescriptions per month.6 Even though it is the legal duty of a
pharmacist to provide patient
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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart
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June 12, 2020
…
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psnet.ahrq.gov/node/35570/psn-pdf
May 27, 2011 - Unexpected increased mortality after implementation of a
commercially sold computerized physician order entry
system.
May 27, 2011
Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a
commercially sold computerized physician order entry system. Pediatrics. 2005;116(…
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psnet.ahrq.gov/node/34680/psn-pdf
February 09, 2011 - Estimating hospital deaths due to medical errors:
preventability is in the eye of the reviewer.
February 9, 2011
Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the
reviewer. JAMA. 2001;286(4):415-20.
https://psnet.ahrq.gov/issue/estimating-hospital-deaths-du…
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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - twice as many suicide patients had contact with primary care providers as mental health services in the month … suicide patients contacted their primary care providers compared to mental health providers in the month … Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey
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psnet.ahrq.gov/node/45662/psn-pdf
January 23, 2017 - National trends in hospitalizations for opioid poisonings
among children and adolescents, 1997 to 2012.
January 23, 2017
Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among
Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;170(12):1195-1201.
doi:10.1001/j…