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2001. Risk Management in Obstetrics and Gynaecology. | PSNet
      psnet.ahrq.gov/issue/risk-management-obstetrics-and-gynaecology
      June 15, 2011 - May 13, 2015 Electronic medical record-based interventions to encourage opioid prescribing

2002. Do no unconscious harm. | PSNet
      psnet.ahrq.gov/issue/do-no-unconscious-harm
      October 14, 2020 - May 31, 2023 How the opioid backlash went wrong.

2003. Ignored, threatened, berated: after difficult childbirth experiences, new parents seek healing by speaking up. | PSNet
      psnet.ahrq.gov/issue/ignored-threatened-berated-after-difficult-childbirth-experiences-new-parents-seek-healing
      December 04, 2019 - She sued his pain doctors—a rare challenge over an opioid dose reduction.

2004. Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief. | PSNet
      psnet.ahrq.gov/issue/achieving-excellence-cancer-diagnosis
      May 11, 2022 - January 17, 2018 Pain Management and Prescription Opioid-related Harms: Exploring the

2005. The Top Five: A Review of Post-Pandemic Patient Safety Priorities. | PSNet
      psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities
      July 10, 2024 - April 15, 2019 Factors that affect opioid quality improvement initiatives in primary

2006. Patient Safety: Global Action on Patient Safety. | PSNet
      psnet.ahrq.gov/issue/patient-safety-global-action-patient-safety
      July 18, 2018 - July 10, 2019 Addressing Problematic Opioid Use in OECD Countries.

2007. Incidence of Adverse Events in Indian Health Service Hospitals. | PSNet
      psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals
      May 20, 2020 - Related Resources From the Same Author(s) Medicare Part D Beneficiaries at Serious Risk of Opioid

2008. Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
      May 24, 2016 - February 22, 2023 Addressing the Opioid Epidemic: Is There a Role for Physician Education

2009. Root cause analysis. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis
      June 15, 2016 - October 13, 2010 Balancing safety, comfort, and fall risk: an intervention to limit opioid

2010. Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. | PSNet
      psnet.ahrq.gov/issue/physician-owned-specialty-hospitals-ability-manage-medical-emergencies
      February 18, 2009 - View More Related Resources Medicare Part D Beneficiaries at Serious Risk of Opioid

2011. Improving process while changing practice: FMEA and medication administration. | PSNet
      psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and-medication-administration
      January 18, 2011 - October 19, 2022 The opioid crisis: origins, trends, policies, and the roles of pharmacists

2012. Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. | PSNet
      psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
      May 21, 2014 - May 21, 2014 Factors that affect opioid quality improvement initiatives in primary care

2013. Technical Series on Safer Primary Care. | PSNet
      psnet.ahrq.gov/issue/technical-series-safer-primary-care
      November 19, 2014 - Related Resources Six Building Blocks: A Team-Based Approach to Improving Opioid

2014. FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam). | PSNet
      psnet.ahrq.gov/issue/fda-cautions-about-dose-confusion-and-medication-errors-antibacterial-drug-zerbaxa
      April 08, 2020 - October 28, 2020 FDA identifies harm reported from sudden discontinuation of opioid pain

2015. Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. | PSNet
      psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-causes-vaccine-errors
      June 18, 2014 - WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced

2016. Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error | PSNet
      psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
      February 10, 2021 - February 12, 2020 Beware of basal opioid infusions with PCA therapy.

2017. Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? | PSNet
      psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-prevent-mix-ups
      June 10, 2018 - June 10, 2018 Beware of basal opioid infusions with PCA therapy.

2018. Eric Cropp weighs in on the error that sent him to prison. | PSNet
      psnet.ahrq.gov/issue/eric-cropp-weighs-error-sent-him-prison
      May 07, 2018 - Copy Citation Related Resources From the Same Author(s) Beware of basal opioid

2019. Preprinted order sets as a safety intervention in pediatric sedation. | PSNet
      psnet.ahrq.gov/issue/preprinted-order-sets-safety-intervention-pediatric-sedation
      April 16, 2010 - September 7, 2016 Quality improvement project to reduce perioperative opioid oversedation

2020. Research from webAIRS incident reporting system. | PSNet
      psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
      February 15, 2023 - February 3, 2021 Quality improvement project to reduce perioperative opioid oversedation