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2861. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units | PSNet
      psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
      April 26, 2023 - was generally positively received. 6 Finally, one study found that it reduced the death rate from opioid-induced … did not increase risk of patient harm as this same system significantly decreased death rates from opioid-induced … George Blike: The opioid overdose study we did is a good prototype of the harm this system can prevent

2862. Check Twice, Transport Once | PSNet
      psnet.ahrq.gov/web-mm/check-twice-transport-once
      March 15, 2023 - September 3, 2011 Patterns of opioid administration among opioid-naive inpatients and … associations with postdischarge opioid use: a cohort study.

2863. Complaints as Safety Surveillance | PSNet
      psnet.ahrq.gov/web-mm/complaints-safety-surveillance
      May 05, 2021 - hospital's rapid response team, who administered naloxone (a medication that reverses the effects of opioid … With this particular doctor, earlier intervention may have averted a potentially life-threatening opioid … WebM&M Cases Lost in Transitions of Care: Managing an Opioid-Dependent

2864. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. | PSNet
      psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error
      March 30, 2022 - March 24, 2021 Guidelines for opioid prescribing in children and adolescents after surgery

2865. Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. | PSNet
      psnet.ahrq.gov/issue/graphical-display-diagnostic-test-results-electronic-health-records-comparison-8-systems
      November 11, 2020 - June 19, 2019 Evaluating the impact of auto-calculation settings on opioid prescribing

2866. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. | PSNet
      psnet.ahrq.gov/issue/surgeon-second-victim-results-boston-intraoperative-adverse-events-surgeons-attitude-bisa
      January 23, 2017 - December 15, 2011 Are opioid infusions used inappropriately at end of life?

2867. The collapse of sensemaking in organizations: the Mann Gulch disaster. | PSNet
      psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
      May 21, 2019 - 15, 2019 Challenges with implementing the Centers for Disease Control and Prevention opioid

2868. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet
      psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication
      July 27, 2018 - September 24, 2016 Incidence and predictors of opioid prescription at discharge after

2869. Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities. | PSNet
      psnet.ahrq.gov/issue/physician-scores-national-clinical-skills-examination-predictors-complaints-medical
      October 16, 2019 - February 2, 2022 Association of opioid consumption profiles after hospitalization with

2870. Accident analysis of large-scale technological disasters applied to an anaesthetic complication. | PSNet
      psnet.ahrq.gov/issue/accident-analysis-large-scale-technological-disasters-applied-anaesthetic-complication
      November 16, 2022 - February 6, 2008 A prevalence study of errors in opioid prescribing in a large teaching

2871. US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019. | PSNet
      psnet.ahrq.gov/issue/us-emergency-department-visits-acute-harms-over-counter-cough-and-cold-medications-2017-2019
      March 24, 2021 - August 24, 2022 Provider bias in prescribing opioid analgesics: a study of electronic

2872. Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/computerized-dose-range-checking-using-hard-and-soft-stop-alerts-reduces-prescribing-errors
      June 16, 2010 - June 16, 2010 Prescription opioid dose reductions and potential adverse events: a multi-site

2873. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive
      July 14, 2010 - May 18, 2022 Intended and unintended consequences: changes in opioid prescribing practices

2874. Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review. | PSNet
      psnet.ahrq.gov/issue/understanding-factors-impact-health-care-professionals-risk-perceptions-and-responses-toward
      June 22, 2022 - Download Citation Related Resources From the Same Author(s) Toward safer opioid

2875. CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. | PSNet
      psnet.ahrq.gov/issue/cler-report-findings-2021-subprotocol-operative-and-procedural-areas
      October 18, 2017 - October 27, 2021 Opioid prescribing to US children and young adults in 2019.

2876. Physicians failed to write flawless prescriptions when computerized physician order entry system crashed. | PSNet
      psnet.ahrq.gov/issue/physicians-failed-write-flawless-prescriptions-when-computerized-physician-order-entry-system
      January 21, 2015 - September 15, 2011 Development of prescribing indicators related to opioid-related harm

2877. Root cause analysis of ICU adverse events in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration
      June 23, 2021 - Related Resources From the Same Author(s) Root cause analysis of adverse events involving opioid

2878. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet
      psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
      March 25, 2020 - November 17, 2021 Root cause analysis of adverse events involving opioid overdoses in

2879. U.S. adoption of computerized physician order entry systems. | PSNet
      psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems
      April 24, 2018 - Related Resources From the Same Author(s) State legal restrictions and prescription-opioid

2880. Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout. | PSNet
      psnet.ahrq.gov/issue/development-research-agenda-identify-evidence-based-strategies-improve-physician-wellness-and
      June 01, 2022 - February 8, 2018 Pain Management and Prescription Opioid-related Harms: Exploring the