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2981. Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. | PSNet
      psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry
      September 29, 2021 - perspectives on organizational silence to understand the organizational failures contributing to dangerous opioid

2982. Few hospitals are willing to bear the cost of providing psychiatric care for kids. | PSNet
      psnet.ahrq.gov/issue/few-hospitals-are-willing-bear-cost-providing-psychiatric-care-kids
      March 15, 2023 - April 10, 2024 Only 1 in 5 people with opioid addiction get the medications to treat

2983. 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

2984. 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

2985. 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.

2986. 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.

2987. Medical errors: where are we now? | PSNet
      psnet.ahrq.gov/issue/medical-errors-where-are-we-now
      September 30, 2020 - September 29, 2021 Are opioid infusions used inappropriately at end of life?

2988. A secondary care nursing perspective on medication administration safety. | PSNet
      psnet.ahrq.gov/issue/secondary-care-nursing-perspective-medication-administration-safety
      July 23, 2010 - July 23, 2010 Guidelines for opioid prescribing in children and adolescents after surgery

2989. All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. | PSNet
      psnet.ahrq.gov/issue/all-her-head-truth-and-lies-early-medicine-taught-us-about-womens-bodies-and-why-it-matters
      March 06, 2024 - September 6, 2023 Only 1 in 5 people with opioid addiction get the medications to treat

2990. Heparin: improving treatment and reducing risk of harm. | PSNet
      psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm
      July 28, 2021 - August 24, 2022 Root cause analysis of adverse events involving opioid overdoses in the

2991. 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

2992. Ambulance crew in Chicago got lost trying to find hospital. | PSNet
      psnet.ahrq.gov/issue/ambulance-crew-chicago-got-lost-trying-find-hospital
      May 28, 2014 - HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid

2993. Pediatric medication errors and reduction strategies in the perioperative period. | PSNet
      psnet.ahrq.gov/issue/pediatric-medication-errors-and-reduction-strategies-perioperative-period
      October 19, 2022 - February 3, 2021 Quality improvement project to reduce perioperative opioid oversedation

2994. 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

2995. In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
      April 26, 2023 - George Blike: The opioid overdose study we did is a good prototype of the harm this system can prevent … 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

2996. Establish Protocols to Identify Patients Who Could Benefit From Integrated Care | The Academy
      integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-protocols
      January 01, 2024 - Home Products Playbooks Medications for Opioid … AHRQ Initiatives EvidenceNOW: Managing Unhealthy Alcohol Use Opioid … Initiative Older Adult Opioid Initiative Other HHS Initiatives … Collaborative Care Models to Improve Pain and Reduce Opioid Use in Primary Care: a Systematic Review.

2997. Create Operational System Support Integration | The Academy
      integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-operational-systems-support-integration
      January 01, 2022 - Home Products Playbooks Medications for Opioid … AHRQ Initiatives EvidenceNOW: Managing Unhealthy Alcohol Use Opioid … Initiative Older Adult Opioid Initiative Other HHS Initiatives … Integrating Routine Screening for Opioid Use Disorder into Primary Care Settings: Experiences from a

2998. Horizon Scanning_Rapid Cost Analyses of Selected Potential High-Impact Intervention Reports (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/horizon-scan_research-2015.pdf
      January 01, 2015 - The cost of one care process innovation, the Lazarus Opioid Overdose Prevention and Treatment Program … Community-Based Opioid Overdose Prevention Program (Project Lazarus) Initiated in Wilkes County, … Evzio for Emergency Treatment of Opioid Overdose by Nonclinicians Evzio™ (kaléo, Inc., Richmond, … Overdose by Nonclinicians Drug/device combo $186,400,000 $39,100,000 Lazarus Opioid Overdose … Naloxone Evzio, Auto- Injector for Treatment of Opioid Overdose by Non-Clinicians FDA approved a

2999. Making Healthcare Safer III: Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
      March 01, 2020 - Department of Health and Human Services, including addressing the opioid crisis and emerging health risks … Opioids : Opioid Stewardship Opioid prescribing Opioid dosage Potential misuse Overdose … The strength of evidence for opioid stewardship producing significant reduction in opioid dosages was … Opioids: Medication-Assisted Treatment (MAT) Initiation Opioid dependence Illicit drug use

3000. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50928/psn-pdf
      February 21, 2020 - higher-accuracy-complex-medication-reconciliation-through-improved-design-electronic-tools https://psnet.ahrq.gov/issue/health-system-wide-initiative-decrease-opioid-related-morbidity-and-mortality … https://psnet.ahrq.gov/issue/health-system-wide-initiative-decrease-opioid-related-morbidity-and-mortality … Health IT Standards Committee, DC Health Information Exchange Advisory Board, and Cerner Strategic Opioid