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4001. ED handoffs: observed practices and communication errors. | PSNet
      psnet.ahrq.gov/issue/ed-handoffs-observed-practices-and-communication-errors
      October 19, 2022 - July 10, 2008 Nonfatal opioid overdoses at an urban emergency department during the COVID

4002. The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. | PSNet
      psnet.ahrq.gov/issue/use-report-cards-and-outcome-measurements-improve-safety-surgical-care-american-college
      May 26, 2016 - February 7, 2018 Incident and long-term opioid therapy among patients with psychiatric

4003. Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. | PSNet
      psnet.ahrq.gov/issue/effective-triage-can-ameliorate-deleterious-effects-delayed-transfer-trauma-patients
      August 04, 2021 - Alert Settings Help Improve Management of Sepsis May 31, 2023 Beware of basal opioid

4004. Leader communication approaches and patient safety: an integrated model. | PSNet
      psnet.ahrq.gov/issue/leader-communication-approaches-and-patient-safety-integrated-model
      July 01, 2019 - July 1, 2019 Vital signs: trends in emergency department visits for suspected opioid

4005. A survey of outpatient internal medicine clinician perceptions of diagnostic error. | PSNet
      psnet.ahrq.gov/issue/survey-outpatient-internal-medicine-clinician-perceptions-diagnostic-error
      February 12, 2020 - Association of default electronic medical record settings with health care professional patterns of opioid

4006. Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system. | PSNet
      psnet.ahrq.gov/issue/trends-prevalence-intraoperative-adverse-events-two-academic-hospitals-after-implementation
      August 09, 2017 - January 12, 2022 Guidelines for opioid prescribing in children and adolescents after

4007. Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients. | PSNet
      psnet.ahrq.gov/issue/work-hours-work-stress-and-collaboration-among-ward-staff-relation-risk-hospital-associated
      December 14, 2022 - May 1, 2019 Opioid prescribing practices from 2010 through 2015 among dentists in the

4008. Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings. | PSNet
      psnet.ahrq.gov/issue/passing-baton-grounded-practical-theory-handoff-communication-between-multidisciplinary
      November 16, 2022 - March 31, 2010 Patient outcomes in dose reduction or discontinuation of long-term opioid

4009. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. | PSNet
      psnet.ahrq.gov/issue/addressing-adultification-black-pediatric-patients-emergency-department-framework-decrease
      October 27, 2021 - June 24, 2015 Electronic medical record-based interventions to encourage opioid prescribing

4010. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/handoff-tool-improves-transitions-operating-room-neonatal-intensive-care-unit
      November 16, 2022 - October 19, 2022 Postsurgical prescriptions for opioid naive patients and association

4011. Abdominal pain in the emergency department: missed diagnoses. | PSNet
      psnet.ahrq.gov/issue/abdominal-pain-emergency-department-missed-diagnoses
      September 16, 2020 - September 22, 2021 Electronic medical record-based interventions to encourage opioid

4012. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. | PSNet
      psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
      June 07, 2023 - WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced

4013. Developing agreement on never events in primary care dentistry: an international eDelphi study. | PSNet
      psnet.ahrq.gov/issue/developing-agreement-never-events-primary-care-dentistry-international-edelphi-study
      October 05, 2016 - December 16, 2020 A mixed-methods analysis of patient safety incidents involving opioid

4014. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. | PSNet
      psnet.ahrq.gov/issue/anesthesia-safety-model-or-myth-review-published-literature-and-analysis-current-original
      July 13, 2010 - June 15, 2016 Guidelines for opioid prescribing in children and adolescents after surgery

4015. Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality. | PSNet
      psnet.ahrq.gov/issue/early-adopters-computerized-physician-order-entry-hospitals-care-children-picture-us-health
      December 20, 2023 - March 23, 2016 Opioid prescribing and potential overdose errors among children 0 to 36

4016. Case-control analysis of the financial cost of medication errors in hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/case-control-analysis-financial-cost-medication-errors-hospitalized-patients
      January 15, 2025 - October 5, 2016 Guideline for opioid therapy and chronic noncancer pain.

4017. Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. | PSNet
      psnet.ahrq.gov/issue/improving-quality-written-prescriptions-general-hospital-influence-10-years-serial-audits-and
      August 24, 2022 - October 23, 2019 A prevalence study of errors in opioid prescribing in a large teaching

4018. Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. | PSNet
      psnet.ahrq.gov/issue/impact-initial-hospital-diagnosis-mortality-acute-myocardial-infarction-national-cohort-study
      April 19, 2017 - May 20, 2019 Guidelines for opioid prescribing in children and adolescents after surgery

4019. Cognitive bias during clinical decision-making and its influence on patient outcomes in the emergency department: a scoping review. | PSNet
      psnet.ahrq.gov/issue/cognitive-bias-during-clinical-decision-making-and-its-influence-patient-outcomes-emergency
      September 21, 2022 - Implementation of prescription drug monitoring programs associated with reductions in opioid-related

4020. The impact of sleep deprivation on product quality and procedure effectiveness in a laparoscopic physical simulator: a randomized controlled trial.   | PSNet
      psnet.ahrq.gov/issue/impact-sleep-deprivation-product-quality-and-procedure-effectiveness-laparoscopic-physical
      June 03, 2020 - April 5, 2017 Association of opioid-related adverse drug events with clinical and cost