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  1. Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/adverse-events-and-comparison-systematic-and-voluntary-reporting-paediatric-intensive-care
    February 01, 2011 - Study Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Citation Text: Silas R, Tibballs J. Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Qual Saf Health Care. 2010;19(…

  2. Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study. | PSNet

    psnet.ahrq.gov/issue/task-errors-emergency-physicians-are-associated-interruptions-multitasking-fatigue-and
    March 29, 2017 - Study Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study. Citation Text: Westbrook JI, Raban MZ, Walter SR, et al. Task errors by emergency physicians are associated with interr…

  3. Briefing and debriefing in the operating room using fighter pilot crew resource management. | PSNet

    psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management
    May 29, 2024 - Study Briefing and debriefing in the operating room using fighter pilot crew resource management. Citation Text: McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76. Copy Citation Fo…

  4. Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness | PSNet

    psnet.ahrq.gov/issue/effect-sedation-weaning-protocol-safety-and-medication-use-among-hospitalized-children-post
    August 04, 2021 - Journal Article Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness Citation Text: Solodiuk JC, Greco CD, O'Donnell KA, et al. Effect of a Sedation Weaning Protocol on Safety and Medication Use among Hospitalized Children P…

  5. Using learning communities to support adoption of health care innovations. | PSNet

    psnet.ahrq.gov/issue/using-learning-communities-support-adoption-health-care-innovations
    March 15, 2017 - Commentary Using learning communities to support adoption of health care innovations. Citation Text: Carpenter D, Hassell S, Mardon R, et al. Using Learning Communities to Support Adoption of Health Care Innovations. Jt Comm J Qual Patient Saf. 2018;44(10):566-573. doi:10.1016/j.jcjq.201…

  6. Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. | PSNet

    psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia
    January 07, 2015 - Study Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. Citation Text: Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analge…

  7. Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. | PSNet

    psnet.ahrq.gov/issue/pediatric-patient-safety-emergency-departments-unit-characteristics-and-staff-perceptions
    April 03, 2013 - Study Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. Citation Text: Shaw KN, Ruddy RM, Olsen CS, et al. Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. Pediatrics. 2009;124(2):485-93. doi:10.…

  8. Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network. | PSNet

    psnet.ahrq.gov/issue/creating-infrastructure-safety-event-reporting-and-analysis-multicenter-pediatric-emergency
    October 08, 2013 - Study Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network. Citation Text: Chamberlain JM, Shaw KN, Lillis KA, et al. Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emer…

  9. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. | PSNet

    psnet.ahrq.gov/issue/integrating-safety-i-and-safety-ii-conceptual-frameworks-enhance-safety-measurement-and
    September 27, 2023 - Commentary Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. Citation Text: Lounsbury O, Brant K, Stockwell DC. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. J Patient Saf Risk M…

  10. Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals. | PSNet

    psnet.ahrq.gov/issue/associations-patient-safety-outcomes-models-nursing-care-organization-unit-level-hospitals
    August 20, 2014 - Study Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals. Citation Text: Dubois C-A, D'Amour D, Tchouaket E, et al. Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals. Int J …

  11. AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. | PSNet

    psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-reduce-emergency-department-boarding-and
    November 12, 2008 - Press Release/Announcement AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Citation Text: AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Agency for Healt…

  12. Leverage Technology for Integrated Behavioral Health | The Academy

    integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/leverage-technology-for-ibh
    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 of Opioid-Addicted Patients in Primary Care Using Buprenorphine: Five-Year Experience … Clinical implementation of AI-based screening for risk for opioid use disorder in hospitalized adults

  13. Pharmacologic and Non-pharmacologic Therapies in Adult Patients with Acute Exacerbation of COPD: A Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/copd-research-protocol.pdf
    April 11, 2018 - Incident opioid drug use and adverse respiratory outcomes among older adults with COPD. … exp corticosteroid therapy/ or exp Expectorants/ or exp narcotic analgesic agent/ or exp Analgesics, Opioid … Glucocorticoid* or instruct* or "management plan*" or "Mind- Body" or Mindfulnes* or narcotic* or Nutrition* or opioid … Glucocorticoid* or instruct* or "management plan*" or "Mind-Body" or Mindfulnes* or narcotic* or Nutrition* or opioid

  14. Management of Primary Headache During Pregnancy: Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/headaches-pregnancy.pdf
    March 23, 2019 - naratriptan, rizatriptan, almotriptan, eletriptan, zolmitriptan, combination sumatriptan and naproxen) o Opioid … Central Nervous System Stimulants”[Mesh] OR “Tryptamines”[Mesh] OR “narcotics”[Mesh] OR “Analgesics, Opioid … Central Nervous System Stimulants”[Mesh] OR “Tryptamines”[Mesh] OR “narcotics”[Mesh] OR “Analgesics, Opioid

  15. 2019 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
    December 01, 2020 - These included new measures for dementia, opioid prescribing, opioid- related deaths, maternal morbidity … The 2018 report has eight opioid measures; two are core measures and five are supplemental measures … In addition, because the opioid crisis is an HHS priority, we included all data for the opioid supplemental … HCUP trend data are available for opioid measures that use ICD-9 codes and ICD-9 to ICD-10 codes in … state data were available due to limited data availability from the data source, except for two HCUP opioid

  16. Untitled (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/suicide-prevention_research-protocol.pdf
    December 23, 2015 - Drug abuse 292.0 Amphetamine Withdrawal 292 Cocaine Withdrawal 292 Nicotine Withdrawal 292.0 Opioid … Delirium 292.81 Hallucinogen Intoxication Delirium 292.81 Inhalant Intoxication Delirium 292.81 Opioid … Sexual Dysfunctiona> 292.89 Opioid-Induced Sleep Disorder (before 10.01.2005) Source: … www.effectivehealthcare.ahrq.gov Published online: December 23, 2015 27 292.89 Opioid Intoxication … Cannabis Abuse 305.30 Hallucinogen Abuse 305.40 Sedative, Hypnotic, or Anxiolytic Abuse 305.50 Opioid

  17. The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. | PSNet

    psnet.ahrq.gov/issue/effect-structured-medication-review-followed-face-face-feedback-prescribers-adverse-drug
    January 18, 2013 - November 16, 2022 Intended and unintended consequences: changes in opioid prescribing

  18. Views of practicing physicians and the public on medical errors. | PSNet

    psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
    August 03, 2009 - October 31, 2017 New persistent opioid use after minor and major surgical procedures

  19. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. | PSNet

    psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
    May 05, 2021 - April 26, 2023 Balancing safety, comfort, and fall risk: an intervention to limit opioid

  20. Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. | PSNet

    psnet.ahrq.gov/issue/computerized-prescriber-order-entry-related-patient-safety-reports-analysis-2522-medication
    December 21, 2017 - September 1, 2016 Opioid Epidemic & Health IT May 18, 2016 View More
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