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4601. Creating champions for health care quality and safety. | PSNet
      psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety
      August 04, 2021 - Study Creating champions for health care quality and safety. Citation Text: Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108. Copy Citation Format: DOI Google S…

4602. Standardizing concentrations of adult drug infusions in Indiana. | PSNet
      psnet.ahrq.gov/issue/standardizing-concentrations-adult-drug-infusions-indiana
      August 01, 2018 - Commentary Standardizing concentrations of adult drug infusions in Indiana. Citation Text: Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana. Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018. Copy Citation For…

4603. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. | PSNet
      psnet.ahrq.gov/issue/effects-workload-work-complexity-and-repeated-alerts-alert-fatigue-clinical-decision-support
      March 04, 2015 - Study Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. Citation Text: Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. B…

4604. High-reliability organisation principles implemented in dentistry. | PSNet
      psnet.ahrq.gov/issue/high-reliability-organisation-principles-implemented-dentistry
      April 06, 2022 - Commentary High-reliability organisation principles implemented in dentistry. Citation Text: Minyé HM, Benjamin EM. High-reliability organisation principles implemented in dentistry. Br Dent J. 2022;232(12):879-885. doi:10.1038/s41415-022-4354-z. Copy Citation Format: DOI G…

4605. Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. | PSNet
      psnet.ahrq.gov/issue/modifying-head-nurse-messages-during-daily-conversations-leverage-safety-climate-improvement
      August 26, 2011 - Study Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. Citation Text: Zohar D, Werber YT, Marom R, et al. Modifying head nurse messages during daily conversations as leverage for safety climate improvement…

4606. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. | PSNet
      psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who-wfsa
      November 16, 2015 - Commentary World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Citation Text: Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologis…

4607. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. | PSNet
      psnet.ahrq.gov/issue/views-children-parents-and-health-care-providers-pediatric-disclosure-medical-errors
      April 08, 2020 - Study Views of children, parents, and health-care providers on pediatric disclosure of medical errors. Citation Text: Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1…

4608. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. | PSNet
      psnet.ahrq.gov/issue/liquid-based-papanicolaou-tests-endometrial-carcinoma-diagnosis-performance-error-root-cause
      September 01, 2012 - Study Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Citation Text: Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analys…

4609. Medication adverse events in the ambulatory setting: a mixed-methods analysis. | PSNet
      psnet.ahrq.gov/issue/medication-adverse-events-ambulatory-setting-mixed-methods-analysis
      October 21, 2020 - Study Medication adverse events in the ambulatory setting: a mixed-methods analysis. Citation Text: Wong J, Lee S-Y, Sarkar U, et al. Medication adverse events in the ambulatory setting: a mixed-methods analysis. Am J Health Syst Pharm. 2022;79(24):2230-2243. doi:10.1093/ajhp/zxac253. …

4610. Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. | PSNet
      psnet.ahrq.gov/issue/adverse-events-infants-less-6-months-age-after-ambulatory-surgery-and-diagnostic-imaging
      August 12, 2020 - Study Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. Citation Text: Uffman JC, Kim SS, Quan LN, et al. Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring …

4611. Medical malpractice lawsuits involving surgical residents. | PSNet
      psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-surgical-residents
      August 20, 2018 - Study Medical malpractice lawsuits involving surgical residents. Citation Text: Thiels CA, Choudhry AJ, Ray-Zack MD, et al. Medical Malpractice Lawsuits Involving Surgical Residents. JAMA Surg. 2017;153(1). doi:10.1001/jamasurg.2017.2979. Copy Citation Format: DOI Google Sc…

4612. Cannabis-2022-Surv-Rep-3-Tables-F1-4 (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cannabis-2022-surv-rep-3-tables-F1-4.xlsx
      January 01, 2022 - Race, Other % Pain Duration Measure (Mean, Median) Pain Duration, Months Psychiatric Comorbidity % Opioid … Previous treatment with weak opioid: 42 vs. 38 Previous treatment with strong opioid: 19 vs. 11 96 71 … : 4% (7/167) vs. 4% (7/172) Other opioid: 20% (33/167) vs. 18% (31/172) 339 339 THC 2.7 mg/CBD 2.5 mg … : 9 vs. 13 Opioid: 2 vs. 3 Strong opioid: 3 vs. 0 66 66 THC 2.7 mg/CBD 2.5 mg per 100 mcl oromucosal … Use (Mean Daily Dose [MDD]) Opioid Equivalents Assessment Time (Weeks) Variance Type for Opioid Use

4613. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72693/psn-pdf
      January 29, 2021 - events related to different drug concentrations in same-size ampules also happen with heparin and opioid … Opioid medication errors in pediatric practice: four years' experience of voluntary safety reporting

4614. How Patient-Centered Clinical Decision Support Can Strengthen Shared Decision Making (pdf file)
      cdsic.ahrq.gov/sites/default/files/2025-07/CDSiC%20Topic%20Highlight_PC%20CDS%20and%20SDM_508_0.pdf
      January 01, 2025 - For patients taking an opioid, PainManager also helps clinicians calculate safe and appropriate changes … to medication doses using evidence-based opioid prescribing guidelines. 5.

4615. 9. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/references.html
      May 01, 2024 - Care for Children P12: Using a Televideo-based Training Model for Providers to Expand Treatment for Opioid … About AHRQ's Six Building Blocks: A Team-Based Approach To Improving Opioid Management in Primary Care

4616. Encoding and Processing Patient Allergy Information in EHRs | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/encoding-and-processing-patient-allergy-information-ehrs
      January 01, 2024 - Method: Mixed Methods Technology: Natural Language Processing System High override rate for opioid … High override rate for opioid drug-allergy interaction alerts: current trends and recommendations for

4617. How Patient-Centered Clinical Decision Support Can Strengthen Shared Decision Making (pdf file)
      digital.ahrq.gov/sites/default/files/CDSiC%20Topic%20Highlight_PC%20CDS%20and%20SDM_508_0.pdf
      June 01, 2025 - For patients taking an opioid, PainManager also helps clinicians calculate safe and appropriate changes … to medication doses using evidence-based opioid prescribing guidelines. 5.

4618. Saved by ECMO | PSNet
      psnet.ahrq.gov/web-mm/saved-ecmo
      May 05, 2017 - June 5, 2024 Improving adherence to long-term opioid therapy guidelines to reduce opioid

4619. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
      psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
      September 27, 2023 - Opioid medications significantly slow gastric emptying and are strongly associated with aspiration events … Aspiration in lethal drug abuse-a consequence of opioid intoxication.

4620. Nonopioid Pharmacologic Treatments for Chronic Pain: Evidence Summary (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/nonopioid-chronic-pain-summary.pdf
      April 01, 2020 - These initiatives, along with the recent publication of the evidence-based guideline on opioid use … the Centers for Disease Control and Prevention in the United States and the Canadian Guideline for Opioid … Opioid Treatments for Chronic Pain: A Systematic Review.