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5001. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
      pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
      December 21, 2021 - care teams with evidence-based tools and resources for improving management of patients on chronic opioid … New measures include those related to opioid administration and adverse events, surgical site infections … ADEs: Harms Due to Opioids Patient Safety Practices MHS I (2001) MHS II (2013) MHS III (2020) Opioid

5002. Grades-Predictive-Values White-Paper-2015 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/grades-predictive-values_white-paper-2015.pdf
      January 01, 2015 - with agonist maintenance treatments versus agonist maintenance treatments alone for treatment of opioid … Methadone at tapered doses for the management of opioid withdrawal. … Buprenorphine for the management of opioid withdrawal.

5003. Systematic Review on Noninvasive Nonpharmacological Treatment for Chronic Pain: Surveillance Report 2 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/surveillance-report-2-noninvasive-nonpharma.pdf
      April 01, 2022 - and CBD); FDA approved synthetic cannabinoids [Dronabionol (THC), Nabilone (similar to THC)] • Opioid … • Psychological distress (including measures of depression and anxiety) • Quality of life • Opioid … Effect of cognitive behavioural therapy on sleep and opioid medication use in adults with fibromyalgia

5004. Healthcare Delivery of Clinical Preventive Services for People with Disabilities (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/people-with-disabilities-protocol.pdf
      January 16, 2024 - about/apa/equity-diversity-inclusion/language-guidelines 3 tobacco/nicotine use, alcohol misuse, opioid … Opioid use disorder-related emergency department visits among deaf or hard of hearing adults in the … fracture*).mp. 74 exp Substance-Related Disorders/ 75 ((alcohol or drug or drugs or substance* or opioid

5005. Behavioral-Developmental Health Screening and Response for Adolescents (Ages 12-17) in Pediatric Primary Care | The Academy
      integrationacademy.ahrq.gov/products/topic-briefs/pediatrics-topic-brief-ages-12-17
      July 01, 2025 - Home Products Playbooks Medications for Opioid … AHRQ Initiatives EvidenceNOW: Managing Unhealthy Alcohol Use Opioid … Initiative Older Adult Opioid Initiative Other HHS Initiatives

5006. Putting Patients and Clinicians at the Center of CDS Development and Implementation | CDS Connect
      cds.ahrq.gov/cdsconnect/community/patient_perspective/november2018
      November 01, 2018 - Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates

5007. Disposition of Comments Report for CER 134 Pharmacotherapy for Adults With Alcohol-Use Disorders in Outpatient Settings (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/alcohol-misuse-drug-therapy_disposition-comments.pdf
      May 13, 2014 - Table E and footnote a: There is a compelling analysis of extended release naltrexone injection in opioid … The results indicate that extended release naltrexone injection can be used safely in patients with opioid … highlight that there is there is a published analysis of extended release naltrexone injection in opioid … The results indicate that extended release naltrexone injection can be used safely in patients with opioid

5008. The "Customer" Is Always Right | PSNet
      psnet.ahrq.gov/web-mm/customer-always-right
      January 22, 2014 - Handoffs and Transitions January 22, 2014 Interventions for postsurgical opioid

5009. Undetected Foreign Object | PSNet
      psnet.ahrq.gov/web-mm/undetected-foreign-object
      April 24, 2018 - Undetected Foreign Object Citation Text: Cima RR. Undetected Foreign Object. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

5010. Discharged with IV antibiotics: When issues arise, who manages the complications? | PSNet
      psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
      October 10, 2017 - WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced

5011. Inadequate Preanesthetic Evaluation, Airway Trouble | PSNet
      psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
      November 01, 2023 - WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced

5012. The Safety Challenges of Supervision and Night Coverage in Academic Residency | PSNet
      psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
      February 21, 2024 - April 24, 2024 Perspective Antibiotic and Opioid

5013. An Ounce of Prevention | PSNet
      psnet.ahrq.gov/web-mm/ounce-prevention
      February 17, 2011 - WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced

5014. CLABSI Event Reporting Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
      April 01, 2022 - CLABSI Event Reporting Tool CAUTI Event Report Tool: Data for Event Analysis This event report tool is designed to be used as a guide through the initial investigation for a defect analysis where the primary goal is to learn what happened and what factors may have contributed to the catheter-associated urinary trac…

5015. Research Themes and Findings | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
      January 01, 2022 - Research Themes and Findings The DHR program funds research that demonstrates how digital healthcare solutions can be designed and implemented to improve healthcare system performance and patient health outcomes. Our funded research focuses on advancing patient safety, care, and shared dec…

5016. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
      psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
      March 15, 2023 - WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced

5017. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33875/psn-pdf
      March 01, 2019 - Suddenly, there are a lot of patients with opioid use disorder or non- English speaking patients.

5018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49760/psn-pdf
      May 01, 2016 - Mismanagement of Delirium May 1, 2016 Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/mismanagement-delirium The Case An 85-year-old man with early stage vascular dementia fell on the sidewalk and fractured his leg. Although fitted with a cast at a regional ho…

5019. Spinal Epidural Abscess | PSNet
      psnet.ahrq.gov/web-mm/spinal-epidural-abscess
      November 13, 2019 - Spinal Epidural Abscess Citation Text: Lu Y, Salvador D. Spinal Epidural Abscess. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

5020. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet
      psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
      December 14, 2022 - December 14, 2022 Lessons learned in implementing a chronic opioid therapy management