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1981. Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review. | PSNet
      psnet.ahrq.gov/issue/key-use-cases-artificial-intelligence-reduce-frequency-adverse-drug-events-scoping-review
      May 20, 2020 - Review Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review. Citation Text: Syrowatka A, Song W, Amato MG, et al. Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review. Lancet Digit…

1982. Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. | PSNet
      psnet.ahrq.gov/issue/healthcare-associated-adverse-events-alternate-level-care-patients-awaiting-long-term-care
      March 17, 2021 - Study Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Citation Text: Lim Fat GJ, Gopaul A, Pananos AD, et al. Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Geriat…

1983. Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. | PSNet
      psnet.ahrq.gov/issue/association-hospital-readmissions-reduction-program-implementation-readmission-and-mortality
      November 03, 2021 - Study Classic Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. Citation Text: Gupta A, Allen LA, Bhatt DL, et al. Association of the Hospital Readmissions Reduction Program Implem…

1984. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. | PSNet
      psnet.ahrq.gov/issue/retrospective-review-serious-surgical-incidents-5-large-uk-teaching-hospitals-system-based
      May 26, 2021 - Study A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. Citation Text: Serou N, Slight RD, Husband AK, et al. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. J Pa…

1985. Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. | PSNet
      psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
      November 02, 2022 - Study Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. Citation Text: Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort stu…

1986. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
      July 01, 2010 - Minimize or avoid sedatives and opioids during the entire perioperative period.

1987. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867649/psn-pdf
      January 01, 2015 - Improving Pain Management for Hospitalized Medical Patients. January 1, 2015 Society of Hospital Medicine. Improving Pain Management for Hospitalized Medical Patients. https://psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients Pain management presents complex patient safety concerns. Info…

1988. Anesthesia: A Weighty Issue | PSNet
      psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
      September 01, 2006 - Anesthesia: A Weighty Issue Citation Text: Sinha AC. Anesthesia: A Weighty Issue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

1989. Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care | PSNet
      psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
      July 23, 2024 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 23, 2020 …

1990. Medication/Drug Errors | PSNet
      psnet.ahrq.gov/curated-library/medicationdrug-errors
      March 12, 2021 - In light of the current opioid crisis, the use of opioids to manage noncancer-related chronic pain in

1991. Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. | PSNet
      psnet.ahrq.gov/issue/scaling-pharmacist-led-information-technology-intervention-pincer-reduce-hazardous
      December 16, 2020 - Study Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. Citation Text: Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology interven…

1992. Association of changing hospital readmission rates with mortality rates after hospital discharge. | PSNet
      psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-discharge
      August 20, 2018 - Study Classic Association of changing hospital readmission rates with mortality rates after hospital discharge. Citation Text: Dharmarajan K, Wang Y, Lin Z, et al. Association of Changing Hospital Readmission Rates With Mortality Rates After Hospital Discharge. …

1993. The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care. | PSNet
      psnet.ahrq.gov/issue/critical-role-health-information-technology-safe-integration-behavioral-health-and-primary
      February 22, 2023 - Commentary The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care. Citation Text: Segal M, Giuffrida P, Possanza L, et al. The critical role of health information technology in the safe integration of behav…

1994. Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-reported-primary-healthcare-and-emergency-departments-retrospective-and
      March 11, 2020 - Study Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. Citation Text: Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healt…

1995. From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. | PSNet
      psnet.ahrq.gov/issue/physician-intent-pharmacy-label-prevalence-and-description-discrepancies-cross-sectional
      July 22, 2020 - Study From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. Citation Text: Cochran GL, Klepser DG, Morien M, et al. From physician intent to the pharmacy label: prevalence and description o…

1996. Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method. | PSNet
      psnet.ahrq.gov/issue/missed-acute-myocardial-infarction-emergency-department-standardizing-measurement
      May 12, 2021 - Study Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method. Citation Text: Sharp AL, Baecker A, Nassery N, et al. Missed acute myocardial infarction in the emergency department–standardizing measurem…

1997. Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study | PSNet
      psnet.ahrq.gov/issue/patient-related-factors-associated-increased-risk-being-reported-case-preventable-harm-first
      October 09, 2019 - Study Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study Citation Text: Fernholm R, Holzmann MJ, Wachtler C, et al. Patient-related factors associated with an increased risk of being a rep…

1998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846457/psn-pdf
      March 22, 2023 - Feds move to rein in prior authorization, a system that harms and frustrates patients. March 22, 2023 Sausser L. Kaiser Health News. March 13, 2023. https://psnet.ahrq.gov/issue/feds-move-rein-prior-authorization-system-harms-and-frustrates-patients Lack of access to appropriate testing, procedures, and medication…

1999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38546/psn-pdf
      June 16, 2009 - Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. June 16, 2009 Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage. 2009;37(6):1039-49. doi:10.1016/j.j…

2000. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838139/psn-pdf
      September 21, 2022 - Error traps in acute pain management in children. September 21, 2022 Vecchione TM, Agarwal R, Monitto CL. Error traps in acute pain management in children. Paediatr Anaesth. 2022;32(9):982-992. doi:10.1111/pan.14514. https://psnet.ahrq.gov/issue/error-traps-acute-pain-management-children Appropriate pediatric pain…