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  1. psnet.ahrq.gov/issue/medication-errors-and-trainees-advice-learners-and-organizations
    April 10, 2019 - Commentary Medication errors and trainees: advice for learners and organizations. Citation Text: Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092. Copy Citation…
  2. psnet.ahrq.gov/issue/emergency-medical-services-system-changes-reduce-pediatric-epinephrine-dosing-errors
    October 06, 2021 - Study Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. Citation Text: Kaji AH, Gausche-Hill M, Conrad H, et al. Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital settin…
  3. psnet.ahrq.gov/issue/meta-review-methods-measuring-and-monitoring-safety-primary-care
    November 03, 2021 - Review A meta-review of methods of measuring and monitoring safety in primary care. Citation Text: O’Connor P, Madden C, O’Dowd E, et al. A meta-review of methods of measuring and monitoring safety in primary care. Int J Qual Health Care. 2021;33(3):mzab117. doi:10.1093/intqhc/mzab117. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49476/psn-pdf
    March 02, 2005 - Compared with parenteral opioids, epidural analgesia results in better postoperative pain control.(2)
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850362/psn-pdf
    June 14, 2023 - Cause to Pause: preventing medication errors with high-risk opioids.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49821/psn-pdf
    February 01, 2018 - product and concentration options in the hospital formulary, especially for high- alert drugs such as opioids
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49589/psn-pdf
    August 01, 2009 - severity or duration of the HZ rash (8-10), while certain antiepileptics, tricyclic antidepressants, opioids
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60609/psn-pdf
    June 24, 2020 - commonly utilized with both pharmacologic and non-pharmacologic interventions to decrease the usage of opioids
  9. psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
    May 16, 2022 - Cause to Pause: preventing medication errors with high-risk opioids.
  10. psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
    March 15, 2023 - SPOTLIGHT CASE False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. Citation Text: Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.. PSNet [internet]. Rockville (MD): Agency for …
  11. psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error
    March 30, 2022 - Study The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. Citation Text: Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. …
  12. psnet.ahrq.gov/issue/graphical-display-diagnostic-test-results-electronic-health-records-comparison-8-systems
    November 11, 2020 - Study Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. Citation Text: Sittig DF, Murphy DR, Smith MW, et al. Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. J Am Med Inform Assoc. 2…
  13. psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
    May 21, 2019 - Commentary Classic The collapse of sensemaking in organizations: the Mann Gulch disaster. Citation Text: Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339. Copy Citation Fo…
  14. psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication
    July 27, 2018 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…
  15. psnet.ahrq.gov/issue/physician-scores-national-clinical-skills-examination-predictors-complaints-medical
    October 16, 2019 - Study Classic Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities. Citation Text: Tamblyn R, Abrahamowicz M, Dauphinee D, et al. Physician scores on a national clinical skills examination as …
  16. psnet.ahrq.gov/issue/accident-analysis-large-scale-technological-disasters-applied-anaesthetic-complication
    November 16, 2022 - Study Classic Accident analysis of large-scale technological disasters applied to an anaesthetic complication. Citation Text: Eagle CJ, Davies JM, Reason J. Accident analysis of large-scale technological disasters applied to an anaesthetic complication. Can J An…
  17. psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive
    July 14, 2010 - Study Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. Citation Text: Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit*. P…
  18. psnet.ahrq.gov/issue/cler-report-findings-2021-subprotocol-operative-and-procedural-areas
    October 18, 2017 - Book/Report CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. Citation Text: CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER Operative an…
  19. psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration
    June 23, 2021 - Study Root cause analysis of ICU adverse events in the Veterans Health Administration. Citation Text: Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.j…
  20. psnet.ahrq.gov/issue/development-research-agenda-identify-evidence-based-strategies-improve-physician-wellness-and
    June 01, 2022 - Commentary Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout. Citation Text: Dyrbye LN, Trockel M, Frank E, et al. Development of a Research Agenda to Identify Evidence-Based Strategies to Improve Physician Wellness an…

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