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  1. psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance
    December 19, 2018 - Study Classic Families as partners in hospital error and adverse event surveillance. Citation Text: Khan A, Coffey M, Litterer KP, et al. Families as Partners in Hospital Error and Adverse Event Surveillance. JAMA Pediatr. 2017;171(4):372-381. doi:10.1001/jamape…
  2. psnet.ahrq.gov/issue/methods-studying-medication-safety-following-electronic-health-record-implementation-acute
    February 03, 2011 - Review Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. Citation Text: Pereira N, Duff JP, Hayward T, et al. Methods for studying medication safety following electronic health record implementation in acute care: a …
  3. psnet.ahrq.gov/issue/health-disparities-impact-health-disparities-and-treatment-decision-making-biases-cancer
    October 14, 2020 - Commentary Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors. Citation Text: Vo J, Gillman A, Mitchell K, et al. Health disparities: impact of health disparities and treatment decision-making biase…
  4. psnet.ahrq.gov/issue/minding-gaps-assessing-communication-outcomes-electronic-preconsultation-exchange
    November 30, 2016 - Study Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. Citation Text: Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54. …
  5. psnet.ahrq.gov/issue/engaging-patients-medication-reconciliation-patient-portal-following-hospital-discharge
    February 03, 2011 - Study Engaging patients in medication reconciliation via a patient portal following hospital discharge. Citation Text: Heyworth L, Paquin AM, Clark J, et al. Engaging patients in medication reconciliation via a patient portal following hospital discharge. J Am Med Inform Assoc. 2014;21(e…
  6. psnet.ahrq.gov/issue/effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission-randomized
    September 13, 2023 - Study Classic Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. Citation Text: Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist I…
  7. psnet.ahrq.gov/issue/evaluation-automated-surveillance-system-using-trigger-alerts-prevent-adverse-drug-events
    August 30, 2017 - Study Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit and general ward. Citation Text: DiPoto JP, Buckley MS, Kane-Gill SL. Evaluation of an automated surveillance system using trigger alerts to prevent adverse…
  8. psnet.ahrq.gov/issue/antecedent-treat-and-release-diagnoses-prior-sepsis-hospitalization-among-adult-emergency
    May 12, 2021 - Study Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology. Citation Text: Nassery N, Horberg MA, …
  9. psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
    February 27, 2019 - Study Classic Vital signs: improving antibiotic use among hospitalized patients. Citation Text: Fridkin SK, Baggs J, Fagan R, et al. Vital signs: improving antibiotic use among hospitalized patients. MMWR Morb Mortal Wkly Rep. 2014;63(9):194-200. Copy Citation…
  10. psnet.ahrq.gov/issue/tackling-ambulatory-safety-risks-through-patient-engagement-what-10000-patients-and-families
    March 20, 2017 - Study Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes. Citation Text: Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Pati…
  11. psnet.ahrq.gov/issue/patient-doctor-continuity-and-diagnosis-cancer-electronic-medical-records-study-general
    September 11, 2019 - Study Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Citation Text: Ridd MJ, Ferreira DLS, Montgomery AA, et al. Patient-doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Br J Gen Pra…
  12. psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital-assessment-units
    November 11, 2020 - Study Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. Citation Text: Urquhart A, Yardley S, Thomas E, et al. Learning from patient safety incidents involving acutely …
  13. psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
    March 26, 2015 - product and concentration options in the hospital formulary, especially for high-alert drugs such as opioids
  14. psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
    September 01, 2004 - An electronic intervention to improve safety for pain patients co-prescribed chronic opioids
  15. psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
    April 24, 2024 - January 15, 2020 Inappropriate prescribing of opioids for patients undergoing surgery
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73999/psn-pdf
    October 27, 2021 - common drugs that are diluted for each surgical case are local anesthetics, sedatives, antibiotics, opioids
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49696/psn-pdf
    December 01, 2013 - surgery procedures of the lower extremities, epidural catheters infuse analgesics such as lidocaine or opioids
  18. psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
    May 26, 2021 - commonly utilized with both pharmacologic and non-pharmacologic interventions to decrease the usage of opioids
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848125/psn-pdf
    April 26, 2023 - Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units April 26, 2023 McGrath S, Blike G, Gale B, et al. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49769/psn-pdf
    September 01, 2016 - Complaints as Safety Surveillance September 1, 2016 Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/complaints-safety-surveillance The Case A 42-year-old woman presented to the emergency department with abdominal pain. She said the pain came on sudden…

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