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2141. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. | PSNet
      psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors
      October 20, 2021 - Study Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. Citation Text: Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors:…

2142. A long-term follow-up evaluation of electronic health record prescribing safety. | PSNet
      psnet.ahrq.gov/issue/long-term-follow-evaluation-electronic-health-record-prescribing-safety
      November 26, 2014 - Study A long-term follow-up evaluation of electronic health record prescribing safety. Citation Text: Abramson EL, Malhotra S, Osorio N, et al. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc. 2013;20(e1):e52-8. doi:10.1136/amiajnl…

2143. Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States. | PSNet
      psnet.ahrq.gov/issue/impact-state-nurse-practitioner-regulations-potentially-inappropriate-medication-prescribing
      March 24, 2021 - Study Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States. Citation Text: Tzeng H-M, Raji MA, Chou L-N, et al. Impact of state nurse practitioner regulations o…

2144. Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up. | PSNet
      psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol-25-mg-tablets-and
      June 20, 2018 - Press Release/Announcement Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up. Citation Text: Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets…

2145. Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study. | PSNet
      psnet.ahrq.gov/issue/incidence-duration-and-risk-factors-associated-delayed-and-missed-diagnostic-opportunities
      May 19, 2021 - Study Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study. Citation Text: Miller AC, Arakkal AT, Koeneman S, et al. Incidence, duration and risk factors associated with delayed and…

2146. Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. | PSNet
      psnet.ahrq.gov/issue/disclosing-large-scale-adverse-events-us-veterans-health-administration-lessons-media
      August 18, 2021 - Study Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. Citation Text: Maguire EM, Bokhour BG, Asch SM, et al. Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. Public …

2147. Patient safety culture: the impact on workplace violence and health worker burnout. | PSNet
      psnet.ahrq.gov/issue/patient-safety-culture-impact-workplace-violence-and-health-worker-burnout
      December 07, 2022 - Study Patient safety culture: the impact on workplace violence and health worker burnout. Citation Text: Kim S, Kitzmiller R, Baernholdt MB, et al. Patient safety culture: the impact on workplace violence and health worker burnout. Workplace Health Saf. 2022;71(2):78-88. doi:10.1177/2165…

2148. Understanding patient and clinician reported nonroutine events in ambulatory surgery. | PSNet
      psnet.ahrq.gov/issue/understanding-patient-and-clinician-reported-nonroutine-events-ambulatory-surgery
      December 16, 2020 - Study Understanding patient and clinician reported nonroutine events in ambulatory surgery. Citation Text: Salwei ME, Anders S, Slagle JM, et al. Understanding patient and clinician reported nonroutine events in ambulatory surgery. J Patient Saf. 2023;19(2):e38-e45. doi:10.1097/pts.00000…

2149. Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004. | PSNet
      psnet.ahrq.gov/issue/assessing-national-electronic-injury-surveillance-system-cooperative-adverse-drug-event
      February 27, 2019 - Government Resource Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004. Citation Text: Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-C…

2150. Remember that patient you saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death following ED discharge. | PSNet
      psnet.ahrq.gov/issue/remember-patient-you-saw-last-week-characteristics-and-frequency-patients-experiencing
      March 10, 2021 - Study Remember that patient you saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death following ED discharge. Citation Text: Hoang R, Sampsel K, Willmore A, et al. Remember that patient you saw last week: characteristics and frequency o…

2151. Alcoholism and American healthcare: the case for a patient safety approach. | PSNet
      psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
      March 30, 2022 - Review Alcoholism and American healthcare: the case for a patient safety approach. Citation Text: Zipperer L, Ryan R, Jones B. Alcoholism and American healthcare: the case for a patient safety approach. J Patient Saf Risk Manag. 2022;27(5):201-208. doi:10.1177/25160435221117952. Copy C…

2152. Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. | PSNet
      psnet.ahrq.gov/issue/improving-administration-and-documentation-enteral-nutrition-support-therapy-veteran-affairs
      September 09, 2020 - Study Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. Citation Text: Chew MM, Rivas S, Chesser M, et al. Improving administration and documen…

2153. Allergic adverse drug events after alert overrides in hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/allergic-adverse-drug-events-after-alert-overrides-hospitalized-patients
      May 25, 2022 - Study Allergic adverse drug events after alert overrides in hospitalized patients. Citation Text: Luri M, Gastaminza G, Idoate A, et al. Allergic adverse drug events after alert overrides in hospitalized patients. J Patient Saf. 2022;18(6):630-636. doi:10.1097/pts.0000000000001034. Cop…

2154. Two fatal cases of accidental intrathecal vincristine administration: learning from death events. | PSNet
      psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
      March 24, 2021 - Commentary Two fatal cases of accidental intrathecal vincristine administration: learning from death events. Citation Text: Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemothera…

2155. Pediatric ADHD medication exposures reported to US poison control centers. | PSNet
      psnet.ahrq.gov/issue/pediatric-adhd-medication-exposures-reported-us-poison-control-centers
      November 28, 2018 - Study Pediatric ADHD medication exposures reported to US poison control centers. Citation Text: King SA, Casavant MJ, Spiller HA, et al. Pediatric ADHD Medication Exposures Reported to US Poison Control Centers. Pediatrics. 2018;141(6). doi:10.1542/peds.2017-3872. Copy Citation For…

2156. Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. | PSNet
      psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
      August 13, 2014 - Study Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. Citation Text: Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…

2157. Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers. | PSNet
      psnet.ahrq.gov/issue/comparison-quality-measures-us-hospitals-physician-vs-nonphysician-chief-executive-officers
      July 13, 2022 - Study Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers. Citation Text: See H, Shreve L, Hartzell S, et al. Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers. JAMA Netw Open. 202…

2158. AHRQ-Funded Resources and Research for Improving the Care of PLWMCC | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/funded-resources.html
      November 01, 2021 - AHRQ-Funded Resources and Research for Improving the Care of PLWMCC AHRQ-Funded MCC Research AHRQ continues its longstanding history of awarding grants and contracts to support cutting edge research designed to improve the structure, organization, and processes of delivery for People Living With Multiple Chro…

2159. Ambulance crew in Chicago got lost trying to find hospital. | PSNet
      psnet.ahrq.gov/issue/ambulance-crew-chicago-got-lost-trying-find-hospital
      May 28, 2014 - HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid … Analgesics.

2160. Methods Applying AHRQ Quality Indicators to Healthcare Cost and Utilization Project (HCUP) Data for the 2024 National Healthcare Quality and Disparities Report (NHQDR) (pdf file)
      hcup-us.ahrq.gov/reports/methods/MS2024-01-NHQDRMethodsReport.pdf
      November 25, 2024 - initial encounter 'T401X5A' Adverse effect of heroin initial encounter 'T402X2A' Poisoning by oth opioids