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2421. Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs. | PSNet
      psnet.ahrq.gov/issue/coaching-debriefer-peer-coaching-improve-debriefing-quality-simulation-programs
      July 31, 2019 - Commentary Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs. Citation Text: Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.…

2422. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. | PSNet
      psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
      November 03, 2015 - Study Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. Citation Text: Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histo…

2423. Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery. | PSNet
      psnet.ahrq.gov/issue/use-anatomic-marking-form-alternative-universal-protocol-preventing-wrong-site-wrong
      March 02, 2011 - Commentary Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery. Citation Text: Knight N, Aucar J. Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong…

2424. Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/primary-care-research/summary.html
      January 01, 2024 - Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) Summary Previous Page Next Page Table of Contents Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) Introduction Methods Results Summary References Appendix A. Grants Database Search Terms & Analy…

2425. Education and reporting of diagnostic errors among physicians in internal medicine training programs. | PSNet
      psnet.ahrq.gov/issue/education-and-reporting-diagnostic-errors-among-physicians-internal-medicine-training
      July 17, 2019 - Study Education and reporting of diagnostic errors among physicians in internal medicine training programs. Citation Text: Wijesekera TP, Sanders L, Windish DM. Education and Reporting of Diagnostic Errors Among Physicians in Internal Medicine Training Programs. JAMA Intern Med. 2018;178…

2426. Association Between Outcomes and Dental Services in People With Substance Use Disorder: A Rapid Response Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/outcomes-dental-services-rapid-research.pdf
      May 01, 2025 - from the use of 10 separate classes of drugs: alcohol, caffeine, cannabis, hallucinogens, inhalants, opioids … Professionals Identify and Support Patients with Substance Use Disorders (unknown year) practice guide; opioids … Healthcare Professionals Treating Patients with Substance Use Conditions (unknown year) guidance; opioids … use disorder (2020) narrative review with recommendation; alcohol, cannabis, methamphetamine, opioids … were outlined for patients with alcoholism, cocaine, ecstasy, and methamphetamines, cannabis, and opioids

2427. AHRQ-Funded Researchers Disseminate in High-Impact Journals | Digital Healthcare Research
      digital.ahrq.gov/2018-year-review/research-dissemination/journals
      January 01, 2018 - with chronic pain are exacerbated by individual and public health risks associated with commonly used opioid … analgesics.

2428. Disposition of Comments Report for Nitrous Oxide for the Management of Labor Pain (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/labor-nitrous-oxide_disposition-comments.pdf
      August 23, 2012 - Parenteral opioids for labor pain relief: a systematic review. … The description of opioids in this table has been revised. … Opioids. Under description - "causes sedation, which can also relive pain". … Reviewer #11 Methods A search for better opioids has been going on for several years. … N2O inhaled and opioids injected? Be more clear. Thank you. This has been clarified.

2429. US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019. | PSNet
      psnet.ahrq.gov/issue/us-emergency-department-visits-acute-harms-over-counter-cough-and-cold-medications-2017-2019
      March 24, 2021 - August 24, 2022 Provider bias in prescribing opioid analgesics: a study of electronic

2430. How useful are voluntary medication error reports? The case of warfarin-related medication errors. | PSNet
      psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related-medication-errors
      May 27, 2011 - outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid … analgesics.

2431. Medication discrepancies upon hospital to skilled nursing facility transitions. | PSNet
      psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
      July 20, 2011 - Most concerning, many discrepancies involved high-risk medications such as opioid analgesics, anticoagulants

2432. Medicare and Medicaid Programs and the Children’s Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes. | PSNet
      psnet.ahrq.gov/issue/medicare-and-medicaid-programs-and-childrens-health-insurance-program-hospital-inpatient
      November 23, 2015 - outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid … analgesics.

2433. Making Healthcare Safer IV: Summary of Findings, 2023-2024 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-1-year-final-report-updated-title_0.pdf
      May 01, 2024 - Making Healthcare Safer IV: Summary of Findings, 2023-2024 Making Healthcare Safer IV Making Healthcare Safer IV: Summary of Findings on Patient Safety Practices and Ratings by a Technical Expert Panel, 2023-2024 Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Se…

2434. Meeting Minutes, November 2019 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2019-11-nac/nacmtg01121-minutes.html
      March 01, 2020 - States added the opioid overdose crisis, which now is led by synthetic opioids (fentanyl and fentanyl

2435. Patient safety and suicide prevention in mental health services: time for a new paradigm? | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-suicide-prevention-mental-health-services-time-new-paradigm
      April 19, 2023 - Commentary Patient safety and suicide prevention in mental health services: time for a new paradigm? Citation Text: Quinlivan L, Littlewood DL, Webb RT, et al. Patient safety and suicide prevention in mental health services: time for a new paradigm? J Mental Health. 2020;29(1):1-5. doi…

2436. Mandating limits on workload, duty, and speed in radiology. | PSNet
      psnet.ahrq.gov/issue/mandating-limits-workload-duty-and-speed-radiology
      August 11, 2021 - Review Mandating limits on workload, duty, and speed in radiology. Citation Text: Alexander R, Waite S, Bruno MA, et al. Mandating limits on workload, duty, and speed in radiology. Radiology. 2022:212631. doi:10.1148/radiol.212631. Copy Citation Format: DOI Google Scholar B…

2437. Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). | PSNet
      psnet.ahrq.gov/issue/medication-errors-resulting-confusion-between-risperidone-risperdal-and-ropinirole-requip
      December 16, 2020 - Press Release/Announcement Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). Citation Text: Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). MedWatch Safety Alert, FDA Drug Safety Com…

2438. As she lay dying: how I fought to stop medical errors from killing my mom. | PSNet
      psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom
      December 19, 2012 - Commentary As she lay dying: how I fought to stop medical errors from killing my mom. Citation Text: Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833. Copy Citation For…

2439. Analysis of risk factors for adverse drug events in critically ill patients. | PSNet
      psnet.ahrq.gov/issue/analysis-risk-factors-adverse-drug-events-critically-ill-patients
      October 26, 2010 - Study Analysis of risk factors for adverse drug events in critically ill patients. Citation Text: Kane-Gill SL, Kirisci L, Verrico MM, et al. Analysis of risk factors for adverse drug events in critically ill patients*. Crit Care Med. 2012;40(3):823-8. doi:10.1097/CCM.0b013e318236f473.…

2440. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. | PSNet
      psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education
      March 17, 2021 - Commentary Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. Citation Text: Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (…