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  1. 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…
  2. 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…
  3. www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
    November 01, 2017 - Meeting Minutes, July 2017 National Advisory Council Minutes from the July 26, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 2, 2016, Summary Report Director's Update Update on Learning Health Care…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849130/psn-pdf
    May 17, 2023 - Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. May 17, 2023 Powell M. J Health Org Manag. 2023;37(1):67-83. https://psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry Individual, team, and organizational willingness to identify and add…
  5. digital.ahrq.gov/sites/default/files/docs/page/prescribing-patterns-of-cost-effective-drugs-quick-reference-guide.pdf
    April 01, 2009 - Choosing Non Opioid Analgesics for Osteoarthritis. Pub. No. 06(07) EHC009 3. January 2007.
  6. psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
    June 12, 2024 - Special or Theme Issue States Targeting Reduction in Infections via Engagement (STRIVE). Citation Text: States Targeting Reduction in Infections via Engagement (STRIVE). Ann Intern Med. 2019;171(7_Suppl):s1-s82. Copy Citation Save Save to your library Prin…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854637/psn-pdf
    October 18, 2023 - A scoping review of clinical handover mnemonic devices. October 18, 2023 Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065. https://psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices Cogniti…
  8. effectivehealthcare.ahrq.gov/products/emt-naloxon/systematic-review
  9. effectivehealthcare.ahrq.gov/products/retention-strategies-opioid-use-disorder/rapid-research
  10. hcup-us.ahrq.gov/reports/statbriefs/sb226-Patient-Residence-Opioid-Hospital-Stays-ED-Visits-by-State.jsp
    July 01, 2017 - STATISTICAL BRIEF #226
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49833/psn-pdf
    June 01, 2018 - Perils in Diagnosing a Stroke June 1, 2018 Schindler JL. Perils in Diagnosing a Stroke. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/perils-diagnosing-stroke The Case A 75-year-old man with a history of hypertension, diabetes, chronic back pain, and opioid use disorder was brought to the emergency depart…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866216/psn-pdf
    July 10, 2024 - Health Plan Patient Safety Initiatives July 10, 2024 Helwig A, Sousane Z, Mossburg S. Health Plan Patient Safety Initiatives. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives When we think of improving patient safety, we often think of strategies that can be implemen…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46254/psn-pdf
    October 09, 2017 - Using risk stratification to reduce medical errors in cervical cancer prevention. October 9, 2017 Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed.2017.3999. https://psnet.ahrq.gov/is…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42663/psn-pdf
    October 16, 2023 - Patient Safety: A Case-based Innovative Playbook for Safer Care. Second Edition. October 16, 2023 Agrawal A, Bhatt J, eds. Cham, Switzerland, Springer Nature; 2023. ISBN: 9783031359330. https://psnet.ahrq.gov/issue/patient-safety-case-based-innovative-playbook-safer-care-second-edition This publication describes a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867021/psn-pdf
    October 23, 2024 - Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health. October 23, 2024 Makary M. Blind Spots: When Medicine Gets It Wrong, And What It Means For Our Health. New York, NY: Bloomsbury Publishing; 2024. ISBN 9781639735310. https://psnet.ahrq.gov/issue/blind-spots-when-medicine-gets-it-wrong-and-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60186/psn-pdf
    April 01, 2020 - Eleven basic procedures/practices for dental patient safety. April 1, 2020 Perea-Pérez B, Labajo-González E, Acosta-Gío AE, et al. Eleven basic procedures/practices for dental patient safety. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000234. https://psnet.ahrq.gov/issue/eleven-basic-procedurespractices-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48045/psn-pdf
    June 05, 2019 - Obstetric practice guidelines: labor's love lost? June 5, 2019 Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474. https://psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost Guidelines play a…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867754/psn-pdf
    March 12, 2025 - Decision fatigue in hospital settings: a scoping review. March 12, 2025 Perry K, Jones S, Stumpff JC, et al. Decision fatigue in hospital settings: a scoping review. J Hosp Med. 2024;Epub Nov 11. doi:10.1002/jhm.13550. https://psnet.ahrq.gov/issue/decision-fatigue-hospital-settings-scoping-review Production pressu…
  19. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
    November 01, 2017 - or other medications associated with fall risk (anticonvulsants, antihypertensives, diuretics, and opioids … drugs Group 2: Other high-risk medications Anticonvulsants Antihypertensives Diuretics Opioids
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41635/psn-pdf
    January 18, 2013 - Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. January 18, 2013 Nwulu U, Nirantharakumar K, Odesanya R, et al. Improvement in the detection of adverse drug events by the use of electronic health and prescription reco…