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  1. Preventing Medication Errors: A $21 Billion Opportunity. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-21-billion-opportunity
    December 03, 2008 - Fact Sheet/FAQs Preventing Medication Errors: A $21 Billion Opportunity. Citation Text: Preventing Medication Errors: A $21 Billion Opportunity. Washington, DC: National Priorities Partnership and National Quality Forum; December 2010. Copy Citation Save Save…

  2. Training Education | PSNet

    psnet.ahrq.gov/training-education
    October 01, 2025 - Training and Education Overview PSNet offers an unparalleled set of resources for patient safety training and education. In this section, you will have the opportunity to read WebM&M (Morbidity & Mortality) Spotlight Cases and complete the interactive learning modules for continuing medical education (CME), maintenan…

  3. Safety Assurance Factors for EHR Resilience: SAFER Guides. | PSNet

    psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides
    January 10, 2007 - Multi-use Website Safety Assurance Factors for EHR Resilience: SAFER Guides. Citation Text: Safety Assurance Factors for EHR Resilience: SAFER Guides. Washington, DC: Assistant Secretary for Technology Policy. Copy Citation Save Save to your library Print …

  4. The lurking danger in the “business case” for patient safety | PSNet

    psnet.ahrq.gov/issue/lurking-danger-business-case-patient-safety
    May 13, 2020 - Commentary The lurking danger in the “business case” for patient safety Citation Text: The lurking danger in the “business case” for patient safety Millenson ML. Health Affairs Blog. December 2, 2019. Copy Citation Save Save to your library Print Downl…

  5. Hospital Medication Errors Commonplace. | PSNet

    psnet.ahrq.gov/issue/hospital-medication-errors-commonplace
    August 02, 2023 - Audiovisual Hospital Medication Errors Commonplace. Citation Text: Hospital Medication Errors Commonplace. Berwick D; Lassman S; Bates D. National Public Radio. July 28, 2006. Copy Citation Save Save to your library Print Download PDF Share …

  6. Fatal outcome after inadvertent injection of topical epinephrine. | PSNet

    psnet.ahrq.gov/issue/fatal-outcome-after-inadvertent-injection-topical-epinephrine
    May 07, 2018 - Newspaper/Magazine Article Fatal outcome after inadvertent injection of topical epinephrine. Citation Text: Fatal outcome after inadvertent injection of topical epinephrine. ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2. Copy Citation Save …

  7. Toolkit To Improve Antibiotic Use in Ambulatory Care. | PSNet

    psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care
    December 24, 2008 - Tools/Toolkit Toolkit To Improve Antibiotic Use in Ambulatory Care. Citation Text: Toolkit To Improve Antibiotic Use in Ambulatory Care. Rockville, MD: Agency for Healthcare Research and Quality; October 2022. Copy Citation Save Save to your library Print …

  8. 21st Century Health Information Act of 2005. | PSNet

    psnet.ahrq.gov/issue/21st-century-health-information-act-2005
    March 27, 2005 - Legislation/Case Law 21st Century Health Information Act of 2005. Citation Text: 21st Century Health Information Act of 2005. Murphy T; Kennedy P. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  9. Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. | PSNet

    psnet.ahrq.gov/issue/leadership-guide-patient-safety-resources-and-tools-establishing-and-maintaining-patient
    November 18, 2011 - Book/Report Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. Citation Text: Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. Botwinick L, Bisognano M, Haraden C. Cambr…

  10. Improving Diagnosis and Treatment of Maternal Sepsis. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis
    September 22, 2021 - Toolkit Improving Diagnosis and Treatment of Maternal Sepsis. Citation Text: Improving Diagnosis and Treatment of Maternal Sepsis. Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022.  Copy Citation Save Save to your library Pr…

  11. ISMP Targeted Medication Safety Best Practices for Community Pharmacy. | PSNet

    psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy
    March 21, 2012 - Organizational Policy/Guidelines ISMP Targeted Medication Safety Best Practices for Community Pharmacy. Citation Text: ISMP Targeted Medication Safety Best Practices for Community Pharmacy. Institute for Safe Medication Practices: March 2025. Copy Citation Save Sa…

  12. Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. | PSNet

    psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report
    July 18, 2018 - Book/Report Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. Citation Text: Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. Cambridge, MA: CRICO Strategies; 2016. Copy Citation Save Save to your library …

  13. Prep, Stop, Block. | PSNet

    psnet.ahrq.gov/issue/prep-stop-block
    March 14, 2018 - Tools/Toolkit Prep, Stop, Block. Citation Text: Prep, Stop, Block. RA-UK, the Faculty of Pain Medicine, RCoA Simulation and NHS Improvement Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linked…

  14. Patient Safety | PSNet

    psnet.ahrq.gov/issue/patient-safety-21
    October 14, 2020 - Multi-use Website Patient Safety Citation Text: Patient Safety Organisation for Economic Co-operation and Development. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  15. How cisgender clinicians can help prevent harm during encounters with transgender patients. | PSNet

    psnet.ahrq.gov/issue/how-cisgender-clinicians-can-help-prevent-harm-during-encounters-transgender-patients
    August 31, 2022 - Commentary How cisgender clinicians can help prevent harm during encounters with transgender patients. Citation Text: doi:10.1001/amajethics.2022.753. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  16. Cannabis-2023-Surv-Rep-1-App-F (xls file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cannabis-2023-surv-rep-1-app-F.xlsx
    January 01, 2023 - 13 NR NR NR NR NR NR NR Patients with major psychiatric disorder or past drug/alcohol abuse excluded Opioids … abdominal pain Excluded daily cannabis use in past 3 years Mean 53 50 96 2 NR 2 NR NR NR Excluded Weak opioids … : 21/50 Strong opioids: 26/50 65 50 THC oral tablet (Dronabinol): days 1 to 5: 3 mg 3 times/d; days 6 … psoriatic arthritis Previous CBD use: 18% Median 62 44 NR NR NR NR NR NR NR NR Concomitant medicine: Opioids … with severe psychiatric diseases (severe depression and schizophrenia) excluded Concomitant use of opioids

  17. Cannabis-2023-Surv-Rep-4-Tables-E-1-E-4 (xls file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cannabis-2023-surv-rep-4-tables-E-1-E-4.xlsx
    January 01, 2023 - 13 NR NR NR NR NR NR NR Patients with major psychiatric disorder or past drug/alcohol abuse excluded Opioids … abdominal pain Excluded daily cannabis use in past 3 years Mean 53 50 96 2 NR 2 NR NR NR Excluded Weak opioids … : 21/50 Strong opioids: 26/50 65 50 THC oral tablet (Dronabinol): days 1 to 5: 3 mg 3 times/d; days 6 … psoriatic arthritis Previous CBD use: 18% Median 62 44 NR NR NR NR NR NR NR NR Concomitant medicine: Opioids … with severe psychiatric diseases (severe depression and schizophrenia) excluded Concomitant use of opioids

  18. Cannabis-2022-Surv-Rep-4-Tables-F1-4 (xls file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cannabis-2022-surv-rep-4-tables-F1-4.xlsx
    January 01, 2022 - 13 NR NR NR NR NR NR NR Patients with major psychiatric disorder or past drug/alcohol abuse excluded Opioids … abdominal pain Excluded daily cannabis use in past 3 years Mean 53 50 96 2 NR 2 NR NR NR Excluded Weak opioids … : 21/50 Strong opioids: 26/50 65 50 THC oral tablet (Dronabinol): days 1 to 5: 3 mg 3 times/d; days 6 … psoriatic arthritis Previous CBD use: 18% Median 62 44 NR NR NR NR NR NR NR NR Concomitant medicine: Opioids … with severe psychiatric diseases (severe depression and schizophrenia) excluded Concomitant use of opioids

  19. Final Progress Report: Encoding and Processing Patient Allergy Information in EHRs (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
    January 01, 2024 - We also conducted epidemiologic studies of a number of specific allergens (e.g., opioids, nonsteroidal … Drug-Allergy Alerts for Opioids This study examined trends in drug-allergy interaction (DAI) alert overrides

  20. Encoding and Processing Patient Allergy Information in EHRs - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs022728-zhou-final-report-2018.pdf
    January 01, 2018 - We also conducted epidemiologic studies of a number of specific al lergens (e.g., opioids, non-steroidal … Drug-Allergy Alerts for Opioids This study examined trends in drug-allergy interaction (DAI) alert overrides
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