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Showing results for "opioids".
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  1. ChartBook On Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
    March 04, 2016 -  Opioids and accidental overdose, oversedation, and respiratory depression. … Importance: Acute, malignant, and—increasingly—chronic pain often is treated or managed with prescription opioids … Reducing patient harm from the use of opioids in both inpatient and outpatient settings is a main area …  Trends:  In Pennsylvania, the total number of medication error reports related to opioids decreased

  2. An Untimely End Despite End-of-Life Care Planning | PSNet

    psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
    February 01, 2012 - text-align: left} Return huddle checklist to charge nurse when completed Ensure you have adequate range of opioids

  3. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet

    psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
    March 01, 2015 - She was treated with opioids for mild ongoing pain, and no additional ECGs or laboratory tests were ordered

  4. Application of lean thinking to health care: issues and observations. | PSNet

    psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
    May 28, 2015 - Commentary Application of lean thinking to health care: issues and observations. Citation Text: Joosten T, Bongers I, Janssen R. Application of lean thinking to health care: issues and observations. International Journal for Quality in Health Care. 2009;21(5). doi:10.1093/intqhc/mzp036…

  5. How communication "failed" or "saved the day": counterfactual accounts of medical errors. | PSNet

    psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
    September 21, 2022 - Study How communication "failed" or "saved the day": counterfactual accounts of medical errors. Citation Text: Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1…

  6. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. | PSNet

    psnet.ahrq.gov/issue/incidence-and-nature-prescribing-and-medication-administration-errors-paediatric-inpatients
    July 08, 2008 - Study The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Citation Text: Ghaleb M, Barber N, Franklin BD, et al. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child. 201…

  7. The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. | PSNet

    psnet.ahrq.gov/issue/role-clinical-learning-environments-preparing-new-clinicians-engage-patient-safety
    November 18, 2020 - Book/Report The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Citation Text: The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National C…

  8. Preventing surgical site infections: implementing strategies throughout the perioperative continuum. | PSNet

    psnet.ahrq.gov/issue/preventing-surgical-site-infections-implementing-strategies-throughout-perioperative
    January 15, 2025 - Commentary Preventing surgical site infections: implementing strategies throughout the perioperative continuum. Citation Text: Rosa R, Sposato K, Abbo LM. Preventing surgical site infections: implementing strategies throughout the perioperative continuum. AORN J. 2023;117(5):300-311. doi…

  9. Pediatric medication safety in the emergency department. | PSNet

    psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-department-0
    November 19, 2018 - Organizational Policy/Guidelines Pediatric medication safety in the emergency department. Citation Text: Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013. Copy Citation…

  10. Patient safety attitudes of paediatric trainee physicians. | PSNet

    psnet.ahrq.gov/issue/patient-safety-attitudes-paediatric-trainee-physicians
    December 01, 2010 - Study Patient safety attitudes of paediatric trainee physicians. Citation Text: Parry G, Horowitz L, Goldmann D. Patient safety attitudes of paediatric trainee physicians. Qual Saf Health Care. 2009;18(6):462-6. doi:10.1136/qshc.2006.020230. Copy Citation Format: DOI Goog…

  11. Addressing medicine's bias against patients who are overweight. | PSNet

    psnet.ahrq.gov/issue/addressing-medicines-bias-against-patients-who-are-overweight
    May 15, 2019 - Commentary Addressing medicine's bias against patients who are overweight. Citation Text: Rubin R. Addressing Medicine's Bias Against Patients Who Are Overweight. JAMA. 2019;321(10):925-927. doi:10.1001/jama.2019.0048. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  12. An innovative tool for experiential learning of nursing quality and safety competencies. | PSNet

    psnet.ahrq.gov/issue/innovative-tool-experiential-learning-nursing-quality-and-safety-competencies
    October 16, 2012 - Commentary An innovative tool for experiential learning of nursing quality and safety competencies. Citation Text: St. Onge J, Hodges T, McBride M, et al. An Innovative Tool for Experiential Learning of Nursing Quality and Safety Competencies. Nurse Educator. 2013;38(2):71-75. doi:10.10…

  13. Analgesic prescribing errors and associated medication characteristics. | PSNet

    psnet.ahrq.gov/issue/analgesic-prescribing-errors-and-associated-medication-characteristics
    November 01, 2003 - Study Analgesic prescribing errors and associated medication characteristics. Citation Text: Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. The journal of pain : official journal of the American Pain Society. 2011;12(1):29-40. doi:10.1016/j.…

  14. Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. | PSNet

    psnet.ahrq.gov/issue/medication-safety-issue-brief-small-and-rural-hospitals-unique-challenges-unique-solutions
    June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. Citation Text: Association AH, Pharmacists AS of H-S, Networks H & H. Medication Safety Issue Brief. Small and rural hospitals--unique challenges, unique solutions. Hospitals & h…

  15. Medication Administration Time Study (MATS): nursing staff performance of medication administration. | PSNet

    psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance-medication-administration
    February 21, 2018 - Study Medication Administration Time Study (MATS): nursing staff performance of medication administration. Citation Text: Elganzouri ES, Standish CA, Androwich I. Medication Administration Time Study (MATS): nursing staff performance of medication administration. J Nurs Admin. 2009;39(5)…

  16. Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hhs-guidance-regarding-patient-safety-work
    December 24, 2008 - Government Resource Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. Citation Text: Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and provid…

  17. Best practices in medication administration: preventing adverse drug events in perinatal settings. | PSNet

    psnet.ahrq.gov/issue/best-practices-medication-administration-preventing-adverse-drug-events-perinatal-settings
    July 16, 2009 - Commentary Best practices in medication administration: preventing adverse drug events in perinatal settings. Citation Text: Mahlmeister LR. Best practices in medication administration: preventing adverse drug events in perinatal settings. J Perinat Neonatal Nurs. 2007;21(1):6-8. Cop…

  18. The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. | PSNet

    psnet.ahrq.gov/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
    February 06, 2019 - Newspaper/Magazine Article The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. Citation Text: The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. Noguchi Y. Health Shots and All Things Considered. National Public Ra…

  19. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. | PSNet

    psnet.ahrq.gov/issue/older-adults-are-often-misdiagnosed-specialized-ers-and-trained-clinicians-can-help
    July 28, 2021 - Newspaper/Magazine Article Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Citation Text: Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024; Copy C…

  20. Sir Karl Popper, swans, and the general practitioner. | PSNet

    psnet.ahrq.gov/issue/sir-karl-popper-swans-and-general-practitioner
    March 05, 2025 - Commentary Sir Karl Popper, swans, and the general practitioner. Citation Text: Berghmans R, Schouten HC. Sir Karl Popper, swans, and the general practitioner. BMJ. 2011;343:d5469. doi:10.1136/bmj.d5469. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…
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