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Total Results: 954 records

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461. Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. | PSNet
     psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
     October 29, 2008 - Book/Report Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Citation Text: Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Office of the Inspector General. Washington, DC: US Department of Health and Human Services…

462. AHRQ Announces Interest in Research About the Epidemiology of Patient Safety Risks and Harms in Ambulatory Health Care Settings. | PSNet
     psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks-and-harms-ambulatory
     August 15, 2018 - Government Resource AHRQ Announces Interest in Research About the Epidemiology of Patient Safety Risks and Harms in Ambulatory Health Care Settings. Citation Text: AHRQ Announces Interest in Research About the Epidemiology of Patient Safety Risks and Harms in Ambulatory Health Care Setti…

463. An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. | PSNet
     psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
     May 16, 2012 - Book/Report An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. Citation Text: An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…

464. HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. | PSNet
     psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid
     October 15, 2008 - Book/Report HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. Citation Text: HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. HHS Guide for Clinicians on the App…

465. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
     psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
     July 01, 2017 - AABB Standards protect a recipient from an ABO-incompatible red blood cell transfusion: 13 5.11.1 All requests

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49448/psn-pdf
     June 01, 2004 - Listen to the Family June 1, 2004 Campbell D. Listen to the Family. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/listen-family The Case Vascular surgery was consulted for placement of a dialysis catheter in a patient on the medical floor. The surgical resident examined the patient, an elderly woman with …

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49439/psn-pdf
     March 01, 2004 - Lethal Cap March 1, 2004 Schillinger D. Lethal Cap. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/lethal-cap The Case A 9-month-old child was seen by her pediatrician for a fever and decreased appetite. She was found to have otitis media and was prescribed amoxicillin. The doctor gave the first dose to th…

468. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. | PSNet
     psnet.ahrq.gov/issue/implementing-rise-second-victim-support-programme-johns-hopkins-hospital-case-study
     March 03, 2019 - Study Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. Citation Text: Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. d…

469. Decisions about critical events in device-related scenarios as a function of expertise. | PSNet
     psnet.ahrq.gov/issue/decisions-about-critical-events-device-related-scenarios-function-expertise
     January 02, 2017 - Study Decisions about critical events in device-related scenarios as a function of expertise. Citation Text: Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12. Copy Citat…

470. Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering. | PSNet
     psnet.ahrq.gov/issue/displaying-radiation-exposure-and-cost-information-order-entry-outpatient-diagnostic-imaging
     August 04, 2015 - Study Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering. Citation Text: Kruger JF, Chen AH, Rybkin A, et al. Displaying radiation exposure and cost information at order entry for outpatient diagnos…

471. Toward improving patient safety through voluntary peer-to-peer assessment. | PSNet
     psnet.ahrq.gov/issue/toward-improving-patient-safety-through-voluntary-peer-peer-assessment
     August 25, 2015 - Commentary Toward improving patient safety through voluntary peer-to-peer assessment. Citation Text: Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. …

472. Closing the loop with ambulatory staff on safety reports. | PSNet
     psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-reports
     April 22, 2016 - Study Closing the loop with ambulatory staff on safety reports. Citation Text: Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009. Copy Citation Format: DOI…

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852807/psn-pdf
     August 30, 2023 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia August 30, 2023 Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-…

474. Validation of a teamwork perceptions measure to increase patient safety. | PSNet
     psnet.ahrq.gov/issue/validation-teamwork-perceptions-measure-increase-patient-safety
     March 20, 2014 - Study Validation of a teamwork perceptions measure to increase patient safety. Citation Text: Keebler JR, Dietz AS, Lazzara EH, et al. Validation of a teamwork perceptions measure to increase patient safety. BMJ Qual Saf. 2014;23(9):718-26. doi:10.1136/bmjqs-2013-001942. Copy Citation …

475. Promoting a culture of safety as a patient safety strategy: a systematic review. | PSNet
     psnet.ahrq.gov/issue/promoting-culture-safety-patient-safety-strategy-systematic-review
     January 06, 2018 - Review Promoting a culture of safety as a patient safety strategy: a systematic review. Citation Text: Weaver SJ, Lubomksi LH, Wilson RF, et al. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):369-74. doi:10.7326/0003-48…

476. Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. | PSNet
     psnet.ahrq.gov/issue/move-toward-full-use-metric-dosing-eliminate-dosage-cups-measure-liquids-fluid-drams-use-cups
     April 01, 2015 - Press Release/Announcement Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. Citation Text: Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL…

477. Infections associated with reprocessed flexible bronchoscopes. | PSNet
     psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes
     March 11, 2015 - Press Release/Announcement Infections associated with reprocessed flexible bronchoscopes. Citation Text: Infections associated with reprocessed flexible bronchoscopes. FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015. Copy Citation …

478. Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. | PSNet
     psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk-harm
     December 06, 2017 - Book/Report Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. Citation Text: Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. Washington, DC: United States Government Accountability Office; October 201…

479. The relationship between electronic health records and malpractice claims. | PSNet
     psnet.ahrq.gov/issue/relationship-between-electronic-health-records-and-malpractice-claims
     August 05, 2009 - Study The relationship between electronic health records and malpractice claims. Citation Text: Quinn MA, Kats AM, Kleinman K, et al. The relationship between electronic health records and malpractice claims. Arch Intern Med. 2012;172(15):1187-9. doi:10.1001/archinternmed.2012.2371. Co…

480. Provider and patient perceptions of an external medication history function. | PSNet
     psnet.ahrq.gov/issue/provider-and-patient-perceptions-external-medication-history-function
     July 16, 2015 - Study Provider and patient perceptions of an external medication history function. Citation Text: Wolver SE, Stultz JS, Aggarwal A, et al. Provider and Patient Perceptions of an External Medication History Function. J Patient Saf. 2018;14(4):234-240. doi:10.1097/PTS.0000000000000197. C…