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psnet.ahrq.gov/issue/piece-my-mind-mistakes
March 19, 2008 - May 16, 2018
Visual acuity, literacy, and unintentional misuse of nonprescription medications
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psnet.ahrq.gov/issue/process-analysis-sentinel-events-due-health-care-associated-infection
January 22, 2014 - May 31, 2017
Visual acuity, literacy, and unintentional misuse of nonprescription medications
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psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
December 09, 2020 - Related Resources
WebM&M Cases
A Complicated Course: Severe Alcohol … August 1, 2006
WebM&M Cases
Novel Drug Misuse
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
September 07, 2019 - published PSNet WebM&M cases, one focusing on a pill box utilization error and another on warfarin misuse … 2023
WebM&M Cases
A Complicated Course: Severe Alcohol
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psnet.ahrq.gov/node/49712/psn-pdf
June 01, 2014 - He denied the use of alcohol, caffeine products, and other
recreational drugs; his only regular medications … Take-Home Points
Unintentional misuse of prescription medication is very common.
-
psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - Drug-alcohol or drug-drug
interactions (e.g. concurrent use of benzodiazepines) can increase the risk
-
psnet.ahrq.gov/periodic-issue/periodic-issue-327
February 23, 2022 - Patients may not always reveal underlying causes of ill health such as alcohol and drug misuse or domestic
-
psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - Drug-alcohol or drug-drug interactions (e.g. concurrent use of benzodiazepines) can increase the risk
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - simply the normal adaptation to a central nervous system agonist, like opioids, benzodiazepines, or alcohol … People who have ongoing alcohol use disorder, you're just inviting disaster when you commit that patient … February 25, 2019
Patterns of potential opioid misuse and subsequent adverse outcomes
-
psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - simply the normal adaptation to a central nervous system agonist, like opioids, benzodiazepines, or alcohol … People who have ongoing alcohol use disorder, you're just inviting disaster when you commit that patient … February 25, 2019
Patterns of potential opioid misuse and subsequent adverse outcomes
-
psnet.ahrq.gov/web-mm/overdose-oxygen
August 02, 2023 - December 1, 2013
WebM&M Cases
Novel Drug Misuse … WebM&M Cases
Hindsight is 20/20: Thrombolytics for Alcohol
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - that could be delirium, some of them say delirium, some of them say things like delirium following alcohol … But they are indicated for alcohol or sedative withdrawal, so those are the only cases where they would … Drip
April 1, 2008
WebM&M Cases
Novel Drug Misuse
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - Related Resources
WebM&M Cases
A Complicated Course: Severe Alcohol … September 13, 2006
WebM&M Cases
Novel Drug Misuse