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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx
Spotlight
Overdose of Gabapentin and Oxycodone in a Patient
with End-Stage Renal Disease: A Case for Appropriate
Interruptive Drug-Disease Alerts
Source and Credits
• This presentation is based on the January 2023 AHRQ WebM&M
Spotl…
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - we talk about changing systems or changing process, what we're really talking about is changing the behavior
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - In addition to state regulations and guidelines targeting opioid prescribing behavior, other interventions
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - implicit biases, or negative attitudes toward groups based on race or ethnicity that unconsciously affect behavior
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - SPOTLIGHT CASE
A Pill Organizing Plight
Citation Text:
McGalliard B, Shane R, Rosen S. A Pill Organizing Plight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Google Scholar BibTe…
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psnet.ahrq.gov/node/838222/psn-pdf
September 28, 2022 - In Conversation With... Jack Westfall, MD, MPH
September 28, 2022
In Conversation With.. Jack Westfall, MD, MPH. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
Editor’s note: Jack Westfall, MD, MPH, is a retired professor from the University of Colorado School of
Medic…
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psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - You're talking about tackling a lot of hot button issues: peer review, economic incentives that drive
behavior
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psnet.ahrq.gov/node/836879/psn-pdf
April 27, 2022 - problem being repeatedly pointed out in the medical literature
didn’t automatically change clinician behavior
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - delirium often presents with symptoms of acute confusion,
agitation, hallucinations, or combative behavior
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - in this case: suspected skull fracture; scalp hematoma; any neurologic deficit; GCS < 15; abnormal behavior
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psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
March 30, 2020 - Making Healthcare Safer III Report
March 30, 2020
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Gaffey AD, Spurlock B, Fitall E, et al. Making Healthcare Safer III Report. PSNet [internet]. Rockville (MD): Agency for Health…
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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - Chopra to talk about your PICC ordering behavior?
VC: Haha! No, that's not it.
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psnet.ahrq.gov/node/836850/psn-pdf
March 31, 2022 - lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
regulations and guidelines targeting opioid prescribing behavior
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - Hyperactive delirium often presents with symptoms of acute confusion, agitation, hallucinations, or combative behavior
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - The Transitions Coach models the behavior for how to address common medication discrepancies that occur
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives
Amy Helwig, MD, MS, FAAFP, Zoe Sousane, BS, Sarah Mossburg, RN, PhD | July 10, 2024
Also Read the Essay
View more articles from the same authors.
Citation Text:
Helwig A, Sousane Z, …
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - Health Plan Patient Safety Initiatives
Amy Helwig, MD, MS, FAAFP, Zoe Sousane, BS, Sarah Mossburg, RN, PhD | July 10, 2024
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Helwig A, Sousane Z, Mossburg S. Health Plan Patient S…
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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - It's not new that there's an abuse of copy–paste behavior in notes.
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - The tension between those two views is interesting and important in understanding the behavior of hospitals
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - A Tale of Two Falls
Citation Text:
Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…