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psnet.ahrq.gov/issue/characteristics-initial-prescription-episodes-and-likelihood-long-term-opioid-use-united
April 24, 2018 - mandate to case review patients with opioid prescriptions on mortality among patients with opioid use disorder
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psnet.ahrq.gov/issue/medication-errors-associated-code-situations-us-hospitals-direct-and-collateral-damage
June 29, 2011 - Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - SPOTLIGHT CASE
A "Reflexive" Diagnosis in Primary Care
Citation Text:
Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Format:
…
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - had substantially increased in the past few weeks to the point that he self-referred to a local sleep disorder … have preferred to have received some level of medication counseling from his physician in the sleep disorder … While the indication for use (i.e., sleep disorder) is probably not the issue in this case, many pharmacists
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - According to the National Survey on Drug Use and Health, more than 2 million Americans have an opioid use disorder … from a licensed prescriber.( 4 ) Compounding matters, approximately 80% of those with an opioid use disorder … People who have ongoing alcohol use disorder, you're just inviting disaster when you commit that patient
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - People who have ongoing alcohol use disorder, you're just inviting disaster when you commit that patient … According to the National Survey on Drug Use and Health, more than 2 million Americans have an opioid use disorder … from a licensed prescriber.( 4 ) Compounding matters, approximately 80% of those with an opioid use disorder
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psnet.ahrq.gov/issue/health-care-crossroads-strategies-improving-medical-liability-system-and-preventing-patient
September 07, 2005 - 5, 2023
Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder … naloxone with all patients when prescribing opioid pain relievers or medicines to treat opioid use disorder
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - Advancing age (> 65 years) History of delirium, stroke, neurological disease, falls or gait disorder … and recent (within past 2 weeks) changes in mental status with family and staff Recent changes in disorder … head trauma Electroencephalography Assess for occult seizures Differentiate psychiatric disorder
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psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - common risk factors for SEA are diabetes mellitus, intravenous drug use, trauma, and alcohol use
disorder
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Care for Pregnant and Postpartum People with Substance Use Disorder (AIM)
Perinatal Mental Health Conditions … perinatal-care/index.html
https://saferbirth.org/psbs/care-for-pregnant-and-postpartum-people-with-substance-use-disorder … Preeclampsia is typically defined as a disorder of pregnancy associated with new-onset
hypertension
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psnet.ahrq.gov/node/47984/psn-pdf
May 01, 2019 - Incidence of multiple sclerosis misdiagnosis in referrals
to two academic centers.
May 1, 2019
Kaisey M, Solomon AJ, Luu M, et al. Incidence of multiple sclerosis misdiagnosis in referrals to two
academic centers. Mult Scler Relat Disord. 2019;30:51-56. doi:10.1016/j.msard.2019.01.048.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/73546/psn-pdf
July 28, 2021 - A tragic death shows how ERs fail patients who struggle
with addiction.
July 28, 2021
Pattani A. Health Shots. National Public Radio. July 14, 2021.
https://psnet.ahrq.gov/issue/tragic-death-shows-how-ers-fail-patients-who-struggle-addiction
Patients with substance abuse disorders face challenges to safe…
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psnet.ahrq.gov/node/38159/psn-pdf
October 22, 2008 - Missed diagnosis of critical congenital heart disease.
October 22, 2008
Chang R-KR, Gurvitz M, Rodriguez S. Missed diagnosis of critical congenital heart disease. Arch Pediatr
Adolesc Med. 2008;162(10):969-74. doi:10.1001/archpedi.162.10.969.
https://psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-d…
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psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
August 15, 2017 - Case A 75-year-old man with a history of hypertension, diabetes, chronic back pain, and opioid use disorder … vestibular neuritis, migraine, seizure, metabolic or toxic encephalopathy, seizure, and conversion disorder
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psnet.ahrq.gov/node/49605/psn-pdf
June 01, 2010 - Acute Respiratory Arrest in Pregnancy
June 1, 2010
Sibai B. Acute Respiratory Arrest in Pregnancy. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
The Case
A 35-year-old woman was 38 weeks pregnant with twins (G3P2). When she developed acute onset of
shortness of breath an…
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psnet.ahrq.gov/node/46711/psn-pdf
July 01, 2019 - The STOP Measure. Safe and Transparent Opioid
Prescribing to Promote Patient Safety and Reduced Risk
of Opioid Misuse.
July 1, 2019
Washington, DC: America's Health Insurance Plans; 2019.
https://psnet.ahrq.gov/issue/stop-measure-safe-and-transparent-opioid-prescribing-promote-patient-safety-
and-reduced-risk
Gu…
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psnet.ahrq.gov/issue/evaluating-safety-mental-health-related-prescribing-uk-primary-care-cross-sectional-study
August 14, 2019 - Study
Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).
Citation Text:
Khawagi WY, Steinke DT, Carr MJ, et al. Evaluating the safety of mental health-related prescribing in UK prima…
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psnet.ahrq.gov/node/46857/psn-pdf
May 16, 2018 - The best medical care in the world.
May 16, 2018
Reilly BM. The Best Medical Care in the World. N Engl J Med. 2018;378(18):1741-1743.
doi:10.1056/NEJMms1802026.
https://psnet.ahrq.gov/issue/best-medical-care-world
Patients with serious psychiatric disorders are vulnerable to problems with their care. This commenta…
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psnet.ahrq.gov/node/46469/psn-pdf
October 25, 2017 - RxAwareness.
October 25, 2017
Centers for Disease Control and Prevention; CDC.
https://psnet.ahrq.gov/issue/rxawareness
The opioid crisis is a persisting patient safety problem. One approach to prevent misuse of opioids is to
raise awareness of the addictive nature of the medication. This national campaign enlists…
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psnet.ahrq.gov/node/46295/psn-pdf
September 06, 2017 - Pain assessment and management standards for
hospitals.
September 6, 2017
R3 Report. August 29, 2017;11:1-7.
https://psnet.ahrq.gov/issue/pain-assessment-and-management-standards-hospitals
Strategies to manage pain safely have been reexamined in light of the opioid epidemic. This report
highlights Joint Commissio…