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  1. psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-27
    June 16, 2019 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR. Hosp Pharm. 2008;43:547-550, 554. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  2. psnet.ahrq.gov/issue/technology-education-and-safety-0
    December 02, 2020 - Special or Theme Issue Technology, Education and Safety. Citation Text: Technology, Education and Safety. Ruskin KJ, ed. Curr Opin Anaesthesiol. 2021;34(6):720-765 Copy Citation Save Save to your library Print Download PDF Share Facebook …
  3. psnet.ahrq.gov/issue/why-pay-mistakes
    July 20, 2011 - Newspaper/Magazine Article Why pay for mistakes? Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 5, 2007 View more articles from the same authors. Recently, CMS ru…
  4. psnet.ahrq.gov/issue/patient-safety-risk-and-quality
    March 10, 2021 - Multi-use Website Patient Safety, Risk and Quality. Citation Text: Patient Safety, Risk and Quality. ECRI Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Se…
  5. psnet.ahrq.gov/issue/patient-safety-old-and-new-issue
    June 01, 2011 - Special or Theme Issue Patient Safety: An Old and New Issue. Citation Text: Patient Safety: An Old and New Issue. Bagnara S; Tartaglia R, eds. Theor Issues Ergon Sci. 2023;8(5):365-507. Copy Citation Save Save to your library Print Download PDF S…
  6. psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-33
    June 16, 2019 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  7. psnet.ahrq.gov/issue/ahrq-2009-annual-conference
    December 24, 2008 - Meeting/Conference Proceedings AHRQ 2009 Annual Conference. Citation Text: AHRQ 2009 Annual Conference. Agency for Healthcare Research and Quality; AHRQ. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitte…
  8. psnet.ahrq.gov/issue/health-literacy-0
    December 24, 2008 - Multi-use Website Health Literacy. Citation Text: Health Literacy. Agency for Healthcare Research and Quality Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36364/psn-pdf
    February 14, 2017 - In this study, those drugs and digoxin accounted for nearly one-third of ADEs requiring hospitalization
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37112/psn-pdf
    May 26, 2011 - While the study results are promising, one caveat is that the system was not used for high-risk drugs
  11. psnet.ahrq.gov/web-mm/mismanagement-delirium
    February 13, 2014 - first step in pharmacological management of delirium is to discontinue or reduce doses of psychoactive drugsDrugs that could cause or worsen delirium should be discontinued or doses adjusted. … sedative hypnotics, anticholinergics, corticosteroids, polypharmacy, withdrawal of alcohol or other drugs … Renal, hepatic, and thyroid function Cultures of urine, blood, sputum Concentrations of suspected drugs … from delirium Management Actions Drug adjustments Reduce or remove psychoactive drugs
  12. psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
    March 21, 2009 - involved opioids – a 12% increase from 2016. 1  This opioid overdose epidemic is due to use of illicit drugs … , highly potent synthetic opioids, mixing of illicit and prescription opioid or sedative drugs, and misused … Prescription drugs: prescribers: naloxone hydrochloride and other FDA-approved drugs ,  AB 2760 , 2018
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33647/psn-pdf
    March 01, 2007 - The Role of the Patient in Improving Patient Safety March 1, 2007 Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/role-patient-improving-patient-safety Perspective Patients have three roles in improving patient safety: helping to ensure thei…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49818/psn-pdf
    January 01, 2018 - A Costly Colonoscopy Leads to a Delay in Diagnosis January 1, 2018 Moriates C. A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis The Case A 50-year-old man presented to a primary care clinic to establish care, as he ha…
  15. psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
    February 14, 2024 - Point-of-care Mixup: 1 Shot Turns Into 3 Citation Text: Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49493/psn-pdf
    November 01, 2005 - Infused, Not Ingested November 1, 2005 Foley M. Infused, Not Ingested. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/infused-not-ingested The Case A patient in the ICU was scheduled for a CT scan. The nurse prepared the patient by administering contrast, an unfamiliar task for this particular nurse. Rathe…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49436/psn-pdf
    February 26, 2004 - Transfusion "Slip" February 1, 2004 Kaplan HS. Transfusion "Slip". PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/transfusion-slip The Case A married couple, Mr. and Mrs. M, was brought to the emergency department (ED) of a Level 1 trauma center after a half-ton truck that had skidded out of control struck…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50927/psn-pdf
    February 21, 2020 - Patient Safety in Primary Care February 21, 2020 Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/patient-safety-primary-care Introduction A strong primary care system is foundational to achieving high-quality, accessible, efficient healthcare …
  19. psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
    June 14, 2023 - Drugs . 2015;75(4):353-365. [ Free full text ] Perry EC. … CNS Drugs . 2014;28(5):401-410. [ Free full text ] Crispo AL, Daley MJ, Pepin JL, et al.
  20. psnet.ahrq.gov/issue/analysis-overridden-alerts-drug-drug-interaction-detection-system
    June 30, 2011 - Study Analysis of overridden alerts in a drug–drug interaction detection system. Citation Text: Mille F, Schwartz C, Brion F, et al. Analysis of overridden alerts in a drug-drug interaction detection system. Int J Qual Health Care. 2008;20(6):400-5. doi:10.1093/intqhc/mzn038. Copy Ci…

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