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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/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - started thinking about the hospital in Pittsburgh that has managed to go close to 2 years without a wound infection
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - extremity with a long bone fracture, in an extremity with a vascular injury, or through skin with overlying infection
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - patient seems to be doing fine, then laying a stethoscope on their chest when they're here for a foot infection
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - unknowns that we had to be very hands-on because we did not know what the course of illness
for COVID infection
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psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
March 01, 2009 - that the patient knows the adverse effects of methotrexate, is well-prepared to recognize symptoms of infection
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - with other safety topics such as medication errors, surgical complications, and health care–associated infections
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - progress has been made, with reports suggesting improvements in some areas such as hospital-acquired infections
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psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - the general problem of safety (or large safety issues such as medication errors or hospital-acquired infections
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - the general problem of safety (or large safety issues such as medication errors or hospital-acquired infections
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - hospitals, falls with injuries can lead to other adverse outcomes including pressure injuries or infections
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - hospitals, falls with injuries can lead to other adverse outcomes including pressure injuries or infections
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - checklist , which has been implemented globally and is associated with decreased rates of surgical site infections
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - that the patient knows the adverse effects of methotrexate, is well-prepared to recognize symptoms of infection
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - hospital
day #2 for incision and drainage of right shoulder pyogenic arthritis and periprosthetic joint infection
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - aspiration, respiratory failure, intubation, new deep vein
thrombosis and pulmonary embolism, and infection
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psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
January 01, 2018 - patient seems to be doing fine, then laying a stethoscope on their chest when they're here for a foot infection
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - MD, MPH
April 1, 2014
Perspective
How Does Infection
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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-…
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psnet.ahrq.gov/node/843234/psn-pdf
January 01, 2013 - Overdose of Gabapentin and Oxycodone in a Patient with
End-Stage Renal Disease: A Case for Appropriate
Interruptive Drug-Disease Alerts.
February 1, 2023
Keenan CR, MacDonald S, Takeshita A, et al. Overdose of Gabapentin and Oxycodone in a Patient with
End-Stage Renal Disease: A Case for Appropriate Interruptive D…