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psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriateOctober 31, 2023 - SPOTLIGHT CASE Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. Citation Text: Keenan CR, MacDonald S, Takeshita A, et al. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60611/psn-pdfJune 24, 2020 - Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing June 24, 2020 Giannini J, Wong M, Dager W, et al. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38342/psn-pdfSeptember 08, 2022 - Consumermedsafety.org September 8, 2022 Institute for Safe Medication Practices; 5200 Butler Pike, Plymouth Meeting, PA 19462. https://psnet.ahrq.gov/issue/consumermedsafetyorg This redesigned Web site provides information about drug safety alerts and allows consumers to help report and prevent medication errors. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35165/psn-pdfJune 23, 2009 - Error reporting as a preventive force. June 23, 2009 Simpson RL. Error reporting as a preventive force. Nurs Manage. 2005;36(6):21-24, 56. https://psnet.ahrq.gov/issue/error-reporting-preventive-force This author highlights how error reporting can improve patient safety when supported by information technology, le… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39092/psn-pdfNovember 11, 2009 - Empowered Patient Coalition. November 11, 2009 Email: info@EmpoweredPatientCoalition.org. https://psnet.ahrq.gov/issue/empowered-patient-coalition This group aims to engage the public in health care improvement efforts and personal patient support through education, information, and toolkit dissemination. The Web … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40706/psn-pdfAugust 17, 2011 - The National Center for Human Factors Engineering in Healthcare. August 17, 2011 MedStar Health. https://psnet.ahrq.gov/issue/national-center-human-factors-engineering-healthcare This Web site hosts information on human factors engineering and describes how it can improve health care quality and safety. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38151/psn-pdfMarch 18, 2010 - Medication errors associated with documented allergies. March 18, 2010 PA-PSRS Patient Saf Advis. September 2008;5:75-80. https://psnet.ahrq.gov/issue/medication-errors-associated-documented-allergies This article analyzed reports of medication errors due to patient allergies and found that lack of patient o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38424/psn-pdfSeptember 24, 2016 - Interruptions in healthcare: theoretical views. September 24, 2016 Grundgeiger T, Sanderson P. Interruptions in healthcare: theoretical views. Int J Med Inform. 2009;78(5):293-307. doi:10.1016/j.ijmedinf.2008.10.001. https://psnet.ahrq.gov/issue/interruptions-healthcare-theoretical-views This review article examin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37069/psn-pdfDecember 20, 2007 - Standardising wristbands improves patient safety. December 20, 2007 National Patient Safety Agency. Safer Practice Notice. July 2007;(24):1-2. https://psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety This notice highlights the importance of standardizing wristband design and information to make… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34020/psn-pdfMarch 07, 2005 - Safe healthcare. March 7, 2005 Morgan MW; Guerriere M; Alvarez R; Protti D; Classen D; Binns P; Tamblyn R; Savitz L; Baker GR; Norton PG https://psnet.ahrq.gov/issue/safe-healthcare This issue reviews electronic medical records, information technology, and other Canadian technology issues in the context of patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40779/psn-pdfSeptember 10, 2013 - Tennessee Center for Patient Safety. September 10, 2013 Tennessee Center for Patient Safety. https://psnet.ahrq.gov/issue/tennessee-center-patient-safety This Web site summarizes patient safety improvement efforts in Tennessee, shares information on their patient safety organization activities and a calendar of tr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36652/psn-pdfFebruary 14, 2007 - Smart pumps: advanced capabilities and continuous quality improvement. February 14, 2007 Vanderveen T. https://psnet.ahrq.gov/issue/smart-pumps-advanced-capabilities-and-continuous-quality-improvement The author discusses high-risk intravenous infusions, smart pump technologies that support safe delivery of medic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37601/psn-pdfMarch 19, 2008 - Patient Safety Education Project. March 19, 2008 Buehler Center on Aging, Health & Society; Northwestern University. https://psnet.ahrq.gov/issue/patient-safety-education-project This Web site provides information on the Patient Safety Education Project (PSEP), an initiative to build a core patient safety curricul… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37204/psn-pdfSeptember 26, 2007 - Enhancing Prescription Medicine Adherence: A National Plan. September 26, 2007 Rockville, MD: National Council on Patient Information and Education; 2007. https://psnet.ahrq.gov/issue/enhancing-prescription-medicine-adherence-national-plan This report discusses poor medication adherence as a public health issue, d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38465/psn-pdfMarch 17, 2011 - Council on Surgical and Perioperative Safety. March 17, 2011 633 N. St. Clair St. Chicago, IL, 60611. https://psnet.ahrq.gov/issue/council-surgical-and-perioperative-safety This Web site provides information about the Council on Surgical and Perioperative Safety, a group of seven organizations that raises awarenes… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36970/psn-pdfMarch 17, 2011 - Connecticut Center for Patient Safety. March 17, 2011 Connecticut Center for Patient Safety https://psnet.ahrq.gov/issue/connecticut-center-patient-safety The Connecticut Center for Patient Safety works to improve patient safety in Connecticut hospitals and protect the rights of injured patients. This Web site sha… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39434/psn-pdfApril 07, 2010 - Questions to ask about radiation safety. April 7, 2010 The American Society for Radiation Oncology https://psnet.ahrq.gov/issue/questions-ask-about-radiation-safety This Web site offers information to help patients understand both safety issues and risks involved in radiation therapy. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38230/psn-pdfAugust 11, 2010 - The Patient Safety Leadership WalkRounds Guide. August 11, 2010 Frankel AS, Grillo S, Pittman MA. Chicago, IL: Health Research and Educational Trust; 2006. https://psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds-guide This booklet provides information on the implementation of a WalkRounds program as a cul… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39135/psn-pdfOctober 03, 2017 - Hidden mistakes in hospitals. October 3, 2017 Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1. https://psnet.ahrq.gov/issue/hidden-mistakes-hospitals This newspaper article reports that a Connecticut law intended to make hospital errors more transparent has had the opposite effect by makin… -
psnet.ahrq.gov/perspective/patient-engagement-safetyJanuary 01, 2018 - Annual Perspective Patient Engagement in Safety Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2017 View more articles from the same authors. Citation Text: Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. Rockville (MD): Agency…
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