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psnet.ahrq.gov/issue/keeping-patients-safe-iatrogenic-methadone-overdoses
March 12, 2008 - Newspaper/Magazine Article
Keeping patients safe from iatrogenic methadone overdoses.
Citation Text:
ISMP Medication Safety Alert! Acute care edition. February 14, 2008.
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psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
September 08, 2021 - Newspaper/Magazine Article
Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error
Citation Text:
ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2.
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psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
March 03, 2021 - Newspaper/Magazine Article
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges.
Citation Text:
ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(5):1-6.
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psnet.ahrq.gov/issue/medicare-part-d-beneficiaries-serious-risk-opioid-misuse-or-overdose-closer-look
December 23, 2020 - Book/Report
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look.
Citation Text:
HHS OIG Data Brief. Washington DC; Office of the Inspector General: May 4, 2020. Report number OEI-02-19-00130.
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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
Spotli…
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psnet.ahrq.gov/issue/her-husband-died-suicide-she-sued-his-pain-doctors-rare-challenge-over-opioid-dose-reduction
December 04, 2013 - Newspaper/Magazine Article
Her husband died by suicide. She sued his pain doctors—a rare challenge over an opioid dose reduction.
Citation Text:
Joseph A. STAT. November 22, 2021
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psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-adults-2019
March 13, 2019 - with prior research, dentists and surgeons were the most frequent prescribers, writing 61% of all opiate
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psnet.ahrq.gov/web-mm/miscalculated-risk
December 03, 2008 - Action may be necessary to prevent confusion between Roxane's oral liquid opiate products.
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psnet.ahrq.gov/issue/opioid-wisely
October 26, 2020 - Toolkit
Opioid Wisely.
Citation Text:
Choosing Wisely Canada.
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March 14, 2018
Choosing Wisely Canada.
Opioid misuse i…
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psnet.ahrq.gov/issue/patient-outcomes-after-opioid-dose-reduction-among-patients-chronic-opioid-therapy
December 21, 2022 - Study
Patient outcomes after opioid dose reduction among patients with chronic opioid therapy.
Citation Text:
Hallvik SE, El Ibrahimi S, Johnston K, et al. Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. Pain. 2022;163(1):83-90. doi 10.1…
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psnet.ahrq.gov/periodic-issue/periodic-issue-324
January 07, 2022 - January 12, 2022 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - Background (1)
• The patient developed a serious complication – ileus –
possibly induced by use of opiate
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psnet.ahrq.gov/periodic-issue/periodic-issue-307
September 29, 2021 - Consistent with prior research, dentists and surgeons were the most frequent prescribers, writing 61% of all opiate
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psnet.ahrq.gov/curated-article-libraries
March 19, 2024 - Curated Libraries
Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field.
Watch the video to learn more about how this new feature works and how it can be of benefit to you.
Latest PSNet…
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psnet.ahrq.gov/web-mm/painful-dilemma
September 01, 2013 - A Painful Dilemma
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Sara N. Davison, MD, MHSc | June 1, 2012
View more articles from the same authors.
The Case A 47-year-old woman with end-stage renal disease due to pol…
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psnet.ahrq.gov/topics-0
April 02, 2024 - Topics
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Featured Topics in Patient Safety
Updated Date: April 2, 2024
…
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-37
June 24, 2009 - Commentary
ISMP medication error report analysis.
Citation Text:
Cohen MR. Hosp Pharm. 2009;44(8):654-656.
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August 26, 2009
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psnet.ahrq.gov/Primers
April 01, 2021 - Patient Safety Primers
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
…
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psnet.ahrq.gov/primers
April 01, 2021 - Patient Safety Primers
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
…
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psnet.ahrq.gov/issue/conversation-patient-safety-officers
December 09, 2020 - Book/Report
A Conversation with Patient Safety Officers.
Citation Text:
Harrisburg, PA: Patient Safety Authority; 2007.
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Octob…