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psnet.ahrq.gov/issue/automatable-algorithms-identify-nonmedical-opioid-use-using-electronic-data-systematic-review
July 27, 2016 - Topic
Hospitals
Facility and Group Administrators
Information Professionals
Medicine
Opiates
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psnet.ahrq.gov/issue/association-opioid-related-adverse-drug-events-clinical-and-cost-outcomes-among-surgical
May 06, 2009 - Facility and Group Administrators
Surgery
Medication Errors/Preventable Adverse Drug Events
Opiates
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psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
January 14, 2009 - See More About The Topic
Hospitals
Health Care Executives and Administrators
Medicine
Opiates
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psnet.ahrq.gov/issue/patterns-potential-opioid-misuse-and-subsequent-adverse-outcomes-medicare-2008-2012
August 10, 2016 - About The Topic
Hospitals
Physicians
Facility and Group Administrators
Medicine
Opiates
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psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid
August 05, 2015 - See More About The Topic
Ambulatory Care
Health Care Providers
Primary Care
Opiates
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - SPOTLIGHT CASE
Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality
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Peter Lindenauer, MD, MSc | November 1, 2006
Vi…
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - See More About The Topic
Hospitals
Facility and Group Administrators
Medicine
Opiates
-
psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 01, 2007 - SPOTLIGHT CASE
Too Many Cooks in the Kitchen
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Richard P. Dutton, MD MBA | August 26, 2020
View more articles from the same authors.
Disclosure of Relevant …
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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - View More
See More About The Topic
Dentistry
Medication Safety
Opiates
-
psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - Many such reports, for instance ones involving opiates or anticoagulants, capture problems that occur
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psnet.ahrq.gov/glossary
January 01, 2003 - Glossary
A B C D E F H I J L M N O P R S T U V W
Active Error (or Active Failure)
The terms active and latent as applied to errors were coined by Reason . Active errors occur at the point of contact between a human and some aspect of a larger system (e.g., a humanâmachine in…
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psnet.ahrq.gov/glossary-0
January 01, 2003 - Glossary
Definitions abound in the medical error and patient safety literature, with subtle and not-so-subtle variations in the meanings of important terms. An effort was made to adopt the most straightforward terminology, with definitions that enjoy the widest use.
A B C D E F H I J L M N O P R S T U…
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - See More About The Topic
Hospitals
Facility and Group Administrators
Medicine
Opiates
-
psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
January 01, 2021 - Spotlight
Spotlight
Lost in Transitions of Care: Managing an
Opioid-Dependent Patient with Frequent
Hospitalizations
Source and Credits
• This presentation is based on the September 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary …
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - Many such reports, for instance ones involving opiates or anticoagulants, capture problems that occur
-
psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - SPOTLIGHT CASE
CE/MOC
Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations
PPT
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Florence Tan, Pharm…