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3641. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. | PSNet
      psnet.ahrq.gov/issue/towards-reduction-medication-errors-orthopedics-and-spinal-surgery-outcomes-using-pharmacist
      January 30, 2008 - Study Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. Citation Text: Weiner BK, Venarske J, Yu M, et al. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led…

3642. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. | PSNet
      psnet.ahrq.gov/issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey
      May 18, 2022 - Study Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Citation Text: Bourmaud A, Pacaut C, Melis A, et al. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Ann Oncol. 2014;25(2):500-504. doi:10.1093/annonc/mdt553. Copy Citati…

3643. Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department. | PSNet
      psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety
      June 07, 2017 - Study Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department. Citation Text: OʼConnell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric P…

3644. Reported medication events in a paediatric emergency research network: sharing to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/reported-medication-events-paediatric-emergency-research-network-sharing-improve-patient
      April 03, 2013 - Study Reported medication events in a paediatric emergency research network: sharing to improve patient safety. Citation Text: Shaw KN, Lillis KA, Ruddy RM, et al. Reported medication events in a paediatric emergency research network: sharing to improve patient safety. Emerg Med J. 20…

3645. Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. | PSNet
      psnet.ahrq.gov/issue/inappropriate-dosing-direct-oral-anticoagulants-patients-atrial-fibrillation
      August 04, 2021 - Study Emerging Classic Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. Citation Text: Sugrue A, Sanborn D, Amin M, et al. Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. Am J Cardi…

3646. Are dental patients concerned about safety? An exploratory study. | PSNet
      psnet.ahrq.gov/issue/are-dental-patients-concerned-about-safety-exploratory-study
      December 22, 2021 - Study Are dental patients concerned about safety? An exploratory study. Citation Text: Obadan-Udoh E, Panwar S, Yansane A-I, et al. Are dental patients concerned about safety? An exploratory study. J Evid Based Dent Pract. 2020;20(3):101424. doi:10.1016/j.jebdp.2020.101424. Copy Citati…

3647. Estimating the hospital costs of inpatient harms. | PSNet
      psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
      February 07, 2024 - Study Estimating the hospital costs of inpatient harms. Citation Text: Anand P, Kranker K, Chen AY. Estimating the hospital costs of inpatient harms. Health Serv Res. 2019;54(1):86-96. doi:10.1111/1475-6773.13066. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

3648. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. | PSNet
      psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
      January 22, 2016 - Study Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Citation Text: Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Int J Qual Health Care. 2014…

3649. Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory. | PSNet
      psnet.ahrq.gov/issue/use-quality-indicators-compare-point-care-testing-errors-neonatal-unit-and-errors-stat
      December 02, 2020 - Study Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory. Citation Text: Cantero M, Redondo M, Martín E, et al. Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a S…

3650. Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. | PSNet
      psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
      November 15, 2023 - Study Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. Citation Text: Battar S, Dickerson KRW, Sedgwick C, et al. Understand…

3651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49838/psn-pdf
      August 01, 2018 - when completed Ensure you have adequate range of opioids/benzos for optimal symptom control Give opioid

3652. Hospital-Acquired Diabetic Ketoacidosis. | PSNet
      psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
      October 28, 2020 - WebM&M Cases Lost in Transitions of Care: Managing an Opioid-Dependent … November 10, 2021 Medication for opioid use disorder after nonfatal opioid overdose and

3653. Patient Safety and the Evolution of WebM&M and PSNet | PSNet
      psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
      April 01, 2008 - response teams ) have gained prominence and then receded from attention, while others (such as the  opioid … field still struggles with how to respond to emerging threats (such as the need to reduce inappropriate opioid

3654. Listen to the Family | PSNet
      psnet.ahrq.gov/web-mm/listen-family
      April 15, 2015 - April 15, 2015 Association of opioid prescribing with opioid consumption after surgery

3655. Weekly Resource | PSNet
      psnet.ahrq.gov/periodic-issue/weekly-resource
      March 25, 2025 - WebM&M Cases From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient … Inadvertent dose stacking and opioid polypharmacy may have contributed to this patient’s death.

3656. Electronic Health Records | PSNet
      psnet.ahrq.gov/primer/electronic-health-records
      March 15, 2025 - January 23, 2019 Assessment of opioid prescribing practices before and after implementation … of a health system intervention to reduce opioid overprescribing.

3657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72693/psn-pdf
      January 29, 2021 - events related to different drug concentrations in same-size ampules also happen with heparin and opioid … Opioid medication errors in pediatric practice: four years' experience of voluntary safety reporting

3658. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-473
      March 25, 2025 - WebM&M Cases From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient … Inadvertent dose stacking and opioid polypharmacy may have contributed to this patient’s death.

3659. Saved by ECMO | PSNet
      psnet.ahrq.gov/web-mm/saved-ecmo
      May 05, 2017 - June 5, 2024 Improving adherence to long-term opioid therapy guidelines to reduce opioid

3660. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
      psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
      September 27, 2023 - Opioid medications significantly slow gastric emptying and are strongly associated with aspiration events … Aspiration in lethal drug abuse-a consequence of opioid intoxication.