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3701. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room | PSNet
      psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
      February 01, 2019 - WebM&M Cases Diagnosing Diagnostic Mistakes May 1, 2005 Opioid … WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced

3702. Patient Safety and Adherence to Self-Administered Medications | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
      September 29, 2011 - Anticoagulation Mishap December 1, 2017 Predictors of in-hospital postoperative opioid … in the Family Medicine Clinic December 1, 2016 Chronic pain diagnoses and opioid

3703. Two Pills, Same Drug | PSNet
      psnet.ahrq.gov/web-mm/two-pills-same-drug
      May 27, 2011 - September 24, 2016 Factors that affect opioid quality improvement initiatives in primary … WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced

3704. An Untimely End Despite End-of-Life Care Planning | PSNet
      psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
      February 01, 2012 - nurse when completed Ensure you have adequate range of opioids/benzos for optimal symptom control Give opioid

3705. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet
      psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
      March 01, 2015 - December 12, 2014 Opioid prescribing for acute pain management in children and adolescents

3706. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33816/psn-pdf
      October 01, 2016 - build systems that would make it much easier to identify patients who are at risk for problems with opioid … dependence or complications of opioid therapy that would guide clinicians with better prescribing.

3707. Unseen Perils of Urinary Catheters | PSNet
      psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
      January 31, 2024 - January 31, 2024 The burden of opioid-related adverse drug events on hospitalized previously … opioid-free surgical patients. … Late Anemia Following Rh Disease in a Newborn March 1, 2014 Toward safer opioid

3708. Medication Handling and Compounding Errors in the Operating Room. | PSNet
      psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
      May 16, 2022 - Record Causing an Accidental Medication Overdose October 31, 2023 Patterns of opioid … administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort

3709. In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
      December 22, 2020 - KH : We recently spoke with an another researcher who was doing work around antibiotic and opioid stewardship … of you don't recognize what you’re not exposed to - you're not necessarily told to be aware of the opioid … December 22, 2020 Perspective Antibiotic and Opioid

3710. In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
      March 30, 2020 - Testing for CDI, CDI surveillance, antimicrobial stewardship, opioid stewardship, all those areas were … I also appreciated the work we did around opioid-related harms. … the strategic goals from the Department of Health and Human Services (HHS), including addressing the opioid

3711. Suicidal Man With Gun | PSNet
      psnet.ahrq.gov/web-mm/suicidal-man-gun
      May 01, 2005 - Perspective Workplace Safety in Health Care January 1, 2017 Opioid … April 11, 2011 Chronic pain diagnoses and opioid dispensings among insured individuals

3712. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60609/psn-pdf
      June 24, 2020 - Additionally, more often given the opioid crisis, multi-modal pain control strategies are commonly utilized

3713. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital | PSNet
      psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
      May 16, 2022 - May 29, 2024 Changes in early high-risk opioid prescribing practices after policy interventions

3714. Diagnostic Failure: The Growing Deficit | PSNet
      psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
      June 01, 2005 - Diagnosing Diagnostic Mistakes May 1, 2005 Incident and long-term opioid … January 25, 2017 Opioid prescribing for acute pain management in children and adolescents

3715. Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
      July 10, 2024 - pharmacy claims data and other data sources to understand prescribing rates and adverse events related to opioid … of nurses, physicians, pharmacists, and other stakeholders to develop and implement a comprehensive opioid … utilization policy that led to a significant decline in monthly opioid prescribing rates.

3716. In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
      July 10, 2024 - pharmacy claims data and other data sources to understand prescribing rates and adverse events related to opioid … of nurses, physicians, pharmacists, and other stakeholders to develop and implement a comprehensive opioid … utilization policy that led to a significant decline in monthly opioid prescribing rates.

3717. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865655/psn-pdf
      April 24, 2024 - The pain was difficult to control even with opioid medications. … discharged the patient home despite his complaint of worsening, severe pain unresponsive to typical opioid … improve with appropriate analgesia are also concerning signs of CS, although they may be confounded by opioid

3718. Inflicting Confusion | PSNet
      psnet.ahrq.gov/web-mm/inflicting-confusion
      August 04, 2021 - WebM&M Cases Diagnosing Diagnostic Mistakes May 1, 2005 Opioid … July 22, 2009 Patient outcomes in dose reduction or discontinuation of long-term opioid

3719. Late Anemia Following Rh Disease in a Newborn | PSNet
      psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
      June 17, 2010 - April 8, 2018 Association of opioid prescriptions from dental clinicians for US adolescents … and young adults with subsequent opioid use and abuse.

3720. Patient Identification Errors: A Systems Challenge | PSNet
      psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
      February 23, 2011 - M Cases Preventable Rash March 1, 2005 Association of opioid … prescribing with opioid consumption after surgery in Michigan.