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3721. Updates in the Role of Health IT in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
      January 31, 2020 - Health IT Standards Committee, DC Health Information Exchange Advisory Board, and Cerner Strategic Opioid … EMS May 26, 2021 Perspective Antibiotic and Opioid

3722. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet
      psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
      March 25, 2020 - drug 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.

3723. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33609/psn-pdf
      March 15, 2025 - psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence https://psnet.ahrq.gov/issue/safe-opioid-prescribing-prognostic-machine-learning-approach-predicting

3724. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet
      psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
      July 28, 2021 - WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced

3725. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60173/psn-pdf
      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.

3726. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-470
      December 31, 2024 - January 15, 2025 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…

3727. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33811/psn-pdf
      June 01, 2016 - Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective June 1, 2016 Khudeira Z. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective …

3728. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! | PSNet
      psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
      February 01, 2023 - WebM&M Cases Lost in Transitions of Care: Managing an Opioid-Dependent … February 6, 2013 Influence of opioid prescription policy on overdoses and related adverse

3729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60174/psn-pdf
      March 30, 2020 - the strategic goals from the Department of Health and Human Services (HHS), including addressing the opioid

3730. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50392/psn-pdf
      September 01, 2019 - We did work this year on opioid stewardship, and we released a  playbook on how delivery systems can … implement opioid stewardship approaches.

3731. When the Indications for Drug Administration Blur | PSNet
      psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
      May 26, 2021 - Additionally, more often given the opioid crisis, multi-modal pain control strategies are commonly utilized

3732. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet
      psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
      November 25, 2020 - 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

3733. Health Care Delivery and Pharmacists During the COVID-19 Pandemic | PSNet
      psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
      June 29, 2020 - February 21, 2020 Perspective Antibiotic and Opioid … Responses to COVID-19 July 21, 2020 Special report: COVID deepens the other opioid

3734. Bad Writing, Wrong Medication | PSNet
      psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
      March 01, 2015 - Annual Perspective: Psychological Safety of Healthcare Staff March 31, 2022 Opioid … November 13, 2024 The effectiveness and risks of long-term opioid therapy for chronic

3735. In Conversation With... Georgia Galanou Luchen, Pharm. D. | PSNet
      psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
      October 24, 2021 - understand why they're taking their therapy, or counseling on controlled substance utilization or even opioid … Pharmacists must identify patients at risk for fatal overdose and facilitate access to the emergency opioid … the positive impact of pharmacists on preventative care such as health screenings and immunizations, opioid

3736. Pharmacist's Role in Medication Safety | PSNet
      psnet.ahrq.gov/primer/pharmacists-role-medication-safety
      March 14, 2018 - Editor's Picks Impact of pharmacist previsit input to providers on chronic opioid

3737. U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument | PSNet
      psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
      February 26, 2025 - Patient Safety Innovations Veterans Health Administration Stratification Tool for Opioid

3738. In Conversation With… Shantanu Agrawal, MD, MPhil | PSNet
      psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
      February 26, 2025 - We did work this year on opioid stewardship, and we released a  playbook  on how delivery systems can … implement opioid stewardship approaches.

3739. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
      psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
      September 25, 2019 - Health October 6, 2021 Assessment of potentially inappropriate prescribing of opioid … analgesics requiring prior opioid tolerance.

3740. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump | PSNet
      psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
      February 01, 2023 - Patients: the Case for Geriatrics Comanagement April 1, 2019 Medication for opioid … use disorder after nonfatal opioid overdose and association with mortality: a cohort study.