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  1. psnet.ahrq.gov/web-mm/sloppy-and-paste
    February 02, 2011 - Preventing and Treating Delirium in the Intensive Care Unit December 1, 2012 Opioid
  2. psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
    May 08, 2019 - May 11, 2016 Predictors of in-hospital postoperative opioid overdose after major elective
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49476/psn-pdf
    March 02, 2005 - Around the Block March 1, 2005 Minichiello T. Around the Block. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/around-block The Case A 77-year-old woman with multiple medical problems was admitted to the hospital for an elective knee replacement. The orthopedic surgeon, recognizing the risk of deep vein th…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73999/psn-pdf
    October 27, 2021 - To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room October 27, 2021 Aldwinckle R, Florendo E. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room …
  5. psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
    August 21, 2016 - 30, 2021 Annual Perspective Patient Safety and Opioid
  6. psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
    May 01, 2012 - WebM&M Cases Lost in Transitions of Care: Managing an Opioid-Dependent
  7. psnet.ahrq.gov/perspective/handoffs-and-transitions
    February 01, 2007 - Customer" Is Always Right February 1, 2007 Interventions for postsurgical opioid
  8. psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
    January 29, 2021 - WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced
  9. psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
    September 01, 2015 - September 2, 2009 Opioid prescribing for acute pain management in children and adolescents
  10. psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
    January 31, 2020 - EMS May 26, 2021 Perspective Antibiotic and Opioid
  11. psnet.ahrq.gov/web-mm/its-all-syringe
    February 01, 2013 - WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced
  12. psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
    April 01, 2015 - WebM&M Cases Lost in Transitions of Care: Managing an Opioid-Dependent
  13. psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
    May 01, 2011 - January 13, 2021 The effect of opioid prescribing guidelines on prescriptions by emergency
  14. psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
    February 01, 2014 - July 19, 2023 The effect of opioid prescribing guidelines on prescriptions by emergency
  15. psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
    August 31, 2020 - October 28, 2020 Perspective Antibiotic and Opioid
  16. psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
    July 06, 2022 - June 16, 2021 Changes in early high-risk opioid prescribing practices after policy interventions
  17. psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
    October 27, 2021 - May 8, 2024 Prescription opioid dose reductions and potential adverse events: a multi-site
  18. psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
    July 01, 2004 - should contain comprehensive guidelines for rapid preoperative assessment and operating room time, opioid-sparing
  19. psnet.ahrq.gov/web-mm/hiding-plain-sight
    April 24, 2019 - Hiding in Plain Sight Citation Text: Weinberg JM. Hiding in Plain Sight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
  20. psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
    March 26, 2015 - Right Place, Right Drug, Wrong Strength Citation Text: Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX En…

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