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psnet.ahrq.gov/web-mm/sloppy-and-paste
February 02, 2011 - Preventing and Treating Delirium in the Intensive Care Unit
December 1, 2012
Opioid
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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
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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…
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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
…
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - 30, 2021
Annual Perspective
Patient Safety and Opioid
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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
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - Customer" Is Always Right
February 1, 2007
Interventions for postsurgical opioid
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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
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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
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psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
January 31, 2020 - EMS
May 26, 2021
Perspective
Antibiotic and Opioid
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - WebM&M Cases
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced
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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
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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
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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
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psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
August 31, 2020 - October 28, 2020
Perspective
Antibiotic and Opioid
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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
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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
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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
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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.
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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.
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