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psnet.ahrq.gov/node/60964/psn-pdf
September 30, 2020 - ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing-2019.
September 30, 2020
Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing—2019. Am J Health Syst Pharm. 2020;77(13):1026-1050.
doi:10.…
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psnet.ahrq.gov/node/47568/psn-pdf
March 06, 2019 - Trends in anesthesia-related liability and lessons learned.
March 6, 2019
Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned.
Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009.
https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-l…
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psnet.ahrq.gov/issue/san-diego-center-patient-safety
March 09, 2025 - Multi-use Website
San Diego Center for Patient Safety.
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March 17, 2011
The San Diego Center for Patient Safety (SDCPS) consists o…
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psnet.ahrq.gov/node/33830/psn-pdf
March 22, 2016 - The epidemic of deaths due to prescription opioids—most of
which occur in the outpatient setting—demonstrates
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psnet.ahrq.gov/node/866216/psn-pdf
July 10, 2024 - Health Plan Patient Safety Initiatives
July 10, 2024
Helwig A, Sousane Z, Mossburg S. Health Plan Patient Safety Initiatives. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
When we think of improving patient safety, we often think of strategies that can be implemen…
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psnet.ahrq.gov/node/49833/psn-pdf
June 01, 2018 - Perils in Diagnosing a Stroke
June 1, 2018
Schindler JL. Perils in Diagnosing a Stroke. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
The Case
A 75-year-old man with a history of hypertension, diabetes, chronic back pain, and opioid use disorder was
brought to the emergency depart…
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psnet.ahrq.gov/node/42954/psn-pdf
December 04, 2016 - "Please describe from your point of view a typical case of
an error in palliative care": qualitative data from an
exploratory cross-sectional survey study among palliative
care professionals.
December 4, 2016
Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a typical case of an error in pal…
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psnet.ahrq.gov/node/60605/psn-pdf
June 17, 2020 - Optimizing Medication Management During the Covid-19
Pandemic: Implementation Guide for Post-acute and Long
Term Care.
June 17, 2020
Brandt N, Steinman MA. Optimizing Medication Management During the COVID?19 Pandemic: An
Implementation Guide for Post?Acute and Long?Term Care. J American Geriatrics Society.
2020;…
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psnet.ahrq.gov/node/74086/psn-pdf
November 17, 2021 - Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health
Administration.
November 17, 2021
Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health Administration. J Patien…
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psnet.ahrq.gov/node/50393/psn-pdf
September 01, 2019 - Patient Safety and the Evolution of WebM&M and PSNet
September 1, 2019
Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
Perspective
Progress in any field requires scholarship and dissem…
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psnet.ahrq.gov/node/61085/psn-pdf
November 04, 2020 - National drug shortages worsen during COVID-19 crisis:
proposal for a comprehensive model to monitor and
address critical drug shortages.
November 4, 2020
Piatek OI, Ning JC-min, Touchette DR. National drug shortages worsen during COVID-19 crisis: proposal
for a comprehensive model to monitor and address critical …
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psnet.ahrq.gov/node/44850/psn-pdf
September 06, 2016 - Impact of a drug shortage on medication errors and
clinical outcomes in the pediatric intensive care unit.
September 6, 2016
Hughes KM, Goswami ES, Morris JL. Impact of a Drug Shortage on Medication Errors and Clinical
Outcomes in the Pediatric Intensive Care Unit. J Pediatr Pharmacol Ther. 2015;20(6):453-61.
doi:…
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psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - to thrive," and "dehydration" and advised to take a
laxative, drink fluids, and decrease her use of opioids
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psnet.ahrq.gov/node/41876/psn-pdf
December 04, 2016 - Errors in palliative care: kinds, causes, and
consequences: a pilot survey of experiences and
attitudes of palliative care professionals.
December 4, 2016
Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot
survey of experiences and attitudes of palliative care…
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psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
June 24, 2020 - Journal Article
E-collection: Safety and Error Prevention in Health.
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May 3, 2017
The increasing implementation of health informati…
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psnet.ahrq.gov/node/72837/psn-pdf
September 01, 2022 - Project Nurture Engages Pregnant People with Substance
Use Disorder, Improves Maternal and Infant Outcomes.
Originally published on March 11, 2021
Last updated on March 16, 2021
https://psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-
improves-maternal-and
Summary
Project…
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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - The Hidden Danger of Unseen Intravenous Catheters
Citation Text:
Vadi MG, Malkin MR. The Hidden Danger of Unseen Intravenous Catheters. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
August 15, 2017 - Perils in Diagnosing a Stroke
Citation Text:
Schindler JL. Perils in Diagnosing a Stroke. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Format:
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May 01, 2009 - anticholinergics,
and antipsychotics
Drugs that were recently stopped and may cause withdrawal syndrome (opioids
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psnet.ahrq.gov/node/40619/psn-pdf
October 06, 2016 - Sustaining and spreading the reduction of adverse drug
events in a multicenter collaborative.
October 6, 2016
Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a
multicenter collaborative. Pediatrics. 2011;128(2):e438-45. doi:10.1542/peds.2010-3772.
https://psnet.a…