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2541. Staying safe: simple tools for safe surgery. | PSNet
      psnet.ahrq.gov/issue/staying-safe-simple-tools-safe-surgery
      August 02, 2015 - Commentary Staying safe: simple tools for safe surgery. Citation Text: Karl RC. Staying safe: simple tools for safe surgery. Bull Am Coll Surg. 2007;92(4):16-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

2542. Heparin: improving treatment and reducing risk of harm. | PSNet
      psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm
      July 28, 2021 - Newspaper/Magazine Article Heparin: improving treatment and reducing risk of harm. Citation Text: Heparin: improving treatment and reducing risk of harm. Daner WE, Gosselin RC, Raschke R, et al. Patient Saf Qual Healthcare. January/February 2009;6:20-25. Copy Citation …

2543. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. | PSNet
      psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
      July 02, 2014 - Commentary Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Citation Text: Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. …

2544. Doctors' unconscious bias affects quality of health care services, research shows. | PSNet
      psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
      October 21, 2020 - Audiovisual Doctors' unconscious bias affects quality of health care services, research shows. Citation Text: Doctors' unconscious bias affects quality of health care services, research shows. Dembosky A. All Things Considered. National Public Radio. October 15, 2020. Copy Cita…

2545. The (slowly) vanishing prescription pad. | PSNet
      psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad
      April 08, 2019 - Commentary The (slowly) vanishing prescription pad. Citation Text: Steinbrook R. The (slowly) vanishing prescription pad. N Engl J Med. 2008;359(2):115-7. doi:10.1056/NEJMp0802864. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

2546. Medical errors: where are we now? | PSNet
      psnet.ahrq.gov/issue/medical-errors-where-are-we-now
      September 30, 2020 - Commentary Medical errors: where are we now? Citation Text: Mewshaw MR, White KM, Walrath JM. Medical errors: where are we now? Nurs Manage. 2006;37(10):50-54. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

2547. Check Twice, Transport Once | PSNet
      psnet.ahrq.gov/web-mm/check-twice-transport-once
      March 15, 2023 - Check Twice, Transport Once Citation Text: DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

2548. Complaints as Safety Surveillance | PSNet
      psnet.ahrq.gov/web-mm/complaints-safety-surveillance
      May 05, 2021 - Complaints as Safety Surveillance Citation Text: Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

2549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50928/psn-pdf
      February 21, 2020 - Updates in the Role of Health IT in Patient Safety February 21, 2020 Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety Background Health information technology (HIT) has the potential…

2550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49589/psn-pdf
      August 01, 2009 - severity or duration of the HZ rash (8-10), while certain antiepileptics, tricyclic antidepressants, opioids

2551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49821/psn-pdf
      February 01, 2018 - product and concentration options in the hospital formulary, especially for high- alert drugs such as opioids

2552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49476/psn-pdf
      March 02, 2005 - Compared with parenteral opioids, epidural analgesia results in better postoperative pain control.(2)

2553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850362/psn-pdf
      June 14, 2023 - Cause to Pause: preventing medication errors with high-risk opioids.

2554. 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 - She was treated with opioids for mild ongoing pain, and no additional ECGs or laboratory tests were ordered

2555. 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 - text-align: left} Return huddle checklist to charge nurse when completed Ensure you have adequate range of opioids

2556. Changing smart pump vendors: lessons learned. | PSNet
      psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
      August 01, 2018 - Commentary Changing smart pump vendors: lessons learned. Citation Text: Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

2557. Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use: an analysis of the NACC-UDS database. | PSNet
      psnet.ahrq.gov/issue/characteristics-patients-misdiagnosed-alzheimers-disease-and-their-medication-use-analysis
      June 16, 2011 - Study Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use: an analysis of the NACC-UDS database. Citation Text: Gaugler JE, Ascher-Svanum H, Roth DL, et al. Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use:…

2558. Nurses' perception of error reporting and patient safety culture in Korea. | PSNet
      psnet.ahrq.gov/issue/nurses-perception-error-reporting-and-patient-safety-culture-korea
      July 08, 2020 - Study Nurses' perception of error reporting and patient safety culture in Korea. Citation Text: Kim J, An K. Nurses' Perception of Error Reporting and Patient Safety Culture in Korea. West J Nurs Res. 2007;29(7). doi:10.1177/0193945906297370. Copy Citation Format: DOI Goo…

2559. Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. | PSNet
      psnet.ahrq.gov/issue/admission-handoff-communications-clinicians-shared-understanding-patient-severity-illness-and
      May 31, 2017 - Study Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. Citation Text: Brannen M, Cameron KA, Adler MD, et al. Admission Handoff Communications. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181c029e5. Copy Citation …

2560. Important change to heparin container labels to clearly state the total drug strength. | PSNet
      psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
      December 16, 2020 - Government Resource Important change to heparin container labels to clearly state the total drug strength. Citation Text: Important change to heparin container labels to clearly state the total drug strength. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; Dece…