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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
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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
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure2.html
June 01, 2018 - drug overdoses has increased 137%, including a 200% increase in the rate of overdose deaths involving opioids
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psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - Compared with parenteral opioids, epidural analgesia results in better postoperative pain control.(2)
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psnet.ahrq.gov/node/850362/psn-pdf
June 14, 2023 - Cause to Pause: preventing medication errors with high-risk opioids.
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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
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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
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-250-cannabis-2024-surv-rep-update-tables-e1-4.xlsx
January 01, 2024 - 13 NR NR NR NR NR NR NR Patients with major psychiatric disorder or past drug/alcohol abuse excluded Opioids … abdominal pain Excluded daily cannabis use in past 3 years Mean 53 50 96 2 NR 2 NR NR NR Excluded Weak opioids … : 21/50
Strong opioids: 26/50 65 50 THC oral tablet (Dronabinol): days 1 to 5: 3 mg 3 times/d; days 6 … psoriatic arthritis Previous CBD use: 18% Median 62 44 NR NR NR NR NR NR NR NR Concomitant medicine:
Opioids … with severe
psychiatric diseases (severe depression and schizophrenia) excluded Concomitant use of opioids
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psnet.ahrq.gov/issue/safety-hospital-stroke-care
December 02, 2020 - Study
The safety of hospital stroke care.
Citation Text:
Holloway RG, Tuttle D, Baird T, et al. The safety of hospital stroke care. Neurology. 2007;68(8):550-555.
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psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
March 03, 2021 - Review
Factors influencing patient safety during postoperative handover.
Citation Text:
Factors influencing patient safety during postoperative handover. Rose M, Newman SD. AANA J. 2016;84:329-338.
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psnet.ahrq.gov/issue/concurrent-and-overlapping-surgeries-additional-measures-warranted
August 17, 2022 - Book/Report
Concurrent and Overlapping Surgeries: Additional Measures Warranted.
Citation Text:
Concurrent and Overlapping Surgeries: Additional Measures Warranted. US Senate Finance Committee. December 6, 2016.
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psnet.ahrq.gov/issue/medication-attributed-adverse-effects-placebo-groups-implications-assessment-adverse-effects
January 08, 2018 - Review
Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects.
Citation Text:
Rief W, Avorn J, Barsky AJ. Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects. Arch Intern Med. 2006;166(…
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psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
June 10, 2018 - Newspaper/Magazine Article
Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit.
Citation Text:
Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. ISMP Medication Safety Alert! Acute Care E…
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psnet.ahrq.gov/issue/roundtable-public-policy-affecting-patient-safety
June 15, 2016 - Commentary
Roundtable on public policy affecting patient safety.
Citation Text:
Crane RM, Raymond B. Roundtable on Public Policy Affecting Patient Safety. J Patient Saf. 2011;7(1):5-10. doi:10.1097/pts.0b013e31820c98cd.
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cds.ahrq.gov/sites/default/files/cds/artifact/476/CDS%20Connect%20Pilot%20Site%20Training%20Plan_Final_0.docx
July 23, 2024 - CDS Repository Working Group Charter
CDS Connect Pilot Site Training Plan
PURPOSE: Develop a training plan to get pilot site providers up to speed on the overall project, the pilot objectives and the CDS Connect Pain Management CDS.
TARGET AUDIENCE: Prescribing clinicians at each of the pilot site locations. Qu…
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psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting
April 11, 2011 - Commentary
The meaning of justice in safety incident reporting.
Citation Text:
Weiner BJ, Hobgood C, Lewis MA. The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13.
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psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety
June 27, 2018 - Book/Report
Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety.
Citation Text:
Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017.
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes
January 01, 2015 - Commentary
The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation.
Citation Text:
Eichhorn JH. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection,…
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psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-causes-vaccine-errors
June 18, 2014 - Newspaper/Magazine Article
Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors.
Citation Text:
Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. ISMP Medication Safety Alert! Acute ca…
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psnet.ahrq.gov/issue/root-cause-analysis
June 15, 2016 - Commentary
Root cause analysis.
Citation Text:
Stecker MS. Root cause analysis. J Vasc Interv Radiol. 2007;18(1 Pt 1):5-8.
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