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psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - Concurrent use of prescription gabapentinoids with
opioids and risk for fall-related injury among older
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psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - He said that he calls his physician who writes a prescription for a replacement tire.
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psnet.ahrq.gov/node/843234/psn-pdf
January 01, 2013 - used off-label for uremic pruritis.2 A 2016 study reported that 6-9% of
patients with CKD received a prescription
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - amphetamine consumption by truck drivers in São Paulo State, Brazil, despite the ban on production, prescription
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - higher rate of dispensing errors, whereas lower pharmacy workload is associated with an increase in prescription-related
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - Concurrent use of prescription gabapentinoids with opioids and risk for fall-related injury among older
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - Table 3), much the way computerized ordering of medications can
circumvent handwriting errors in drug prescriptions
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - The patient was discharged home with a diagnosis of “cholelithiasis”, prescriptions for ondansetron and
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psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
February 05, 2020 - Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - March 15, 2016
Association of inappropriate outpatient pediatric antibiotic prescriptions
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psnet.ahrq.gov/node/33692/psn-pdf
February 01, 2010 - In Conversation with…Thomas J. Nasca, MD
February 1, 2010
In Conversation with…Thomas J. Nasca, MD. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
Editor's note: Thomas J. Nasca, MD, is the executive director and chief executive officer of the
Accreditation Council fo…
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - Promising Areas for Patient Safety Research
December 1, 2003
Brady JP, Munier WB, Azam I. Promising Areas for Patient Safety Research. PSNet [internet]. 2003.
https://psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
Perspective
Setting a Course for Patient Safety Research
Although patient safety…
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - He was discharged with antibiotic prescriptions, but returned three days later with worsening symptoms
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psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
January 01, 2018 - January 21, 2015
Physicians failed to write flawless prescriptions when computerized
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - The patient was discharged
home with a diagnosis of “cholelithiasis”, prescriptions for ondansetron
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - Table 3 ), much the way computerized ordering of medications can circumvent handwriting errors in drug prescriptions
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - , the significance of the reported outcome—unintended discrepancies between discharge and admission prescriptions—depended
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - • The child was sent home with a prescription for amoxicillin.
6
Case Details (3)
• On day 3
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - The child was sent home with a prescription for amoxicillin.
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psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - Food and Drug Administration now requires bar codes on most prescription medications; bar coding (or