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psnet.ahrq.gov/node/49778/psn-pdf
December 01, 2016 - Filice, MD
Before addressing the elephant in the room—the prescription of a highly toxic medication
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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/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/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - The patient was discharged home with a diagnosis of “cholelithiasis”, prescriptions for ondansetron and
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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/node/60652/psn-pdf
June 29, 2020 - within a traditional dispensing pharmacy, such as encouraging drive-up or curbside pickup or
shifting prescription
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - patient transitions, specifically medication transitions , or changes in medications such as a new prescription … or deprescribing of an existing prescription. 12 Other PSLLs have used HFE to analyze failure to rescue
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - patient transitions, specifically medication transitions , or changes in medications such as a new prescription … or deprescribing of an existing prescription. 12 Other PSLLs have used HFE to analyze failure to rescue
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psnet.ahrq.gov/node/49494/psn-pdf
January 01, 2006 - One Dose, Fifty Pills
November 1, 2005
Smith L. One Dose, Fifty Pills . PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/one-dose-fifty-pills
The Case
A middle-aged man was admitted to the medical service of a teaching hospital with suspected vasculitis.
When the initial diagnostic studies failed to provide …
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - teams using secure e-mail; this allows handling of non-urgent health care concerns such as requesting prescription
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - He was discharged home with a prescription for hydrocodone/acetaminophen (Vicodin).
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psnet.ahrq.gov/web-mm/dressed-failure
September 01, 2011 - In the ED, she was treated with a dose of intravenous ceftriaxone and sent home with a prescription for
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - basic clinical and organizational processes such as administration of
fluids, oxygen, and antibiotics; prescription
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psnet.ahrq.gov/node/857260/psn-pdf
November 30, 2023 - accurate list of the patient's current medications, dosages, and times of
administration, including prescription
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psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - As illustrated in these cases, ADEs, which include outcomes where an error in drug ordering or
prescription
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psnet.ahrq.gov/node/49440/psn-pdf
March 01, 2004 - He was discharged with a prescription for acetaminophen with codeine, instructions to drink at
least
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - Estimating the impact on patient safety of enabling the digital transfer of patients' prescription … July 1, 2020
Prevalence of inappropriate antibiotic prescriptions among US ambulatory
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psnet.ahrq.gov/node/33703/psn-pdf
November 01, 2010 - event (ADE),
occurred.(11-13) For example, an example of a trigger for one type of ADE is, "active prescription
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psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - He was discharged with a prescription for acetaminophen with codeine, instructions to drink at least