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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/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/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/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/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/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/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/issue/long-term-care-healthcare-associated-iinfections-2022-analysis-20216-reports
May 19, 2021 - November 16, 2022
Prescription opioid use, misuse, and use disorders in U.S. adults:
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psnet.ahrq.gov/issue/reporting-clinical-adverse-events-scale-measure-doctor-and-nurse-attitudes-adverse-event
November 12, 2014 - August 31, 2011
Physicians' perspectives regarding prescription drug monitoring program
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psnet.ahrq.gov/issue/nature-surgical-error-cautionary-tale-and-call-reason
September 12, 2007 - March 29, 2012
Physicians' perspectives regarding prescription drug monitoring program
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psnet.ahrq.gov/issue/do-associations-between-staff-and-inpatient-feedback-have-potential-improving-patient
August 04, 2021 - March 4, 2020
Prescription opioid dose reductions and potential adverse events: a multi-site
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psnet.ahrq.gov/issue/misgivings
March 17, 2021 - February 21, 2018
Case not closed: prescription errors 12 years after computerized physician
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psnet.ahrq.gov/issue/incidence-and-causes-critical-incidents-emergency-departments-comparison-and-root-cause
January 18, 2023 - December 21, 2016
Prescription opioid use, misuse, and use disorders in U.S. adults:
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psnet.ahrq.gov/issue/ssssh-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-regional
March 08, 2017 - May 27, 2020
Adherence to black box warnings for prescription medications in outpatients
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psnet.ahrq.gov/issue/future-engaging-patients-and-families-patient-safety
January 27, 2016 - March 8, 2017
Physicians' perspectives regarding prescription drug monitoring program
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psnet.ahrq.gov/issue/computer-based-provider-order-entry-cpoe
July 20, 2022 - Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription
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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/issue/safety-relevant-mode-confusions-modelling-and-reducing-them
April 28, 2021 - March 6, 2019
Strategies to identify patient risks of prescription opioid addiction when