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psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid
October 15, 2008 - Book/Report
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics.
Citation Text:
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. HHS Guide for Clinicians on the App…
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psnet.ahrq.gov/issue/oversedation-patient-obstructive-sleep-apnea-prior-imaging
September 02, 2020 - Commentary
Oversedation of a patient with obstructive sleep apnea prior to imaging.
Citation Text:
Blay E, Barnard C, Bilimoria KY. Oversedation of a Patient With Obstructive Sleep Apnea Prior to Imaging. JAMA. 2018;319(5):495-496. doi:10.1001/jama.2017.22004.
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psnet.ahrq.gov/issue/understanding-middle-managers-influence-implementing-patient-safety-culture
March 24, 2012 - Commentary
Understanding middle managers' influence in implementing patient safety culture.
Citation Text:
Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture. BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4.
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psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
March 30, 2016 - Commentary
Classic
No shortcuts to safer opioid prescribing.
Citation Text:
Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med. 2019;380(24):2285-2287. doi:10.1056/NEJMp1904190.
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psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
December 16, 2014 - Study
The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.
Citation Text:
Greenwald JL, Denham CR, Jack BW. The Hospital Discharge. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12.
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psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-trainees
July 29, 2020 - Study
Patient safety knowledge and its determinants in medical trainees.
Citation Text:
Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees. J Gen Intern Med. 2007;22(8):1150-4.
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psnet.ahrq.gov/issue/quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units
November 16, 2022 - Commentary
Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units.
Citation Text:
Hardee LK. Quality improvement: universal protocol use in office-based gastrointestinal procedure units. Gastroenterol Nurs. 2012;35(6):380-2. doi:10.1097/SGA.0b013e3…
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psnet.ahrq.gov/issue/safety-stop-valuable-addition-pediatric-universal-protocol
June 21, 2015 - Commentary
Safety stop: a valuable addition to the pediatric universal protocol.
Citation Text:
Caruso TJ, Munshey F, Aldorfer B, et al. Safety Stop: A Valuable Addition to the Pediatric Universal Protocol. Jt Comm J Qual Patient Saf. 2018;44(9):552-556. doi:10.1016/j.jcjq.2018.03.015.
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psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
November 26, 2014 - Commentary
Supervision, autonomy, and medical error in the teaching clinic.
Citation Text:
Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033.
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psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
June 02, 2021 - Study
Medication error identification rates by pharmacy, medical, and nursing students.
Citation Text:
Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.68_slideshow.ppt
July 01, 2004 - Misuse
Eighteen hours after infusion, the patient developed severe bleeding and hemodynamic instability requiring
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - Over the next 10 minutes, the child’s cardiovascular status deteriorated, requiring epinephrine.
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - This is because the Universal Protocol does not differentiate between types of cases requiring imaging … For example, a change in hospital policy requiring imaging to be present in the operating suite prior
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - For patients requiring intermittent paracentesis for symptom relief, it would also be important to ensure … they are taking diuretic therapy or not requiring an increase in that therapy.
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psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - are also known as critical values, or more accurately as "alert" values,
since some reflect errors requiring … immediate correction rather than clinical conditions requiring immediate
treatment.
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psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - However, he rapidly
experienced further respiratory decompensation requiring intubation and mechanical … ventilation, as well as
hemodynamic compromise requiring vasopressor support.
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psnet.ahrq.gov/node/49558/psn-pdf
April 01, 2008 - hospital course was marked by multiorgan failure, septic shock, and spontaneous bowel
perforation requiring … antibiotics are warranted, rather than relying on evidence-based
criteria), and health care system factors (requiring
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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - an interruption.(13) Consequently, inadequate laboratory test result follow-up is a system problem
requiring … Inadequate laboratory test result follow-up is a system problem requiring a system solution.
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psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - potential for medical errors.( 12 ) In 2005, the Joint Commission issued a National Patient Safety Goal requiring … error described in the present case may have been prevented with the use of a standardized checklist requiring
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - beta-glucuronidase in the newborn intestine and, now lipid soluble again, is reabsorbed into the portal circulation, requiring … isoimmunization, maternal antibody can persist for months, and can continue to cause hemolysis, sometimes requiring