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psnet.ahrq.gov/issue/medication-safety-events-after-acute-myocardial-infarction-among-veterans-treated-va-versus
April 07, 2022 - Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring
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psnet.ahrq.gov/issue/evaluating-implementation-rapid-response-team-considering-alternative-outcome-measures
October 19, 2022 - July 31, 2013
Incidence and preventability of adverse events requiring intensive care
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psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
August 24, 2022 - February 5, 2020
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
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psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children
August 03, 2022 - Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring
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psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and
May 22, 2019 - Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring
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psnet.ahrq.gov/issue/prevention-prescription-opioid-misuse-and-projected-overdose-deaths-united-states
August 04, 2021 - November 16, 2022
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
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psnet.ahrq.gov/issue/association-between-primary-care-physician-diagnostic-knowledge-and-death-hospitalisation-and
May 27, 2020 - Same Author(s)
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
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psnet.ahrq.gov/issue/evaluation-and-accurate-diagnoses-pediatric-diseases-using-artificial-intelligence
April 15, 2020 - September 4, 2015
Pediatric emergency department discharge prescriptions requiring pharmacy
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psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event
April 10, 2019 - August 14, 2013
Incidence and preventability of adverse events requiring intensive care
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psnet.ahrq.gov/issue/effect-multispecialty-faculty-handoff-initiative-safety-culture-and-handoff-quality
March 10, 2019 - Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring
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psnet.ahrq.gov/issue/tamiflu-oseltamivir-oral-suspension-potential-medication-errors
November 07, 2012 - October 19, 2022
FDA requiring color changes to Duragesic (fentanyl) pain patches to
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psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
October 15, 2014 - August 29, 2016
Pediatric emergency department discharge prescriptions requiring pharmacy
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psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles
May 20, 2009 - July 28, 2014
Enacting the Washington state patient safety act requiring hospital staffing
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psnet.ahrq.gov/issue/kadcyla-ado-trastuzumab-emtansine-drug-safety-communication-potential-medication-errors
October 09, 2013 - Copy Citation
Related Resources From the Same Author(s)
FDA requiring color
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psnet.ahrq.gov/issue/serious-adverse-events-accidental-ingestion-children-over-counter-eye-drops-and-nasal-sprays
November 03, 2009 - March 11, 2015
FDA requiring color changes to Duragesic (fentanyl) pain patches to aid
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psnet.ahrq.gov/node/49681/psn-pdf
April 01, 2013 - institutions manage fewer than 10 PN patients daily, and more than
80% manage 5 or fewer pediatric patients requiring … The expertise needed to safely manage patients requiring PN is analogous to the expertise
expected in … As in this case,
most institutions still use handwritten orders requiring one or more error-prone transcription … Take-Home Points
PN is a high-alert medication requiring safety-focused policies, procedures, and systems
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - Requiring morning administration could prevent errors since more staff members (including the primary … Institutional policies requiring an order when warfarin is to be discontinued or held, or requiring that
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - mistakenly be diagnosed as acrochordon (skin tag), which also is a benign skin lesion, causing no harm and requiring … contrast, when the same skin lesion is erroneously diagnosed as squamous cell carcinoma (a skin cancer requiring … In addition, standardizing pathologist–clinician communication and requiring immediate interpretation
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psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - and underwent emergent cardiac catheterization, which revealed multivessel coronary artery disease requiring … The patient was subsequently transferred to the coronary care unit (CCU) with respiratory failure requiring … mechanical ventilation and acute kidney injury requiring hemodialysis.
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psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - Listeria monocytogenes might
be a contaminant (a bacteria that can be viewed as a false positive not requiring … they did not recognize that listeria growing from blood cultures should be
considered a true pathogen requiring … Incidence and predictors of microbiology
results returning postdischarge and requiring follow-up.