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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx
Spotlight
Overdose of Gabapentin and Oxycodone in a Patient
with End-Stage Renal Disease: A Case for Appropriate
Interruptive Drug-Disease Alerts
Source and Credits
• This presentation is based on the January 2023 AHRQ WebM&M
Spotli…
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psnet.ahrq.gov/issue/increasing-patient-clinician-concordance-about-medical-error-disclosure-through-patient-tips
November 28, 2016 - Study
Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model.
Citation Text:
Martinez W, Browning D, Varrin P, et al. Increasing Patient-Clinician Concordance About Medical Error Disclosure Through the Patient TIPS Model. J Patient Saf. 201…
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psnet.ahrq.gov/issue/field-test-world-health-organization-multi-professional-patient-safety-curriculum-guide
June 04, 2014 - Study
Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide.
Citation Text:
Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1…
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psnet.ahrq.gov/issue/self-reported-patient-safety-competence-among-new-graduates-medicine-nursing-and-pharmacy
February 14, 2015 - Study
Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy.
Citation Text:
Ginsburg LR, Tregunno D, Norton PG. Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. BMJ Qual Saf. 2013;22(2):147-54. doi:10…
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psnet.ahrq.gov/node/48001/psn-pdf
May 22, 2019 - Medicines safety in anaesthetic practice.
May 22, 2019
Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157.
doi:10.1016/j.bjae.2019.01.001.
https://psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice
Human factors affect medication delivery in the operating …
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psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - Future Common Formats will address other sites of care and other stages of the improvement process (such
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psnet.ahrq.gov/node/37755/psn-pdf
April 14, 2011 - An iconic language for the graphical representation of
medical concepts.
April 14, 2011
Lamy J-B, Duclos C, Bar-Hen A, et al. An iconic language for the graphical representation of medical
concepts. BMC Med Inform Decis Mak. 2008;8:16. doi:10.1186/1472-6947-8-16.
https://psnet.ahrq.gov/issue/iconic-language-graphi…
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psnet.ahrq.gov/node/39304/psn-pdf
February 17, 2010 - Pediatric antidepressant medication errors in a national
error reporting database.
February 17, 2010
Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error
reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e3181ce6509.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/73902/psn-pdf
September 29, 2021 - Dangers of Missing an Epidural Abscess: Multiple Visits
and Delayed Diagnosis with a Severely Negative Outcome
September 29, 2021
Lantz L, Yoon J, Barnes DK. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed
Diagnosis with a Severely Negative Outcome. PSNet [internet]. 2021.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/43354/psn-pdf
July 16, 2014 - Weaving a healthcare tapestry of safety and
communication.
July 16, 2014
Hay J, Collin S, Koruth S. Weaving a healthcare tapestry of safety and communication. Nurs Manage.
2014;45(7):40-6. doi:10.1097/01.NUMA.0000451035.84587.7d.
https://psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication
Th…
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psnet.ahrq.gov/node/853435/psn-pdf
September 13, 2023 - Assessing the utility of ChatGPT throughout the entire
clinical workflow: development and usability study.
September 13, 2023
Rao A, Pang M, Kim J, et al. Assessing the utility of ChatGPT throughout the entire clinical workflow:
development and usability study. J Med Internet Res. 2023;25:e48659. doi:10.2196/48659.…
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psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers
September 04, 2016 - Study
Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers.
Citation Text:
Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1)…
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psnet.ahrq.gov/issue/undergraduate-baccalaureate-nursing-students-self-reported-confidence-learning-about-patient
February 04, 2015 - Study
Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013).
Citation Text:
Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing stu…
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psnet.ahrq.gov/issue/self-reported-patient-safety-competence-among-canadian-medical-students-and-postgraduate
December 04, 2015 - Study
Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey.
Citation Text:
Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a…
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psnet.ahrq.gov/issue/computerized-clinical-decision-support-during-medication-ordering-long-term-care-residents
February 11, 2009 - Study
Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency.
Citation Text:
Field T, Rochon P, Lee M, et al. Computerized clinical decision support during medication ordering for long-term care residents with renal insuf…
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psnet.ahrq.gov/node/838086/psn-pdf
September 14, 2022 - Addressing Burnout in the Behavioral Health Workforce
through Organizational Strategies.
September 14, 2022
Rockville, MD: Substance Abuse and Mental Health Services Administration; 2022. SAMHSA
Publication No. PEP22-06-02-005.
https://psnet.ahrq.gov/issue/addressing-burnout-behavioral-health-workforce-throu…
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psnet.ahrq.gov/node/47726/psn-pdf
April 10, 2019 - Machine learning in medicine.
April 10, 2019
Rajkomar A, Dean J, Kohane IS. Machine Learning in Medicine. New Engl J Med. 2019;380(14):1347-
1358. doi:10.1056/NEJMra1814259.
https://psnet.ahrq.gov/issue/machine-learning-medicine
Machine learning in health care is in the early stage of application. This review expl…
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psnet.ahrq.gov/node/35410/psn-pdf
September 11, 2009 - Intravenous medication safety and smart infusion
systems: lessons learned and future opportunities.
September 11, 2009
Keohane C, Hayes J, Saniuk C, et al. Intravenous medication safety and smart infusion systems: lessons
learned and future opportunities. J Infus Nurs. 2005;28(5):321-328.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/38032/psn-pdf
September 21, 2008 - Medication errors in the ambulatory treatment of pediatric
attention deficit hyperactivity disorder.
September 21, 2008
Bundy DG, Rinke ML, Shore AD, et al. Medication errors in the ambulatory treatment of pediatric attention
deficit hyperactivity disorder. Jt Comm J Qual Patient Saf. 2008;34(9):552-559, 497.
http…
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psnet.ahrq.gov/node/866314/psn-pdf
July 17, 2024 - Lost, mislabeled, and mishandled surgical and clinical
pathology specimens: a systematic review of published
literature.
July 17, 2024
Carmack HJ, Lazenby BS, Wilson KJ, et al. Lost, mislabeled, and mishandled surgical and clinical
pathology specimens: a systematic review of published literature. Am J Clin Pathol.…