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psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
October 31, 2018 - Physician and nurse well-being and preferred interventions to address burnout in hospital practice … June 8, 2022
Evaluation of clinical practice guidelines on fall prevention and management … January 12, 2022
Specialist physicians' attitudes and practice patterns regarding disclosure … June 5, 2013
Clinical pathway adherence and missed diagnostic opportunities among children
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psnet.ahrq.gov/node/836850/psn-pdf
March 31, 2022 - Perspective authors reviewed articles and other materials
related to the safety practice areas listed … lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
regulations and guidelines … learning classifiers can better predict adverse
outcomes compared with individual approaches that use guidelines … Scaling EQUIPPED Clinical Decision Support. Digital
Healthcare Research. … CDC’s Draft Clinical Practice
Guideline for Prescribing Opioids Open for Public Comment Until April
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psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
July 19, 2017 - prescriptions in parallel with rising numbers of opioid overdose deaths and recommends adherence to clinical … guidelines on opioid use, specifically the 2016 CDC guideline . … November 11, 2020
Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption … March 27, 2019
Improving adherence to long-term opioid therapy guidelines to reduce opioid … August 15, 2018
Patient Safety in the Office-Based Practice Setting.
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psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis
October 19, 2022 - October 19, 2022
Implementation of the I-PASS handoff program in diverse clinical environments … June 22, 2022
Readiness of US general surgery residents for independent practice. … Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical … Methods to Prevent Avoidable Cases of Hospital Associated VTE
April 7, 2022
ASH Clinical … Practice Guidelines on Venous Thromboembolism.
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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - including the Joint Commission/CMS, as performance measures.( 4,5 ) These performance measures are based on practice … Patient education may be provided by bedside nurses, advance practice nurses, pharmacists, and physicians … the adult: a report of the American College of Cardiology/American Heart Association Task Force on Practice … Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart … HFSA 2006 comprehensive heart failure practice guideline. J Card Fail. 2006;12:e1-e2.
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psnet.ahrq.gov/issue/how-does-work-environment-relate-diagnostic-quality-prospective-mixed-methods-study-primary
September 07, 2022 - In this study, researchers used audio-recorded encounters, clinical note review, and interviews in order … to evaluate a tool assessing key elements of diagnostic quality during clinical encounters. … January 26, 2022
Surviving Sepsis Campaign: international guidelines for management of … June 19, 2024
Collective intelligence increases diagnostic accuracy in a general practice … Low rate of completion of recommended tests and referrals in an academic primary care practice
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - clinical decision support tools and best practice alerts (BPAs). … In addition to addressing opioid-related harm, the 2016 CDC guidelines provided recommendations on the … opioid tapers managed by providers trying to adhere to guidelines may lead to poor outcomes in some … Integrated pharmacy research & practice. 2017;6:137 . … Clinical interventions in aging. 2019;14:753 .
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psnet.ahrq.gov/issue/patient-safety-and-workplace-bullying-integrative-review
March 11, 2020 - This integrative review examined bullying of nurses and how it undermines safe practice. … February 19, 2020
Society of Critical Care Medicine Guidelines on Recognizing and Responding … to Clinical Deterioration Outside the ICU: 2023. … January 22, 2016
Measuring nursing error: psychometrics of MISSCARE and practice and … September 9, 2011
The novice nurse and clinical decision-making: how to avoid errors.
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psnet.ahrq.gov/issue/standardise-educate-harmonise-commissioning-conditions-safer-surgery
August 02, 2023 - Examining risks in surgical care such as deviation in practice, this report outlines strategies to … August 7, 2013
Digital Clinical Safety Strategy
October 20, 2021 … April 20, 2016
Rules and guidelines in clinical practice: a qualitative study in operating
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psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system
September 24, 2010 - September 24, 2010
Evaluation of clinical practice guidelines on fall prevention and … January 12, 2022
Implementation of the I-PASS handoff program in diverse clinical environments … August 4, 2021
Practice advisory for the prevention and management of operating room … July 29, 2020
Effect of hospital follow-up appointment on clinical event outcomes and … September 11, 2019
Understanding the types and effects of clinical interruptions and
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psnet.ahrq.gov/issue/avoiding-potential-harm-improving-appropriateness-urinary-catheter-use-18-emergency
June 08, 2016 - This pre-post study found that implementation of institutional guidelines for urinary catheter placement … The authors recommend establishing guidelines for placement, engaging clinician champions, conducting … October 31, 2014
Implementation of the I-PASS handoff program in diverse clinical environments … February 5, 2014
The clinical transformation of Ascension Health: eliminating all preventable … 2015
ASPEN parenteral nutrition safety consensus recommendations: translation into practice
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psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error
June 27, 2018 - June 27, 2018
Errors, incidents and accidents in anaesthetic practice. … August 3, 2017
Society of Critical Care Medicine Guidelines on Recognizing and Responding … to Clinical Deterioration Outside the ICU: 2023. … practice guideline. … September 26, 2016
Development and testing of an objective structured clinical exam (
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psnet.ahrq.gov/issue/supporting-clinicians-after-adverse-events-development-clinician-peer-support-program
April 24, 2018 - peer support program at an academic medical center, which involved training physicians and advanced practice … Physician and nurse well-being and preferred interventions to address burnout in hospital practice … July 19, 2023
Evaluation of clinical practice guidelines on fall prevention and management … January 12, 2022
Implementation of the I-PASS handoff program in diverse clinical environments … intervention to improve health care worker well-being during the COVID-19 pandemic: a cluster randomized clinical
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psnet.ahrq.gov/issue/rural-inpatient-telepharmacy-consultation-demonstration-after-hours-medication-review
January 23, 2017 - June 18, 2013
Evaluation of clinical practice guidelines on fall prevention and management … July 13, 2010
Readiness of US general surgery residents for independent practice. … More
Related Resources
Fighting against COVID-19: innovative strategies for clinical … Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical … June 20, 2012
Clinical and safety impact of an inpatient pharmacist-directed anticoagulation
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psnet.ahrq.gov/node/45065/psn-pdf
June 01, 2016 - Physicians
correctly named diagnoses in 77% of the visits, but key management decisions complied with guidelines … Conversely, physicians generally did not order additional testing, even when it would be recommended by
guidelines … https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/enhancing-physicians-use-clinical-guidelines … effect-behavioral-interventions-inappropriate-antibiotic-prescribing-among-primary-care
https://psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
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psnet.ahrq.gov/node/49852/psn-pdf
February 01, 2019 - Recognize that further research is needed to establish best practice guidelines with regard to the
interhospital … In practice, it is often difficult to
define which patients are truly in need of such care and where … hospitals (1,20), including the type of
personnel used to staff the center (i.e., nurses, advanced practice … These data can then be used to
create best practice guidelines for high-quality, safe interhospital … More data is needed to direct the development of best practice guidelines with regard to interhospital
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psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
January 17, 2018 - July 10, 2019
Surviving Sepsis Campaign: international guidelines for management of sepsis … November 21, 2021
Treatment patterns and clinical outcomes after the introduction of … September 12, 2018
Drawing boundaries: the difficulty in defining clinical reasoning. … March 19, 2018
Overcoming diagnostic errors in medical practice. … February 15, 2017
Measures to improve diagnostic safety in clinical practice.
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psnet.ahrq.gov/node/49599/psn-pdf
February 23, 2010 - When she reviewed the clinical details for each of the 12 presentations to the ED, she
felt strongly … Although one could debate the clinical indications for CT
scanning in this scenario, the case provides … One might consider Clinical Practice Guidelines (CPGs). … Since then, the profession has witnessed an explosion of
guidelines from many different sources. … A full discussion of developing and employing practice guidelines is
beyond the scope of this commentary
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psnet.ahrq.gov/issue/enhancing-pediatric-safety-using-simulation-assess-radiology-resident-preparedness
July 08, 2009 - the radiology environment and identified the need for greater resuscitation aids to treat unexpected clinical … A past AHRQ WebM&M commentary discussed the role of simulation as a method to practice both behavioral … September 7, 2011
Evaluation of clinical practice guidelines on fall prevention and management … October 24, 2013
Patient safety in general practice during COVID-19: a descriptive analysis
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psnet.ahrq.gov/issue/prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study
March 19, 2018 - March 19, 2018
Perioperative patient safety recommendations: systematic review of clinical … practice guidelines. … October 14, 2009
Evaluation of clinical practice guidelines on fall prevention and management