- 
                                        
psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - at the same time), confusing alert content (e.g., multiple alerts in one panel, unclear
severity), clinical … Take-Home Points
Insulin is a high-risk medication and safe practice recommendations from the American … Acquisto, PharmD
Emergency Medicine Clinical Pharmacy Specialist, Department of Pharmacy
Associate … ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. … www.ncbi.nlm.nih.gov/pubmed/28914519
https://www.ncbi.nlm.nih.gov/pubmed/28914519
https://www.ismp.org/Tools/guidelines
                                     
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psnet.ahrq.gov/issue/vital-signs-epidemiology-sepsis-prevalence-health-care-factors-and-opportunities-prevention
September 23, 2020 - October 7, 2020 
 
 
 
 
 
 
 
 CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United … November 16, 2022 
 
 
 
 
 
 
 
 Incidence and trends of sepsis in US hospitals using clinical vs claims
                                     
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psnet.ahrq.gov/issue/effect-real-time-pediatric-icu-safety-bundle-dashboard-quality-improvement-measures
June 21, 2015 - prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice … May 27, 2011 
 
 
 
 
 
 
 
 Surviving Sepsis Campaign: international guidelines for management of sepsis
                                     
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psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
March 24, 2019 - Study 
 
 
 
 
 
 
 
 
 
 When order sets do not align with clinician workflow: assessing practice patterns … When order sets do not align with clinician workflow: assessing practice patterns in the electronic health … When order sets do not align with clinician workflow: assessing practice patterns in the electronic health … emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical … October 13, 2015 
 
 
 
 
 
 
 
 Impact of a clinical decision support system for high-alert medications
                                     
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psnet.ahrq.gov/issue/academic-half-day-improves-resident-perception-education-without-compromising-patient-safety
April 10, 2024 - a  challenging experience , requiring residents to  balance  demanding educational requirements and clinical … AHDs offer protected time for education (without clinical duties) on specific days, providing both social … Physician and nurse well-being and preferred interventions to address burnout in hospital practice … prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice
                                     
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psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
January 01, 2022 - pneumothorax
• To understand the role of checklists in assuring completion of routine 
safety-related clinical … Post-Transbronchial Biopsy (3)
• Checklists have been shown to be effective in multiple different 
clinical … within minutes and via verbal 
communication, directly to the appropriate clinicians.
– Despite these guidelines … radiograph (CXR) after 
transbronchial biopsy is currently being questioned, although it is still 
a common practice … Clinical review: Checklists - translating evidence into practice. Crit Care. 2009;13:210–210.
8.
                                     
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-active-infection-rapid-response.pdf
May 01, 2024 - Because the publication of updated CDC guidelines for C. … reviews published since 2019, the year of the 
search done for the MHS III report on this topic 
Guidelines … Clinical practice guidelines for Clostridium 
difficile infection in adults and children: 2017 
update … Evidence-based Practice Centers. … practice guidelines, other quality enhancement tools, or reimbursement 
or coverage policies, may not
                                     
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psnet.ahrq.gov/issue/managing-medication-errors-qualitative-study
December 06, 2023 - Opioid prescribing for acute pain management in children and adolescents in outpatient settings: clinical … practice guideline. … January 20, 2021 
 
 
 
 
 
 
 
 Safe practice recommendations for the use of copy-forward with nursing
                                     
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - These triggers preceded the patient’s clinical deterioration, when she became non-responsive in the setting … Guidelines and Standardization of Practice to Improve Outcomes by avoiding unnecessary variation in … Int J Gynaecol Obstet . 2016;132(3):337-341. [ Available at ] 
 Clinical Guidelines and Standardization … of Practice to Improve Outcomes: ACOG Committee Opinion, Number 792. … WebM&M Cases 
 
 
 
 
 
 
 
 
 
 Hurried Team Huddle and Poor Communication: Unsafe Practice
                                     
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integrationacademy.ahrq.gov/sites/default/files/2020-06/AHRQ_AcadLitReview.pdf
January 01, 2020 - Practices must develop new workflows and clinical operations in order to effectively deliver integrated … knowing when to use specific interventions, the literature suggested 
other competencies related to clinical … For example, in order to effectively conduct interventions, 
providers need strong clinical interviewing … services, to enhance their clinical skills, and educate them on 
procedures such as how to code and … Trainings on topics such as integrated care and effective communication; and
• Training on evidence-based guidelines
                                     
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/nonpharm-treatment-chronic-pain-protocol.pdf
December 11, 2018 - Systematic Review Update: Noninvasive Nonpharmacologic Treatment for Chronic Pain
 
 
Evidence-based Practice … The recent 
publication of evidence-based guidelines on opioid use for chronic pain by the Centers 
for … Given this need and wide-
spread concern regarding opioid use and misuse outlined in recent guidelines … synthesized in this review update together with the other two commissioned reviews will 
help inform guidelines … (Prepared by the Pacific Northwest Evidence-based Practice Center under Contract No. 
290-2015-00009-
                                     
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digital.ahrq.gov/sites/default/files/docs/page/CarayonSuccessStory.pdf
December 31, 2010 - Health IT is not always designed 
to fit the workflow of a given practice or patient population, making … The project team found that practices must have 
a clear understanding of a) how clinical and administrative … Medical practices that face the challenges concerning health IT implementation and practice improvement
                                     
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digital.ahrq.gov/sites/default/files/docs/publication/r36hs021082-graetz-final-report-2012.pdf
January 01, 2012 - These measures 
represent areas for which the IDS has clinical guidelines and consistent capture of patient … Shortell, S.M., High-performing healthcare 
organizations: guidelines for the pursuit of excellence. … Crabtree, B.F., et al., Primary care practice 
organization and preventive services delivery: a 
qualitative … The Journal of family practice, 
1998. 46(5): p. 403-9. 
3. … Bodenheimer, Can health care 
teams improve primary care practice?
                                     
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - can be no physician or surgeon feeling that they're above complying with prescribing or a particular practice … The other thing that needs to be recognized is the importance of clinical leaders and those clinical … This was followed by development of training and certification programs ( 4,5 ) along with numerous guidelines … and guideline development for the Department of Health and Human Services regarding surveillance and practice … General Guidelines. Healthcare Infection Control Practices Advisory Committee (HICPAC).
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-bmi-parent-full-report.pdf
February 01, 2020 - Providers who were 
familiar with guidelines for the assessment, prevention, and treatment of obesity … /family practice (451,003). … Not applicable. 
  
27 
Provider Level 
Practice, group, or facility:** Can compare: (i) practice … parents to be surveyed per practice has not been determined. … Adoption of body mass index guidelines for 
screening and counseling in pediatric practice.
                                     
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psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - practice. … case provides an opportunity to review the historical context for defining critical values, available guidelines … In the United States, the Clinical Laboratory Improvement Amendments (CLIA) of 1988 require that a clinical … Many laboratories rely on prior lists that have been revised in practice over time or have developed … Clinical Laboratory Improvement Amendments of 1988.
                                     
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psnet.ahrq.gov/node/33884/psn-pdf
July 01, 2019 - follow-up electrocardiogram patch studies.(10) However, the principle guiding the
development of the GRADE guidelines … Unsurprisingly, auscultation skills are becoming less important in clinical practice, due in part to … to that of human decision-
makers, both in terms of appropriate qualification, expected standard of practice … skill of identifying the sick patient from their overall clinical
picture. … Some unintended consequences of
clinical decision support systems.
                                     
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/missing-data-registries-guide-3rd-ed-addendum-white-paper.pdf
February 01, 2018 - Modifications to the data collection guidelines and additional training could be 
undertaken in this … dictate treatment or health care encounters but instead observe 
patient care as it occurs in routine practice … between-model variance and the 
within-model standard errors, using Rubin’s Rules for Imputation.14 In practice … Characterization of Missing Data in 
Clinical Registry Studies. … Clinical Trials with 
Missing Data: A Guide for Practitioners.
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - issues may pressure clinicians to use fluids or medications in ways inconsistent with policy and routine practice … , which may increase risks of contamination and transmission of disease.
39		Are best practice injection … Antibiotic Prescribing and Use in Hospitals and Long-term Care: Clinical Guide for Collecting Cultures … Infusion Therapy Standards of Practice, 8th Edition. … /hai/pdfs/bsi-guidelines-2011.pdf.
                                     
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psnet.ahrq.gov/issue/preventing-infection-misuse-vials
September 11, 2023 - CDC has previously issued  guidelines  on appropriate use of single-dose vials. … vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice