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psnet.ahrq.gov/issue/getting-moving-patient-safety-harnessing-electronic-data-safer-care April 05, 2013 - Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines … October 27, 2010 
 
 
 
 
 
 
 
 Translating patient safety legislation into health care practice. 
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psnet.ahrq.gov/issue/reducing-adverse-events-blood-transfusion June 25, 2008 - Hardwiring patient blood management: harnessing information technology to optimize transfusion practice … January 7, 2011 
 
 
 
 
 
 
 
 Skin tears: the clinical challenge. … June 25, 2008 
 
 
 
 
 
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    Clinical Technologists 
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psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook-2019 October 23, 2019 - Data within the chartbook cannot be used for statistical comparisons with clinical quality measures because … September 25, 2024 
 
 
 
 
 
 
 
 DOD Should Improve Its Process for Clinical Adverse Actions against … Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines 
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psnet.ahrq.gov/issue/taking-blame-appropriate-responses-medical-error September 23, 2020 - April 19, 2013 
 
 
 
 
 
 
 
 Implementation of the I-PASS handoff program in diverse clinical environments … November 16, 2022 
 
 
 
 
 
 
 
 Evidence-based guidelines for fatigue risk management in emergency … March 9, 2022 
 
 
 
 
 
 
 
 Honesty and transparency, indispensable to the clinical mission--Parts 
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psnet.ahrq.gov/issue/good-intentions-successful-implementation-case-patient-safety-canada February 24, 2011 - 2022 
 
 
 
 
 
 
 
 Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical … November 20, 2019 
 
 
 
 
 
 
 
 Attitudes and practices related to clinical alarms: a follow-up survey … May 22, 2019 
 
 
 
 
 
 
 
 Canadian Disclosure Guidelines: Being Open and Honest with Patients and 
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digital.ahrq.gov/health-care-theme/care-planning January 01, 2023 - Principal Investigator(s) 
 
 Zhu, Xi 
 
 
 
 
 
 
 
 
 
 
 
 Integrating Contextual Factors into Clinical … Contextual Error and Improve Outcomes in Ambulatory Care 
 
 
 
 Description 
 This research studied whether clinical 
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psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors September 21, 2022 - December 1, 2021 
 
 
 
 
 
 
 
 Guidelines for opioid prescribing in children and adolescents after … December 2, 2020 
 
 
 
 
 
 
 
 Clinical reasoning education at US medical schools: results from a national … 2014 
 
 
 
 
 
 
 
 Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical 
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psnet.ahrq.gov/issue/impact-surgical-safety-checklists-theatre-departments-critical-review-literature October 19, 2012 - Opioid prescribing for acute pain management in children and adolescents in outpatient settings: clinical … practice guideline. … checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical 
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psnet.ahrq.gov/issue/iv-medication-safety-software-implementation-multihospital-health-system October 17, 2018 - Download Citation 
 
 
 
 
 
 
 Related Resources From the Same Author(s) 
 
 
 
 
 
 
 ASHP guidelines … April 9, 2014 
 
 
 
 
 
 
 
 Analysis of clinical decision support system malfunctions: a case series … December 4, 2016 
 
 
 
 
 
 
 
 Clinical decision support alert malfunctions: analysis and empirically 
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psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions September 28, 2022 - of prescription medications during routine care, and new medications are regularly incorporated into practice … October 10, 2012 
 
 
 
 
 
 
 
 Implementation of the I-PASS handoff program in diverse clinical environments 
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psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education June 02, 2021 - Voluntary reporting  of safety events is a widespread patient safety practice, but safety events are … Physician and nurse well-being and preferred interventions to address burnout in hospital practice … February 20, 2019 
 
 
 
 
 
 
 
 Using patient safety reporting systems to understand the clinical learning … 2014 
 
 
 
 
 
 
 
 Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice 
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psnet.ahrq.gov/issue/interprofessional-handover-and-patient-safety-anaesthesia-observational-study-handovers April 18, 2011 - Related Resources From the Same Author(s) 
 
 
 
 
 
 
 Adverse events in anaesthetic practice … August 4, 2021 
 
 
 
 
 
 
 
 Clinical practice guideline: safe medication use in the ICU. 
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse-drug-therapy_clinician.pdf February 01, 2016 - However, reviews of evidence should not be construed 
to represent clinical recommendations or guidelines … Guidelines 
from the Veterans Health Administration, the National Institute 
on Alcohol Abuse and Alcoholism … Clinical Bottom Line
 Table 1: Summary of Findings and Strength of Evidence for the Efficacy of Medications … Clinical Bottom Line (Continued)
ALDH2 = aldehyde dehydrogenase 2
 c The prescribing information sheet … Effectiveness Review No. 134, prepared by the 
RTI International–University of North Carolina Evidence-
based Practice 
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf July 01, 2024 - that evaluates the impact of restrictive 
transfusion practices and implementation of the transfusion guidelines … : To identify “indicators” of errors in ambulatory patient care in 18 practices 
that are part of a practice-based … Support
2000-2003
$1,614,021
Purpose: To (1) improve understanding of the gaps between evidence and 
practice … PHMG created a 
medication reconciliation task force in their five regions to redesign clinical practice … decision 
support tool based on consensus guidelines for pneumonia in urgent care centers. 
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-guide.docx September 01, 2022 - If you do not have a rapid test available, consider whether this might be useful for your practice. … The 2018 Infectious Diseases Society of America influenza guidelines recommend inhaled zanamivir for … Refer to the Discussion Guide to help your practice develop a standardized approach to the diagnosis … Any practice described in this presentation must be applied by healthcare practitioners in accordance … These practices are offered as helpful options for consideration by healthcare practitioners, not as guidelines 
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cdsic.ahrq.gov/sites/default/files/2024-07/SRF_Taxonomy%20of%20PC%20CDS%20Override%20Recommendations_508_0.pdf January 01, 2024 - practice. 
3. … with the 
latest clinical guidelines. … Physicians’ reasons for failing to comply with computerized preventive care 
guidelines. … (Prepared by 
the Southern California Evidence-Based Practice Center under Contract No. 75Q80120D00003 … Physicians’ reasons for failing to comply with computerized preventive 
care guidelines. 
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digital.ahrq.gov/sites/default/files/SRF_Taxonomy%20of%20PC%20CDS%20Override%20Recommendations_508_0.pdf July 01, 2024 - practice. 
3. … with the 
latest clinical guidelines. … Physicians’ reasons for failing to comply with computerized preventive care 
guidelines. … (Prepared by 
the Southern California Evidence-Based Practice Center under Contract No. 75Q80120D00003 … Physicians’ reasons for failing to comply with computerized preventive 
care guidelines. 
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/_7ajXPWanAmoL_YtR72qFo March 01, 2005 - American College of Obstetricians and
Gynecologists (ACOG) and the American Academy
of Pediatrics (AAP) guidelines … Guide to
Clinical Preventive Services. 2nd ed. … Guidelines for Perinatal Care. 5th ed. Elk Grove
Village, IL: AAP; Washington, DC: ACOG; 2002.
32. … Sexually transmitted diseases treatment guidelines
2002. … limited by the number, quality, or consistency of the individual studies, generalizability to routine
practice 
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hcup-us.ahrq.gov/reports/statbriefs/sb155.jsp May 01, 2013 - showed decreasing trauma call coverage because of higher medico-legal risk, conflict with elective practice … ICD-9-CM Official Guidelines for Coding and Reporting. … These guidelines were created on 08/05/2010 and are effective as of 10/01/2010. … http://www.cdc.gov/nchs/icd/icd9cm_addenda_guidelines.htm#guidelines . … Accessed April 20, 2013.
 
 7  HCUP Clinical Classifications Software (CCS). 
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html December 01, 2017 - It can help your team identify practice patterns and inconsistencies in practice, so you can more easily … Please Adapt This Tool 
 A team of clinicians designed this tool to assess practice variability in its … Glucose level: 
			Time: 
 
 
 
 Did you find practice variability? … Trained: 
			Yes ___        No ___ 
 
 
 
 Did you find practice variability? … It did not identify clinical trial evidence to support a lower target, but noted that some other organizations