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psnet.ahrq.gov/issue/economic-analysis-prevalence-and-clinical-and-economic-burden-medication-error-england
April 17, 2024 - information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled … of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled … March 1, 2023
Safer prescribing and care for the elderly (SPACE): cluster randomised controlled
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psnet.ahrq.gov/issue/interventions-employed-improve-intrahospital-handover-systematic-review
January 20, 2015 - The literature search uncovered 29 relevant handoff studies, only 2 of which were randomized controlled … facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled … A combined teamwork training and work standardisation intervention in operating theatres: controlled
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psnet.ahrq.gov/node/72519/psn-pdf
December 02, 2020 - Evaluation of a patient-centered fall-prevention tool kit to
reduce falls and injuries: a nonrandomized controlled … Evaluation of a patient-centered fall-prevention tool kit to reduce
falls and injuries: a nonrandomized controlled
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psnet.ahrq.gov/node/840484/psn-pdf
November 30, 2022 - secondary and
primary care to improve medication safety in the elderly
(The IMMENSE study) - a randomized controlled … secondary and
primary care to improve medication safety in the elderly (The IMMENSE study) – a randomized controlled
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psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
November 15, 2023 - March 29, 2023
ASHP Guidelines on Preventing Diversion of Controlled Substances. … structured interprofessional medication-review supported by health information technology: a non-randomized controlled … June 26, 2019
Medicare letters to curb overprescribing of controlled substances had no
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psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk-national
November 29, 2023 - Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled … The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled … March 30, 2011
Impact of a comprehensive safety initiative on patient-controlled analgesia
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psnet.ahrq.gov/issue/effects-teamwork-training-adverse-outcomes-and-process-care-labor-and-delivery-randomized
January 10, 2017 - Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled … Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled … Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled
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psnet.ahrq.gov/issue/electronic-trigger-based-intervention-reduce-delays-diagnostic-evaluation-cancer-cluster
April 09, 2013 - trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled … Trigger-Based Intervention to Reduce Delays in Diagnostic Evaluation for Cancer: A Cluster Randomized Controlled … Trigger-Based Intervention to Reduce Delays in Diagnostic Evaluation for Cancer: A Cluster Randomized Controlled
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psnet.ahrq.gov/issue/unintended-effects-computerized-physician-order-entry-nearly-hard-stop-alert-prevent-drug
February 18, 2011 - computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled … computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled … computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled
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psnet.ahrq.gov/issue/patient-perceptions-and-experiences-medication-related-activities-emergency-department
September 22, 2017 - secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled … hospital admission and discharge in older patients: a secondary outcome analysis from a randomized controlled … bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled … decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled
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psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review
September 23, 2020 - This review identified randomized controlled trials that examined various combinations of clinician education … Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled
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psnet.ahrq.gov/web-mm/miscalculated-risk
March 01, 2015 - After the first dose of MS Contin (controlled-release oral morphine), the patient was noted to be somnolent … The long-acting opioids (fentanyl transdermal system [Duragesic], controlled-release morphine [MS Contin … ], controlled-release oxycodone [OxyContin], extended-release morphine [Avinza, Kadian], and methadone … The specific reduction often depends on how well the patient's pain is controlled. … For example, if pain is well controlled, the dose of the new drug may be reduced by 50%, and liberal
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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - structured interprofessional medication-review supported by health information technology: a non-randomized controlled … decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled … Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled
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psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
December 23, 2020 - postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled … measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled … September 27, 2016
Driven to distraction: a prospective controlled study of a simulated
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psnet.ahrq.gov/issue/economic-evaluation-pharmacist-led-medication-reviews-residential-aged-care-facilities
September 21, 2022 - Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled … delivered by community pharmacist to elderly patients on polypharmacy: a meta-analysis of randomized controlled … reconciliation on healthcare outcomes in secondary care: a systematic review and meta-analysis of randomized controlled
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psnet.ahrq.gov/issue/association-state-opioid-duration-limits-postoperative-opioid-prescribing
April 18, 2019 - postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled … March 10, 2021
WebM&M Cases
Fatal Patient-Controlled … Analgesia (PCA) Opioid-Induced Respiratory Depression
May 27, 2020
Assessing controlled
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psnet.ahrq.gov/issue/telemedicine-vs-telephone-consultations-and-medication-prescribing-errors-among-referring
September 23, 2020 - of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled … preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled … Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled
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psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms
September 14, 2022 - predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled … 2024
Improving handoff by deliberate cognitive processing: results from a randomized controlled … 'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled
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psnet.ahrq.gov/issue/opioid-stewardship-program-and-postoperative-adverse-events-difference-differences-cohort
June 30, 2021 - postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled … postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled … September 30, 2020
WebM&M Cases
Fatal Patient-Controlled
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psnet.ahrq.gov/issue/adverse-events-experienced-while-transferring-critically-ill-patient-emergency-department
November 13, 2024 - automated email notification system for results of tests pending at discharge: a cluster-randomized controlled … May 19, 2021
Errors during the preparation of drug infusions: a randomized controlled … 2010
Introduction of the medical emergency team (MET) system: a cluster-randomised controlled