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digital.ahrq.gov/sites/default/files/docs/improve-medication-management-slides-091318.pdf
September 27, 2018 - A National Conference on the Role of Health IT to Improve Medication Management - Slides
A National Web Conference on the Role
of Health IT to Improve Medication
Management
Presented by:
Karen Farris, PhD
Jeffrey Schnipper, MD, MPH, FHM
Margie Snyder, PharmD, MPH, FCCP
Modera…
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www.ahrq.gov/patient-safety/reports/liability/waever.html
August 01, 2017 - Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned
Implementing Shared … Decision-Making: Barriers and Solutions—An Orthopedic Case Study
Transitional Care Medication Safety
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psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - One Dose, Two Errors
Citation Text:
Filice GA. One Dose, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - Eptifibatide Epilogue
Citation Text:
Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/rotator-cuff-tear_executive.pdf
July 01, 2010 - Layout 1
Introduction
The rotator cuff (RC) is comprised of four
muscle-tendon units, which stabilize the
humeral head within the shoulder joint and
aid in powering the movement of the upper
extremity. RC tears refer to a partial or full
discontinuation of one or more of the
muscles or tendons and may occur as a
res…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
December 01, 2017 - On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts
AHRQ’s Safety Program for Nursing Homes
Review of Self-Assessment Worksheet
Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet
Completed Self-Assessment Worksheet
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
July 01, 2016 - Handouts: Implementation of the Healing Reports
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
Facilitator Training
Implementation of the Healing Reports: Handouts
Review of Self-Assessment Worksheet
Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet
Com…
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psnet.ahrq.gov/issue/moving-beyond-misuse-and-diversion-urgent-need-consider-role-iatrogenic-addiction-current
July 18, 2012 - Commentary
Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic.
Citation Text:
Beauchamp GA, Winstanley EL, Ryan SA, et al. Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic a…
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psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication
July 27, 2018 - Study
Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.
Citation Text:
Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…
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psnet.ahrq.gov/issue/accurate-measurement-californias-safety-net-health-systems-has-gaps-and-barriers
April 04, 2018 - Study
Accurate measurement in California's safety-net health systems has gaps and barriers.
Citation Text:
Khoong EC, Cherian R, Rivadeneira NA, et al. Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers. Health Aff (Millwood). 2018;37(11):1760-1769. doi:…
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psnet.ahrq.gov/issue/impact-digitally-acquired-peer-diagnostic-input-diagnostic-confidence-outpatient-cases
June 15, 2022 - Study
Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial.
Citation Text:
Khoong EC, Fontil V, Rivadeneira NA, et al. Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases:…
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psnet.ahrq.gov/issue/often-overlooked-problems-handoffs-intensive-care-unit-operating-room
May 25, 2016 - Review
Often overlooked problems with handoffs: from the intensive care unit to the operating room.
Citation Text:
Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.00…
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psnet.ahrq.gov/issue/outpatient-adverse-drug-events-identified-screening-electronic-health-records
June 08, 2016 - Study
Outpatient adverse drug events identified by screening electronic health records.
Citation Text:
Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06…
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psnet.ahrq.gov/issue/improving-employee-voice-about-transgressive-or-disruptive-behavior-case-study
June 16, 2021 - Study
Improving employee voice about transgressive or disruptive behavior: a case study.
Citation Text:
Dixon-Woods M, Campbell A, Martin G, et al. Improving Employee Voice About Transgressive or Disruptive Behavior: A Case Study. Acad Med. 2019;94(4):579-585. doi:10.1097/ACM.00000000000…
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psnet.ahrq.gov/issue/association-hospital-public-quality-reporting-electronic-health-record-medication-safety
October 21, 2020 - Study
Association of hospital public quality reporting with electronic health record medication safety performance.
Citation Text:
Holmgren AJ, Bates DW. Association of hospital public quality reporting with electronic health record medication safety performance. JAMA Netw Open. 2021;4(9…
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psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-systematic-review
January 19, 2022 - Review
How well is quality improvement described in the perioperative care literature? A systematic review.
Citation Text:
Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/increasing-patient-safety-neonates-handoff-communication-during-delivery-call
March 19, 2019 - Commentary
Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME.
Citation Text:
Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff communica…
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www.ahrq.gov/research/findings/evidence-based-reports/er207-abstract.html
October 01, 2014 - Allocation of Scarce Resources During MCEs
Full Title: Allocation of Scarce Resources During Mass Casualty Events
Topic page summarizing evidence report on allocation of scarce resources during mass casualty events (MCEs).
June 2012
This report reviews the evidence regarding allocation of scarce medical r…
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psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16-countries
September 09, 2015 - Study
National and local medication error reporting systems—a survey of practices in 16 countries.
Citation Text:
Holmström A-R, Airaksinen M, Weiss M, et al. National and local medication error reporting systems: a survey of practices in 16 countries. J Patient Saf. 2012;8(4):165-76. …
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psnet.ahrq.gov/issue/multidisciplinary-approach-gi-cancer-results-change-diagnosis-and-management-patients
December 21, 2014 - Study
The multidisciplinary approach to GI cancer results in change of diagnosis and management of patients. Multidisciplinary care impacts diagnosis and management of patients.
Citation Text:
Meguid C, Schulick RD, Schefter TE, et al. The Multidisciplinary Approach to GI Cancer Results …