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psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
May 16, 2018 - System-level recommendations to enhance practice include cross-system tracking efforts with defined
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psnet.ahrq.gov/issue/apparent-cause-analysis-safety-tool
June 27, 2018 - This article explores one hospital’s use of facilitated apparent cause analysis (ACA), which is defined
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psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers-during
January 09, 2018 - This systematic review defined home care safety risks for both patients and caregivers, including
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psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
December 16, 2014 - In this AHRQ-funded study, the authors reviewed elements of the hospital discharge process and defined
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psnet.ahrq.gov/issue/health-outcomes-associated-potentially-inappropriate-medication-use-older-adults
June 29, 2011 - This study found an association between inappropriate medication use, as defined by the Beers criteria
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psnet.ahrq.gov/issue/surgeon-commitment-trauma-care-decreases-missed-injuries
June 15, 2012 - Full-time trauma surgeons had a lower incidence of diagnostic errors (defined as the incidence of missed
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psnet.ahrq.gov/issue/steering-patients-safer-hospitals-effect-tiered-hospital-network-hospital-admissions
April 01, 2010 - discovered that providing unionized employees with a financial incentive to choose safer hospitals (defined
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psnet.ahrq.gov/issue/use-beers-criteria-predict-adverse-drug-reactions-among-first-visit-elderly-outpatients
October 27, 2016 - They found a positive relationship between potentially inappropriate drug prescribing, as defined by
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psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
December 12, 2018 - The first article reviews unsafe practices in care delivery as defined by inpatient clinicians.
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psnet.ahrq.gov/node/847724/psn-pdf
April 19, 2023 - Defining avoidable healthcare-associated harm in
prisons: a mixed-method development study.
April 19, 2023
Keers RN, Wainwright V, McFadzean J, et al. Defining avoidable healthcare-associated harm in prisons: a
mixed-method development study. PLOS One. 2023;18(3):e0282021. doi:10.1371/journal.pone.0282021.
https:/…
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psnet.ahrq.gov/node/46502/psn-pdf
July 02, 2019 - Defining optimal length of opioid pain medication
prescription after common surgical procedures.
July 2, 2019
Scully RE, Schoenfeld AJ, Jiang W, et al. Defining Optimal Length of Opioid Pain Medication Prescription
After Common Surgical Procedures. JAMA Surg. 2018;153(1):37-43. doi:10.1001/jamasurg.2017.3132.
http…
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psnet.ahrq.gov/node/854981/psn-pdf
November 01, 2023 - Defining a high-quality and effective morbidity and
mortality conference: a systematic review.
November 1, 2023
Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and
mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-1343.
doi:10.1001/jamasurg.2023.…
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psnet.ahrq.gov/issue/incidence-and-predictors-opioid-prescription-discharge-after-traumatic-injury
July 02, 2019 - However, the true incidence of inappropriate opioid prescribing has not yet been defined.
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psnet.ahrq.gov/node/844989/psn-pdf
February 22, 2023 - Defining and enhancing collaboration between
community pharmacists and primary care providers to
improve medication safety.
February 22, 2023
White A, Fulda KG, Blythe R, et al. Defining and enhancing collaboration between community pharmacists
and primary care providers to improve medication safety. Expert Opin D…
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psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-prescribing-us-nursing-homes-2013-2017
March 27, 2024 - beneficiaries estimated that the prevalence of PIM use was 77% among long-stay nursing home residents (defined
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psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
March 23, 2012 - The National Quality Forum originally defined 27 health care " never events "—patient safety events that
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psnet.ahrq.gov/issue/defining-high-quality-and-effective-morbidity-and-mortality-conference-systematic-review
September 30, 2012 - Review
Defining a high-quality and effective morbidity and mortality conference: a systematic review.
Citation Text:
Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-…
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - , and even potentially across the world, can report
information on patient safety in a way that is defined … clinically in a congruent way and defined electronically
in an interoperable way so that information … We defined
what should be collected at the local level, where care is being delivered at the hospital
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psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
November 18, 2015 - process map of 13 identified indicators that contribute to medication errors and how each of these were defined
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psnet.ahrq.gov/issue/defining-avoidable-healthcare-associated-harm-prisons-mixed-method-development-study
August 04, 2021 - Study
Defining avoidable healthcare-associated harm in prisons: a mixed-method development study.
Citation Text:
Keers RN, Wainwright V, McFadzean J, et al. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. PLOS One. 2023;18(3):e0282021. doi:10.1…