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psnet.ahrq.gov/node/867519/psn-pdf
January 15, 2025 - High-risk medication errors: insight from the UK National
Reporting and Learning System.
January 15, 2025
Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National
Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531.
doi:10.1016/j.rcsop.2024.100531.…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab15.html
December 01, 2017 - Table 15. Inpatient admissions at Indian Health Service and Tribal hospitals by project site. Fiscal year 2010
ARRA Grants Initiative
Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for advancing del…
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psnet.ahrq.gov/node/38282/psn-pdf
December 17, 2008 - 2008 Update on Consumers' Views of Patient Safety and
Quality Information.
December 17, 2008
Kaiser Family Foundation, Agency for Healthcare Research and Quality. Menlo Park, CA: Henry J. Kaiser
Family Foundation; October 2008.
https://psnet.ahrq.gov/issue/2008-update-consumers-views-patient-safety-and-quality-inf…
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psnet.ahrq.gov/node/848313/psn-pdf
May 03, 2023 - Listen to the whispers before they become screams:
addressing Black maternal morbidity and mortality in the
United States.
May 3, 2023
Njoku A, Evans M, Nimo-Sefah L, et al. Listen to the whispers before they become screams: addressing
Black maternal morbidity and mortality in the United States. Healthcare. 2023;1…
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psnet.ahrq.gov/node/37004/psn-pdf
July 08, 2008 - Tying up loose ends: discharging patients with
unresolved medical issues.
July 8, 2008
Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues.
Arch Intern Med. 2007;167(12):1305-11.
https://psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-is…
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psnet.ahrq.gov/node/849599/psn-pdf
May 31, 2023 - Racial inequality in receipt of medications for opioid use
disorder.
May 31, 2023
Barnett ML, Meara E, Lewinson T, et al. Racial inequality in receipt of medications for opioid use disorder.
New Engl J Med. 2023;388(19):1779-1789. doi:10.1056/nejmsa2212412.
https://psnet.ahrq.gov/issue/racial-inequality-receipt-me…
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psnet.ahrq.gov/node/48012/psn-pdf
June 12, 2019 - American Geriatrics Society 2019 Updated AGS Beers
Criteria for Potentially Inappropriate Medication Use in
Older Adults.
June 12, 2019
American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication
Use in Older Adults. J Am Geriatr Soc. 2019;67(4):674-694. doi:10.1111/jgs.15…
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psnet.ahrq.gov/node/36518/psn-pdf
March 28, 2011 - Nurses' attitudes to a medical emergency team service in
a teaching hospital.
March 28, 2011
Jones D, Baldwin I, McIntyre T, et al. Nurses' attitudes to a medical emergency team service in a teaching
hospital. Qual Saf Health Care. 2006;15(6):427-32.
https://psnet.ahrq.gov/issue/nurses-attitudes-medical-emergency-…
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psnet.ahrq.gov/node/37706/psn-pdf
December 23, 2016 - Preventing pediatric medication errors.
December 23, 2016
Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4.
https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors
The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk
and to p…
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psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - There are three primary critiques :
There is considerable interrater variability in determining … experienced clinical reviewers achieve only moderate agreement on whether or not an error even occurred, and determining
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-evidence-communication_executive.pdf
November 01, 2013 - After
determining article inclusion, one reviewer entered data
about studies into evidence tables and … While this tactic creates the potential
for a more powerful effect, it also complicates determining … Key Points: Disseminating Evidence to Patients
• Evidence is inconsistent for determining the beneft … • Evidence is insuffcient for determining the beneft
of reach, ability, motivation, or multicomponent … • Evidence is insuffcient for determining the beneft
of reach, ability, motivation, or multicomponent
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-de-novo-processes_methods.pdf
September 01, 2009 - Determining How To Use Existing Systematic Reviews
At this point in the process, we assume that EPCs … These include:
• Determining whether the targeted SR search strategy that has been proposed
in this … • Determining whether it is more efficient to search for an SR as part of the
overall search strategy … • Determining specific criteria to assess the quality of individual patient data
meta-analyses. … • Determining if SRs evaluating diagnostic tests or harms require a different
emphasis on certain
-
effectivehealthcare.ahrq.gov/sites/default/files/systematicreviewsreplacedenovo.pdf
September 01, 2009 - Determining How To Use Existing Systematic Reviews
At this point in the process, we assume that EPCs … These include:
• Determining whether the targeted SR search strategy that has been proposed
in this … • Determining whether it is more efficient to search for an SR as part of the
overall search strategy … • Determining specific criteria to assess the quality of individual patient data
meta-analyses. … • Determining if SRs evaluating diagnostic tests or harms require a different
emphasis on certain
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psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-prevent-catheter-associated-urinary
January 25, 2017 - May 11, 2022
Determining the skills needed by frontline NHS staff to deliver quality
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psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting
September 25, 2008 - June 8, 2016
Comparison of military and civilian methods for determining potentially
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psnet.ahrq.gov/issue/leveraging-redesigned-morbidity-and-mortality-conference-incorporates-clinical-and
April 24, 2018 - December 3, 2018
Comparison of military and civilian methods for determining potentially
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psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
May 23, 2018 - Related Resources From the Same Author(s)
Comparison of military and civilian methods for determining
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psnet.ahrq.gov/issue/cost-effectiveness-computerized-provider-order-entry-system-improving-medication-safety
August 09, 2017 - December 21, 2016
Comparison of military and civilian methods for determining potentially
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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2011
January 01, 2011 - care, estimating the prevalence of voluntary physician use of the DMF embedded within the EHR, and determining
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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2012
January 01, 2012 - also investigating the prevalence of voluntary physician use of the DMF embedded within the EHR, and determining