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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - various weight formulas (BMI, lean body weight, and ideal body weight) prior to administering any drugs … addition, their commentary does not include information regarding investigational or
off-label use of pharmaceutical … products or medical devices.
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psnet.ahrq.gov/node/49567/psn-pdf
September 01, 2008 - glucocorticoid-induced
osteoporosis.(4) Early intervention could include nonsteroidal antiinflammatory drugs … addition, his commentary does not include information
regarding investigational or off-label use of pharmaceutical … products or medical devices.
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - Updates in the Role of Health IT in Patient Safety
February 21, 2020
Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
Background
Health information technology (HIT) has the potential…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
December 15, 2016 - Implementation Quick Start Guide: Medication Management (Half-Page)
Implementation
Quick Start Guide
Medication
Management
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
What Is the Medication Management Strategy? ...................1
W…
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www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
June 01, 2025 - Comparison Tables for Making Healthcare Safer Reports
The tables below compare all editions of the Agency for Healthcare Research and Quality’s Making Health Care Safer report . The first edition , published in 2001, was developed following the 1999 publication of To Err is Human: Building a Safer Health Sys…
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hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section5_2.pdf
January 01, 2008 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2008 61
EXHIBIT 5.2 Reasons for MHSA Inpatient Hospital Stays
Bipolar Disorders
20%
Depression
24%
Schizophrenia/Other
Psychotic Disorders
19%
Alcohol-related
Disorders
14%
Drug-related
Disorders
12%
Adjustment Disor…
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psnet.ahrq.gov/node/46542/psn-pdf
June 19, 2018 - Improving admission medication reconciliation with
pharmacists or pharmacy technicians in the emergency
department: a randomised controlled trial.
June 19, 2018
Pevnick JM, Nguyen C, Jackevicius CA, et al. Improving admission medication reconciliation with
pharmacists or pharmacy technicians in the emergency depar…
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psnet.ahrq.gov/node/44324/psn-pdf
September 09, 2015 - Prevalence, nature, severity and risk factors for
prescribing errors in hospital inpatients: prospective
study in 20 UK hospitals.
September 9, 2015
Ashcroft DM, Lewis PJ, Tully MP, et al. Prevalence, Nature, Severity and Risk Factors for Prescribing
Errors in Hospital Inpatients: Prospective Study in 20 UK Hospit…
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psnet.ahrq.gov/node/44959/psn-pdf
March 09, 2016 - Patient, physician, medical assistant, and office visit
factors associated with medication list agreement.
March 9, 2016
Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors
Associated With Medication List Agreement. J Patient Saf. 2016;12(1):18-24.
doi:10.1097/PTS.0…
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psnet.ahrq.gov/node/43207/psn-pdf
April 25, 2016 - Root cause analysis of serious adverse events among
older patients in the Veterans Health Administration.
April 25, 2016
Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the
Veterans Health Administration. Jt Comm J Qual Patient Saf. 2014;40(6):253-62.
https://…
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psnet.ahrq.gov/node/44208/psn-pdf
July 16, 2015 - Preventability of voluntarily reported or trigger
tool–identified medication errors in a pediatric institution
by information technology: a retrospective cohort study.
July 16, 2015
Stultz JS, Nahata MC. Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in
a Pediatric Institution …
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psnet.ahrq.gov/node/45719/psn-pdf
June 29, 2017 - Systematic review of the prevalence of medication errors
resulting in hospitalization and death of nursing home
residents.
June 29, 2017
Ferrah N, Lovell JJ, Ibrahim JE. Systematic Review of the Prevalence of Medication Errors Resulting in
Hospitalization and Death of Nursing Home Residents. J Am Geriatr Soc. 2017…
-
psnet.ahrq.gov/node/46856/psn-pdf
June 20, 2018 - Visual acuity, literacy, and unintentional misuse of
nonprescription medications.
June 20, 2018
Mullen RJ, Curtis LM, O'Conor R, et al. Visual acuity, literacy, and unintentional misuse of nonprescription
medications. Am J Health-Syst Pharm. 2018;75(9):e213-e220. doi:10.2146/ajhp170303.
https://psnet.ahrq.gov/issu…
-
psnet.ahrq.gov/node/46645/psn-pdf
January 23, 2019 - Emergency department contribution to the prescription
opioid epidemic.
January 23, 2019
Axeen S, Seabury SA, Menchine M. Emergency Department Contribution to the Prescription Opioid
Epidemic. Ann Emerg Med. 2018;71(6):659-667.e3. doi:10.1016/j.annemergmed.2017.12.007.
https://psnet.ahrq.gov/issue/emergency-departm…
-
psnet.ahrq.gov/node/47115/psn-pdf
August 15, 2018 - Adverse events in hospitalized pediatric patients.
August 15, 2018
Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients.
Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360.
https://psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients
This study u…
-
psnet.ahrq.gov/node/45177/psn-pdf
June 01, 2016 - Quantifying the burden of opioid medication errors in
adult oncology and palliative care settings: a systematic
review.
June 1, 2016
Heneka N, Shaw T, Rowett D, et al. Quantifying the burden of opioid medication errors in adult oncology
and palliative care settings: A systematic review. Palliat Med. 2016;30(6):520…
-
psnet.ahrq.gov/node/46454/psn-pdf
August 20, 2018 - First, Do No Harm: Marshaling Clinician Leadership to
Counter the Opioid Epidemic.
August 20, 2018
Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISBN
9781947103108.
https://psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
M…
-
psnet.ahrq.gov/node/45329/psn-pdf
April 24, 2018 - State legal restrictions and prescription-opioid use
among disabled adults.
April 24, 2018
Meara E, Horwitz JR, Powell W, et al. State Legal Restrictions and Prescription-Opioid Use among
Disabled Adults. N Engl J Med. 2016;375(1):44-53. doi:10.1056/NEJMsa1514387.
https://psnet.ahrq.gov/issue/state-legal-restricti…
-
psnet.ahrq.gov/web-mm/novel-drug-misuse
September 30, 2010 - that the commentary does not include information about or discuss investigational or off-label use of pharmaceutical … products or medical devices. … addition, the commentary does not include information regarding investigational or off-label use of pharmaceutical … products or medical devices. … July 14, 2010
Adverse events associated with sedatives, analgesics, and other drugs that
-
digital.ahrq.gov/sites/default/files/docs/citation/enhancedmedhistories_102611comp.pdf
October 01, 2011 - Reminder rates for elderly patients taking at least two drugs from the list of
“Drugs to Avoid in … But as may be seen from Table 20 and 21, drugs from the HEDIS list of “Drugs to
Avoid in the Elderly … Reminder rates for elderly patients taking at least two drugs from the list of “Drugs to Avoid in the … most frequent Drugs to Avoid in the Elderly. … Drugs To Be Avoided in the Elderly
Category 5.