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integrationacademy.ahrq.gov/products/topic-briefs/covid-19
February 01, 2025 - An official website of the Department of Health & Human Services
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www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
January 01, 2024 - Final Progress Report: Using Barcode Technology to Improve Medication Safety
FINAL REPORT: April 16, 2007
Using Barcode Technology to Improve Medication Safety
Principal Investigator: Tejal Gandhi, tgandhi@partners.org
Brigham and Women’s Hospital
Tejal Gandhi MD, MPH, Principle Investigator
Eric Poon, MD, MPH, …
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017220-wolf-final-report-2012.pdf
January 01, 2012 - friends), the Internet and other reference materials, or even Direct-to-Consumer advertising
for various drugs … to occur if discrepancies were associated with medicines not prescribed by
the physician, for OTC drugs … 66.7
Medicare 14.9 11.8 20.5 11.1
Medicaid 8.8 6.9 10.2 9.7
None/other 7.3 4.9 7.1 12.5
# of Rx drugs
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/depression-treatment-ssri_research-protocol.pdf
June 15, 2010 - initial treatment
modalities used for depression and one of the most frequently utilized classes of drugs … Permax), Pramipexole (Mirapex), Ropinirole (Requip),
Apomorphine (Apokyn), Rotigotine (Neupro); Other drugs … Publication bias is important to assess in reviews with the use of drugs, as there is evidence
to suggest
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - Duplicate Insulin Order
Citation Text:
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - Death by PCA
Citation Text:
Hicks RW. Death by PCA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Dow…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
May 01, 2014 - Available at: http://www.fda.gov/downloads/Drugs/DrugSafety/MedicationErrors/ucm080691.pdf
10
Physician
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - Caution, Interrupted
Citation Text:
Wears RL. Caution, Interrupted. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/type-2-diabetes-medications-2007_executive.pdf
January 01, 2007 - Other comparisons
between drugs had too few studies to draw conclusions. … which
particular patients may be most susceptible to the
adverse events associated with particular drugs
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psnet.ahrq.gov/issue/medical-abbreviations-have-contradictory-or-ambiguous-meanings
November 18, 2020 - Newspaper/Magazine Article
Medical abbreviations that have contradictory or ambiguous meanings.
Citation Text:
Medical abbreviations that have contradictory or ambiguous meanings. Davis N. ISMP Medication Safety Alert! Acute care edition! January 30, 2020;25(2):1-5.
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psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop
September 12, 2018 - Meeting/Conference Proceedings
Communicating Clearly About Medicines: Proceedings of a Workshop.
Citation Text:
Communicating Clearly About Medicines: Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press: 2017.…
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psnet.ahrq.gov/issue/follow-ismp-guidelines-safeguard-design-and-use-automated-dispensing-cabinets-adcs
May 07, 2018 - Newspaper/Magazine Article
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs).
Citation Text:
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). ISMP Medication Safety Alert! Acute Care Edition. Febr…
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psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act-2014
December 21, 2022 - Government Resource
Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014.
Citation Text:
Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014. HR 3230, 113th Congress: 2014.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-42
September 26, 2017 - Commentary
ISMP medication error report analysis.
Citation Text:
Cohen MR, Smetzer JL. Oral Syringes: A Crucial and Economical Risk-Reduction Strategy that has Not Been Fully Utilized; Caution regarding Once-Weekly Levothyroxine; When Drug Strengths Differ by 10-Fold; Lower Colchicine Do…
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psnet.ahrq.gov/issue/deprescribing-guidelines-special-section-symposium-results
July 31, 2019 - Meeting/Conference Proceedings
Deprescribing Guidelines: Special Section on Symposium Results.
Citation Text:
Deprescribing Guidelines: Special Section on Symposium Results. Res Social Adm Pharm. 2019;15(6):780-810.
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psnet.ahrq.gov/issue/national-action-alliance-advance-patient-safety-webinar-series
April 01, 2024 - Webinar
National Action Alliance to Advance Patient and Workforce Safety Webinar Series.
Citation Text:
National Action Alliance to Advance Patient and Workforce Safety Webinar Series. US Department of Health and Human Services. 2023-2025.
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psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
September 29, 2021 - Book/Report
Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital.
Citation Text:
Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hos…
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psnet.ahrq.gov/issue/medicine-safety-take-care
February 21, 2018 - Book/Report
Medicine Safety: Take Care.
Citation Text:
Medicine Safety: Take Care. Lim R, Semple S, Ellett LK, Roughead L. Canberra, Australia: Pharmaceutical Society of Australia; 2019.
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psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
August 23, 2017 - Book/Report
Learning From Serious Failings in Care: Main Report.
Citation Text:
Learning From Serious Failings in Care: Main Report. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Academy of Medical Royal Colleges and Faculties in Scotland; May 2015.
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psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
July 15, 2020 - Commentary
The normalization of deviance: what are the perioperative risks?
Citation Text:
McNamara SA. The normalization of deviance: what are the perioperative risks? AORN J. 2011;93(6):796-801. doi:10.1016/j.aorn.2011.02.009.
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